Describe four strategies for reducing the incidence of iatrogenic anemia
What will be an ideal response?
Answer: Blood volume losses due to phlebotomy can be a significant problem for hospitalized patients, especially for pediatric patients. All phlebotomists should be sensitive to the total number of daily venipunctures/phlebotomy procedures for patients. Strategies for reducing the likelihood of iatrogenic anemia include:
? Maintain a log of the frequency and volume of blood collected for each patient.
? Organize laboratory orders to try to coordinate draws.
? Monitor the number of times a patient can be punctured.
? Coordinate TDM tests with other testing requirements, if possible.
? Coordinate other timed tests with routine specimens, if possible.
? Be aware of patient transfers and if other tests are ordered after the transfer.
? Follow procedures for discarding blood from IV lines or for butterfly draws; do not discard too much.
? Participate in educational programs with nurses and physicians to remind them of volume requirements for panels of tests, how to coordinate timing of tests, etc.
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