You answered it actually. The issue is the potential increased infection risk with the practice of drawing blood samples from CL. I have heard that some of banned it and thier infection rates went down. This is anecdotal ofcourse and looking to see what other feedback I can get.
See the Infusion Nursing Standards of Practice, Phlebotomy from a VAD. This standard discusses the risk vs benefit and what should be considered before a CVAD is used for drawing blood. This is no longer an automatic decision to use a CVAD for blood draws. The theory is that this activity increases hub manipulation, colonization, and potentially CRBSI. No studies have confirmed this theory yet, but I know many infection preventionists that are taking a hard look at this practice and preventing it from being a common practice in all patients. Lynn
We educate the patient about the risks and benefits of using their line for blood draws and allow them to make the decision. Three circumstances where we ALWAYS use the line: 1. No peripheral sites anywhere for draws, 2. Pediatric and/or needlephobic patients, and 3. The patient requests it (after the education).
I am uncertain as to your question.
I work in Pediatrics and we draw blood samples from all our CVLs with one exception, neonatal PICCs.
Let us know what your specific question is.
Thanks,
Moira Hudson McErlean
Moira McErlean
You answered it actually. The issue is the potential increased infection risk with the practice of drawing blood samples from CL. I have heard that some of banned it and thier infection rates went down. This is anecdotal ofcourse and looking to see what other feedback I can get.
Yvonne K. Cales
Sarasota Memorial
See the Infusion Nursing Standards of Practice, Phlebotomy from a VAD. This standard discusses the risk vs benefit and what should be considered before a CVAD is used for drawing blood. This is no longer an automatic decision to use a CVAD for blood draws. The theory is that this activity increases hub manipulation, colonization, and potentially CRBSI. No studies have confirmed this theory yet, but I know many infection preventionists that are taking a hard look at this practice and preventing it from being a common practice in all patients. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thank you Lynn. Appreciate your reply.
Yvonne K. Cales
Sarasota Memorial
We educate the patient about the risks and benefits of using their line for blood draws and allow them to make the decision. Three circumstances where we ALWAYS use the line: 1. No peripheral sites anywhere for draws, 2. Pediatric and/or needlephobic patients, and 3. The patient requests it (after the education).
Wendy Erickson RN
Eau Claire WI