Lining and labs/ hemolyzed specimens - page 5

by psu_213

6,257 Views | 41 Comments

So it was decided by our hospital that it is no longer "acceptable" to draw labs when starting an IV--i.e. they have to be peripherally stuck for blood in addition to the stick for the IV start. The supposed reasoning behind... Read More


  1. 0
    I haven't read all the replies but....

    We went through a period where it seemed like we had a VERY high incidence of hemolyzed specimens. After a lot of back and forth between the lab and ER, it was decided that our t-sets attached to the catheter hub was partly to blame. It was also decided that there was one lab tech that was, basically, too lazy to attempt to run a minutely hemolyzed specimen. It was always the same chick that called to say the specimen was hemolyzed. Always!
    Anyway, we got new t-sets and changed our order of draw and we don't have near the amount of recollects.

    As far as not getting blood with an IV site, I'd be pretty upset if I were the pt and had to be stuck separately. Now, I realize that sometimes that IV won't draw but will flush or you are already running some med or fluid but to just stick like you are describing is just creating more time-consuming work for me. I really hate when I am forced to work harder and not smarter.

    m
  2. 0
    Quote from KeeperMom
    but to just stick like you are describing is just creating more time-consuming work for me.
    Not to mention that every time a needle breaks the skin, there's a non-zero chance of infection, accidental needle stick, blown vein, hematoma, etc, etc.

    I'll stick 'em as often as necessary but it's not optimal patient care to routinely require additional sticks when the vast majority of samples drawn by a skilled nurse through a patent IV site are perfectly fine.


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