Jump to content

Therapeutic Phlebotomy - H and H limits

Recommended Posts

We perform therapeutic phlebotomy by appointment only. Occasionally a patient will come in and have his/her H and H drawn to see if he/she needs to have it performed and then schedule the phlebotomy for another day. Does anyone have any information on what the length of time this H and H is considered "good" for performing the procedure? Two days later? A week? Are there any rules about this? What is your facility doing if this occurs?

Thank you all for your help! 

Share this post

Link to post
Share on other sites

We do therapuetic phlebotomies here at our hospital from time to time.  For patients with polycythemia, we check the H&H just before the procedure.  (For hematochromatosis, we also check ferritin.)  The patient is then processed or deferred based on those results. 

I would say in both cases, if a phlebotomy is indicated by the lab tests, that is still going to be valid for some time, maybe even weeks.  i don't think blood counts are not likely to drop by themselves in polycythemia, and likewise iron levels are not going to drop.

You need to have you administrator establish a clear policy in any case..


Share this post

Link to post
Share on other sites

Spell it out in your procedure, whatever your medical director considers appropriate, then follow the procedure. Shouldn't cause any problems as long as you do that. We did our H&Hs immediately prior to the procedure, but we didn't see patients without an order for the phlebotomy. We did occasionally have a patient with a Hgb from their provider that was quite a bit higher than our result - we checked with the provider prior to phlebotomy and he/she wanted to specifiy a lower cut off for phlebotomy we checked with our med director and kept that info on file for future procedures for that patient.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Advertisement


Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.