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HLA MATCHED PLATELET REQUEST HOSPITAL: Today's Date: Blood Bank Phone # Fax # Name of Contact Person: Phone/Beeper # CMV Neg Platelets: Yes Irradiated: Yes No No Non Type specific acceptable: Yes
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How to fill out hla matched platelet request

How to fill out an HLA matched platelet request:
01
Start by gathering the necessary information. This may include the patient's full name, date of birth, medical record number, and the reason for the platelet request.
02
Complete the healthcare provider section. This usually includes the name of the ordering physician, their contact information, and their signature.
03
Provide the patient's clinical information. This can consist of the patient's diagnosis, current medical condition, and any specific requirements or preferences for the platelet match.
04
Indicate the required HLA match criteria. This may involve specifying the desired HLA type, such as HLA-A, HLA-B, or HLA-DRB1 match. It is essential to clearly state the necessary compatibility requirements for the platelets.
05
Include any additional information or special instructions. If there are any particular circumstances that need to be considered, such as allergies or transfusion reactions, make sure to mention them in this section.
06
Review the completed request form for accuracy and ensure that all the required fields are filled out correctly.
Who needs an HLA matched platelet request?
01
Patients requiring platelet transfusions: Individuals who have a low platelet count due to various medical conditions, such as leukemia, aplastic anemia, or chemotherapy, may require platelet transfusions. In some cases, an HLA matched platelet request is made to reduce the risk of adverse reactions.
02
Individuals with known HLA sensitivities: Some patients have a history of developing antibodies against specific HLA types. In these cases, an HLA matched platelet request is made to minimize the chance of a transfusion reaction.
03
Individuals requiring long-term platelet support: Patients who frequently receive platelet transfusions on a regular basis may benefit from HLA matched platelet requests to enhance transfusion effectiveness.
Overall, the goal of an HLA matched platelet request is to match the donor's HLA type as closely as possible to the patient's, reducing the risk of adverse reactions and increasing the efficacy of the transfusion.
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