Theraputic phlebotomy

[snydercl]

Does anyone have a reference on what vitals are required for theraputic phlebotomies?

[Auntie-D]

What sort of vitals? Physiological, haematological, chemical, all?

[AMcCord]

We took temp, blood pressure, pulse and asked if they were feeling well that day.  We had acceptable ranges for each, determined by the medical director (quite similar to blood donor vitals actually). If something was out of range, a pathologist had to assess the patient's health before we performed the phlebotomy.

 

On the first visit we also asked the patient for a rundown on their medical history which was automatically reviewed by a pathologist prior to phlebotomy. 

 

The first time we saw any of the vitals out of range or if the patient said he/she wasn't feeling well, the pathologist would often talk to the patient. The pathologist then almost always called the patient's attending or whoever was taking calls for that clinic's patients that day and discussed the general health of that patient and what was 'normal' for him/her. The pathologist then made the decision to defer or proceed. From that point on, if the out of range vitals were considered to be in the 'normal' range for that patient, we would get a quick pathologist OK, document that, and proceed. 

Edited November 29, 2013 by AMcCord

[snydercl]

_{I am looking for required physiologic vitals.  Could not find a reference in the AABB manual.}

[David Saikin]

I treat my TP pts just like they were donors:  bp, pulse, temp. I don't draw them if they feel ill or if their vitals are outside our defined limits.