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Skills Drills SKILLS DRILL 3-1: REQUISITION ACTIVITY Any Hospital USA 1123 West Physician Drive Any Town USA Laboratory Test Requisition PATIENT INFORMATION: Name: Jane Doe Birth Date: 04/11/68 Identification Number: 093656321 Referring Physician: Payne Time to be Collected:_0600 Date to be collected: 03/15/15 Special Instructions: TEST(S) REQUIRED NH4-Ammonia Bili - Bilirubin, total & direct BMP-basic metabolic panel BUN-Blood urea nitrogen Lytes - electrolytes CBC - complete blood count Chol-cholesterol ESR - erythrocyte sed rate ETOH - alcohol D-dimer Gluc -glucose user contributions licensed under cc by-sa 4.0, chapter 3 infection control, safety, first aid, and personal
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