Renal biopsy checklist

Before the procedure

All renal biopsy forms

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Tick each item on screen, or print the form and tick it at the bedside.

Fill in, then print

Type the details and tick the boxes here, then press Print. Or print the blank form and fill it in with a pen. Nothing typed here is sent or saved.

Patient's name Date Hospital number Ward and bed Nephrologist Biopsy planned at

Reports to check

HaemoglobinPlatelet countPT-INRAPTTBlood groupViral markers

Papers

Informed consent taken from the patient on the specific biopsy consent form (consent for renal biopsy)Renal biopsy histopathology requisition form filled (requisition form)

Vitals

Vitals checked frequently. BP is stable at the time of biopsy

BP at the time of biopsyPulse

Checked by: name and signature

Date and time

Dr. PRAVEEN KUMAR ETTAMBBS (KMC), MD (OSM), DM (SGPGI), Former Assistant Professor (PIMS), MCN (UK), Editorial Fellow (IJOT), Editor (Kidney Digest), ECM (HNF)Senior Consultant Nephrologist; Mobile: 9454035398

Nothing filled in yet. The form will print with blank lines.

Renal biopsy checklist

Fill in, then print

Reports to check

Papers

Keep ready at the bedside

Vitals