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Phlebotomy (DRAFT)

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Community Phlebotomy

Community phlebotomy is a process for taking bloods on behalf of secondary care (when they have been requested on ICE by the specialist team). This is separate to the arrangements for domiciliary blood requests, which are undertaken by the Sirona Nursing Teams (see the Nursing pages for details)

Full details about Community Phlebotomy (Secondary Care Bloods) can be found on TeamNet: Community Phlebotomy (secondary care bloods) (clarity.co.uk)

Please ensure practice staff use the latest F12 protocol to code correctly according to the phlebotomy SOP found on TeamNet.

Please remember to check your ability to sample from both UHBW and NBT ICE systems. All practices should have dual licences in place as part of this work. The delegated request will be on the ICE system of the trust the patient is under, dated the day the patient was reviewed by the secondary care clinician.

If you have any problems with this process please get in touch with Digital@onecare.org.uk

Overview - NBT

The Severn Pathology (webpage) website provides the latest, up-to-date information about NBT's full range of pathology services:

Phlebotomy

Overview - UHBW

Phlebotomy at BRI

The Phlebotomy service at Bristol Royal Infirmary is primarily for hospital outpatients however a service is still available for the following primary care adult patients:

Patients who require INR and Clozapine monitoring
Patients with difficult venous access. Please note attempts to obtain venous blood samples will only be made from the arm or hand
Patients who require complex samples to be taken or where samples require immediate separation (e.g. homocysteine, gut hormones, renin aldosterone ratio etc.)

The process to access the service is as follows:

GP/ HCP to make a request on ICE (this must be UHBW ICE) for the blood test required. All tests that are likely to be required by GPs should be available on ICE so if you can't find on initial search then keep looking. Please do not use the clinical details box to request tests that are not listed. Alternatively you can complete a paper blood form (if available) ensuring you include three patient identifiers.
Patients should then attend the Phlebotomy clinic on A410 and take a numbered ticket to join the queue and have their bloods done on the day

Paediatric Phlebotomy at the Bristol Children's Hospital

Please see the Paediatric Phlebotomy page in the Children's section of Remedy. Please note UH Bristol’s Children’s Hospital is unable to carry out blood tests on a drop in basis.

Phlebotomy service: 0117 3420370

Paediatric phlebotomy service: 0117 327049

Overview - UHBW (Weston)

Weston pathology provides:-

Phlebotomy

For user guides, please see: http://www.waht.nhs.uk/en-GB/Our-Services1/Departments/Pathology/

Phlebotomy service: 01934 636363 ext 3714

Paediatric phlebotomy service

Please see ICE System for Radiology (& Pathology) Referrers for details on setting up ICE users.

UHBW (Bristol & Weston) ICE Support - Email: ice.support@uhbw.nhs.uk

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.