Evaluate Rapid Hemostasis with OMNI-STAT®

Hemostatic agents are an important tool for controlling excessive bleeding. Technologies that work independent of the body's natural clotting cascade may offer advantages in patients with impaired coagulation or those receiving anticoagulant therapy.

Please complete the form below to request an OMNI-STAT® evaluation and be contacted by your local Eloquest Healthcare representative.

First Name

Last Name

Email

Phone

Facility

Address One

City

State

Zip

Country United States Canada Other

Which of the following best describes your role? CEO Charge Nurse Clinical Nurse Specialist CNO Consultant Consumer CXO Director Distributor Rep Infection Preventionist Nurse Educator Nurse Manager Nurse Practitioner Office Manager Pharmacist Physician Purchaser/Buyer Quality Improvement Researcher Retired Staff Nurse Student Surgeon Vascular Access Nurse VP Wound Care Nurse Other

In which clinical setting do you practice MOST OFTEN? Childrens Hospital Clinic Dialysis Center Distributor Educational Facility GPO Home Health Hospice Hospital IDN Infusion Center Kit Manufacturer Long Term Care LTACH Manufacturer/ Vendor Military Mobile Vascular Access Outpatient Center Physician Office Surgery Center Other

Comments