| Phlebotomy |
| Intervention |
| ICD-9-CM |
38.99 |
| MeSH |
D018962 |
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[edit on Wikidata]
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Phlebotomy (from the Greek words phlebo-, meaning "pertaining to a blood vessel", and -tomy, meaning "to make an incision") is the process of making an incision in a vein with a needle. The procedure itself is known as a venipuncture. A person who performs phlebotomy is called a "phlebotomist", although doctors, nurses, medical laboratory scientists and others do portions of phlebotomy procedures in many countries.[1]
Contents
- 1 Phlebotomists
- 1.1 Australia
- 1.2 United Kingdom
- 1.3 United States
- 2 History
- 3 See also
- 4 References
Phlebotomists
Phlebotomists are people trained to draw blood from a patient for clinical or medical testing, transfusions, donations, or research. Phlebotomists collect blood primarily by performing venipunctures, (or, for collection of minute quantities of blood, fingersticks).[2] Blood may be collected from infants by means of a heel stick. The duties of a phlebotomist may include properly identifying the patient, interpreting the tests requested on the requisition, drawing blood into the correct tubes with the proper additives, accurately explaining the procedure to the patients, preparing patients accordingly, practicing the required forms of asepsis, practicing standard and universal precautions, performing the skin/vein puncture, withdrawing blood into containers or tubes, restoring hemostasis of the puncture site, instructing patients on post-puncture care, ordering tests per the doctor's requisition, affixing tubes with electronically printed labels, and delivering specimens to a laboratory.
Some countries, states, or districts require that phlebotomy personnel be licensed or registered:
Australia
In Australia, there are a number of courses in phlebotomy offered by educational institutions, but training is typically provided on the job. The minimum primary qualification for phlebotomists in Australia is a Certificate III in Pathology HLT 32607 or a Certificate IV in Pathology HLT41807 (from an approved educational institution); current senior first aid certification must be included.[3]
United Kingdom
In the UK there is no requirement for holding a formal qualification or certification prior to becoming a phlebotomist as training is usually provided on the job. The NHS offers training with formal certification upon completion.[4]
United States
Special state certification in the United States is required only in four states: California, Washington, Nevada, and Louisiana. A phlebotomist can become nationally certified through many different organizations. However, California currently only accepts national certificates from seven agencies. These include: American Certification Agency (ACA), American Medical Technologists (AMT), American Society for Clinical Pathology (ASCP), National Center for Competency Testing/Multi-skilled Medical Certification Institute (NCCT/MMCI), National Credentialing Agency (NCA), National Healthcareer Association (NHA), and National Phlebotomy Continuing Education (NPCE). These and other agencies also certify phlebotomists outside the state of California. To qualify to sit for an examination, candidates must complete a full phlebotomy course and provide documentation of clinical or laboratory experience. National Certification Career Association (NCCA) also provides phlebotomy certification, which includes a 2 parts exam: Part 1 Skills Exam and Part 2 Written Exam. Candidates must pass both to be certified.
History
Main article: Bloodletting
Early "Phlebotomists" used techniques such as leeches to extract blood from the body. It was used as a healing process, thought to remove toxins from the blood stream.
See also
- Cytotechnologist
- Medical technologist
- Venipuncture
References
- ^ "FAQ". National Association of Phlebotomists. Retrieved 28 December 2014.
- ^ Jeon BR, Seo M, Lee YW, Shin HB, Lee SH, Lee YK (2011). "Improving the blood collection process using the active-phlebotomist phlebotomy system". Clinical Laboratory 57 (1-2): 21–7. PMID 21391461.
- ^ "Pathology Collector / Phlebotomist". Australian Institute of Medical Scientists. Retrieved 15 September 2014.
- ^ "Phlebotomist". NHS Careers. Retrieved 15 September 2014.
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Vascular surgery ICD-9-CM V3 38–39, ICD-10-PCS 03–6
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Vascular and
Endovascular surgery |
| Arterial disease |
- Vascular bypass
- Angioplasty
- Atherectomy
- Endarterectomy
- Stenting
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| Venous disease |
- Ambulatory phlebectomy
- Laser surgery
- Sclerotherapy
- Vein stripping
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| Arterial and Venous Access |
- Venous cutdown
- Arteriotomy
- Phlebotomy
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| Aortic aneurysm / dissection: |
- Endovascular aneurysm repair
- Open aortic surgery
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| Other |
- Cardiopulmonary bypass
- Cardioplegia
- Extracorporeal membrane oxygenation
- Hemodialysis
- Revascularization
- Glomectomy
- First rib resection
- Seldinger technique
- Vascular snare
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| Medical imaging |
| Angiography |
- Digital subtraction angiography
- Cerebral angiography
- Aortography
- Fluorescein angiography
- Radionuclide angiography
- Magnetic resonance angiography
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| Venography |
- Portography
- Impedance phlebography
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| Ultrasound |
- Intravascular ultrasound
- Carotid ultrasonography
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| Other diagnostic |
- Angioscopy
- Ankle brachial pressure index
- Tilt table test
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Index of the circulatory system
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| Description |
- Anatomy
- Arteries
- head and neck
- arms
- chest
- abdomen
- legs
- Veins
- head and neck
- arms
- chest
- abdomen and pelvis
- legs
- Development
- Cells
- Physiology
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| Disease |
- Congenital
- Neoplasms and cancer
- Lymphatic vessels
- Injury
- Vasculitis
- Other
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- beta blockers
- channel blockers
- diuretics
- nonsympatholytic vasodilatory antihypertensives
- peripheral vasodilators
- renin–angiotensin system
- sympatholytic antihypertensives
- vasoprotectives
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