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Completing the Pretransfusion Testing Requisition

Requests for pretransfusion testing must be processed on a Pretransfusion Testing Requisition- REQ9004TM (TM2028) for all sites where a Hospital Information System is not used, during downtime when the Hospital Information System is not available, and for Mobile collection services and must be used in conjunction with the Regional Transfusion Identification System (RTSIS) form (CLS0997). 

Complete the Pretransfusion Testing Requisition with the required following information:

• Patient legal last and first name
• Personal Health Number (PHN) or Medical Record Number
• Patient date of birth
• Collection site
• Date, time, and priority of the collection
• Ordering physician (first and last name)
• Ordering location
• Transfusion history and antibodies in the 'Clinical History' section

For blood product provision, the following information is also required:

• Type of product
• Number of units or volume of product
• Date of intended transfusion (surgery date if applicable) or priority
• Site/ facility and clinic (outpatients) of intended transfusion

Complete the Regional Transfusion Identification System (RTSIS) with the required information as directed in Pretranfusion Testing- Specimen Collection.