No more phlebotomist in the hospital?! - page 3

by squatmunkie_RN

4,640 Unique 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. 0
    Quote from NicuGal
    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.
    As in MD residents doing them?
  2. 5
    Wow, I work med/surg with a lower ratio (1:4/5) WITH aides & I can't even imagine being on a tele floor with no aides AND having to do your own lab draws. Many cardiac tele patients are admitted with orders for Q8/6 hr enzymes. The time you're spending drawing would really add up & take away from routine patient care. It sounds unsafe!

    The other members saying this is the norm for them, what is your charting like? I can't imagine the amount of charting we are required to do with that many patients, and no aide, AND no phlebotomy. I think that is ridiculous and I'm not sure how anyone would ever be able to leave on time. I would think the amount of incidental OT would start to add up & not be much of a cost saving.
  3. 0
    Quote from Fiona59

    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.
    I'm in Toronto, Ontario. We have a lab that's avaliable for blood draws as well but we have a policy in the ER we can do it ourselves. To be honest our phlebotomists will get upset with us if we keep asking them to do our lab draws so we end up doing it ourselves. I don't think the issue has ever gone in front of our union because we do it all. I'm not complaining I realize other hospitals have different policies and that's ok! Although when it's busy sometimes we appreciate the extra set of hands.
  4. 0
    We do all our own lab draws because our patients almost all have CVL's. Phlebotomy does AM labs on surgical units, not medical units like mine. Our patients are on q12h labs at a minimum. We typically only have 3 patients, though, so much different.
  5. 7
    What area do you work in?

    You are missing the point. Phlebotomy is NOT a simple/basic task. It is an ADDITIONAL task on an already overworked nurse.

    The facility "should" have adequate RT's , EKG techs, lab techs available to assist the NURSE in their NURSING duties.
    I don't page ( the HUC does that), and I don't wait.. I say I want it done and I want it done now.. while I attend to the NURSING care!
    RunBabyRun, flexiseal, RNperdiem, and 4 others like this.
  6. 5
    Quote from Been there,done that
    What area do you work in?

    You are missing the point. Phlebotomy is NOT a simple/basic task. It is an ADDITIONAL task on an already overworked nurse.

    The facility "should" have adequate RT's , EKG techs, lab techs available to assist the NURSE in their NURSING duties.
    These are ALL nursing duties. They were nursing duties long before we had the luxury of having techs when reimbursement was going well and they have continued to be nursing duties in several hospitals throughout the US. RTs are also only in the US and Canada. In other countries, nurses do ALL the RT stuff including ventilator management.

    Quote from Been there,done that
    I don't page ( the HUC does that), and I don't wait.. I say I want it done and I want it done now.. while I attend to the NURSING care!
    You and probably 30 others want it done NOW. I pity the poor RT, EKG or Phlebotomy Tech who is on your shift. This must be a very stressful place for them to work in with all the NOW calls. Mind your manners and remember they are covering alot more territory than you and trying to see 10x more patients than you all at the same NOW time.
  7. 3
    Here's another way I look at it. When I first started in the ER, it took me a little bit of time to draw blood...between, getting the supplies, finding the appropriate vein, putting the needle/collection device together, drawing the blood, etc. On a floor, if there is a critical situation, it would be beneficial to the staff and especially to the pt having a crisis, to have nurses who are confident in drawing blood. After all, with all those "right now" calls you made to phlebotomy for less emergent draws, it is unlikely they will actually be there right then to draw blood.
    nrsang97, blondy2061h, and KelRN215 like this.
  8. 0
    Quote from rnmi2004
    Wow, I work med/surg with a lower ratio (1:4/5) WITH aides & I can't even imagine being on a tele floor with no aides AND having to do your own lab draws. Many cardiac tele patients are admitted with orders for Q8/6 hr enzymes. The time you're spending drawing would really add up & take away from routine patient care. It sounds unsafe!

    The other members saying this is the norm for them, what is your charting like? I can't imagine the amount of charting we are required to do with that many patients, and no aide, AND no phlebotomy. I think that is ridiculous and I'm not sure how anyone would ever be able to leave on time. I would think the amount of incidental OT would start to add up & not be much of a cost saving.
    I think you're one of the few to get what I'm saying. Taking in the fact that we have 6 tele pt's and no aid often times. So, it's 0400, I must get the vitals due at that time, draw my labs, and get all the meds passed that I need to in the AM. What about the pt's that need a potty break? I am in the middle of doing labs...passing meds. Oh did I mention we NEVER EVER have a clerk? So, if I get a admit at that time, all the paperwork and putting together the chart is also my responsibility. I think the hospital must be broke...or near it.
  9. 3
    I worked at a hospital for over 10 years and they didn't have phlebotomist. The techs and nurses drew all the labs. Where I'm at now there are phlebotomist. And my first day on the job I didn't know and asked where that floor blood draw supplies where? Everyone looked at me as if I had 3 heads. So I guess it's what you are use too.

    Sent from my iPhone using allnurses.com
    Last edit by DoeRN on Dec 29, '13
  10. 0
    Six telemetry patients with no CNA is a heavy load, even for night shift. I don't blame you, OP, for being less than thrilled about this change. It does seem to be the trend these days to cut ancillary staff and assign their roles to the nursing staff. Do you have a collective bargaining agreement? Is this something the union might have something to say about?


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