Returning wasted blood to a line? - page 4
When you draw blood from a central line, or an a-line, or a peripheral IV, you first draw out a few mLs of "waste" blood, then you draw your labs, then flush. What do you all think about the idea... Read More
Oct 16, '11Occupation: CPN Specialty: 12 year(s) of experience ; Joined: Feb '10; Posts: 15; Likes: 6This is called an unregulated blood tranfusion.
I have thouroughly researched this for PICU and PEDS. You can return waste on a central line using a closed system and a heparinized syringe . However, you would need a Md. order (at least) . The Infusion Nursing Society does not support this practice.Where I work they even return waste on peripherals(not evidenced based paractice) However I do not and will not return waste on peripherals untill my management can provide me with some research.....(still waiting, it has been 2 years)
If blood volume is crucial one should consider alternate means of collecting a sample, as in I-stat .
The waste volume depends on the type of line your patient has.