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Ramona Abramov said:I've heard that residents have to do those things. If so, why aren't nurses required to do these things?
I don't know that the union has anything to do with it, probably just hospital policies. There's a hospital next door to me (not in new york and not a union shop) where the nurses don't do lab draws, not sure about caths and EKGs..
Probably has more to do with facility being a teaching hospital (esp. associated with medical schools) versus public or private one. Medical students and interns need to learn phlebotomy, medical/nursing procedures along with art of diagnosis/diagnostic testing. Therefore veinepuncture, EKG's, bladder scans, foley catheter and NG tube insertion procedures may be assigned to them versus nurses per my 30yr experience in teaching hospitals.
At my hospital, we have a vascular access team that places most of our IVs and also phlebotomy so we don't have to draw labs (unless they have a central line/port). We are very spoiled and it can be an issue when time is of the essence. Our residents do not do anything like IVs or lab draws. Paracentesis, thoracentesis, joint aspirations are the things they do.
I wish I was better at drawing labs/PIV placement. It's a "use it or lose it" skill. And I've lost it,
PS teaching hospital
Ramona Abramov
2 Posts
I've heard that residents have to do those things. If so, why aren't nurses required to do these things?