Hemodialysis: A Phlebotomy Perspective

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Course Objectives
  1. Define hemodialysis and describe its purpose in clinical care.
  2. Identify patient populations commonly receiving dialysis and their unique phlebotomy needs.
  3. Apply appropriate blood collection protocols to protect vascular access in dialysis patients.
  4. Recognize common complications, misconceptions, and safety risks related to phlebotomy in the dialysis setting.
  5. Demonstrate effective communication strategies when working with dialysis patients and care teams.
Course Content
Course Creator: Kris Fox CPT1
Total CE Hours: 1 Credit Hour
Pace Course #: 586-2422-25

Course Description: This article provides phlebotomists with a clear and practical foundation in hemodialysis—what it is, who depends on it, and why it matters in clinical practice. Special attention is given to the phlebotomist’s role in preserving dialysis access, preventing complications, and collaborating with care teams. With rising rates of end-stage renal disease (ESRD), understanding the unique considerations in collecting specimens from dialysis patients is more important than ever. Through case examples, protocol reminders, and myth-busting facts, this article equips phlebotomists to navigate dialysis-related scenarios with confidence and care.

References: 
  1. (2024, April 26). Hemodialysis. National Kidney Foundation. Retrieved September 8, 2025, from https://www.kidney.org/kidney-topics/hemodialysis
  2. (n.d.). Hemodialysis. Mayo Clinic. Retrieved September 8, 2025, from https://www.mayoclinic.org/tests-procedures/hemodialysis/about/pac-20384824
  3. Bhuiyan, I., Misskey, J. D., & Hsiang, Y. N. (2022). The arteriovenous fistula and the history of a forgotten pioneer. Journal of vascular surgery cases and innovative techniques, 8(4), 688–692. https://doi.org/10.1016/j.jvscit.2022.06.022
  4. (2023, April 27). Hemodialysis. National Library Of Medicine. Retrieved September 12, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK563296
  5. (n.d.). The History of Dialysis. Davita. Retrieved September 8, 2025, from https://davita.com/treatment-options/articles/the-history-of-dialysis
  6. (2023, April 27). Chronic Kidney Disease In The United States 2023. CDC. Retrieved September 15, 2025, from https://www.cdc.gov/kidney-disease/media/pdfs/CKD-Factsheet-H.pdf
  7. (n.d.). Incidence, Prevalence, Patient Characteristics, and Treatment Modalities. National Institute Of Health. Retrieved September 15, 2025, from https://usrds-adr.niddk.nih.gov/2022/end-stage-renal-disease/1-incidence-prevalence-patient-characteristics-and-treatment-modalities
  8. Kinshella, A. L. (2025). The Foundations Of Modern Phlebotomy (1st edition). Intelvio, LLC.
  9. (n.d.). Routine laboratory testing in hemodialysis: How frequently is it needed. National Library Of Medicine. Retrieved August 31, 2025, from https://pmc.ncbi.nlm.nih.gov/articles/PMC9615394/
  10. (n.d.). Hemodialysis. E National Institute of Diabetes and Digestive and Kidney Diseases. Retrieved September 15, 2025, from https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis
  11. (n.d.). Home Dialysis. Davita Kidney Care. Retrieved September 21, 2025, from https://davita.com/treatment-options/home-dialysis/
  12. (n.d.). Continuous Renal Replacement Therapy. National Library Of Medicine. Retrieved September 21, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK556028

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