Important Note

Outpatient Locations use this General Lab Requisition, Send completed  with specimen(s) to lab.

Inpatient Locations use this Downtime Requisition

13102 Blood Bank Downtime Transfusion Form 07.2023

Downtime Reference Ranges: Chemistry

Downtime Reference Ranges: Hematology

Results will be faxed to the ordering location. Critical results will be called and faxed. When reviewing result, please refer to the Downtime Reference Ranges: Chemistry and the Downtime Reference Ranges: Hematology documents.

For result inquiries – Call Client Services 607-274-4474

Add-on test request – Call Client Services 607-274-4474

Note: Once Meditech is restored the originating location will perform necessary registrations and Lab will order all specimens received during downtime.

New Value

-Send completed Laboratory Downtime Requisition with specimen(s) to lab.

**Be sure to affix chart label to each copy!