Ending Hemolysis in the ED... and Everywhere Else: Introduction (01:44)

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This video is designed for a wide range of healthcare professionals. Topics include: magnitude, costs, impact, causes/cures, and the seven-step strategy.

Magnitude (03:26)

Hemolysis is the most common reason for sample rejection; inadequate labeling, QNS, and clotting are other reasons. See percentages of hemolyzed collection samples facility wide.

Costs (04:11)

A hospital calculated reducing ED hemolysis resulted in a $556 per day savings. Sarasota Memorial Hospital implemented four changes and reduced their hemolysis rate by 9%, saving $3.7 million in 20 months.

Causes (01:29)

Phlebotomists hemolyze samples less frequently than ED personnel. St. Elizabeth Medical Center reduced hemolysis rates, saving over $16,000 a year; hemolyzing one sample cost $12.02.

Impact (04:41)

The impact of hemolysis includes: recollection, inaccurate results, increased turnaround time, interdepartmental friction, decreased productivity, and physician/patient frustration.

Hemolysis Causes (08:49)

Line draws, technique, and difficult draws contribute to the ED hemolysis rate. Draws during IV starts, draws from existing VADs, and excessive plunger pressure are three common causes of hemolysis. Hear tips for countering each.

Hemolysis Causes: Part Two (07:15)

Line draws, technique, and difficult draws contribute to the ED hemolysis rate. Forceful transfer, frothing, vigorous shaking, sluggish draws, 25 gauge needles, prolonged constriction, milking capillaries, pneumatic transport, and temperature extremes are nine common causes of hemolysis. Hear tips for countering each.

Seven-Step Strategy (11:38)

The seven-step process for reducing hemolysis includes: establish benchmarks, secure support, articulate, implement strategy, provide feedback, re-educate, and celebrate.

Ending Hemolysis Summary (01:14)

Dennis Ernst reflects on the benefits of hemolysis reduction.

Additional Resources (01:01)

See additional resources on phlebotomy information.

Credits: Ending Hemolysis in the ED... and Everywhere Else (00:25)

Credits: Ending Hemolysis in the ED... and Everywhere Else