Get Microbiology Ltbi Test Request Form - Swlpath Nhs

Completing the Microbiology LTBI Test Request Form is essential for ensuring proper testing and accurate results. This guide provides clear, step-by-step instructions on how to effectively fill out the form online, ensuring a seamless experience for all users.

Follow the steps to efficiently fill out the form online:

1. Press the ‘Get Form’ button to obtain the Microbiology LTBI Test Request Form and open it in your preferred editor.
2. Begin by entering the NHS number in the designated field. This is crucial for identifying patient records.
3. Next, provide the hospital number. Ensure this information is accurate to prevent any discrepancies.
4. Select the appropriate gender option by marking either 'M' for male or 'F' for female.
5. Enter the surname of the patient in the surname field.
6. Indicate whether the patient is immunocompromised by selecting 'Y' for yes or 'N' for no.
7. Insert the NHS.net email address for significant results. This will be used for communicating important findings.
8. Fill in the patient's forename in the specified section.
9. Complete the date of birth by selecting or entering the day, month, and year.
10. In the clinical details section, provide relevant information regarding the patient’s health status.
11. Specify the requesting general practitioner by filling in their name.
12. Enter the GP code and the surgery for further record-keeping.
13. If applicable, provide information on any immunosuppressive therapy the patient is undergoing.
14. Complete the surgery code section accurately.
15. Tick the box if the patient does not consent to an HIV test with a positive result indicated.
16. Indicate any additional testing if required, such as QuantiFERON, HIV Ag/Ab, or hepatitis screen.
17. Make sure to record the date and time the blood sample was collected accurately.
18. Verify that the tube is filled with at least 6mL of whole blood and follows the guidelines provided in the collection requirements.
19. Ensure that the specimen is packed accordingly for transport to SWLP in the blue LTBI testing bag.
20. Finally, confirm the sample will be transported at room temperature and will arrive at SWLP St Georges within 16 hours of collection.
21. Complete the phlebotomist signature field, along with the date, before finalizing the form.

Complete your forms online to ensure timely testing and results.