Scribd Logo
Upload

Welcome to Scribd!

  • Haemostasis-Result Sheet-1104

    Uploaded by

    NAKANWAGI JOSLYLINE
    10 views1 page
    This document is a result sheet for recording the results of various haemostasis tests. It requests information about late or amended submissions, including the instrument used and reason for amendment. The tests included are prothrombin time (PT), international normalized ratio (INR), fibrinogen, activated partial thromboplastin time (APTT), and thrombin time, with spaces to record results and indicate if they are within the normal range.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a result sheet for recording the results of various haemostasis tests. It requests information about late or amended submissions, including the instrument used and reason for amendment. The tests included are prothrombin time (PT), international normalized ratio (INR), fibrinogen, activated partial thromboplastin time (APTT), and thrombin time, with spaces to record results and indicate if they are within the normal range.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Haemostasis-Result Sheet-1104

    Uploaded by

    NAKANWAGI JOSLYLINE
    This document is a result sheet for recording the results of various haemostasis tests. It requests information about late or amended submissions, including the instrument used and reason for amendment. The tests included are prothrombin time (PT), international normalized ratio (INR), fibrinogen, activated partial thromboplastin time (APTT), and thrombin time, with spaces to record results and indicate if they are within the normal range.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Participant No. Inst.

    1104
    HAEMOSTASIS
    Please complete details below if submitting late or amended results. ALL submissions are subject to
    approval and MUST be made through myQAP/request tab within 4 weeks. Instrument printout and a valid reason
    MUST be included with the submission. Refer to Policy for Late and Amended Results and Appeals for full details.

    Results are (please tick):  Late  Amendment  Raw data included


    Please specify reason for amendment or late submission:

    Instrument (Manufacturer/Model): Serial Number:

    PT / INR Reagent:

    Fibrinogen Reagent:

    APTT Reagent:

    Thrombin Time Reagent:

    HA-HS - - HA-HS - -


    __/__ Units
    Due Date

    PT
    . . sec

     Normal  Normal
     Extended  Extended

    INR
    . . ratio

     Below  Below
     Therapeutic  Therapeutic
     Above  Above

    Fib
    . . g/L

    APTT
    . . sec

     Normal  Normal
     Extended  Extended

    TT
    . . sec

     Normal  Normal
     Extended  Extended

    Document No: INS – HA – 20 Haemostasis Page 1 of 1


    Version No: 9 Result Sheet Printed: 13-Oct-20

    You might also like