Sujule

Thank you Gaitor. There are a couple of schools of thoughts regarding the bp cuff. 1) Inflate the cuff to 20 mm below the diastolic or 2) Pump the cuff to 30 - 40 mmHg. or 3) Pump the cuff to just below the pt's diastolic. I find pumping 20 mm Hg below diastolic falls around the 30 - 40 mark and usually use that case. In all cases, taking care not to place the cuff too close to the IV site. Thank you for the links and all your assistance.

Thank you Kindaback. The amounts needed have been specified in my research protocol. It will not be an existing line. The gauge will be 20/22 depending. I have used a bp cuff and I'm considering using it for this project. I like the idea of having some control over the pressure and the ability to release and re-inflate with ease. This is my first time posting and the responses and info have been awesome. Thank you all again.

Thank so much for the feedback, NurseStorm and Gaitor. Both of you had great comments. My first post and I'm so grateful. My thoughts and take away: The blood will be drawn right after the line is placed so the saline lock is not an issue. I have an "Order of Draw" dictated by the protocol. I requested oncology research nurses only because I know they draw lots of blood; however, the both of you gave me a more than enough. The article regarding the tourniquet was very valuable. I completely agree more training for nurses regarding this particular skill. I've been a nurse for over 35 yrs and finding information on topics like this is very difficult. So happy to have found this site. My plan is to place the line, using either a 20g or 22g(if appropriate) and secure. Dangle the arm, apply the tourniquet, utilize a timer and draw as many tubes as possible within the minute. Release the tourniquet, place the pts arm on the arm rest, and wait 2 - 3 minutes. Repeat the process. Thank you again, you were extremely helpful!

Working on a research study where a peripheral line will be placed, blood drawn and then an infusion. Up to 20 tubes will be drawn at once. From previous discussions, I know this can be typical especially in oncology trials. I'll draw a discard tube and then begin filling tubes, flush, and then begin the infusion. My question, what is the maximum time the tourniquet can be in place? I've read max time is 1 min. Would like to hear from the Oncology folks how long or if there is a special technique. Thank you