Memorial Hospital of Jacksonville Phlebotomy Processes
This project focused on increasing the percentage of lab results from morning collections posted to the electronic medical record by 7 am.
Memorial Hospital in Jacksonville, FL was faced with inpatient capacity issues. Many factors contribute to extended length of stay, including providers lacking access to critical information. As a result, discharge decisions could be delayed without vital medical information such as lab results.
Among other things, we evaluated how the night facilitator set things up for the incoming morning shift, how the morning shift organized their teams, and how the specimens were brought back to the lab for processing.
Key Issues Tackled by this Project
- Imbalanced teams of phlebotomists – one “A” team and other teams having only less-experienced staff
- Excessive travel distances and overall collection time
- Specimens held onto longer than necessary by phlebotomists
- Slow process for specimen receipt after arrival in lab
Many recommendations were implemented. The greatest impact came from three main concepts:
- Reducing travel distance and overall collection time by specifying a new order in which inpatient units are visited for specimen collection – taking into account priority, elevator access, and any conflicts with other floor activities;
- Shortening the time for first specimens to reach the Lab by using carefully-chosen tube stations and drop boxes; and
- Speeding up Lab receiving process by keeping specimens to be centrifuged separate from specimens not needing to be spun, and keeping specimens separated by collecting Phlebotomist.
Development of the Process Map