blood draw from PICC blood draw from PICC - pg.2 | allnurses

blood draw from PICC - page 2

Ok, I know this is a simple thing, but how do you draw blood from a PICC? This is how I do it: Flush PICC with 10cc saline then pull back 10cc blood (to waste) Hook up that vacuum-thing and put... Read More

  1. Visit  rkealy profile page
    #13 0
    Don't change caps with blood draws....dont take off for blood draws....change caps with dressing changes as your facility states (usually every 72 hours or q7 days)
  2. Visit  That Guy profile page
    #14 2
    Funny, our facility says you have to change the caps each time with a blood draw from a central line because going through those blue t-caps can mess up the chemistry/blah blah
  3. Visit  rkealy profile page
    #15 0
    Taking off your caps sig increases risk of infection...I would look at changing brand of caps
  4. Visit  ParkerBC,MSN,RN profile page
    #16 0
    Quote from rkealy
    Don't change caps with blood draws....dont take off for blood draws....change caps with dressing changes as your facility states (usually every 72 hours or q7 days)
    Our policy is the same with the exception of drawing cultures...we then draw directly from the line (without the cap on) in case of bacterial growth on the cap. We don't want a false positive.
  5. Visit  ParkerBC,MSN,RN profile page
    #17 0
    Quote from That Guy
    Funny, our facility says you have to change the caps each time with a blood draw from a central line because going through those blue t-caps can mess up the chemistry/blah blah
    Our facility is looking at that too.
  6. Visit  Sun0408 profile page
    #18 0
    Our policy is to change the caps with each blood draw, diprivan tubing change and with each new TPN bag change.. We haven't had a BSI or an increase in infection since we implemented this. Actually we haven't had a BSI in more than 2 years. That includes our PICC and TLC.
  7. Visit  CrazierThanYou profile page
    #19 0
    I flush with 10cc, draw 5cc waste. Then I use a new, empty syringe to draw however much blood I need. Then I flush with at least 30cc. If I still see blood in the cap, I change it. We always draw from PICCs. No way would a doctor approve a PICC just for blood draws. Not at my hospital.

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