Inpatient Phlebotomy Services
Inpatient Phlebotomy is a 24/7 service for all adult and pediatric non-intensive care units. All routine draws orders are made via the Hospital Epic Order Entry. Lab test names, along with synonyms and complete test information, can be found in the Test Directory.
Routine Phlebotomy Orders
All routine orders are ordered in Epic as Lab Collect. Routine collections are scheduled for two hour draw windows during the following draw times: 0500, 1000, 1200, 1400, 1600, 1800, 2000, 2200, and 0000. The 0500 (morning draw) is collected with a team of phlebotomists. Units are prioritized according to patient population needs and volume of draws on specific units. Inpatient phlebotomists carry Hand Held "Rover" devices and label printers for accessioning of Lab Orders at the patient bedside. Access to unit workstations is required during downtime procedures.
Collect Now and PRN Phlebotomy Orders
Orders that cannot wait until the next collection list time can be ordered for >15 min collection. If > 15 min is not acceptable, the RN must collect specimen(s). Collect Now and PRN orders are collected 24/7 by inpatient phlebotomy by calling Vocera to "Float Phlebotomy". Draw will be collected in called order or patient need, as communicated by patient RN. Unit collect orders must be "flipped" in Epic to Lab collect before phlebotomy float is called.
A bar coded OHSU ID bracelet with the patient's MRN, correctly spelled name and date of birth must be affixed to the patient's wrist or ankle prior to draw. Patients improperly identified will have 10 minutes (or less depending on phlebotomists time availability) to be properly banded prior to collection. Orders involving patients improperly ID banded, refusal of draw, already drawn, canceled by provider, patient discharged, and patient expired, nurse draw required (IV), phlebotomy attempted 2x by 2 phlebotomists, no site available, and patient unavailable x2 attempts will be canceled in Epic with an appropriate cancellation comment. In the event of cancellation, the patient's RN will be attempted to verbally notify of the canceled order(s). Phlebotomy may request patient hold assistance, heparin drips and IV's turned off prior to draw, or verbal identification prior to collection if the patient is unable to self identify.