No more phlebotomist in the hospital?! - page 2

by squatmunkie_RN

5,465 Views | 50 Comments

The place I work for wants to get rid of all phlebotomist and make nurses do lab draws. I work on a telly floor. This means many lab draws that get ordered all ..day.. long.... K+, Mg+, Troponin, PT. Not to mention nearly... Read More


  1. 6
    We haven't had phlebotomists, EKGs techs nor RTs in some areas for a long time. Patient care has actually improved. RNs don't have to page someone, wait for them to decide to return the call and finally get to the patient when they decide they are ready. Too much wasted time trying to depend on others for simple tasks. You can do these basic tasks and get things started quickly. Ever tell someone who was having difficulty breathing that they would have wait until the RT finished lunch or their smoke break? How about the patient with chest pain and the EKG tech isn't answering their page?
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    Quote from Been there,done that
    Of COURSE you shouldn't have the additional duty of phlebotomy.
    A cost cutting measure by the facility that makes them money and loads more on the backs of nurses.

    I find many comments regarding: keeping my skills up, labs are the nurses's responsibility.. ad nauseum.. have been made by failry new nurses who have been brainwashed to accept the HUGE time consuming chore of drawing their own labs. Let's do the EKG's, the respiratory treatments.... baths , beds, feeding ,ambulation now that's primary care!

    Great for the PRIMARY goal of the administration..... profits.

    Now when your patient complains of chest pain, add several blood draws to the other additional nursing interventions such patient would need.

    Been there, did that with 6 on a telemetry unit ... it was enough to put the already overworked nurses over the edge.
    I never had anyone else to do my EKGs or respiratory treatments when I worked in the hospital (respiratory therapists only worked in the ICUs). And when we actually had aides, they refused to do such things as bathing, beds, feeding or ambulation. No lie, all they would do is VS and most of the time they couldn't even do that. I'd much rather do everything for my patients and have fewer of them than have to rely on a bunch of unreliable people.
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    I agree with the above poster, I would much rather be doing my own draws and EKGs, vitals, etc. I work in Canada so practice could be different here- we do TOTAL patient care...and literally everything lol. I even have to feed most of my patients (which takes up ALOT of time if its super busy - and I work majority of my shifts in ED) but alas we don't have techs or CNAs here we have personal support workers but not in the ED where I am. We also have to do our own baths...showers, sometimes room cleans if we have too. Yup!
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    Quote from TraumaSurfer
    We haven't had phlebotomists, EKGs techs nor RTs in some areas for a long time. Patient care has actually improved. RNs don't have to page someone, wait for them to decide to return the call and finally get to the patient when they decide they are ready. Too much wasted time trying to depend on others for simple tasks. You can do these basic tasks and get things started quickly. Ever tell someone who was having difficulty breathing that they would have wait until the RT finished lunch or their smoke break? How about the patient with chest pain and the EKG tech isn't answering their page?
    Yeah, so let's not hold everyone else accountable for doing their job, because a RN can do it quicker? If you allow the hospital to have this mentality they never have to hire anyone but a nurse because we are the only ones professional enough to provide timely care? Makes no sense.
    RunBabyRN, Here.I.Stand, jrwest, and 2 others like this.
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    I think it's ridiculous unless you're in an ICU with a 2:1 ratio.
    Here.I.Stand, jrwest, 0.adamantite, and 4 others like this.
  6. 2
    Quote from squatmunkie_RN
    Yeah, so let's not hold everyone else accountable for doing their job, because a RN can do it quicker? If you allow the hospital to have this mentality they never have to hire anyone but a nurse because we are the only ones professional enough to provide timely care? Makes no sense.
    Aren't you at the bedside? If a hospital does have a Phlebotomist, EKG tech or RT it might only be 1 per 300 patients. Do you really want someone with chest pain to be #10 in the line of other chest pain patients one EKG tech must see? The same for Phlebotomist and RT. Some places have 1 RT doing all three tasks in an attempt to save an RT's job.
    Maybe you would like to not do anything for your patient but don't judge those of us who can and do provide for our patients while at the bedside without leaving the bedside to page and wait and wait. A lot of the patients are now line draws so you will have to draw the labs anyway.
    SoldierNurse22 and KelRN215 like this.
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    If it is to be true total care then keep a 1 to 4 ratio not much more
    squatmunkie_RN likes this.
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    Quote from canadianhungarian
    I agree with the above poster, I would much rather be doing my own draws and EKGs, vitals, etc. I work in Canada so practice could be different here- we do TOTAL patient care...and literally everything lol. I even have to feed most of my patients (which takes up ALOT of time if its super busy - and I work majority of my shifts in ED) but alas we don't have techs or CNAs here we have personal support workers but not in the ED where I am. We also have to do our own baths...showers, sometimes room cleans if we have too. Yup!
    I don't know where you work in Canada but it's not the norm in my health authority. Our lab is available for blood draws 24 hours a day. We have a Rapid Response Team for non code issues. The only time we have to do our own ECG's is after 1600 when all the techs go home.

    They tried to get us to do our own blood work but the unions for the labs and nursing got involved and the issue quickly died.

    It all comes down to money and how the administration can cut back. It's always the floor staff that is cut never the upper tiers clerical/administrative staff.
  9. 1
    WE never do our own EKGs, they just got rid of the night shift ekg team and they trained the RT team to do them. WE have never done our own lab draws or nebs. but have always started our own IVS. personally our patients really appreciate people who specialize in venipuncture. I am tired of more and more responsibility being thrown on to me. The easy answer is the nurse can take more patients and if were cutting positions they can take that roll to...............of course they promise to offer you more support but they do that by putting more on the back of the CNAS who are already overworked and not able to keep up............its disheartening. because i see an end to bedside care for me i can take it in stride but i feel for my co-workers who had planned on doing this forever. its not a good or safe situation.
    squatmunkie_RN likes this.
  10. 0
    Our hospital got rid of phlebotomy and EKG techs a long time ago. We have residents that do the EKG and the nurses do the bloods. It is just part of your care.


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