If a phlebotomist corrected you on order of draw, what would you do?

  1. 2
    I 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?
  2. 47 Comments so far...

  3. 17
    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.
    OCNRN63, orthonurse55, Crux1024, and 14 others like this.
  4. 9
    Quote from BlueDevil,DNP
    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.
    I 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.
    RNnLTC, DogWmn, Crux1024, and 6 others like this.
  5. 7
    I remember paying attention to the order of the draw for about 2 weeks when I first started my job.
    Nurserton, ChristaRN, barbyann, and 4 others like this.
  6. 3
    I do remember cultures go first though.
    Nurserton, nuangel1, and anotherone like this.
  7. 4
    I'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.
    JenRN30, tewdles, MoopleRN, and 1 other like this.
  8. 24
    Who has time to argue with phlebotomists?
    jadelpn, Not_A_Hat_Person, Nurserton, and 21 others like this.
  9. 4
    Just 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.
    Nurserton, DogWmn, DawnJ, and 1 other like this.
  10. 2
    I 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.
    pyriticsilence and loriangel14 like this.
  11. 1
    I, 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.
    DSkelton711 likes this.


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