Blood Bank Request Form P0003FXS (New Zealand)

Form Template

The app is used to request blood from blood banks and transfusion centres in New Zealand and includes information such as red blood cells, platelets, fresh frozen plasma,

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Created by: Team GoCanvas
Language: English
Country: New Zealand

cryoprecipitate, prothrombinex, albumex x 4% and. albumex x 20%. Send this form to the blood bank when requiring blood components or products. A copy is to be retained at the blood bank. This app is specific to New Zealand. The Blood Bank Request Form P0003FXS (New Zealand) mobile app allows you to replace your paper request with an Android or iPhone. The mobile form includes fields to document items such as prescribing clinician, MCNZ number, ward contact phone, red cells, and platelets. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your blood bank records. You can also use the App Builder to personalize and customize this mobile form.

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