I would also agree with Richard. We have set up an NVQ module to firstly
train our own paediatric phlebotomists but have extended this to train all
those nurses in the Trust requiring the skill. They have to attend a 2 day
classroom course, including issues such as consent, infection control,
anatomy and physiology, orders of draw etc and practice on dummies and the
phlebotomy trainer/supervisor. They then have to pass a written exam, carry
out 50 supervised collections from adult patients followed by a practical
assessment. They are then allowed to move onto children, where they also
carry out 50 supervised collections followed by a further practical
assessment before being allowed loose on their own, if considered to be
competent.
Although managing the phlebotomy service from the lab brings with it a
number of problems I think it is the best way to ensure quality of samples.
Our major problem is trying to have input into the training of junior
medical staff who still seem to adopt a policy of "see one, do one, teach
one!"
Paul Griffiths
Consultant Biochemist with responsibility for the phlebotomy service
Birmingham Children's Hospital
-----Original Message-----
From: Paul Eldridge [mailto:[log in to unmask]]
Sent: 25 November 2004 15:38
To: [log in to unmask]
Subject: Re: Haemolysed A&E samples[Scanned]
I fully endorse Richards views.
We have done this at Lewisham.
All ward/A&E "Drs Assistants" are managed and trained through the
Pathology Phlebotomy Unit run by a very effective nurse manager.
Apart from haemolysis most of the "errors" that now occur with blood
samples are with the relatively few samples bled by doctors and other
staff on wards/clinics and GP surgeries.
All our A&E, ITU SCBU, MAU and other urgent samples are sent by air
tube whereas non urgent samples are brought in by phlebotomists or
collected from OP by the lab staff. There is a higher incidence of
haemolysis in these air tube transported samples as has been noted by
others.
However we have noted an increase in haemolysis since we changed tubes
from gel to plain red vacutainers a few weeks ago. Have others noted
this ?
Paul
Dr Paul Eldridge
Clinical Biochemist
University Hospital Lewisham
London SE13 6LH
UK
Phone: (44) 020 8333 3255
Fax: (44) 020 8690 8891
[log in to unmask]
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