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Address for NonPEI Residents RequiredBLOOD TRANSFUSION SERVICE LABORATORY Queen Elizabeth Hospital Charlottetown, PEI Phone (902) 8942300 Fax (902) 8942415Name: ___Place ___ Label Here Street: ___

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How to fill out blood transfusion service request

01

Obtain the blood transfusion service request form from your healthcare provider.

02

Fill out the patient's information, including name, date of birth, and medical record number.

03

Specify the type of blood product needed (whole blood, packed red blood cells, platelets, etc).

04

Provide information on the reason for the transfusion and any relevant medical history.

05

Sign and date the form.

06

Submit the completed form to the blood transfusion service provider.

Who needs blood transfusion service request?

01

Patients who require a blood transfusion due to medical conditions such as anemia, surgery, trauma, or certain diseases.

02

Healthcare providers who are ordering blood transfusion for their patients.

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What is blood transfusion service request?

Blood transfusion service request is a formal request submitted to a healthcare facility for the transfusion of blood or blood products to a patient in need.

Who is required to file blood transfusion service request?

Healthcare providers, such as doctors or nurses, are typically required to file a blood transfusion service request on behalf of their patients.

How to fill out blood transfusion service request?

To fill out a blood transfusion service request, healthcare providers must provide information about the patient, reason for the transfusion, blood type compatibility, and any other relevant medical history.

What is the purpose of blood transfusion service request?

The purpose of a blood transfusion service request is to ensure that patients receive the appropriate blood products they need for medical treatment or surgery.

What information must be reported on blood transfusion service request?

Information such as patient's name, medical record number, blood type, reason for transfusion, specific blood products needed, and any relevant medical history must be reported on a blood transfusion service request.

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