53.0 Phlebotomy Incident Reporting


Title of Manual: Specimen Collection

Version No: 1.0

Title: Phlebotomy Incident Investigation /Reporting

Effective Date: 12/20/10
Revised Date: 06/23/14

Document #: GPA.SPC.53.0


I. PURPOSE

In the event that a patient presents, to the phlebotomist, a complaint of complication arising from the blood collection it will be required that the phlebotomist report the incident to the phlebotomy supervisor immediately. It is also required that the phlebotomists inspect the patients arm and document their findings on the incident management investigation and report form.

This is to be performed by all personnel who are authorized and trained to perform phlebotomy.

II. MATERIALS

Reagents

Supplies

Equipment

 

 

 


III. PROCEDURE

1. When a patient makes a complaint after a blood collection (e.g. bruising, numbness, swollen) the
    phlebotomist receiving the complaint must notify the phlebotomy supervisor immediately.
2. The complaint investigation form will be initiated by the GPA staff member taking the complaint.
3. Inspect the patient’s arm that blood was collected from. If noticeable swelling, apply ice to the affected
    area to reduce swelling. Note the condition of the arm for documentation on the investigation form.
4. Elevate the arm above the level of the heart while holding pressure.
5. Obtain the patients primary care physician contact information, as a referral may be necessary.
6. Make a copy of the incident form and send original to Phlebotomy Supervisor/Laboratory Manaer for
    follow up.

NOTE: For all IOP phlebotomist it will be required to notify the RN / MD at the client you are working in. Document who you notified and what the client informs the patient to do. Phlebotomist will also be required to notify the Director of Human resources.


IV. QUALITY CONTROL

N/A

V. CALCULATIONS/CALIBRATION

N/A

VI. INTERPRETATIONS

N/A

VII. METHOD PERFORMANCE SPECIFICATIONS

N/A

VIII. REFERENCES

N/A

IX. RELATED DOCUMENTS

N/A

X. DOCUMENT HISTORY

X - MINOR REVISION
(Laboratory Director’s Signature on Original Subsequent Document Attached)

MAJOR REVISION
(Requires Laboratory Director & Department Director Signature - where applicable)

Reason for Change

2/11/14 New Document Control Format

6/23/14 Moved to Specimen Collection Manual



Laboratory Director

(Signature)

Date

Natalie Depcik-Smith, MD
(Print)



Department Director

(Signature)

Date

Robert M. Gay, M.D.
(Print)



Designee

Date

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)



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