How do I…perform therapeutic phlebotomy?
Autor: | Julie Katz Karp, Alexis R. Peedin |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Iron Overload medicine.medical_treatment Health Personnel Immunology Context (language use) Blood Donors 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Polycythemia vera Phlebotomy Intervention (counseling) Physicians medicine Immunology and Allergy Electronic Health Records Humans Bloodletting Intensive care medicine Polycythemia Vera Therapeutic phlebotomy business.industry Transfusion medicine Hematology medicine.disease Checklist Hereditary hemochromatosis Hemochromatosis business 030215 immunology |
Zdroj: | TransfusionREFERENCES. 61(3) |
ISSN: | 1537-2995 |
Popis: | Background Therapeutic phlebotomy (TP) is a well-established medical intervention that evolved from the historical practice of bloodletting. Methods Patients who require TP are not infrequently told by their health-care providers to "just go donate blood," but TP should always be offered in the context of a prescribed course of therapy. Providers can prescribe a course of TP for a number of indications, including hereditary hemochromatosis, polycythemia vera, iron overload, and testosterone replacement therapy. Results A course of prescribed TP specifies that patients can be phlebotomized more frequently than volunteer blood donors and reassures patients that TP is being performed per the orders of their provider. Prescribed TP also facilitates two-way communication between the referring provider and the transfusion medicine (TM) physician overseeing the TP. The College of American Pathologists TM checklist describes several requirements regarding the documentation and performance of TP, and electronic medical record systems can be used to demonstrate compliance with these requirements. Conclusions TM physicians should discuss the advantages of prescribing TP with providers who mutually care for patients requiring this intervention. |
Databáze: | OpenAIRE |
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