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Patient Identification Label Name ___University of Colorado Hospital Clinical Laboratory/Blood Banker ___DOWNTIME Transfusion Services Sequestrate of service ___Location ___Collection Date ___Phone

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How to fill out downtime transfusion services request

01

Obtain the downtime transfusion services request form from the appropriate department or supervisor.

02

Fill out the patient information section, including name, date of birth, medical record number, and hospital unit.

03

Indicate the type of blood component or product needed, along with the quantity.

04

Provide the reason for the request and any special instructions or considerations for the transfusion.

05

Obtain the necessary signatures, including those of the attending physician and transfusion service staff.

06

Submit the completed form to the transfusion service for processing.

Who needs downtime transfusion services request?

01

Patients who require blood transfusions during scheduled downtime or system outages.

02

Healthcare providers who need to request blood products for patients during downtime.

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What is downtime transfusion services request?

Downtime transfusion services request is a request for blood transfusion services when the regular electronic system is not available.

Who is required to file downtime transfusion services request?

Healthcare facilities such as hospitals or clinics are required to file downtime transfusion services request.

How to fill out downtime transfusion services request?

Downtime transfusion services request can be filled out manually using paper forms provided by the blood transfusion service provider.

What is the purpose of downtime transfusion services request?

The purpose of downtime transfusion services request is to ensure that patients in need of blood transfusions receive the necessary services even when electronic systems are down.

What information must be reported on downtime transfusion services request?

Downtime transfusion services request must include patient information, blood type, quantity of blood needed, and physician's order.

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