3364-108-302 Requisition and Selection of Blood - utoledo-2025

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An order to transfuse must be received by the blood Bank before blood can be released and should include the date and time of transfusion, blood component to be given, volume, rate of infusion, and special instructions such as irradiation or autologous/donor directed blood, and if the units are for surgery or special
HCPCS Code Range P9010-P9100 P9010. Blood (whole), for transfusion, per unit. P9011. Blood, split unit. P9012. Cryoprecipitate, each unit. P9016. Red blood cells, leukocytes reduced, each unit. P9017. Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit. P9019. Platelets, each unit. P9020. P9021.
F A Blood Order Form (HIS, B605, or Exsanguination) must be presented or be on hold in the department when requesting component(s) for transfusion. HIS (Example 1) or B605 (Example 2) form is used when crossmatched blood is dispensed. Exsanguination Form (Example 3) is used when uncrossmatched blood is dispensed.
Fresh whole blood has always been thought of as the standard for transfusion; however, medical advancement has allowed the efficient use of the different components, such as packed red blood cells (PRBCs), individual factor concentrates, fresh frozen plasma (FFP), platelet concentrates, and cryoprecipitate.
The request form and sample tube must include, the patients forename (no abbreviations), surname, date of birth, CHI (Community Health Index) number or use of a unique numbered label system that allows an unambiguous link to be established between the patient, the sample and gender.
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It must be legible and must include: patient identification details: family name and given name, gender, date of birth (DOB) and unique patient identification number if available. date, timing and urgency of the transfusion. appropriate and consistent terminology for the blood product to be administered.

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