Advise your patient to eat a good meal and drink plenty of fluids before undergoing phlebotomy. Therapeutic Phlebotomy is the same as donating whole blood. Eat a light meal before you go to the infusion center. 2.Phlebotomy – standards. The linkage and maximum fee rate will apply retroactively to outpatient fee-for-service (FFS) claims with dates of service (DOS) on or after February 13, 2017. Your blood will be drawn by Medical Technol-ogists or Medical Laboratory Technicians who have special training in this process. Useful For. 1.Bloodletting – standards. This procedure is done under the supervision of the medical director of the laboratory. Pump it up to 60mmHg to find a vein and/or perform venipuncture, then lower pressure to 30 to 40mmHg for the procedure. WebMD explains the process, risks, and side effects. Policy: All clinical research nurses or research project assistants must be certified in the performance of phlebotomy before performing this procedure without supervision. The patient should have a written request from the physician which specifies the amount to be drawn, the frequency of bleeding, and/or a Hgb or Hct level at which the patient should be bled. After the preliminary tests for hemoglobin and hematocrit are finished, a phlebotomist prepares you for the procedure. Parker, D., Deel, P., Arner, S. (2004) Iron out the Details of Therapeutic Phlebotomy. Proehl, JA. One or two peripheral intravenous lines (PIVs) are started to perform the procedure if you do not have any other type of vascular access device (CVL or portacath). 4th Edition pp 144-145. Infusion Nurses Society (2011). After the right amount of blood is drawn, the nurse will remove the needle and place a pressure bandage (bandage that wraps around your arm) over the needle site (the place on your arm where the needle was). (800) 266-4033 or (425) 453-5098 Fax (425) 251-1977. Blood transfusions are the most common procedure performed during hospitalizations and undoubtedly help patients. There is a $150 fee per therapeutic phlebotomy for all patients other than those with a diagnosis of hereditary hemochromatosis or secondary polycythemia due to testosterone replacement therapy, since these units may be used in some cases for transfusion to patients. The treatment of hemochromatosis, polycythemia, and porphyrias. Definition Therapeutic phlebotomy is the removal of blood from your body to treat a medical condition. It’s also called a blood draw or venipuncture. PURPOSE  To safely remove a specific amount of blood from a patient with a clinical indication as ordered. Once the vein of interest is located, the blood pressure cuff is deflated. Policy: PRINCIPLE: The veins are the primary source of blood for laboratory testing. MATERIALS: Nitrile gloves. A Therapeutic Phlebotomy Procedure. If you are on any medications, you may take them at your usual time unless your doctor instructs you otherwise. Phlebotomy is when someone uses a needle to take blood from your vein. #3 Medications to lower the number of blood cells The procedure is ordered as a treatment for hereditary hemochromatosis, polycythemia vera, and secondary polycythemia. The phlebotomy procedure must be performed to preserve venous integrity. Phlebotomy, Therapeutic Title: Phlebotomy, Therapeutic - Lippincott Procedure Patient Age Group: ( ) N/A ( ) All Ages ( ) Newborns ( ) Pediatric (X) Adult Applies To: UNM Hospitals, UNMCC Therapeutic phlebotomy cuts down the number of blood cells and reduces the blood volume. THERAPEUTIC PHLEBOTOMY: The removal of a specific amount (volume) of blood from a patient for treatment of a specific condition or disease. The Therapeutic Phlebotomy (TP) Procedure Described: The process varies slightly depending on the treatment site; following is a general step by step of what takes place. Therapeutic Phlebotomy Guidelines . 8:8-1.3 Licensure Tell him to move slowly afterward when changing positions or standing, to prevent light-headedness, faintness, and a rapid drop in blood pressure. … They also check to see if your child is anxious, irritable, dizzy, pale, or thirsty. This means it tends to make it simpler for the blood to perform its functions effectively. WHO Library Cataloguing-in-Publication Data WHO guidelines on drawing blood: best practices in phlebotomy. Availability In most cases, therapeutic apheresis professionals are available 24 hours a day / 7 days a week for scheduled and / or emergency service. Of one pint of blood for laboratory testing cuff is used as result. The median cubital vein cells you will sit in a chair in the performance phlebotomy! 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