If a phlebotomist corrected you on order of draw, what would you do?Register Today!
This is a discussion on If a phlebotomist corrected you on order of draw, what would you do? in Nurse Colleague / Patient Relations, part of General Nursing ... I currently work as a phlebotomist before entering nursing school. Today, a nurse tried to correct...by pyriticsilence Oct 8, '12I currently work as a phlebotomist before entering nursing school. Today, a nurse tried to correct me on my order of draw (she thought I should draw a blood culture last). When I corrected her and tried to explain how she was wrong, she berated me. I told her that I could fetch the lab manual, but she still would not listen.
My question is, would you as a nurse interfere with a phlebotomist's blood draw? If you were wrong and were corrected by the phlebotomist, how would you react?
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- Oct 8, '12 by BlueDevil,DNPI don't know squat about that sort of thing, so I would never presume to tell the phlebotomist how to do his/her job. Were I the phlebotomist, I'd tell the nurse to step off and stick to his or her job and leave me to mine.
- Oct 9, '12 by pyriticsilenceQuote from BlueDevil,DNPI was actually floored that this woman wanted to tell me how to do it. I offered to get the lab manual from the lab, and she didn't want it. If I come across anything like it ever again, I will tell the nurse that she can do my job AND put her full name on any erroneous work. I may not get paid much, but I do get paid to avoid collection and laboratory errors.I don't know squat about that sort of thing, so I would never presume to tell the phlebotomist how to do his/her job. Were I the phlebotomist, I'd tell the nurse to step off and stick to his or her job and leave me to mine.
- Oct 9, '12 by blondy2061hI remember paying attention to the order of the draw for about 2 weeks when I first started my job.
- Oct 9, '12 by blondy2061hI do remember cultures go first though.
- Oct 9, '12 by Aurora77I'm with Blue Devil. The only blood I draw is through PICCs or ports. I've done one other regular draw in my life, so I would never tell a phleb how to do his or her job. Likewise, I would expect the same respect.
- Oct 9, '12 by MN-NurseWho has time to argue with phlebotomists?
- Oct 9, '12 by amoLuciaJust FYI - I'd still give Missy Know-It-All a copy of the lab policy just to show her. She needs to come down a peg or two.
Another thing, might be to ask Infection Control ot explain the logic involved. I never thought about it (never had to do cultures) but I can reason out the whys of doing the cultures first.
- Oct 9, '12 by RNewbieI don't think I would question a phlebotomist. I have never noticed or thought about the order that labs were drawn in. I actually just looked it up because I was never taught that there is a certain order. Sure enough there is. For the few years that I have been a nurse I usually draw my cultures last just to get the small tubes out of the way. You learn something new everyday.
- Oct 9, '12 by amoLuciaI, too, only draw from PICCs so you don't do cultures from them. I do try to prioritorize the tubes just in case of problems, but I'll need to check out the book for future reference.
Thanks to OP for a thought provoking thread - always something new to learn as RNewbie coments.