Running blood through a #22 or #24???

  1. I am in orientation as a traveler at an urban hospital and they have just told me they run blood through #22's and #24's. Ok, I know I'm getting old, but when did that start? I was always taught that it would lyse if you used one that small. I'm very uncomfortable with it. Are there new studies that say it's ok? Am I that out of date? Any input would be appreciated.
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  2. 59 Comments

  3. by   traumaRUs
    In the hospital where I work - we sometimes run blood through a 22g if that's what we have, but not a 24. I would look to their written policy.
  4. by   Mattigan
    We do it in Peds and the nursery. It does fine-have to go slow though and in the ER that is a problem. Also, need to be on a compatible pump and tubing- doesn't do well to gravity.
  5. by   KaroSnowQueen
    I am amazed. If we have a pt going to get blood and they have a 22 in, we have to start a new site with a 18 or 20. Policy. Very interesting, the things you learn on this site!!!!
  6. by   Liann
    I work in the hospital transfusion service and our guidelines state that blood products may not hang for more than 4 hours. Tubing that is small will significantly slow down infusion rate.
  7. by   renerian
    We did alot of our sickle cell clients with 22s in the thumb. As you can guess they had limited access.

    renerian
  8. by   Mattigan
    Originally posted by Liann
    I work in the hospital transfusion service and our guidelines state that blood products may not hang for more than 4 hours. Tubing that is small will significantly slow down infusion rate.
    I guess that's why it can work for babies nad very small children- rarely do I ever have to give over 60-80cc.
  9. by   RN-PA
    We're allowed to use a 22g, but nothing smaller for blood.
  10. by   K O'Malley
    Everywhere I have worked required a #18 or a #20. Doesn't a small bore needle hemolyze the blood?
  11. by   grandma rn38
    i have uesd a 22 one time because we could not get anything else
    but we usually use a 20 or 18.
  12. by   dawngloves
    Never with adults. 18 most preffered, 20 was for the little old ladies.
  13. by   prmenrs
    Everything's different in NICU!!
  14. by   BrandieRNq
    Never smaller than a #20g in our hospital...issue with lysing cells. Did a search and cannot find data to support a 22 or smaller. Can anyone find anything? Our pt.'s also have incredibly limited access ( we are usually finding veins in their feet/ankles/legs/ if we can find anything at all.) if they dont' already have centrals or the central was just d/c'd due to infection. It would be wonderful if we could use 22's... Sometimes it's a world of difference between getting in a 20 vs. a 22.

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