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BLOOD TRANSFUSION SERVICE REQUEST FORM (2018) Provincial Clinical Laboratory Queen Elizabeth Hospital Charlottetown, PEI Phone (902) 8942300 Fax (902) 8942415Address for NonPEI Residents Required

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How to fill out blood transfusion service request

01

Step 1: Contact the nearest blood transfusion service center or hospital that provides blood transfusion services.

02

Step 2: Provide the necessary personal information such as your name, contact details, and any relevant medical information.

03

Step 3: Specify the type and amount of blood transfusion required.

04

Step 4: If possible, provide the specific blood type or any other specific requirements for the blood transfusion.

05

Step 5: Follow any additional instructions or procedures provided by the blood transfusion service center or hospital.

06

Step 6: Cooperate with the healthcare professionals involved in the blood transfusion process and provide any requested documentation or consent forms.

Who needs blood transfusion service request?

01

Individuals who require blood transfusions due to medical conditions or medical procedures may need to submit a blood transfusion service request.

02

This can include individuals with certain diseases such as anemia, cancer, or those undergoing surgery or other medical interventions that require blood transfusion for treatment or management of their condition.

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What is blood transfusion service request?

A blood transfusion service request is a formal document submitted by healthcare providers to request the administration of blood or blood products to a patient.

Who is required to file blood transfusion service request?

Healthcare professionals, such as doctors or nurses, who are responsible for patient care and require blood transfusions for their patients are required to file a blood transfusion service request.

How to fill out blood transfusion service request?

To fill out a blood transfusion service request, the requester must provide patient identification details, the type and quantity of blood products needed, the clinical indication for the transfusion, and any relevant patient history or special requirements.

What is the purpose of blood transfusion service request?

The purpose of a blood transfusion service request is to ensure that appropriate blood products are provided safely and efficiently to patients in need of transfusions, while also documenting the necessity and clinical reasoning behind the request.

What information must be reported on blood transfusion service request?

The blood transfusion service request must include patient demographics, type of blood product requested, reason for transfusion, ordering physician's information, patient’s blood type and crossmatch status, along with any specific patient needs or allergies.

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