When is it appropriate to do bloods in IUC?
Please only consider doing bloods in IUC if it is clinically safe and necessary (ie. it will make a material difference to the patient’s management in that OOH period). Example scenarios may include: post-covid vaccine headache with no red flags (as per BNSSG guidelines), non-blanching rash in a well adult, ?AKI.
When is it not appropriate to do bloods in IUC?
Bloods in children
D.dimer (for suspected PE)
Troponin (unless in very rare situations, please always discuss with the CC)
Non-urgent bloods where the results will not change care during the OOH period.
Unwell patients who would be better managed with hospital admission.
Please be aware that Severnside IUC has no formal transport arrangements for specimens and relies on “home visit drivers” being able to pick them up from base and drop them at the laboratories. A realistic time frame from taking the bloods to getting the result back is 6hours (although may be quicker at quieter times) so please consider this when deciding safe management.
Organising a blood sample
If you think a patient needs an urgent blood sample, please make sure your Adastra notes are clear (consider an SBAR handover). Press “admin” to forward the case for a F2F assessment. This will then be reviewed by the CC.
Taking a blood sample
We are hoping to introduce blood taking “kits” at the bases.
We cannot request investigations on ICE- please use a paper form. Ask the host to add the patient’s usual GP surgery code on the form.
Always put your blood sample in a red bag.
Let the host know you have taken an urgent blood sample.
Add clear notes to Adastra and consider adding a one-line summary as the first line in your history box eg. “please chase FBC at around 8pm and contact patient if low platelets”. Forward the case using the “CC advice follow up” option. This will add the case to the “consult and hold” queue, which is managed by the CC and will ensure the result is chased up.