We were having a debate at work today about using vacutaners to collect blood for lab draws from a picc. Central venous catheters picc, short term, tunneled, i. The patient let me know that the nurses the last few days have not gotten a return, so lab has been drawing his blood the last few days. I told the nurses i would post a question here and see what expert advice i could get. The hospital where i work has no policy on this topic and i learned in nursing school that drawing blood from a picc line was not appropriate because of the increased risk of developing blood clots. The other day i flushed with 10 ccs of ns, then wasted 10, then drew blood. When drawing a blood sample from a central line, be sure to use good hand hygiene to avoid causing a central line associated bloodstream infection clabsi. Whats the proper way to draw blood from a picc line.
Using vacutaners with picc lines for blood draws iv. Bear in mind that when you do so, you increase the risk of cvcrelated complications, such as occlusion and infection. Is it appropriate to draw blood for lab work from picc lines. Policy and procedure flushing and or blood withdrawal. A central venous access device inserted into a peripheral vein whose tip dwells in the superior vena cava and is used in acute care, long term care or home care. Does it pose a threat to the integrity of the picc.
I personally like to use a 10 or 20 cc syringe to collect the blood for labs etc. Draw up 10 cc normal saline in syringe and set aside 0. Sure enough, neither port, medication nor blood, ga. It is a silicone or polyurethane long hollow tube that is inserted into a peripheral vein in the arm or in the upper arm using an ultrasound guide. Central line insertion and how to draw blood from new to icu. Although the safest and most accurate way to draw blood for lab work is via peripheral veins, you may need to draw blood through a central venous catheter cvc if the patients peripheral veins are no longer accessible.
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