/policies/,/policies/clinical/,/policies/clinical/uwhc-clinical/,/policies/clinical/uwhc-clinical/department-specific/,/policies/clinical/uwhc-clinical/department-specific/clinical-laboratories/,

/policies/clinical/uwhc-clinical/department-specific/clinical-laboratories/1507bd24.policy

201706178

page

100

UWHC,

Policies,Clinical,UWHC Clinical,Department Specific,Clinical Laboratories

Outpatients Needing Lab Service When the Outpatient Lab is Closed - CSC Only (1507.BD.2.4)

Outpatients Needing Lab Service When the Outpatient Lab is Closed - CSC Only (1507.BD.2.4) - Policies, Clinical, UWHC Clinical, Department Specific, Clinical Laboratories

1507.BD.2.4

UWHC Clinical Laboratories Original Date: 1/29/2007
Phlebotomy Current Version Date: 1/27/2015
Document Title: Outpatients Needing Lab Service When The
Outpatient Lab is Closed – CSC Only

Document ID: 1507.BD.2.4 Page 1 of 2


Medical Director and Date: Teresa Darcy, MD 1/7/2014, 1/20/2015; David Yang, MD 5/24/17

Effective Date: 1/27/2015
Manager Date Faculty Director Date
Kimberly Corrado 1/7/14 Teresa Darcy, MD 1/7/14
Kimberly Lueptow 1/14/15 Teresa Darcy, MD 1/20/15
Kimberly Lueptow 2/01/16 Teresa Darcy, MD 2/10/16
Melissa Hahn 5/25/17 David Yang, MD 5/24/17




I. Purpose
Guideline for triaging outpatients that present for phlebotomy and laboratory services when
the Outpatient Lab is closed.

II. Procedure
A. For Main Desk: Use the following scripted questions to determine patient needs and the
laboratory’s ability to assist the patient.
1. Ask: “Are you dropping off a specimen or do you need to have your blood drawn?”
a. If dropping off a specimen, call the Core Lab at 263-7060 for pick-up and ask
the patient to wait for the lab staff. Lab staff must check specimen(s) for
proper patient identification in the presence of the patient.
b. If patient needs blood draw, go to (2).
2. Say: “I’m sorry; the Outpatient Blood Drawing Lab has closed for the day. Would it
be possible for you to return when they are open?”
a. If the patient objects or indicates that this would be a serious inconvenience
(i.e. live far away or collection is needed for an urgent procedure), continue
with (3).
3. Ask: “Are you registered as a patient at UWHC?” (patient must have UWHC MRN)
a. If no, patient must return on another day to register prior to lab service.
b. If yes, continue to (4).
4. Ask: “Do you have lab orders from your physician?”
a. If the patient has a paper test request, then continue with number (5).
b. If the patient does not have a paper test request, call the Core laboratory at
263-7060. Explain your situation and ask them to check to see if a test order
is available in the computer system. If the laboratory has an order, then
proceed with number (5). If not, continue to item 4.c.
c. If the patient does not have a paper or electronic order available, then the
patient will need to return. Say: “We cannot proceed without a physician
order. I am sorry for the inconvenience, but you will have to return during
open clinic hours.” STOP if you reach this point.
5. Say: “I will contact a phlebotomist to determine if we can collect your sample.”
Contact the phlebotomist using pager 6700 or phone 9-219-5963 (Hours: all days
0700-2300). If the phlebotomist is busy on the Inpatient units, you may need to wait
several minutes for an answer or request a call back.
a. When you reach the phlebotomist, explain that you have a patient waiting,
with laboratory orders, and that it would be inconvenient for the patient to

UWHC Clinical Laboratories Original Date: 1/29/2007
Phlebotomy Current Version Date: 1/27/2015
Document Title: Outpatients Needing Lab Service When The
Outpatient Lab is Closed – CSC Only

Document ID: 1507.BD.2.4 Page 2 of 2


return at another time. Ask the phlebotomist for an estimate of the expected
response time.
b. Inform the patient: “The phlebotomist is currently on the inpatient units and
has been paged to assist you. Please be aware the phlebotomist may be
delayed by the needs on the nursing units. We will make every effort to keep
your wait to a minimum (relay the estimated wait time provided by the
phlebotomist).”

III. Laboratory Information
A. Phlebotomy Staff: The Main Desk will do the screening if the patient presents there
first. If a patient has come directly to the OP Lab, then follow the Main Desk procedure.
1. If you are fully trained in Order Entry, and have no questions about the HL tests
requested, you may process the order in the OP lab. You must complete a Walk-In
appointment and release orders from Health Link using Releasing Conventions. If
you have a paper, proceed to next step.
2. If you need assistance with an electronic order or you have a paper order only, call
the Core lab at 263-7060. Inform them you are with an outpatient and need tests
ordered to collect specimens. Tell them you will tube the request (if available) and
ask them to process and call or page when orders are ready in McKesson Labs.
3. When order is ready in McKesson, proceed with proper patient identification, use
wireless equipment to print labels and collect specimen per standard protocol.
B. Core Lab:
1. If you receive calls requesting a specimen pickup from the Main Desk,
accommodate this request. Do not ask the patient to come to the Core Lab. Check
specimen for proper labeling in the presence of the patient and make corrections if
needed.
2. If the phlebotomist requests assistance with Order Entry, please respond quickly.
Not all phlebotomists are trained on Order Entry and Releasing Conventions and
may need this assistance to serve the patient. It is important that we get the
phlebotomist back to the inpatient unit in a timely manner. If processing the order in
the Core Lab, it is necessary to create an HOV prior to releasing tests from Health
Link or entering in Horizon Labs.

IV. References – Not applicable

V. Related Documents – Not applicable

VI. Appendices and Forms – Not applicable

VII. Coordination and Review
A. Faculty Director
B. Manager