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I work in a pediatric rehab/medical unit. RNs do accuchecks, blood draws from central lines, and place PIVs. Lab does routine blood draws. For stat blood draws, either the RN does it, or we have to bring the pt down to our lab, which is on another floor -- and we can't do that if the pt is on any kind of isolation precautions.
i'm curious to hear how many nurses out here are obligated to draw up labs on their own and do glucose checks on their own?
requesting clarification: is the question asking whether nurses decide on their own judgment or standing protocol, to sample a patient without first getting a medical order; or is it asking that once a medical order is written, who is ultimately responsible to physically do the scut work?
in the ed, we routinely draw per protocol according to chief complaint. this is done generally with an iv insertion, bedside glucose, troponin i, k+, na+, & creatinine; hemacue; along with five basic tubes to be held or processed by the lab as needed. up in the units, routine 0500 draw is by bedside personnel, and bloods from lines can only be drawn by bedside personnel (rn, np, pa, md), but typically the rn.
I work on a short stay unit... RN's typically draw all of the labs because of the many central lines we see in the oncology population... We usually do our own accuchecks too... There is only one PCA for 15 to 20 patients... And, I was once a nurse tech and became really good at drawing blood, so I like to keep up the skill...
Blackheartednurse
1,216 Posts
I'm curious to hear how many nurses out here are obligated to draw up labs on their own and do glucose checks on their own?