Order for Port-a-Cath lab draws? - page 2

by jdsp87

5,266 Views | 15 Comments

Do you need a doctor's order in order to draw blood for labs from a patient's port-a-cath? None of the nurse's on my shift, including the charge RN, could give a me a definite answer. On one hand, it would make sense since the... Read More


  1. 1
    Quote from classicdame
    every place I have worked left the access up to the phlebotomist. If I was acting as the phlembotomist then I would go for the central line.
    Where do phlebotomists access Medi-Ports? I've never know a phlebo who was allowed to touch one.
    nrsang97 likes this.
  2. 0
    We have to be certified to access and need an MD order to use. Some pt's flat out refuse because they don't trust their port won't be messed up with frequent draws. Others want it accessed right away.
  3. 0
    I have never worked in any facility that allowed phlebotomists to touch a port or central line whatsoever.
  4. 1
    Lab gas never been able to access any central line for draws thus needing a Dr order to be able to get labs out. At the beginning of the year we stopped this practice at all from evidence based practice on infections. All labs must be drawn peripherally.
    applewhitern likes this.
  5. 0
    Quote from NJNursing
    Lab gas never been able to access any central line for draws thus needing a Dr order to be able to get labs out. At the beginning of the year we stopped this practice at all from evidence based practice on infections. All labs must be drawn peripherally.
    Just curious, what evidence based practice? Medi-Ports have one of the lowest infection rates.
  6. 0
    Are we talking initial access to get labs or a port that's already been accessed? I don't see a reason to stick the patient if they have a CVC for a lab draw. Most acute care patients with ports are going to have them accessed if they are being admitted. The entire point of ports is ease of access. An exception that I can think of is when drawing cultures; they are typically drawn from both the CVC and a peripheral stick with a butterfly.

    I carry alcohol swabs in my pocket and scrub the hub between each connection. This greatly reduces risk of infection.


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