Morning Draws:

Phlebotomy employees arrive at 0530; depart for patient care areas at 0600.
All floors should have phlebotomy in progress or completed by 0830.

To schedule the phlebotomy team to draw blood on a patient the following criteria must be met:

1. Requisitions for the morning phlebotomy draw must be received in Specimen Control, 6240 RCP, by midnight. The information needed on each requisition is as follows:


1. Complete and readable addressograph
2. Nursing station and patient room number
3. Ordering physician's name and code
4. Ordering physician's signature
5. Appropriate boxes marked (or written) for the tests needed
6. ICD-9-CM codes must be recorded on the requisition as an indication of the medical necessity for each test order.


2. Adding Phlebotomy Orders After Requisition Deadlines (Inpatient Unit Instructions) Requests for phlebotomy after the 2400 deadline are subject to the guidelines below.

Adding Tests to patients who already have scheduled AM draws

Please leave a completed requisition in the Laboratory folder with "ADD-TO" written at the top of the requisition. The requisitions must be available for the phlebotomist by 0600.

Adding Patients to Morning Phlebotomy Rounds

1. "NIGHT SHIFT LATE ADMITS" or patients who are admitted up to 0200: Send requisitions to the lab for the AM draw.
• Write "LATE ADMIT" at the top of the requisition.
• Call lab and tell them you are sending a requisition on a newly admitted patient.
  


2. Draw requests AFTER 0200
• Fill out a requisition and write: "ADD-ON - AM Draw" and the date at the top.
• Keep the requisition at the unit desk and place it in the Phlebotomy Labs folder.
• Fill out a Phlebotomy Add Sheet (titled: Nursing Collection Checklist) found in the PHLEBOTOMY LABS folder at the nursing desk. If you cannot find this form, the lab
  will tube a copy to you (call 6-3527).
• Place an IPR Barcode sticker on the Add Sheet and record the ROOM/BED and ALL
  requested tests for each additional patient.
• Deliver the sheet, by pneumatic tube or hand, to the laboratory before 0500 AM.
• A phlebotomy supervisor will call you at approximately 05:45 AM if staffing is NOT
  sufficient to draw the additional patients.


3. You may call #6-4548 after 0530 to speak with a phlebotomy supervisor.

• Patients scheduled to be drawn can be confirmed by checking the Nursing Collection Checklist or by reviewing information on Information Network For Online Retrieval and Medical Management (INFORMM) terminals.
  


• NOTE: The phlebotomists will be dispatched only to floors who have submitted requisitions or who have made telephone arrangements due to late admits.

Additional Policies and Information:

1. If a patient must be redrawn due to an error by the patient care area, it is the responsibility of the patient care area to complete all necessary paperwork and to discuss the reason for the additional draw with the patient. All suboptimal specimens drawn by phlebotomy and requiring a redraw will be handled by the phlebotomy team.
   


2. All phlebotomy team orders are considered routine. If a phlebotomy sample needs to be sent stat, it is the patient care area's responsibility to complete a new requisition and deliver that sample to the laboratory. The phlebotomy team does not draw timed specimens. The exact time that a phlebotomist arrives on the floor cannot be predicted. All specimens with critical draw times must be collected by patient care area personnel.
   


3. Phlebotomy will bring their own supplies for scheduled draws. If the patient is a late add-on, The phlebotomist may request supplies from the patient care area. E.g. blood culture bottles and supplies.
   


4. The phlebotomy team does not draw patient specimens for research projects without prior approval from the Department of Pathology. Call the Research Coordinator at 356-4149 for Assistance.
   


5. The phlebotomy team will draw, but not deliver, samples that must be transported on ice or kept at body temperature. It is the patient care area's responsibility to deliver these specimens to the appropriate laboratory.
   


6. The phlebotomy team is not required to draw patients who are combative, uncooperative, or who refuse the phlebotomy procedure.
   


7. All patients must be in their rooms. Any patient who is not in their room for the phlebotomy procedure must be drawn by patient care area staff.
   


8. All patients must have a bar coded UIHC ID bracelet on. Any patient not wearing an ID bracelet must be identified by patient care area staff and a bar coded ID bracelet must be placed in a UIHC approved site before the patient can be drawn.
   


9. Please do not submit requisitions to Phlebotomy if the patient is having line draws. If the requisition is submitted in error, please cancel the draw. The phlebotomy team does not perform any type of line draw. It is the responsibility of the patient care area to draw these samples.
   


10. After the phlebotomist has completed drawing the patients on each patient care area, he/she will leave a Nursing Collection Checklist at the nursing station. This lists of all patients scheduled to be drawn and the tests that were ordered. If blood was drawn, the phlebotomist will initial next to patient's name. If the patient was not drawn, The phlebotomist will record CTS (cancelled), the reason why they were not drawn If known) and the name and title of the person notified. This list is left in the Laboratory Folder at the nursing station. It is the responsibility of the patient care area to check this list and provide any necessary information to the care providers.
    


11. Questions? Please contact a Phlebotomy Supervisor at: Daytime-6-3575; 3-7679 or the Laboratory Manager at 7-5266.