Currently, however, the treatment of hemochromatosis whether genetic or acquired is serial phlebotomies
continuing until the ferritin is less than 50 ng/mL and iron saturation is less than 50%.
In an effort to decrease the frequency of his phlebotomies
, especially in view of the persistent elevation of his ferritin saturation, he was placed on a special diet which over a 12-month period resulted in a 50% reduction in the rate of his venesections and a 17% reduction in the percentage saturation, compared to a previous 12-month period when the patient was not on a diet.
* Whether their laboratories offered special services or compensation for patients needing repeat phlebotomies
and, if so, the types of services or compensation offered (at-home collection, free parking or parking voucher, small gift, or other).
We determined cadmium and lead in blood and iron status markers in 21 nonsmoking subjects with HH (18 men and 3 women) and conducted blood sampling in parallel with phlebotomies
. We compared the results to those for 21 nonsmoking healthy controls matched for age ([+ or -] 8 years) and sex.
Although safety devices designed to prevent PIs associated with phlebotomy have been available for use in the United States, clinical evaluation of these devices has been difficult because 1) ascertainment of PIs is difficult (many injuries are unreported [2,3], and observation of all procedures is impractical because phlebotomy is performed throughout the hospital by different groups of HCWs at all hours), 2) data to calculate PI rates (i.e., the number of phlebotomies
performed and devices used) are not routinely available, 3) a large number of phlebotomies
must be evaluated because of the low rates of phlebotomy-related PI, and 4) rates of safety-feature activation are difficult to assess.
Measurement of variation in videotaped outpatient phlebotomies
. Lab Med.
Thus, having your staff available for ER phlebotomies
during inpatient phlebotomy rounds may require additional staffing, even if it turns out that overall your staff has downtime.
She was diagnosed with hemachromatosis 10 to 15 years ago and had numerous phlebotomies
until her iron and ferritin were down in the normal range.