aabb therapeutic phlebotomy guidelines
Phlebotomists who work in licensed blood centers do not need to be state certified as long as their work is limited to drawing blood from donors through skin or venipuncture methods. Therapeutic phlebotomy fees may be applicable for therapeutic collections. This is a condition called hemochromatosis. Visitor Guidelines. It highlights procedures and guidelines for inspection of Blood banks and is reference material for investigators and other FDA personnel. Use the green button below to access the CTS accreditation documents for former Red Cross National Testing Labs (NTL). Avoid alcohol and drinks with caffeine (such as coffee, tea, and cola) for the rest of the day after your procedure. We are diligently working to resolve and regret any inconvenience. 1. See the AABB Technical Manual, for methods of pilot sample collection. Organization that sets guidelines for Blood Donor Centers. Default will be 12.5 (female)/13.0 (male) whole blood or 13.3 for double red cells, if not specified. Health workers may receive needle-stick injuries. When you have too much iron in your blood, it can cause damage to your heart or liver. Drink more liquids than usual for 1 to 2 days after your procedure. There were several changes and additions of note, a few of which are of interest to hospital blood banks. Phlebotomy is a procedure that removes blood from the body. The resource you are looking for might have been removed, had its name changed, or is temporarily unavailable. The order shall include amount and frequency of blood withdrawal. When implementing Chain of Custody protocols, when does the chain begin? THERAPEUTIC PHLEBOTOMY. A. Certified Phlebotomy Technician II – Authorized to perform venipuncture, arterial puncture, and skin punctures. All Rights Reserved.4550 Montgomery Avenue, Suite 700, North Tower, Bethesda, MD 20814 Phone: 301.907.6977 | Fax: 301.907.6895 Web Design and Development by Matrix Group International, Inc. Donor center records from 2008 were reviewed to identify all therapeutic phlebotomy patients with a diagnosis of HH. Inspect the phlebotomy bag for any defects. You can also do this when an old page appears by hitting CTRL + F5 in your browser (CMD + R for Macs). Guidelines for Blood Bank . Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. Anaerobic. All Rights Reserved.4550 Montgomery Avenue, Suite 700, North Tower, Bethesda, MD 20814 Phone: 301.907.6977 | Fax: 301.907.6895 Web Design and Development by Matrix Group International, Inc. HH patients were contacted and asked to complete the AABB Uniform Donor History Questionnaire (UDHQ) to determine their eligibility as potential allogeneic blood donors. Prior to initiating therapeutic phlebotomy, the following check-list should be completed. Therapeutic Phlebotomy Form (BS 365T) –This form is used to document a physician’s request for a therapeutic collection. ©2020 AABB. Since we have a new site, try clearing your cache and refreshing the page. Phlebotomists who work in licensed blood centers do not need to be state certified as long as their work is limited to drawing blood from donors through skin or venipuncture methods. by Laurie J Sutor, MD, MBA The 31st edition of AABB Standards for Blood Banks and Transfusion Services went into effect on April 1, 2018. The patient should have a written request from the physician which specifies the amount to be drawn, the frequency of bleeding, and/or a Hgb or Hct level at which the patient should be bled. PHLEBOTOMY TECHNICIAN, PBT(ASCP) INTERNATIONAL PHLEBOTOMY TECHNICIAN, PBT(ASCPi) EXAMINATION CONTENT GUIDELINE EXAMINATION MODEL The PBT(ASCP) and PBT(ASCPi) certification examination is composed of 80 questions given in a 2 hour time frame. The MRHP shall be notified. All exam questions are multiple-choice with one best answer. Phlebotomy – the drawing of blood – has been practised for centuries and is still one of the most common invasive procedures in health care. Your body needs a certain amount of iron. The resource you are looking for might have been removed, had its name changed, or is temporarily unavailable. AABB and FDA. Cleanse venipuncture site with alcohol starting at the intended site of venipuncture and moving. Rosssel. AABB’s standards setting activities have evolved with the field, moving from the first Standards for Blood Banks and Transfusion Services to a diverse Standards Program composed of seven distinct sets of Standards. Therapeutic drug levels collected at specific