Core Laboratory Phlebotomy

Procedures for Each Category of Specimen Collection



Unit Responsibilities:
Orders for rounded phlebotomy are electronically communicated from the Sunrise POE system. Orders must be placed for lab collection in any of the available scheduled collection rounds prior to the cutoff time for the specific round. All patients collected on the round must have preregistered orders in the Lab Information System (LIS). Patients without electronic orders cannot be documented in the automated tracking system. Patients for future rounds (other than NEXT) must be ordered with the correct "Requested Time" and date in military time. The order screen displays these specified times which must be entered exactly as displayed.

Phlebotomy Team Responsibilities:

  1. The phlebotomist reports to the unit and attempts to collect all lab orders listed on the phlebotomy handheld device. The Phlebotomy Team prints barcoded specimen collection labels at the patient's bedside using Specimen Collection Verification (SCV). Each label displays the patients name and the JHH medical record number (Patient ID).
  2. The phlebotomist scans each specimen which enters the collection date and time into the automated system.
  3. If there are no routine lab collect orders communicated to the LIS for a given round location, there is no reason for the phlebotomist to present on the unit for the specified round.
  4. At the completion of the round, the phlebotomist will review all of the incomplete phlebotomy orders. Unless otherwise communicated by the unit for Incomplete Collections, missed patients will be attempted on the specified redraw round. The nurse will be notified of the Incomplete Collection.
  5. A different phlebotomist will return to the unit for redraws (as necessary). Exception is a patient Refusal. All other missed requests are attempted a second time on the redraw round. Successful collection of any outstanding phlebotomy orders will be documented in POE. Any patient that is missed on the redraw round will have a capillary collection for eligible tests. All other tests will be cancelled in POE through the LIS and Unassigned by the phlebotomist on the handheld. The other tests will return to the Assignment console in the Phlebotomy dispatch center for cancellation with nurse notified. Once cancelled in the LIS, the order status for these requests will update within POE.
  6. The providers will notify Customer Service (CS) 7a-2p at 5-1921 for specimens too large to fit or those that are not allowed to be sent in the pneumatic tube. CS will communicate to the Phlebotomy Charge for locations serviced by Core Lab Phlebotomy. All other locations will be communicated to the Processing Charge for pick up. The phlebotomist will pick up specimens labeled and bagged in the Soiled Utility Room.
  7. Phlebotomy will Complete all information on the Specimen Receiving Log. Record the number of specimens picked up from the soiled utility room. Record unusual issues and problems in the comments section of the Specimen Receiving Log.
  8. Proceed to the next assigned location on the handheld.
  9. At the completion of all locations on the handheld, return to the Phlebotomy dispatch center.

Unit Responsibilities at the completion of the Routine Phlebotomy Round:

  1. The unit charge nurse or another responsible nurse must communicate with the laboratory phlebotomist if needed to determine further action from the unit patient care team.
  2. For patients that cannot be collected (any reason) on the redraw round; the units patient care team must make a clinical decision on how to procure the requested specimens. Place new lab collect orders for the next phlebotomy round or place unit collect orders and procure the specimens through an alternative phlebotom mechanism.
  3. The providers will notify Customer Service (CS) 7a-2p at 5-1021 for specimens too large to fit or those that are not allowed to be sent in the pneumatic tube. Specimens must be labeled, bagged and placed in the Soiled Utility Room to be picked up. CS will communicate to the Phlebotomy Charge for locations serviced by Core Lab Phlebotomy. All other locations will be communicated to the Processing Charge for pick up.