Lab Test Procedure : POST-PHLEBOTOMY

Assessment of site: After completion of the draw, always examine site to be sure it has stopped bleeding. Then place band-aid or other appropriate covering.

Use of band-aids: Because they are a choking hazard, band-aids are not recommended for use on children under the age of three years. If an adult is present to watch the child and ensure that he/she does not choke on or swallow the band-aid, one may be used if requested. In this situation, advise the adult to keep a close eye on the child and ask them to remove the band-aid in 15-20 minutes. For heel punctures on an infant, try to avoid using a band-aid by applying slight pressure with gauze. If a band-aid is necessary, place gauze on the wound and hold in place with a band-aid. Band-aids should be avoided on the heel of a neonate as they cause irritation and remove tissue around the ankle area. 3x3 gauze should be wrapped around the heel and tied loosely on the top of the ankle to prevent excessive bleeding. CoFlex may be used in place of band-aids when appropriate. Wrap carefully so it remains in place, but does not constrict blood flow.

Specimen labeling – Always label at the bedside with two appropriate patient identifiers. Follow hospital procedure on Specimen Labeling/Requisition Completion

Transportation – When appropriate and/or available, use the pneumatic tube system to send the specimen to the lab. If not, arrange for transportation according to specimen stability/transportation needs listed in the Laboratory Test Directory. If required to transport on ice always put ice in a separate bag so as to not ruin the labels or paperwork.

References:

Specimen Labeling/Request Completion - Akron Children’s Hospital Policy

Penmatic System Policy – Akron Children’s Hospital Policy





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