A Tale of Marriage, Medicine and Murder

What does 'Hematocrit' mean?

Find out what Hematocrit means. Hematocrit is explained by Margaret McMillion - author of PERSONAL BAGGAGE


Hematocrit, also known as HCT or PCV, is the packed cell volume percentage of red blood cells (erythrocytes) in whole blood and is used to designate the result of the determination in which blood is sampled and the percentage measured by separating the lighter portions of the blood from the heavier portions by centrifugal force.

The HCT can be influenced by dehydration, blood loss, excessive fluid intake, chronic obstructive pulmonary disease, and by living at high altitudes, and is not as accurate a measurement of the red blood cells as a hemoglobin level. Hemoglobin is the oxygen-carrying pigment of erythrocytes, which are formed in the bone marrow.

In PERSONAL BAGGAGE on page 55, Penny learns that the Jacksonville Hospital’s Blood Bank will not release a unit of blood ordered for administration to a patient if the patient’s hematocrit does not meet Medicare guidelines and in such a case, Medicare and the patient’s insurance company will not pay for the patient’s admission and work up.

Search result for 'hematocrit' in PERSONAL BAGGAGE

Chapter 6: Chapter Six
"... units. No parameters are written.” The tech, whose picture showed her hugging a chocolate lab, replied, “I hear what you’re saying, but I still can’t release the blood to you because your patient’s hematocrit is too high according to policy.” When it was Penny’s turn, she asked, ..."
"...“We’ve had this happen several times lately,” the tech said. “I guess we didn’t know how much it happened before Dr. Wiseman had the policy changed. Now, we automatically check a hematocrit with every type and crossmatch. The bad part is that if a patient’s hematocrit doesn’t meet criteria, Medicare and insurance won’t pay for his admission and work-up.” ..."
"... me Dr. Wiseman changed hospital policy for blood administration.” The young nurse shot a wary glance at Penny. “Yes, now they always check a hematocrit. There was a lot of controversy over it...I guess because of cost.” “Dr. Wiseman was our Critical Care Director in Dixiana last year ..."

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"In a story of evolving relationships, Margaret McMillion breathes life into her characters, especially Penny, who must find..."

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