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Orders

Basics of Ordeing Bloods, Investigations, Clinics and Referrals

Bloods 🩸:

1️⃣ Routine:

πŸ‘‰πŸΌ Order -> "Routine" ("Phelebotomist list"; "No" to "nurse collect"; "0800")

πŸ‘‰πŸΌ Includes: FBC, CRP, LFTs, U and E, Bone Profile, Magnesium

πŸ‘‰πŸΌ Most surgical patient require daily bloods (this includes putting out bloods for the weekend)

πŸ‘‰πŸΌ Ensure bloods are on the phlebotomist list before 0800 as they are often rejected by phelebotomists after this

2️⃣ Cross Match:

πŸ‘‰πŸΌ Order -> "Cross Match" -> Print Requisition Form + Phone Lab + Inform ward nurses to ensure blood released

πŸ‘‰πŸΌ Crucial when planning for potential blood transfusion during surgical procedures

πŸ‘‰πŸΌ Tests the compatability of patient's blood and donor blood to prevent transfusion reactions

πŸ‘‰πŸΌ Particularly important in surgeries where significant blood loss is anticipated or for patients with low Hb levels

3️⃣ Group and Save:

πŸ‘‰πŸΌ Order -> "Group and Save" -> Print Requisition Form

πŸ‘‰πŸΌ Determining the patient's blood type and Rh factor and storing this information for future blood transfusion

πŸ‘‰πŸΌ It is a preemptive step in case urgent blood transfusion is needed during or after surgery