{"id":7380,"date":"2020-05-27T15:09:37","date_gmt":"2020-05-27T14:09:37","guid":{"rendered":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/?p=7380"},"modified":"2020-07-08T17:40:54","modified_gmt":"2020-07-08T16:40:54","slug":"drive-through-phlebotomy-service-developed-by-sheffield-teaching-hospitals-nhs-foundation-trust-during-the-covid-19-pandemic","status":"publish","type":"post","link":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/blog\/drive-through-phlebotomy-service-developed-by-sheffield-teaching-hospitals-nhs-foundation-trust-during-the-covid-19-pandemic\/","title":{"rendered":"Drive-Through Phlebotomy Service developed by Sheffield Teaching Hospitals NHS Foundation Trust during the COVID-19 pandemic"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"389\" height=\"98\" src=\"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/wp-content\/uploads\/sites\/5\/2020\/06\/sheffield-lab-1.jpg\" alt=\"\" class=\"wp-image-7517\"\/><\/figure><\/div>\n\n\n\n<p>The laboratory Medicine team at Sheffield Teaching Hospitals implemented a Drive-Through Phlebotomy Service in March 2020, as part of the organisation\u2019s response to the COVID-19 pandemic.<\/p>\n\n\n\n<p>The Trust was concerned that there would be a reduced number of patients not receiving routine blood tests either due to shielding or anxiety about visiting hospital or GP settings for risk of contracting COVID-19. Physical distancing guidance also meant the phlebotomy departments in both hospitals had to reduce the numbers of patients they could see at any one time.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"419\" height=\"594\" src=\"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/wp-content\/uploads\/sites\/5\/2020\/05\/drive-through-blood-taking-.jpg\" alt=\"\" class=\"wp-image-7383\"\/><\/figure><\/div>\n\n\n\n<p>In response to the problem the Laboratory\nMedicine team worked with FlyDSA Arena Sheffield to establish a drive through\nservice. An open-sided marquee was erected on one of the Arena car parks. The\nstructure was wide enough to accommodate multiple lanes of cars and several\nphlebotomy stations to allow for scalability dependent upon the popularity of\nthe service. An estimated capacity of approximately 50 to 60 cars or patients is\nable to pass through the service per hour. Each phlebotomy station was equipped\nwith IT connectivity, allowing requests to be sent via order communications as\na preferred ordering system. Written forms are also accepted and label printers\nallow on demand printing.<\/p>\n\n\n\n<p>Following a request from the patient\u2019s GP\nor hospital clinician, the patient drives or is driven to the Arena anytime\nMonday to Friday 9am \u2013 5pm. No appointment is necessary. &nbsp;After a check for symptoms from stewards\noutside the marquee, patients drive through the marquee to have their blood\nsamples taken through their car window. After being bled and checked to ensure\nthey are fit to continue on, patients simply drive away and return home. This\noption allows vulnerable patients to remain physically distanced within the\nconfines of their own vehicle, only coming into contact directly with one\nphlebotomist, who is wearing the appropriate PPE. The patient is cared for\nefficiently, minimising time away from home and thus reducing anxiety.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p> The patient is cared for efficiently, minimising time away from home and thus reducing anxiety.<\/p><\/blockquote>\n\n\n\n<p>Sample transport has been secured with\nthe Whiteknights Yorkshire Blood Bikes charity whereby samples are delivered to\nThe Northern General Hospital every 2 hours to ensure good turnaround times and\nquality of results. Trust transport provides one run at the end of the day to\ncollect clinical waste and replenish stocks. Stewardship at the site is provided\nby redeployed staff from the Trust. A site manager from the laboratory\nmanagement team is on site each day to provide managerial support and advice,\nand to escalate any issues.