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BLOOD TRANSFUSION SERVICE REQUISITION Provincial Clinical Laboratory Queen Elizabeth Hospital Charlottetown, PEI Phone (902) 8942300 Fax (902) 8942415Name: Prince County Hospital Summerside, PEI Phone
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How to fill out blood transfusion service requisition

01
Obtain the blood transfusion service requisition form.
02
Fill out your personal information, including your full name, date of birth, and contact information.
03
Provide information about the healthcare facility or institution where the blood transfusion will take place.
04
Specify the details of the blood transfusion, such as the type of blood product needed, the number of units required, and any special instructions.
05
Indicate the reason for the blood transfusion and provide relevant medical history or diagnosis.
06
If applicable, include any additional tests or procedures requested to be performed alongside the blood transfusion.
07
Review the completed requisition form for accuracy and ensure all necessary information is included.
08
Submit the filled-out blood transfusion service requisition to the appropriate healthcare provider or blood bank for processing.

Who needs blood transfusion service requisition?

01
Individuals who require a blood transfusion in a healthcare facility or institution.
02
Patients with medical conditions that necessitate the replacement of blood components or the restoration of blood volume.
03
People undergoing surgical procedures that may result in significant blood loss.
04
Individuals with certain hematological disorders or cancer treatments.
05
Individuals with severe anemia or bleeding disorders.
06
Patients with specific genetic or immune-related conditions.
07
Individuals involved in accidents or trauma cases where blood transfusion may be necessary.
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A blood transfusion service requisition is a formal request made by healthcare providers to obtain blood or blood products for patients in need of transfusion.
Healthcare providers, such as doctors and nurses, are required to file a blood transfusion service requisition on behalf of patients who need blood transfusions.
To fill out a blood transfusion service requisition, providers must complete necessary patient information, specify the type and quantity of blood products needed, and provide any relevant medical history and transfusion requirements.
The purpose of the blood transfusion service requisition is to ensure that the correct type and amount of blood or blood products are allocated and delivered safely and efficiently to the patient in need.
Information that must be reported includes patient identification details, medical history, type of blood required, urgency of the request, and the physician's name.
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