- Apr 10, 2011
Does your Emergency Department have a high rate of hemolysis in specimens sent to the lab? I currently work as a Clinical Laboratory Technologist and 20-25% of the specimens coming from the ED is hemolized, requiring redraw for K+, LFTs, LDH, and PT, aPTT. The ED seems to think we are causing hemolysis but I believe the real reason is drawing labs with IV starts. If you know of the best ways to minimize hemolysis please let me know. I've heard that if labs must be taken with IV starts it's best to do it from the antecubital region and use a larger bore needle. Having labs redrawn and rerun causes a waste of time and money. It is better to stick the patient twice from the start, one for the IV the other to draw blood with vacutainer set up then it is to stick the patient again 30min to 1 hour later. We only have hemolysis problems with the ED.