RHO(D) IMMUNE GLOBULIN (RHOGAM) INJECTION		version 12/3/2021		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	Rhogam type and screen	Once	S	1 treatment	
		STAT, Normal, Clinic Collect		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Rhogam injection	Once	S	1 treatment	
		Clinic Performed, Normal
	Users will need to fill out a pick up slip and take it to the blood bank to pick up the Rhogam.		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	rho(D) immune globulin (HYPERRHO/RHOGAM) injection 300 mcg	Once	S	1 treatment	
		300 mcg, intramuscular, once, Starting when released
	Rhogam provided by Blood Bank (not Pharmacy).