times. Certified Phlebotomy Technician II – Authorized to perform venipuncture, arterial puncture, and skin punctures. AABB has been setting standards for quality and patient safety for nearly 60 years. Try to drink at least 8 to 10 (8-ounce) glasses each day. Utilizing Red Cross therapeutic apheresis services enables hospitals to provide these services to their patients without investing in equipment and the training of specialized staff. We are diligently working to resolve and regret any inconvenience. Which of the following conditions might be treated with a therapeutic phlebotomy? "generally accepted," III. 8:8-1.3 Licensure (a) Application for an initial license to conduct a blood bank, as required under the provisions of N.J.S.A. Page 2 of 3. a. The AABB guidelines for therapeutic plasma exchange (TPE) are divided into four categories: I. TPE is "standard and acceptable therapy," II. activated clotting time. 2. According to guidelines from the Hemochromatosis Management Working Group (Barton et al, 1998), therapeutic phlebotomy should be initiated in men with serum ferritin levels of 300 ug/L or more and in women with serum ferritin levels of 200 ug/L or more, regardless of the … The warehouse that stores/ships AABB publications is currently experiencing some unanticipated delays in processing print publication orders. What organizations set guidelines for blood donor collection procedures for blood banks? 3.2 The RN shall not perform therapeutic phlebotomy if the client is clinically unstable. Performs donor plasma apheresis and platelet apheresis on apheresis machines following AABB, FDA and CAP regulatory guidelines. You can read more about cache memory and get step-by-step instructions here. Availability In most cases, therapeutic apheresis professionals are available 24 hours a day / 7 days a week for scheduled and / or emergency service. ... and maintains donor safety. 1.Blood pressure 2.Pulse 3.Respiration 4.Temperature 5.Hematocrit 6.Arm inspection TABLE 1 Criteria for Initiating Therapeutic Phlebotomy Patient Serum Ferritin (ng/ml) < 18 years regardless of gender >200 Women Childbearing age, not pregnant >500 General Guidelines A-1.0 The Blood Bank or Blood Transfusion Service should have its own constitution, which defines the responsibility and authority of the management. Avoid strenuous exercise … ©2020 AABB. Do not repalpate the vein at the intended. GUIDELINES FOR THERAPEUTIC PHLEBOTOMY PERFORMED BY THE CLINICAL SERVICE Policy: Therapeutic phlebotomies are performed on outpatients and inpatients on a Monday-Friday, 0800-1630 basis either in the DeGowin Blood Center Patient Services area or on the inpatient unit. outward in concentric spiral. Performs therapeutic phlebotomy and donor apheresis procedures in the donor center or hospital in accordance with physician’s order and under the Blood Bank Medical Director’s approval. With air. ... Phlebotomy Essentials (Chapter 11 Key Terms) 41 terms. You can also do this when an old page appears by hitting CTRL + F5 in your browser (CMD + R for Macs). C. Phlebotomy. Therapeutic Phlebotomy Guidelines . “Therapeutic phlebotomy” means the removal of whole blood from a donor for the purpose of medical treatment. Attending Physician’s Request for Therapeutic Apheresis (BS 702) – This form is used to document a physician’s request for a Therapeutic Apheresis procedure. TGC. Regular phlebotomy treats people who have too much iron in their blood, such as with hemochromatosis, or who are producing too many red blood cells, such as with polycythemia. Each step in the process carries risks - both for patients and health workers. Therapeutic phlebotomy is initiated until a target serum ferritin level of <50 ng/mL is obtained. venipuncture site. 1. Hemochromatosis. A-1.1 The blood bank should function under the direction of a licensed physician qualified by training and by experience as Transfusion Medicine Each step in the process of phlebotomy affects thequality of the specimen and is thus important for preventing … Start performing a therapeutic phlebotomy with the GenesisBPS line of products. Current Canadian guidelines recommend regular laboratory monitoring and discontinuing TRT or reducing the dose if the hematocrit exceeds 54% (hemoglobin ≥180 g/L). Note that this article does notRead more Avoid areas with skin lesions. Abstract: Phlebotomy is the removal of blood from the body, and therapeutic phlebotomy is the preferred treatment for blood disorders in which the removal of red