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How do I…perform therapeutic phlebotomy?

Alexis R Peedin¹, Julie Katz Karp¹

¹Department of Pathology, Anatomy, & Cell Biology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

|February 13, 2021

Summary

Therapeutic phlebotomy (TP) should be a prescribed medical therapy, not simply blood donation. Prescribed TP ensures patient safety and facilitates communication between healthcare providers for optimal treatment.

Keywords:

regulatory and QA transfusion service operations

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Area of Science:

Medical Interventions
Hematology
Transfusion Medicine

Background:

Therapeutic phlebotomy (TP) is a medical treatment derived from historical bloodletting practices.
TP is prescribed for various conditions such as hereditary hemochromatosis, polycythemia vera, iron overload, and testosterone replacement therapy.

Purpose of the Study:

To emphasize the importance of prescribing therapeutic phlebotomy.
To differentiate prescribed TP from voluntary blood donation.
To highlight the benefits of clear communication and documentation in TP.

Main Methods:

Prescribing TP ensures patients undergo phlebotomy more frequently than regular blood donors.
Prescribed TP establishes clear communication channels between referring providers and transfusion medicine (TM) physicians.
Utilizing electronic medical record systems aids in meeting College of American Pathologists TM checklist requirements for TP documentation and performance.

Main Results:

Prescribed TP allows for more frequent patient phlebotomy compared to volunteer donors.
It fosters essential two-way communication between healthcare providers and TM physicians.
Electronic medical records facilitate compliance with established TP protocols.

Conclusions:

Transfusion medicine physicians should advocate for prescribed TP with referring providers.
Prescribing TP enhances patient care and treatment adherence.
Standardized protocols and communication are crucial for effective therapeutic phlebotomy.