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Right now our phlembolist draw all it labs except for central lines of coorifice. Starting Sept 1 we have to draw our labs. Just thinking when we have time to do that?? Who draws the labs at your hospital.
When I worked in the hospital, phlebotomy came to the floor at 7AM and did any scheduled morning peripheral lab draws. If the same child needed labs later in the day, they would not come back because they would only draw each patient once/day. Phlebotomy also wasn't around after 3:30P so if anyone needed labs later than that, the nurse had to draw them. Occasionally if the patient was a hard stick, we could get the IV team to do it but only if they weren't busy which was rare. Line draws were the responsibility of the nurse, of course. So all line draws and peripheral labs 16 hrs/day were the nurse's job.
The nurses do all the labs. I really wish we would have phlebotomists for the non-central line patients. It would be so much less traumatic for the patients and less stressful for the nurses.
I don't see it being traumatic to the pt having their blood drawn by a nurse. I work in the ER so I start all my own IV's and do all my own blood draws, but even the floors at my facility are like this
Currently we have lab doing all draws routine and STAT except central lines. Later in the year when we go paperless (rolling eyes god help us all), our techs/PCA are/have been cross trained to both except central lines. Feel grateful at this point to have support of lab/phlebotomy, but curious to see if our staffing will be increased to support the extra time the techs need to spend with the labs demands... Reality says get ready to brush up on my phlebotomy....
Thanks guys! I am a med surg nurse so I have 6 patients and most of my patients have reg ivs. Super busy unit so it will be another thing to worry about squeezing into my schedule.
Six?!?!? I would consider that an easy day lol... Between post-ops and discharges I can have up to 15 in a day. I do enjoy the challenge and the amount of learning. I am only a 2 year old baby nurse on a busy ortho/urology/neph plus random med/surg floor. Oh and a charge nurse with a full assignment. Looks good on the resume though!!
Phlebotomists draw AM labs in our hospital. At other times the RN or an aide certified to do sticks can draw labs. Only RNs draw from central lines. Interestingly enough, our hospital recently delegated fingersticks to RNs only, aides used to do them. So a certified aid can draw blood but cannot fingerstick. Yeah, that makes total sense
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We have a phlebotomy team, any stat draws are to be done by docs. We just got a notice that we are not to draw from PICCs. I need to brush up. I had a pt last week that the only access was foot. We had to get the IV charge nurse to come draw blood no one would or could get it. I felt kind of bad.
We don't IVs either, we have a team for that. Another thing I need to bone up on.
TheCommuter, BSN, RN
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