This Month in Phlebotomy Today

This month, we asked visitors about the facility policy of our website for patient / sample misidentification. Most answers fall into two broad categories. It is a disciplinary action taken against the action taken for the misunderstood sample and the collector. Nearly two-thirds (64%) of respondents revealed that sample collection is necessary. 12% indicate that specimens must be discarded / discarded, and 7% indicates that it can be excluded that examination of unrepairable specimens (such as CSF) can be excluded. 21% of respondents explained the disciplinary action against collectors to the extent from oral notice to immediate cancellation. Approximately one-fifth (18%) how to investigate or record errors through Incident Report

"If the patient is misdiagnosed, the first step is to talk with the blood donor and redeclare the patient identification step.When this is done for the second time, the blood draw will take place during the management vacation.The severity of the blood draw You can stop it. "

"Samples need to be recollected, followed by case reports on blood donors or other stakeholders."

"The sample was rejected, and if the results were reported, they were commented as" ignore "and collected new specimens. "

"Blood and urine samples are always rejected and blood donors and carers are written.If the laboratory staff do this several times, it is necessary to do violate laboratory policies and procedures, . "

"All known mislabeled labels or samples without labels need to be recollected unless we are deemed unrepairable, such as CSF, biopsy etc. The responsible party is the order provider and the examination pathologist If you agree to mark / remark, you submit your identity card signed by the collector, proof of identity and present this information as a result comment to the LIS intersecting the EHR You should add it. "

"A specimen requires two identifiers: if there are no two identifiers, it will be rejected (there is a list) unless it is an irreplaceable specimen, or the patient is in danger because the test is not running The screening doctor can consult with a pathologist and obtain permission from our test sample. "

"You need to repaint the sample and destroy the old sample, and please notify the original collector so that we can recognize the error."

"Unless it is" irreversible "such as CSF, we refuse to test erroneously marked specimens and then examine only a large number of files. "

"... In policy ... check the patient's name and date of birth verbally before surgery and then confirm according to the application form and ID card until the ID card is modified and the" risk "report is displayed Mismatch information will not be lost. I made a risk report of all the patients who collected blood, but since the outpatient clinic's request was incorrect or incomplete, the request form error was reduced by 60% (even though it is still falling behind).

"In the case of misidentification of a patient or specimen, the patient must be redrawn and the person who collected the blood will be subject to disciplinary reasons.The reason for correctly identifying the patient before sampling the blood and marking the specimen is There is none."

Vein incision / vein resection: Conventional treatment includes periodic venous incision (blood or erythrocyte removal). When the first diagnosis is given, exsanguination can be done weekly or biweekly until the iron concentration reaches the normal range. Once the serum ferritin and transferrin saturation fall within normal limits, treatment can be scheduled every 2 to 3 months depending on the iron reabsorption rate. Venous fistula surgery usually absorbs 450 to 500 ml of blood.

Ae observed normal phlebotomy only. A typical venous incision is defined as a venous puncture collection for patients over the age of 16, patients without isolated patients, blood culture collection, and bracelet identification, need to close the vein (IV) series of collection, blood Necessary to complete collection Collect documents by accident, vein incision that failed before. A failed phlebotomy is defined as a sample that has been taken only partially or as a sample that has no sample because it is difficult to complete the procedure. Regular venous incisions make up 75% of our total workload. Data collection and observation included 15% of the daily workload, 13% of the weekly volume, and 5% of the monthly total of each site. Round trip unit / patient's travel time is not measured