How do lab draws work on your unit?

  1. The question just randomly popped into my head as I was drawing some blood for labs the other day, and it made me wonder how it works in pediatrics.

    In adults at my hospital, nurses draw from the central lines, and lab comes and does venipuncture for those without central lines (other hospitals have the nurses do the puncture), and it's always towards the end of night shift in the morning.

    In peds, do your patients get their labs drawn every day as well, or only when needed? Who does them, and do the kids go to your treatment room for it?
  2. 1 Comments

  3. by   KelRN215
    Oncology patients will have labs drawn daily but most pediatric patients do not. Some never have labs drawn throughout their hospitalization. When I worked in the hospital, phlebotomy came to the unit once a day in the morning. They would only poke a patient twice and they would only draw labs for each patient once/day. They were also only available to come to the floors from 7a-3p. So any labs needed outside of that time or a second draw of the day, it was up to the nurse to draw. If phlebotomy had missed the patient twice, alternative options were the NICU, Anesthesia or the Transport Team as they were used to difficult sticks. Central line draws are done by nurses. Lab draws via venipuncture were rarely done in the treatment room on my floor.