Can a phlebotomist draw from a PICC line?
Can a phlebotomist draw from a PICC line?
If drawing blood from a peripherally inserted central catheter (PICC) line or central line, you will need an alcohol pad or appropriate cleansing agent for the port, a tube holder, a needleless vacuum collection device, appropriate blood tubes including a waste tube, patient labels and saline flushes for each port.
Do you flush a PICC line before drawing blood?
Blood Draws: follow hospital policy Technique for drawing blood: • Attach 10cc normal saline syringe. Draw back 1-2mls, get blood return, and flush PICC. With empty syringe, draw back1-2 mls; pause. Withdraw 5cc, and discard blood.
Can you draw blood from a single lumen PICC line?
A single lumen PICC has one tubing and one cap on the end. If the PICC is big enough, it can be used to draw blood.
Why can’t you draw blood from a PICC line?
Excessive force could cause a flexible PICC to temporarily collapse and occlude the backflow of blood. On a peripheral vein, you could be pulling the vein wall over the catheter lumen as in this drawing. If slow and gentle does not produce a blood return, change to a smaller syringe.
Do you aspirate when flushing a PICC line?
PICC lines are frequently flushed with heparin to maintain patency and therefore it is imperative to aspirate 5 ml of blood from the line prior to use.
What’s the order of draw in phlebotomy?
The recommended order of draw for plastic collection tubes is:
- First – blood culture bottle or tube (yellow or yellow-black top)
- Second – coagulation tube (light blue top).
- Third – non-additive tube (red top)
- Last draw – additive tubes in this order:
How often does PICC line need to be flushed?
Flushing a PICC The PICC needs to be flushed once weekly with 10mls of 0.9% Sodium Chloride to maintain patency when not in use or after any infusion or bolus injection. There is no need to withdraw blood into the syringe prior to a routine flush with saline (RCN 2010).
Is blood in the PICC line normal?
After catheter insertion, bleeding is normal and may occur while PICC is in place from normal arm motion. A clot forms around the PICC line when the bleeding stops. If dressing is removed from PICC line due to its ‘excessive drainage’ appearance, the clot is disrupted and bleeding may re-occur.
What is the procedure for a PICC line blood draw?
The CDC specified that PICC blood draw procedure should be as follows: Maintain aseptic technique when accessing the catheter as outlined. Remove the first 3 to 5 ml of blood and then discard. Obtain blood specimen. Flush the PICC line with a 10 to 20-ml normal saline. If necessary, clamp the catheter when flushing is complete.
What’s the proper way to draw blood for a phlebotomy?
Procedure for drawing blood Step 1. Assemble equipment. Collect all the equipment needed for the procedure and place it within safe and easy reach… Step 2. Identify and prepare the patient. Where the patient is adult and conscious, follow the steps outlined below. Step 3. Select the site. Extend
How to flush PICC line with normal saline?
Maintain aseptic technique when accessing the catheter as outlined. Remove the first 3 to 5 ml of blood and then discard. Obtain blood specimen. Flush the PICC line with a 10 to 20-ml normal saline. If necessary, clamp the catheter when flushing is complete.
What are the risks of a phlebotomy test?
Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. Each step in the process carries risks – both for patients and health workers. Patients may be bruised. Health workers may receive needle-stick injuries. Both can become infected with bloodborne organisms such as hepatitis B, HIV, syphilis or malaria.