Get the free Coagulation Department Laboratory Request Form

For Laboratory use onlyLaboratory Request FormHospital numberNHS numberLMCF041 version2 SpecimenSurnameForenameDOBDate & time of collectionLocationConsultantName (BLOCK CAPITALS)Bleep/Contact noRelevant

How to fill out coagulation department laboratory request

How to fill out coagulation department laboratory request

1. Fill out patient's name, date of birth, and medical record number.
2. Indicate the date and time the sample was collected.
3. Specify the tests requested such as PT, PTT, D-dimer, etc.
4. Provide any relevant clinical information or reason for the testing.
5. Include any special instructions for processing the sample if needed.
6. Sign and date the request form before submitting it to the coagulation department.

Who needs coagulation department laboratory request?

1. Patients who have been prescribed anticoagulant medication.
2. Patients with a history of clotting disorders or bleeding disorders.
3. Individuals undergoing surgery or other medical procedures that may affect blood clotting.
4. Healthcare providers monitoring a patient's response to anticoagulant therapy.

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What is coagulation department laboratory request?

A coagulation department laboratory request is a formal document or form used to order specific tests related to blood coagulation, such as PT, aPTT, and INR, to assess a patient's blood clotting ability.

Who is required to file coagulation department laboratory request?

Healthcare providers including physicians, nurse practitioners, and physician assistants are required to file a coagulation department laboratory request for patients who need coagulation testing.

How to fill out coagulation department laboratory request?

To fill out a coagulation department laboratory request, provide patient information such as name, date of birth, and medical record number, select the specific tests required, include clinical indications, and sign the request.

What is the purpose of coagulation department laboratory request?

The purpose of a coagulation department laboratory request is to obtain essential information regarding a patient's coagulation status, which aids in diagnosing bleeding disorders, monitoring anticoagulant therapy, and guiding treatment decisions.

What information must be reported on coagulation department laboratory request?

The information that must be reported includes patient demographics, the requested tests, relevant clinical history, and the healthcare provider's contact details.