Whats the proper way to draw blood from a picc line. 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. This morning i was supposed to draw blood from a picc line for labs. 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. Is it appropriate to draw blood for lab work from picc lines. Nursing procedure manual catheter irrigation flushing to maintain patency. 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. Draw up 10 cc normal saline in syringe and set aside 0. Central venous catheters picc, short term, tunneled, i.
Picc or peripherally inserted central catheter is used for intravenous access in the medium to longterm. 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. Adding a clabsi to your patients hospital list, isnt the best of ideas. Policy and procedure flushing and or blood withdrawal. Sure enough, neither port, medication nor blood, ga.
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. But the lab called to say that the results looked wrong extremely low hemoglobin level and that the blood probably had saline in it. I personally like to use a 10 or 20 cc syringe to collect the blood for labs etc. Make sure to follow your hospitals policy when drawing blood. Bear in mind that when you do so, you increase the risk of cvcrelated complications, such as occlusion and infection. Picc line blood draw explained e phlebotomy training. Central line insertion and how to draw blood from new to icu. Does it pose a threat to the integrity of the picc. 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. We were having a debate at work today about using vacutaners to collect blood for lab draws from a picc. Using vacutaners with picc lines for blood draws iv. I told the nurses i would post a question here and see what expert advice i could get.834 152 1042 574 1174 1327 585 60 781 888 1110 149 38 647 362 26 1100 757 1059 544 1509 1098 1328 1359 617 1384 849 1027 584 1341 1049 1076 1003