<\/p>\n\n\n\n<p>The service went live on Wednesday 8<sup>th<\/sup>\nApril with a soft opening, allowing only a small number of patients through initially\nto check any teething troubles with process and IT systems. Once this had been successfully\ntested, a wider communication was shared with Trust and Primary Care services\nthat the site was active and open for requests for vulnerable patients. By the Monday\nof the second week, the service had exceeded 200 patients per day, running with\nfour phlebotomists. By the third week, after further communications to extend\nthe facility to all patient groups, it was receiving in excess of 300 patients\nper day. <\/p>\n\n\n\n<p>The service is still in its infancy,\nstill evolving and we are still learning. It has coped with less than\nfavourable weather, with wind and rain causing little problem for the set up. It\nis fair to say that it is proving popular with clinical services and patients\nalike and demand has increased to such an extent, it is now testing numbers\nnearer the normal Trust service. Due to the set-up of the structure, there is the\noption to extend the service with further lanes and more phlebotomy stations.\nRecently the structure has been extended by two additional lanes up to seven.<\/p>\n\n\n\n<p>In addition to phlebotomy, other\nservices are contemplating whether the facility may be of use to them.\nCollection of MRSA swabs for pre-operative patients are being considered, as\nwell as clinical services such as hand and wrist cast removal for fracture\npatients, or injections for certain patient groups. The site also acts as a\nreceipt point for other samples including urine and sputum, preventing unnecessary\nvisits to Trust and Primary Care sites and limiting risk.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p> Post the COVID-19 pandemic, the possibility of an off-site drive-through sample collection facility will be high on the list of what we keep from the lessons we have learnt. Feedback is currently being sought from both patients and services alike.<\/p><\/blockquote>\n\n\n\n<p>Post the COVID-19 pandemic, the\npossibility of an off-site drive-through sample collection facility will be\nhigh on the list of what we keep from the lessons we have learnt. Feedback is\ncurrently being sought from both patients and services alike and this will be used\nto influence if such a facility would be popular and could be feasible going\nforward. Early indications are that taking a significant amount of non-essential\npatient traffic away from clinical sites, whilst providing an efficient,\npatient-friendly phlebotomy service would be popular in the future, if a\nfeasible, more permanent facility could be realised.<\/p>\n\n\n\n<p>For more information contact Richard Wardle: <a rel=\"noreferrer noopener\" href=\"https:\/\/webmail.nbt.nhs.uk\/owa\/redir.aspx?C=1FDfYMpKLBVtzn1cYmNQ9aV2tLkMqoQltD-u4mUKyyutUjdeWiPYCA..&amp;URL=mailto%3arichard.wardle%40nhs.net\" target=\"_blank\">richard.wardle@nhs.net<\/a> <br>  <\/p>\n","protected":false},"excerpt":{"rendered":"<p>The laboratory Medicine team at Sheffield Teaching Hospitals implemented a Drive-Through Phlebotomy Service in March 2020, as part of the organisation\u2019s response to the COVID-19 pandemic. The Trust was concerned that there would be a reduced number of patients not receiving routine blood tests either due to shielding or anxiety about visiting hospital or GP settings for risk of contracting COVID-19. Physical distancing guidance also meant&#8230;<\/p>\n","protected":false},"author":133,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-7380","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Drive-Through Phlebotomy Service developed by Sheffield Teaching Hospitals NHS Foundation Trust during the COVID-19 pandemic - The Kidney Quality Improvement Partnership<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/blog\/drive-through-phlebotomy-service-developed-by-sheffield-teaching-hospitals-nhs-foundation-trust-during-the-covid-19-pandemic\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Drive-Through Phlebotomy Service developed by Sheffield Teaching Hospitals NHS Foundation Trust during the COVID-19 pandemic - The Kidney Quality Improvement Partnership\" \/>\n<meta property=\"og:description\" content=\"The laboratory Medicine team at Sheffield Teaching Hospitals implemented a Drive-Through Phlebotomy Service in March 2020, as part of the organisation\u2019s response to the COVID-19 pandemic. 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