Float Outpatient Draw Station Phlebotomist

Phlebotomy Position

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Under the general supervision of the Lab Blood Draw Station Supervisor within Laboratory Medicine, performs phlebotomy for patients seen at draw station locations. Also performs various office duties as necessary to support the draw station operations. Consistently interacts with patients and clients in a positive manner.

Responsibilities :

1. Ensures all required information is obtained from referring physicians and providers in clinical areas and provided to the third party payers to ensure reimbursement for services delivered within the outpatient lab blood draw setting.

2. Accurately reviews insurance information with patients to ensure all of the information is recorded in the EMR.

3. Using hospital wide standards, creates MR numbers for new patients in the YNHH EMR and creates a complete registration.

4. Updates established patient records in the YNHH HIS and creates HAR and CSN components for Laboratory Medicine date of service as needed.

5. As needed, produces Laboratory Medicine ABNs, provides financial consultation regarding these forms to patients, obtains patient signature, and scans signed form into YNHH HIS.

6. Clearly identifies and communicates instructions, dates, times and locations of Lab Blood Draw with each patient.

7. Enters appropriate comments and notes on the orders in the EMR identifying the resolution of issues.

8. Ensures all ABNs, pre-authorizations and pre-certifications are received prior to specimen collection.

9. Informs patients of their financial responsibility as it relates to billing requirements and non-covered balances. Makes all attempts to obtain information at the time of service. When applicable, explains the hospitals self-pay policy and determines the need to initiate financial document for reimbursement.

10. Communicates with Supervisor regarding any issues or questions regarding authorizations for lab testing. Provides patient information as needed in order for approvals to be obtained.

11. Adheres to state and federal guidelines as it pertains to HIPAA and JCAHO requirements and all federal mandates.

12. Verifies the accuracy of laboratory tests ordered and has knowledge to answer collection inquiries from patients.

13. Gathers test order requisitions from patients or physicians / providers, when necessary, and transcribes them accurately.

14. Confirms test orders using chart notes and specimen comments prior to collection.

15. Reviews requisitions for completeness of information to include diagnosis information, physician signature and any special specimen instructions. If incomplete, follows through with a contact to physician office(s) for correct information prior to the blood draw.

16. Coordinates the time of specimen collection with stability requirements and the logistics of specimen transport to the appropriate testing facility. Works closely with Lab Reference Department to ensure proper specimen transport conditions requiring ice or dry ice.

17. Maintains paperwork and documentation regarding test orders. Properly filing and tracking orders in the event of a regulatory audit. Adds comments to test orders when patients refuse testing or if the specimen collection cannot be performed during the patients visit.

18. Manages the preadmission laboratory testing process by reviewing tests ordered and ensuring the collection date is within the proper limits as determined by the pre-op physicians.

19. Adds the proper physician / provider and patients to the test order if they request that the final results be sent to them.

20. Ensures all tests are collected prior to surgery. Coordinates with physician and patient if test results will not be completed prior to the scheduled procedure or surgery.

21. Responsible for collecting laboratory samples and performing electrocardiograms on patients in a safe and efficient manner, following department standards to support quality patient care.

22. Maintains annual updates to technical competency on venipuncture technique, performing EKGs, and nasal swab collections as observed by coordinator.

23. Follows established specimen handling guidelines and precautions as described in the Laboratory Policy and Procedures Manual without deviation from these established guidelines.

24. Annually reviews the Laboratory Policy and Procedure Manual and completes the associated competencies.

25. Verifies patient identity and performs positive patient identification accurately and without error to ensure the safety of patients and the accuracy of the lab test results.

26. Responsible for labeling all specimens legibly and accurately without error at time of draw, with all pertinent information as required by hospital and departmental standards.

27. Attends continuing education lectures and staff meetings relating to compliance as required. Maintains proficiency in specimen collection and seeks assistance when unable to perform a specimen collection or EKG within the established limits set by the Lab.

28. Properly collects specimen in the appropriate vacutainers to ensure the testing can be performed. Understands the order of draw and recognizes the importance of collecting samples in the correct order.

29. Performs venipuncture for blood cultures using an aseptic technique to minimize the contamination of blood culture bottles which may lead to the unnecessary use of antibiotics.

30. Accurately explains urine and stool sample collection to patients and emphasizes the importance that proper collection plays in the accuracy of lab test results.

31. Follows universal precaution standards for each venipuncture, EKG or nasal swab collection 100% of the time.

32. Properly disinfects and maintains the draw room area for specimen collections, patient waiting area and staff lounges to ensure a clean and safe environment as per established CLIA, CMS, CAP, JCAHO, and CDC regulations.

33. Recognizes the signs and symptoms associated with an adverse reaction to a venipuncture and follows the proper protocols to maintain patient safety. Documents the adverse reaction and submits documentation for review of the incident by supervisory staff.

34. Responsible for the processing of collected specimen and drop-off specimen by patients or other healthcare workers. Packages specimen appropriately for transport to testing laboratory.

35. Once specimen are obtained, they are properly centrifuged at the correct speed and for the appropriate duration depending on the vacutainer used for collection.

36. Performs weekly maintenance and cleaning of centrifuge as outlined in centrifuge maintenance procedure. Updates maintenance log as required.

37. Temperature of the refrigerators, freezers and room are documented daily and with accuracy. Any deviation from the established temperature reference ranges are corrected. Documentation of the resolution and adjustments are documented and signed.

38. If issues arise repeatedly, and troubleshooting doesnt resolve the issue, Phleb III is to be notified immediately to ensure the integrity of the collected samples.

39. Specimen and separated and placed on the appropriate packing list based on their temperature requirements, performing laboratory and stability. Each specimen is scanned onto the packing list individually with a barcode scanner ensuring that all specimen are accounted for and are tracked in the EMR.

40. When specimen are unaccounted for, the blood draw room and surrounding areas are examined to ensure that they were sent via courier.

41. Specimen are placed in the locked specimen pick-up boxes at times when Blood Draw Stations are closed and couriers cannot enter the facilities for pick-up.

42. Responsible for assuring specimen integrity from the point of obtaining the specimen at the Blood Draw Station through courier pick up.

43. Courier pick-up times are recognized and the specimen are prepared in advance of the couriers arrival ensuring swift transport to the destination performing laboratory.

44. If couriers fail to arrive at the predetermined time, phlebotomists follow-up with courier to guarantee specimen are picked up immediately. Issues with couriers are communicated to Phleb III.

45. Responsible for the inventory and supplies necessary for specimen collection and overall operation of the Lab Blood Draw Station. In collaboration with coordinator and Outreach Senior Manager, provides support in department for regulatory inspections and QA.

46. Independently assess the Blood Draw Station for regulatory compliance and submits Sentact audits weekly.

47. Ensures that the Blood Draw Station is compliant and ready for regulatory inspections at all times and notifies coordinators if inspectors arrives on-site.

48. Participates in unannounced regulatory inspection by CAP, CT DPH JCAHO or any other regulatory agency. Answers regulatory questions accurately and to the best of their knowledge.

49. Reviews lab orders, history and physicals, cardiology tests, etc. and alerts clinical staff of any inconsistencies.

50. Maintains weekly supply inventory and records the supplies used. Orders enough supplies for a week without excess leading to expired