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Get Template Form 2 Planet-2 Trial Screening Log 033-048 V13 Faxing
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How to fill out the TEMPLATE FORM 2 Planet-2 Trial Screening Log 033-048 V13 Faxing online
This guide provides a thorough overview of how to accurately fill out the TEMPLATE FORM 2 Planet-2 Trial Screening Log for the Planet-2 trial. Following these instructions will ensure that you complete the form correctly and submit it without complications.
Follow the steps to complete the trial screening log effectively.
- Press the ‘Get Form’ button to obtain the TEMPLATE FORM 2 Planet-2 Trial Screening Log and open it in your preferred editor.
- Begin by entering the centre name in the designated field. Make sure to input your own trust abbreviation appropriately.
- In the patient log section, select the patient's gender by marking the corresponding option (M/F/I).
- Indicate whether the patient is eligible for the trial by selecting 'Yes' or 'No' in the eligible for trial section.
- If ineligible, please state the reason as specified in the form’s instructions, using the codes provided.
- If the baby has been randomised, indicate 'Yes' or 'No' in the relevant section.
- Complete the lowest platelet count during admission, including the main diagnosis by selecting from the provided diagnostic codes.
- Fill out additional required fields as prompted, including randomisation details and notes regarding any consents or potential reasons for ineligibility.
- Once all fields are completed, review the form thoroughly to ensure accuracy before proceeding to save changes, download, print, or share the form as needed.
Complete your TEMPLATE FORM 2 Planet-2 Trial Screening Log online today to ensure efficient submission.
Platelet transfusions remain life-saving interventions when given to neonates with active bleeding, undergoing surgery, or with levels of thrombocytopenia at which the bleeding risk is substantially increased and might be beneficial to neonates with selected conditions, such as retinopathy of prematurity.
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