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  1. does anyones policy allow vacutainer use for blood sampling form portacaths??? if so please e-mail me at mickyneilan@hotmail.com

    THANKS
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  2. 12 Comments

  3. by   RNforLongTime
    At my hospital, we draw blood from port-a-caths all the time. In fact, the patients that have them refuse any labs to be drawn from them until their portacath is accessed.
  4. by   micky
    VACUTAINER use?
  5. by   Kiscellus,R.N.
    I am not sure I understand the question. I dont think your policy has to specify the device you are allowed to use when drawing blood from a port. I mean, that is what the port is designed for...drawing labs and administering IV infusions via central access.
  6. by   micky
    the policy does not specify...that the problem.. i have been doing this for years and now a senior nurse is telling everyone that i am out of line and using a vacutainer is not acceptable.
  7. by   Chuckie
    Use vacutainer.
    Last edit by Chuckie on Feb 27, '02
  8. by   CRNI
    Micky - I would ask the "senior nurse" to show you her documentation prohibiting vacutainer use on implanted ports. I've never heard such a thing.
  9. by   CATHYW
    we were never permitted to access an infusaport for blood draws with a vacutainer. we used a 5 cc syringe to draw and discard 5 cc of blood, using a huber needle. then, we drew 5 cc of blood gently back into the syringe. after that, we flushed with 5 cc ns, followed by 5 cc whatever dose of heplock solution the physician preferred. we followed the same procedure for central lines, and i have never had a problem, nor seen anyone else having a problem, using this method.
  10. by   Catfoster
    10 cc syringes should always be used for all central lines. Never use anything smaller.
  11. by   CATHYW
    Why, CatFoster?
  12. by   pauls-gal
    It has always been the accepted practice to use 10 cc syringes on central lines because of the lower psi, however it is now permissable to use a smaller syringe if you know that the catheter is open and not sluggish. New products are always coming out and we are now trying a 3 cc syringe with a 10 c barrel. Syringes with a higher psi could lead to catheter rupture or detatchment of "foriegn objects" from the catheter.
  13. by   NurseDennie
    I don't know if there is a policy or not, but I don't think that using vacutainers is a good idea. I've seen it done, but I would avoid it. You don't have any control if you're using a vacutainer. I really don't think there's a problem using a 5 cc syringe to withdraw blood from a port, though. Especially if you withdraw slowly enough and are extremely careful not to collapse the line.

    You should never push anything *into* a central line with anything smaller than a 10 cc syringe, for the reasons that pauls-gal said. Pending further research, of course.

    Love

    Dennie
    Last edit by NurseDennie on Apr 30, '02
  14. by   CATHYW
    Pauls-gal, thanks for your answer. When I worked Critical Care and ER in FL and GA, we used 5 cc syringes. We just had to "break" the suction on the syringe before applying it directly to the central line or after attaching it to the huber needle and tubing.

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