Sticking a patient twice? - page 2
When you get a patient and you use the IV Start Pak to start an IV in one arm. Do you use the other arm to stick them to draw bloods (ie. vacutainer)?... Read More
Oct 20, '06Try sticking someone when they have been NPO for > 12 hours, then you might HAVE to stick them twice to get a line. Usually I make sure we don't need any more labs before I hook them to a saline lock.
Oct 24, '06I just left a hospital that had the IV and labs done separately. The labs were done by a lab tech and he IV's by the RN. Why too many hemolysed samples.Felt bad for the patient. My new hospital we do the lab and IV ourselves. As a result we do a two for one usually yes we do get hemolysed samples but we just redraw.
Oct 27, '06Quote from busyernurseI do that too, then the only time they need stuck again is if Doc decides he wants blood cultures or later on for a second set of enzymes.....but if they have a fever when they come in, I go on and draw the bc's with the rest of the rainbow anyway.As my experiences as an RN in the ER, we usually make every attempt to save a stick and draw blood while inserting the IV. Saves work for the nurse, and pain to the pt. When I stick, I go ahead and draw a "rainbow", because the ER docs here are notorious for waiting until 5 minutes after the patient has been stuck, and "Oh, by the way, when you stick the patient, add a ---- top so we can check a level." I try to draw enough for the pt's c/c (CE for chest pain), or for med levels if the patient is on Dilantin, ect.
Of course, our hospital is one of the big ones that have cut back and lab does not stick for venipunctures, and resp therapy does not admin. nebs. so it saves the nsg staff to consolidate nsg duties.