Protocol/Procedure for Phlebotomy


Derbyshire House is pleased to be able to offer phlebotomy services to our residents and if and where requested by a GP, district nurse in the community.

Training

All staff who carry out phlebotomy services will have had a certificate that is certified and will have also been signed off by the district nurses, after obtaining their certificate, to be confident and competent in taking bloods.

Infection Control

The home strives for a gold standard in relation to phlebotomy services for infection control, and the following procedure should be followed:

  • Handwashing should be thorough and completed at the start of the procedure and between every blood taken
  • PPE should be changed after each individual blood taken. It is not mandatory to wear gloves and sometimes they can cause problems when taking bloods, especially if the staff member is trying to find a vein. Handwashing in the absence of gloves is paramount
  • All materials required have a designated phlebotomy trolley. The trolly should be cleaned with disinfectant prior to use and wiped with disinfectant wipes in-between use. There should be nothing left on the trolley once finished.

Disposal

Anything paper and plastic can go into GENERAL WASTE
Cotton wool, barrels, plasters, aprons, gloves go into ORANGE BAGS (Clinical Waste)
All used needles go into the SHARPS BIN
If bloods have been started but not enough drawn, it must go into the SHARPS BIN

Materials

A stock list is kept in the controlled drugs cupboard in Bluebell medication room and is checked monthly by the senior, in line with the medication change over, this includes the name of product, amount, expiry date, signature.

The trolley, which is solely for the use of phlebotomy services is kept in the pad cupboard.

The following materials are stored in the controlled drugs cupboard in Bluebell medication room:

  • Blood bottles
  • Butterflies
  • Green needles

The following materials are stored in the phlebotomy trolley in the pad cupboard:

  • Tourniquets
  • Blood bags/labels
  • Barrels for the ends of needles
  • Micropore
  • Green bags
  • Urine bottles
  • Plasters
  • Cotton wool

Taking bloods

A nurse will send a request for bloods to be taken via email. The email information will include:

  • Name and date of birth of resident
  • Type of blood test needed (the nurse will specify the colour of the bottle that needs to be used)
  • It will state if the blood test is a fasting test, whereby the resident can’t eat before it and for how long
  • If the test is routine or urgent
  • If a urine sample is needed as well as bloods
  • If blood pressure is needed

Residents must be hydrated well before bloods are taken.

This information will be passed to the phlebotomist carer carrying out the bloods. They will take the bloods and record any further information i.e., blood pressure, urine and send the readings and information back when the bloods are returned.

When labelling the bottle, a clear name and date of birth should be put on. They should be put into the plastic bags and send to the surgery before 12noon. They will label them and complete the pathology form.

Consent

We cannot force or coerce a resident into having bloods taken. If a resident says no, this should be respected and reported to the nurse, GP, so they can decide the next course of action.

If needed, we can help the resident straighten/move their arm but not anything that could cause them pain.

Contact

Lauren – blood nurse at East Leake surgery

Tel: 07595 036794

Email: lauren.downs1@nhs.net

Hours: Monday-Friday 8am-6.30pm. The best day to contact is a Tuesday. Only contact outside of hours in an emergency.