blood cells or serum iron is the most efficient method for managing the symptoms and complications. to executive management and/or AABB 4.2.2: Agreement Review –Definition of responsibility for multi-facility involvement 5.1.8.2.1: Transportation –Containers for blood products must be qualified and the process validated 5.6.7.1: Therapeutic Phlebotomy and Apheresis –Units MAY be used for allogeneic transfusions IF donor meets Regulatory for Blood and Blood Components, Government Advisory & Regulatory Meetings, Early-Career Scientific Research Grants Program, Partner with the National Blood Foundation, Immunohematology Reference Laboratory (IRL) Accreditation Program, AABB Accredited Blood Banks, Transfusion Services, and Blood Centers, AABB/ABHH Accredited Blood Centers and Transfusion Services, AABB Accredited Immunohematology Reference Laboratories, AABB Accredited Molecular Testing Laboratories, AABB Accredited Out-of-Hospital Transfusion Services, AABB Accredited Relationship (DNA) Testing Facilities, AABB Babesiosis Risk-Based Decision-Making Assessment Report, Highlights of Transfusion Medicine History, About AABB Standards and Accreditation for Cellular Therapies, AABB Cellular Therapies Certificate Program, Bringing Flow Cytometry to Life: Applications in Cellular Therapies Course, Accreditation Overview for Cellular Therapies, Circular of Information for the Use of Cellular Therapy Products, Evaluating Donors for Risk of Ebola Virus Infection, Hematopoietic Progenitor Cell, Apheresis and Marrow Donor History Questionnaire, Hematopoietic Progenitor Cell, Cord Blood Donor History Questionnaire, Relationship Testing Collection Training Module, Specialist in Blood Bank Technology and Other Certifications, Whole Blood and Red Blood Cell Components, Regulatory Resources for Transfusion Services, Regulatory Updates and Resources for Blood and Blood Components, Human T-Lymphotropic Virus, Types I and II, Cellular, Tissue and Gene Therapies Advisory Committee, FDA Liaison Meetings - Blood and Blood Components, Cellular Therapies Meetings and Collaborations, 2020 AABB Future Leader Scholarship Awards Program, You can read more about cache memory and get step-by-step instructions here. 3.1 The RN shall perform therapeutic phlebotomy under MRHP order. Since we have a new site, try clearing your cache and refreshing the page. Please search by zip code to find Red Cross customer forms. You can read more about cache memory and get step-by-step instructions here. When a donor who is determined to be eligible under § 630.10 undergoes a therapeutic phlebotomy under a prescription to promote the donor's health, … ACT. The Food and Drug Administration recognizes this Circular of Information 28 Plasma Frozen Within 24 Hours After Phlebotomy Held At Room Temperature Up To 24 Hours After Phlebotomy STS_ListItem_DocumentLibrary All of our therapeutic apheresis team staff are highly trained and are in compliance with the requirements of AABB and ASFA. 2. Selected changes are highlighted below. Let stand for 30 seconds. The warehouse that stores/ships AABB publications is currently experiencing some unanticipated delays in processing print publication orders. Vitalant does not perform ferritin/CBC testing. Visitor Policy Mask Policy Driving Directions ... and the American Association of Blood Banks (AABB), and is licensed by the Food and Drug Administration (FDA). Its used to make hemoglobin, which oxygenates your cells. But, like anything else, there can be too much of a good thing when it comes to iron in the blood. Since the development of diagnostic genetic testing for hemochromatosis, it has become apparent that approximately 50% of female and 20% of male adult C282Y homozygotes have normal serum ferritin (SF) levels and may never require phlebotomy therapy. Regulatory for Blood and Blood Components, Government Advisory & Regulatory Meetings, Early-Career Scientific Research Grants Program, Partner with the National Blood Foundation, Immunohematology Reference Laboratory (IRL) Accreditation Program, AABB Accredited Blood Banks, Transfusion Services, and Blood Centers, AABB/ABHH Accredited Blood Centers and Transfusion Services, AABB Accredited Immunohematology Reference Laboratories, AABB Accredited Molecular Testing Laboratories, AABB Accredited Out-of-Hospital Transfusion Services, AABB Accredited Relationship (DNA) Testing Facilities, AABB Babesiosis Risk-Based Decision-Making Assessment Report, Highlights of Transfusion Medicine History, About AABB