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Hear this out loud PauseThe documentation should refer to the written lab order by date and location (e.g., in the 8/31/16 progress note) and list the date of venipuncture, time, site, and patient tolerance of the procedure.
What is the proper term for a blood draw?
Phlebotomy is the process of making a puncture in a vein, usually in the arm, with a cannula for the purpose of drawing blood. The procedure itself is known as a venipuncture, which is also used for intravenous therapy.
How do you bill a lab draw?
36415 is a laboratory service and should be billed as such. Physicians often provide routine venipuncture to patients when ordering a laboratory test to save the patient a trip to the laboratory. This service is reported with CPT 36415 Collection of venous blood by venipuncture.
How do you document unsuccessful venipuncture?
The person drawing blood should not make more than two venipuncture attempts on one patient. After two unsuccessful attempts, notify the nurse or doctor by completing a Report of Unsuccessful Attempt to Draw form (Attachment A). The phlebotomist and the patients nurse sign the form.
What documentation is required before Venepuncture can be carried out?
Hear this out loud PausePatient Identification /Request Forms Ask directly What is your name and NOT indirectly Are you X. The Date of Birth (DOB) should be ascertained in the same way. Certain information must be present on the request form before venepuncture is performed.
What is proper patient identification in phlebotomy?
Hear this out loud PauseProperly identify the patient every time The phlebotomist is responsible for correctly identifying the patient using two unique patient identifiers that include the patients complete first and last name, medical record or hospital number, and/or date of birth.
How do you label phlebotomy?
4:50 8:56 The Zen of Phlebotomy: How To Label a Blood Sample - YouTube YouTube Start of suggested clip End of suggested clip And in the presence of the patient. The information. Must include the date time and identity of theMoreAnd in the presence of the patient. The information. Must include the date time and identity of the collector.
What are the required documentation for a phlebotomist?
Hear this out loud PauseDocuments you may need for your application Official transcript. NACES or AICE evaluation. Certificate of completion from an approved phlebotomy training program. Verification of practical training experience (California Statement of Phlebotomy Practical Training).
Related links
Phlebotomy tutorial for medical education
BLOOD COLLECTION: ROUTINE VENIPUNCTURE AND SPECIMEN HANDLING. Objectives for the tutorial: Describe and perform the venipuncture process including:.
Every phlebotomist who completes a venipuncture shall complete the required documentation; such as the Phlebotomy Blood Draw Report form [OR OTHER REQUIRED.
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