Directed Donation Information for Patients
This file contains important instructions and information about directed blood donation for patients and families. It outlines the process, requirements, and contacts for facilitating a directed donation. Understanding these guidelines is essential for ensuring safety and proper handling of the donations.
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How do I fill this out?
To fill out this file, first gather the necessary information regarding the patient's medical history and requirements. Next, complete the required forms with accurate details and submit them to the appropriate contact. Ensure you follow up with the collection agency for confirmations and details.
How to fill out the Directed Donation Information for Patients?
1
Gather the patient's medical information.
2
Complete the Directed Donation Physician Request form.
3
Submit the forms to the UM Blood Bank.
4
Contact the Apheresis Procedure Unit for additional guidance.
5
Follow up with the blood collection agency for next steps.
Who needs the Directed Donation Information for Patients?
1
Patients needing blood transfusions for specific conditions.
2
Families of patients who want to contribute personal blood donations.
3
Medical staff coordinating blood donation processes.
4
Health professionals providing care and information to patients.
5
Blood collection agencies managing donations.
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What are the instructions for submitting this form?
To submit this form, you can fax it to the UM Blood Bank at 734-936-6875 or mail it to 1500 E. Medical Center Drive, UH2F221 University Hospital, Box 0054, Ann Arbor, MI 48109-0054. Ensure that all required fields are filled out correctly, and please follow up with the Blood Bank at 734-936-6900 for confirmation. It is advised to keep a copy of the submitted documents for your records.
What are the important dates for this form in 2024 and 2025?
For 2024-2025, ensure to keep in mind any potential changes in directed donation processes, as guidelines may evolve. Always verify with the medical staff about any updated forms or necessary requirements. Regularly check for announcements regarding blood donation needs in local areas.
What is the purpose of this form?
The purpose of this form is to facilitate the process of directed blood donation for patients relying on specific donor support. It ensures that patients can choose their donors while maintaining safety and compliance with medical standards. Furthermore, the form provides necessary guidelines for both healthcare professionals and potential donors to follow.
Tell me about this form and its components and fields line-by-line.
- 1. Patient's Name: Full name of the patient requiring blood.
- 2. Medical Record Number: Unique identification number for the patient's medical record.
- 3. Donor Information: Details about the directed blood donors including names and blood types.
- 4. Requesting Physician: Information regarding the physician overseeing the donation process.
- 5. Submission Date: Date when the directed donation request is submitted.
What happens if I fail to submit this form?
Failing to submit this form may delay the blood donation process, which can have serious implications for the patient needing transfusions.
- Delayed Transfusions: Patients may not receive timely blood which is critical for their health.
- Increased Risk: Inadequate planning may pose increased risks during emergencies.
- Administrative Issues: Without submission, necessary coordination with blood banks may fail.
How do I know when to use this form?
- 1. Pre-Scheduled Surgeries: Utilize the form for surgeries requiring blood in advance.
- 2. Chronic Conditions: Patients with ongoing needs for blood transfusions should submit this.
- 3. Transfusion Dependent Patients: When blood donations must be from specific individuals.
Frequently Asked Questions
What is directed donation?
Directed donation allows a patient to choose their own blood donors.
How do I arrange for directed donation?
Contact your doctor and the Apheresis Procedure Unit for assistance.
What forms do I need to fill out?
You need the Directed Donation Physician Request form and the American Red Cross Special Collection Form.
Is directed donor blood safer?
No, directed donor blood has the same risks as community volunteer donor blood.
What if my donor's blood type doesn't match?
The directed donor blood may not be available for use if there is an incompatibility.
How long does directed donation take?
Collecting and processing directed donor blood takes a minimum of 7 days.
Will I be charged for directed donor blood if it's not used?
Yes, there will be fees even if the blood is not used.
Can I edit the document after filling it out?
Yes, you can easily edit your document using PrintFriendly's PDF editor.
How can I contact the blood bank?
You can contact the Blood Bank and Transfusion Service at 734-936-6900.
What should I do with the completed forms?
Email or fax the completed forms to the UM Blood Bank for processing.
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