Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Wasting Blood

How much blood should you waste when drawing from a PICC, Arterial line or Swan before you take the sample.

I have had several answers from people at work, and need another opinion.

Thanks

Featured Replies

  • Guides

Where I work, we usually waste 5 cc before doing the draw.

Standard at my facility is 10ccs don't know if there is any exact correct but espcially if it is an artline or a line with heparin mix to keep open I would aste at least 10cc

3-5 cc here. Never more than 5 cc.

you need to consider your patient's condition and whether or not they are volume depleted. Also, what fluids are infusing? How often are you accessing the line? With no additives in that line, and frequent access, I have done it with 2-3 cc, assuming patient was "normal" weight for age/height.

Originally posted by purplemania

you need to consider your patient's condition and whether or not they are volume depleted. Also, what fluids are infusing? How often are you accessing the line? With no additives in that line, and frequent access, I have done it with 2-3 cc, assuming patient was "normal" weight for age/height.

Also need to consider how frequently blood is being drawn and pt's H&H, esp. with kids. I generally draw 5 cc on a normal weight, non-volume depleted adult from an art line or other heparinized line.

5cc where I work

  • Experts

1 red top I think that's 7 cc. If someone is low then we 'd do microtainer H&H in pedi tubes.

Originally posted by CCURN

How much blood should you waste when drawing from a PICC, Arterial line or Swan before you take the sample.

I have had several answers from people at work, and need another opinion.

Thanks

I agree with all for 5 cc's except for groshong caths. It takes a good 10 cc's of saline to force open the valve, and 10 cc's to close and clean it.

5 cc here, but ALWAYS ALWAYS check you policies and procedures for your facility.

I would check w/the policy and procedure to your facility and in addition to that consider the patients situation.

  • Experts

There actually has been a ton of research on this. The amount you need to draw depends on the size of the catheter and the distance of the port from the distal end. It depends too on the test.

If you are using a short IV cath as an artline and the port is located on the patient's arm then 3 CC is enough however if you have a long cath and a long line and most especially if you are still using heparinized saline then you might need to take 15 - 20cc to avoid contamination when taking blood for clotting studies.

There is also a line set-up called a "vamp" where there is an in-line system for drawing the blood up the line and then returning that blood to the patient.

Guest
This topic is now closed to further replies.

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.