Drawing Blood

  1. 0
    I had a situation where a particular patient had such bad veins that I as well as several other nurses were unable to obtain it. However several days later a nurse working with this patient who had E.R. experience drew the blood. When I questioned that nurse about it she said that it was no problem - that she just got it from the patient's foot. As a nurse I have drawn blood for many years but never considered using the foot. I asked the nurse if she got a doctor's order for that and she said no that one was not needed. I want to know if any other nurses out there draw blood from the foot as a last resort.
  2. 27 Comments so far...

  3. 0
    tho i have never drawn blood from the foot, i have heard of nurses doing it,,,i thought that a specific MD order was needed for that,,,interested in what others have to say
  4. 0
    We have to have a doctors order for foot draws or foot IV access.
  5. 0
    NO, NO foot off limits s MD order.

    Lisa
  6. 0
    As a former phlebotomist, I would NOT use a foot without a physician order. I would be more inclined to draw the patient from the radial artery(Granted a little trickier) but I can do that without an MD order.
  7. 0
    So...why is the foot off-limits?

    I'm hypothesizing that it's due to it being so peripheral, which frequently has compromised circulation (especially in a person who doesn't have veins in the UEs, and therefore also has some other significant medical hx), and can have difficulty healing if it became infected?
  8. 0
    Quote from fat cat
    I had a situation where a particular patient had such bad veins that I as well as several other nurses were unable to obtain it. However several days later a nurse working with this patient who had E.R. experience drew the blood. When I questioned that nurse about it she said that it was no problem - that she just got it from the patient's foot. As a nurse I have drawn blood for many years but never considered using the foot. I asked the nurse if she got a doctor's order for that and she said no that one was not needed. I want to know if any other nurses out there draw blood from the foot as a last resort.
    I wouldn't want to draw from the foot on a diabetic pt.
  9. 0
    Unable to perform blood draw from foot without dr order.
  10. 0
    Quote from fat cat
    I had a situation where a particular patient had such bad veins that I as well as several other nurses were unable to obtain it. However several days later a nurse working with this patient who had E.R. experience drew the blood. When I questioned that nurse about it she said that it was no problem - that she just got it from the patient's foot. As a nurse I have drawn blood for many years but never considered using the foot. I asked the nurse if she got a doctor's order for that and she said no that one was not needed. I want to know if any other nurses out there draw blood from the foot as a last resort.
    you are always supposed to have an MD order to access a leg or foot vein, and some facilities to go to the axillary area... unless its an emergency. typically the ER is a little more leniant but definately on the floor you need an MD order.
  11. 0
    I've never worked anywhere that didn't require a physician's order before a leg/foot stick. I've done them before, but as much as I love needles, I always cringe when sticking a foot or leg. You know that's just gotta hurt.


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