Role of Phlebotomists

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Objectives

The aim of this guideline is to identify the role of the phlebotomy service within the Haemato-oncology Unit at the Royal Hospital for Children, Glasgow.

Scope

Children requiring phlebotomy in the following areas:

  • Schiehallion Ward
  • Schiehallion Daycare
  • Schiehallion patients boarding on other wards

Audience

Medical, Nursing and Phlebotomy Staff

1. INTRODUCTION

The aim of this guideline is to identify the role of the phlebotomy service within the Haemato-oncology Unit at the Royal Hospital for Children, Glasgow.

2. RELATED DOCUMENTATION
3. AUTHORISED PERSONNEL/SPECIFIC STAFF COMPETENCIES
  • Medical, Nursing and Phlebotomy Staff
  • Phlebotomist Training Pack
  • Competency for Phlebotomist/HCSW use of Taurolock February 2020
4. EQUIPMENT/MATERIALS
  • Order request forms ie Trakcare
  • PPE
  • Tray
  • Syringes
  • Filter Needle
  • Clinell wipes
  • Appropriate blood bottles
  • Hepsal (if required)
  • Normal Saline
  • Taurolock (containing Taurolidine, Citrate 4%) (if required)
  • Specimen bags
  • Tourniquet (if required)
  • Smart sites (if required)
  • Port Protector
5. PROCEDURE

5.1   Hours of Phlebotomy Service:

  • 07:00 – 14:30 hrs daily

5.2   Remit of Phlebotomists:

  • Schiehallion Ward
  • Schiehallion Daycare
  • Schiehallion patients boarding on other wards

5.3   Role of Phlebotomists:

  • Phlebotomists can obtain blood samples by heel stab, thumb prick or accessing central venous devices or peripheral venous cannulae
  • Clinical staff who wish the phlebotomy service to obtain a patient’s blood sample should complete and print off a request form(s) on Trakcare, detailing all necessary tests. The Phlebotomist will only take blood samples which are requested on a completed laboratory form
  • Phlebotomists may be contacted by deg phone number 84833
  • Phlebotomists must check the patient’s identity against the request form, patient name band and by verbal confirmation at the patient’s bedside before taking the blood sample
  • The Phlebotomist is responsible for labelling all sample bottles at the bedside
  • The Phlebotomist is responsible for packaging the blood samples with the request forms and podding these to the appropriate laboratory
  • The phlebotomists will inform the nursing staff of any difficulties, including inability to obtain a sample
  • Phlebotomists will not access central venous devices from radioactive patients
  • Phlebotomists will not access dialysis catheters
  • Phlebotomists can administer Taurolock as a line lock. Taurolock must be prescribed on the drug kardex and must be checked by 2 members of staff, both of whom must be competent in the administration of Taurolock
  • Phlebotomists will not administer any other antibiotic lock
  • Phlebotomists will not administer TauroLock Hep 100 (Heparanised Taurolock 100iu/ml)
  • Phlebotomists will not obtain blood gases
  • Phlebotomists will change smartsites on a Tuesday and document this in the CVC Bundle
Further information / Exceptions

For further information contact the Schiehallion Ward on 0141 452 4450 / 4451

References

NHSGG&C Women and Children’s Directorate Job Description Paediatric Phlebotomist

Editorial Information

Last reviewed: 31 March 2020

Next review: 31 March 2022

Author(s): G Paton

Version: 6

Approved By: Schiehallion Clinical Governance Group

Document Id: RHC-HAEM-ONC-011