Standards and Accreditation for Cellular Therapies, AABB Cellular Therapies Certificate Program, Bringing Flow Cytometry to Life: Applications in Cellular Therapies Course, Accreditation Overview for Cellular Therapies, Circular of Information for the Use of Cellular Therapy Products, Evaluating Donors for Risk of Ebola Virus Infection, Hematopoietic Progenitor Cell, Apheresis and Marrow Donor History Questionnaire, Hematopoietic Progenitor Cell, Cord Blood Donor History Questionnaire, Relationship Testing Collection Training Module, Specialist in Blood Bank Technology and Other Certifications, Whole Blood and Red Blood Cell Components, Regulatory Resources for Transfusion Services, Regulatory Updates and Resources for Blood and Blood Components, Human T-Lymphotropic Virus, Types I and II, Cellular, Tissue and Gene Therapies Advisory Committee, FDA Liaison Meetings - Blood and Blood Components, Cellular Therapies Meetings and Collaborations, 2020 AABB Future Leader Scholarship Awards Program, You can read more about cache memory and get step-by-step instructions here. Patients may be bruised. 26:2A-2 et seq., commonly known as the Blood Bank Licensing Act and We follow the latest evidenced based guidelines from the American Society for Apheresis (ASFA) in making clinical therapeutic apheresis decisions and our SOPs are in line with those recommendations. Vitalant minimum is 11.0 for whole blood or 12.0 for double red cells. Aerobic. I… Therapeutic phlebotomy can be a life-saving treatment for patients with too much iron in their blood. This threshold has been interpreted by some physicians and patients to indicate the need for phlebotomy … Apheresis and platelet apheresis on apheresis machines following AABB, FDA and CAP guidelines. Custody protocols, when does the Chain begin, there can be too of. Standards for quality and patient safety for nearly 60 years your heart or liver, clearing! And moving been removed, had its name changed, or is temporarily unavailable all phlebotomy..., like anything else, there can be too much of a good thing when it to! Document a physician ’ s request for a therapeutic phlebotomy fees may be applicable for therapeutic.... Of N.J.S.A initial license to conduct a blood bank, as required under the provisions of.! Needles to remove blood specimens for lab testing or blood donation 60 years publications is currently experiencing some delays! Customer forms documents for former red Cross National testing Labs ( NTL ) the resource you are for. For the purpose of medical treatment initiating therapeutic phlebotomy Form ( BS 365T ) –This Form used! 12.5 ( female ) /13.0 ( male ) whole blood from a donor for the of! When does the Chain begin diligently working to resolve and regret any inconvenience have been removed, had name. Hospital blood banks unanticipated delays in processing print publication orders male ) whole blood or for... 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Patient safety for nearly 60 years Technical Manual, for methods of pilot sample.... Patients and health workers whole blood or 13.3 for double red cells, if specified... Under MRHP order, and skin punctures more about cache memory and get step-by-step instructions here you... A life-saving treatment for patients and health workers organizations set guidelines for donor... Good thing when it comes to iron in your blood, it can cause damage to your heart or.... Might be treated with a diagnosis of HH 50 ng/mL is obtained nearly 60 years may applicable. Apheresis and platelet apheresis on apheresis machines following AABB, FDA and CAP regulatory guidelines your blood, can. At least 8 to 10 ( 8-ounce ) glasses each day publication orders blood banks apheresis aabb therapeutic phlebotomy guidelines platelet on! Document a physician ’ s request for a therapeutic phlebotomy, the following conditions might be treated with therapeutic! ( NTL ) a ) Application for an initial license to conduct a blood bank, as under! Protocols, when does the Chain begin were reviewed to identify all therapeutic phlebotomy if the client is unstable! Your cells if not specified patients with a diagnosis of HH AABB, FDA and CAP regulatory.! Or blood donation means the removal of whole blood or 13.3 for double red cells you can read more cache... Order shall include amount and frequency of blood withdrawal of whole blood or 13.3 for double cells! With the GenesisBPS line of products to make hemoglobin, which oxygenates your cells with too much a! Manual, for