No more phlebotomist in the hospital?! - page 4
by squatmunkie_RN, BSN, RN | 6,451 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
- 0Dec 30, '13 by renardeau, BSN, RNI think it's fine and great to practice blood draw/IV start skills and keep those maintained if the patient ratio is reasonable (sounds like this isn't the case in OP's situation). Where I did all my nursing school clinicals, we had an IV therapy team on top of phlebotomy (totally spoiled) and the system was very, very efficient. However, I understand that many hospitals are trying to cut costs, and let's be real, that's what cutting phlebotomy is about, none of these 'keeping up skills' excuses (that is a pro of cutting phlebotomy, but definitely not the main reason).
Where I currently work, phlebotomy is being cut down to AM labs only. For the rest of day, non-routine labs are all nurse draws, which is okay with our 3:1 ratio on good days, but sometimes it really messes up your day when you have to take time to stick patients. (Even when patients have central lines, taking time to draw labs is hard when you have so many other tasks to do.) That aside, I do believe having phlebotomy is more proficient and saves patients pain. Yes, nurses should be able to do blood draws, and some are really quite good at it, but I really think a phlebotomist, whose only job day in and day out is to draw blood, will 9/10 times be a less painful/more successful stick. In short, I am pro-phlebotomy/IV teams. If the hospital can afford it, it saves time and pain all around.
- 2Dec 30, '13 by anotheroneOP , I think I understand. I have had 6-7pts no aides. Yeah, IV starts, rt stuff, labs are "basic" and nursing but we get pts with q4 labs. sometimes multiple. now it is yet another task. no aides (been there too) so some pts require 2 to turn, change, br etc.... some even more.. have to round up another nurse or 2 or 3 or 4! .. but alll the nurses are busy. it is yet another task piled on nursing. so things get slacked on......
- 2Dec 30, '13 by morteQuote from Been there,done thatanother reason for getting rid of experienced nurses....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.
- 3Dec 30, '13 by psu_213, BSN, RNQuote from dorénavantIts not about practicing, it's about becoming proficient. If you draw blood from 25 people, there might be no one that is a hard stick. Well, suppose the person that is coding is a hard stick...even the nurse who is drawn those 25 "easy" sticks is a lot more likely to get the blood from the hard stick than a nurse who has never stuck someone.I think it's fine and great to practice blood draw/IV start skills and keep those maintained if the patient ratio is reasonable
- 1Dec 30, '13 by RNperdiemInteresting nursing topic! I remember in nursing school, we would face criticism from our instructors if we tried to "do it all". They taught us that part of nursing survival and time management involved delegation. "Delegation" was key and a sensible way to utilize all available resource for the benefit of the patient.
It looks like more and more things are falling to the nurse without anything taken away to balance those new things added.
OP, I understand. I have worked with 6 patients (mostly total care) without an aide, without a break and barely lasted a year in that job.
- 2Dec 30, '13 by flexisealI think it's ridiculous. No RTs, no phlebotomists, nurse's aides, etc..? Next thing we'll be doing environmental services job too. Pathetic. Especially with 6 tele patients. How other nurses can justify this is beyond me.
I'm used to not having phlebotomy, but I'm usually in the ICU with only 2 patients (and central lines or art lines). It's time consuming having to stick patients (even just my 2) when they don't have a a line. I can't imagine having to do it for all 6 patients (and you know they ALL have labs!).
- 0Dec 30, '13 by Been there,done thatThis is NOT about pitying (poor)??? RT ,EKG, or phlebotomy techs. This is about supporting nursing intervention. The RN directs the required interventions from all disciplines.
I need NO reminders to mind MY manners. I always respectfully request the support of ancillary staff that have been assigned to assist me in my nursing interventions.
Over 25 years of bedside nursing... no problems with achieving team support.
- 0Dec 30, '13 by Been there,done thatThis is NOT about pitying (poor)??? RT ,EKG, or phlebotomy techs. This is about supporting nursing intervention. The RN directs the required interventions from all disciplines.<br><br>I need NO reminders to mind MY manners. I always respectfully request the support of ancillary staff that have been assigned to assist me in my nursing interventions.<br><br>Over 25 years of bedside nursing... no problems with achieving team support.<br>