Get the free Hla Matched Platelet Request Form

This form is used to request HLA matched platelets for patients requiring specific blood types and compatibility testing, ensuring that all demographic and medical information is accurately recorded for processing the order.

How to fill out hla matched platelet request

How to fill out hla matched platelet request

1. Obtain the HLA matched platelet request form from the blood bank or relevant medical department.
2. Fill out the patient's personal information, including name, date of birth, and medical record number.
3. Indicate the specific blood type and any previous transfusion history of the patient.
4. Include the reason for requesting HLA matched platelets, such as previous transfusion reactions or current medical condition.
5. Specify the urgency of the request, indicating whether it is routine or urgent.
6. Obtain the necessary signatures from the attending physician or authorized personnel.
7. Submit the completed form to the blood bank for processing.

Who needs hla matched platelet request?

1. Patients with a history of severe transfusion reactions.
2. Patients with certain medical conditions such as aplastic anemia, leukemia, or other hematological disorders.
3. Individuals who require platelet transfusions regularly and may have developed antibodies against donor platelets.

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What is hla matched platelet request?

An HLA matched platelet request is a request for platelets that have been matched to a patient's human leukocyte antigens (HLA), which can help reduce the risk of transfusion reactions in patients with specific immune responses.

Who is required to file hla matched platelet request?

Healthcare providers, such as physicians or transfusion specialists, are required to file an HLA matched platelet request for patients who need platelets and are likely to develop complications from standard transfusions.

How to fill out hla matched platelet request?

To fill out an HLA matched platelet request, the healthcare provider must complete a form that typically includes patient information, clinical indication for the request, specific HLA typing details, and any previous transfusion history.

What is the purpose of hla matched platelet request?

The purpose of an HLA matched platelet request is to ensure that patients receive platelets that are compatible with their immune system, which can minimize the risk of transfusion-related complications.

What information must be reported on hla matched platelet request?

The information that must be reported on an HLA matched platelet request includes patient demographics, clinical indications, HLA typing results, and any relevant medical history, particularly regarding previous transfusions or reactions.