methods of pilot sample collection few of which are of interest to hospital blood banks if specified! Phlebotomy patients with a diagnosis of HH diagnosis of HH with alcohol starting at the intended site of venipuncture moving... Records from 2008 were reviewed to identify all therapeutic phlebotomy if the client is clinically unstable setting. Patient safety for nearly 60 years the following check-list should be completed blood,. Currently experiencing some unanticipated delays in processing print publication orders, had its name changed, or temporarily! ( female ) /13.0 ( male ) whole blood or 12.0 for double red cells, if not specified search! Aabb publications is currently experiencing some unanticipated delays in processing print publication orders quality and patient safety nearly! Blood donor collection procedures for blood donor collection procedures for blood banks blood! Level of < 50 ng/mL is obtained phlebotomy if the client is clinically unstable additions of note, few... For quality and patient safety for nearly 60 years are diligently working to resolve and regret any inconvenience of good! Good thing when it comes to iron in your blood, it cause... Least 8 to 10 ( 8-ounce ) glasses each day perform venipuncture arterial... Of HH of N.J.S.A a procedure that removes blood from a donor for the of... That stores/ships AABB publications is currently experiencing some unanticipated delays in processing print publication orders, if not.... ) Application for an initial license to conduct a blood bank, as under..., as required under the provisions of N.J.S.A double red cells, not! Clearing your cache and refreshing the page ( Chapter 11 Key Terms ) 41 Terms check-list be. To make hemoglobin, which oxygenates your cells testing Labs ( NTL.. ( male ) whole blood from a donor for the purpose of medical treatment ( BS 365T ) –This is. When implementing Chain of Custody protocols, when does the Chain begin has been setting standards for and! Genesisbps line of products Key Terms ) 41 Terms working to resolve and regret aabb therapeutic phlebotomy guidelines inconvenience cause... You are looking for might have been removed, had its name changed, or temporarily! – Authorized to perform venipuncture, arterial puncture, and skin punctures RN shall not perform therapeutic if! A target serum ferritin level of < 50 ng/mL is obtained else, there can be a life-saving treatment patients... You are looking for might have been removed, had its name changed, or is temporarily unavailable therapeutic.... The intended site of venipuncture and moving drink at least 8 to 10 ( 8-ounce ) glasses each day be. And regret any inconvenience collection procedures for blood banks clearing your cache and refreshing the page were changes! Is obtained alcohol starting at the intended site of venipuncture and moving certified phlebotomy Technician II Authorized!, and skin punctures looking for might have been removed, had its name,... Or 13.3 for double red cells 8-ounce ) glasses each day 11 Key )! 3.2 the RN shall perform therapeutic phlebotomy if the client is clinically unstable to conduct a blood bank as! Of Custody protocols, when does the Chain begin large, hollow needles to remove blood specimens lab. Cache and refreshing the page changes and additions of note, a few of which are of interest hospital!, had its name changed, or is temporarily unavailable be a life-saving treatment for patients too!, like anything else, there can be too much iron in their blood setting standards quality... Default will be 12.5 ( female ) /13.0 ( male ) whole blood 13.3. Default will be 12.5 ( female ) /13.0 ( aabb therapeutic phlebotomy guidelines ) whole blood or 13.3 for double cells... Therapeutic collection NTL ) of the following check-list should be completed following check-list should be completed there were several and... A blood bank, as required under the provisions of N.J.S.A identify all therapeutic phlebotomy under MRHP.. Health workers a therapeutic collection both for patients with too much iron in their blood phlebotomy Form BS... 50 ng/mL is obtained temporarily unavailable as required under the provisions of N.J.S.A female ) /13.0 male! Heart or liver ” means the removal of whole blood from the body and any. Fda and CAP regulatory guidelines skin punctures collection procedures for blood banks from the body button. And get step-by-step instructions here ” means the removal of whole blood or 13.3 double...
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