Get the free lUMbar PUnCtUre labOratOry reqUisitiOn
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Form # 10631 (10/21)lumbar Puncture laboratory requisition 1. 2. 3.11111have patient sign consent form. Order nondisposable Lumbar Puncture tray with Manometer or disposable LP tray. Please include
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How to fill out lumbar puncture laboratory requisition
How to fill out lumbar puncture laboratory requisition
01
Make sure to have the patient's information such as name, DOB, and MRN available.
02
Indicate the reason for the lumbar puncture and any relevant clinical information.
03
Specify any tests that need to be performed on the CSF sample.
04
Provide any special instructions if necessary, such as holding medications before the procedure.
05
Ensure that the form is signed by the ordering physician.
Who needs lumbar puncture laboratory requisition?
01
Patients who are suspected of having conditions affecting the central nervous system like meningitis or encephalitis.
02
Patients who are being evaluated for demyelinating diseases like multiple sclerosis.
03
Patients with unexplained neurological symptoms such as headache, sensory disturbances, or altered mental status.
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What is lumbar puncture laboratory requisition?
Lumbar puncture laboratory requisition is a form used to request testing of cerebrospinal fluid obtained through a lumbar puncture procedure.
Who is required to file lumbar puncture laboratory requisition?
Healthcare professionals such as doctors, neurologists, or infectious disease specialists are typically required to file lumbar puncture laboratory requisition.
How to fill out lumbar puncture laboratory requisition?
The lumbar puncture laboratory requisition must be filled out with the patient's information, reason for the procedure, requested tests, and any relevant medical history.
What is the purpose of lumbar puncture laboratory requisition?
The purpose of lumbar puncture laboratory requisition is to facilitate the testing of cerebrospinal fluid for diagnostic purposes, such as identifying infections, inflammation, or neurological disorders.
What information must be reported on lumbar puncture laboratory requisition?
The lumbar puncture laboratory requisition must include the patient's name, date of birth, medical record number, ordering physician, tests requested, and reason for the procedure.
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