Get Manual Cxs Pst 573-33640.qxp - Roche

Filling out the Manual CXS PST 573-33640.qxp form is essential for monitoring prothrombin time results. This guide will provide you with clear, step-by-step instructions to assist you in completing the form accurately.

Follow the steps to fill out the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in the available editor.
2. In the first section, fill out the date range for your testing in the 'From' and 'To' fields using the format Month/Day/Year.
3. Provide your personal information in the 'Belongs to' section by entering your name, address, city, state, zip code, and telephone number.
4. Indicate your anticoagulant therapy status by checking the appropriate option.
5. List your healthcare provider's name and contact information in the medical assistance section.
6. In the 'Starting to Test Your Prothrombin Time Level' section, specify how often you will test per week, the time of day for testing, and your target range for INR values.
7. Document your prothrombin time results in the 'Using your Log Book' section by recording the date and time of each test.
8. In the 'Test Strip Lot No./Exp. Date' column, enter the lot number and expiration date of the test strips used.
9. Fill in your test result along with the corresponding unit of measurement in the 'Patient Test Result' field.
10. Record any unusual symptoms experienced during the test in the 'Unusual Symptoms' column.
11. Document any maintenance performed on the CoaguChek XS Meter in the 'Maintenance' section.
12. Indicate any additional training or performance checks in the 'Additional Training' column.
13. Finally, use the 'Follow-up/Comments' section for any additional notes or interactions with your doctor.
14. Once all sections are complete, you can save your changes, download, print, or share the form as needed.

Start completing your documents online today!