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.
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 using a dispatch service. The orders must be placed or modified in Epic as unit collect orders. For patient care coordination, PRN orders for specific times can be ordered up to several hours ahead of time. The patient RN places the collect order through dispatch using the following workflow processes.
The patients' RN calls 418-1760 phlebotomy dispatch requesting service at "X" time. Dispatch confirms whether the requested timeframe is available. If available, the RN provides the unit, room, patient name, DOB, test(s), RN name, and desired collection time. Dispatch then confirms that orders are in Epic and requests that the RN release all desired Collect Now orders. Do not print the labels. When the Float phlebotomist arrives on the unit, the phlebotomist will print the patient label(s) out of Epic and proceed with the collection and transportation.
The workflow process is the same as 0900-1730 except that the RN calls the phlebotomist using the Vocera and either calls "Float Phlebotomy " or "X in phlebotomy" by name. If the Night Float phlebotomist is in a non-private location to take order and patient information, they will call RN back.
An 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 the 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 patients' 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 of patient prior to collection if the patient is unable to self identify. Access to a workstation on all units is necessary.