We've always done it this way- RN starts the IV, draws a rainbow from it, flushes with NS, and pt is all set to go with one stick. However......
Went to work yesterday and one of the techs told me that we are no longer drawing our own blood, but a lab person will be in the ER full time just for this purpose. The reason given was that too many samples drawn by us hemolyze.
Well, butter my a$$ and call me a biscuit, but that is about the dumbest idea I ever heard. 1)
Lab freqently comes back to ER several hours
after above action taken by RN, stating that they need to recollect b/c the sample hemolyzed. It takes 3 hours to notice this?? 2)
This ER has been doing it this way since God was a child, and it is just now a problem that warrants a major procedure change? 3)
No pt appreciates 2 sticks, minimum. 4)
Under this da*n fool system my sweet CHF/LOL yesterday was in her little bed for well over 2 hours before lab stuck her. She was not a difficult stick, I got her IV on the 1st try, so why did she sit there for 2 hours before some know-nothing managed to stick her, when I could have had the BNP in my hot little hand before the half hour was up? These were lab personnel I'd never seen, and our hospital is small enough that we know all our lab people. These kids were so new they didn't have the wrapping off them yet, and the timely treatment of our patients' health issues were left up to them.
By the very grace of God, when I got to work today, this policy had been rescinded. Makes me even more suspicious about this whole "hemolysis" story than I already was. And so the moral of the story is, God gave some people veins that necessitate a lot of sticks, and these pts usually are both familiar with and resigned to the process. But if there is a way to streamline this process, minimize the number of sticks, and the RN knows
the labs were drawn and sent, why do otherwise?
Can you tell it's been a rough week?