IV, Lab Tubes, IV Sites
Learning Objectives
Discuss phlebotomy and necessary reasons for the procedure.
Describe phlebotomy and intravenous (IV) equipment.
Discuss the order of draw for blood collections.
Discuss considerations such as culture, age, body types, and personal preferences related to phlebotomy & IV therapy site selection.
Discuss IV infections and prevention strategies.
Phlebotomy Overview
Definition: Phlebotomy is the process of drawing blood for diagnostic or therapeutic purposes.
Equipment: Varies by facility but generally includes needles and tubes for blood collection. Commonly may start IVs using syringes and central line access tools.
Lab Tubes and Order of Draw
Order of Draw: Important to follow for accurate lab results:
1. Yellow/Black: Blood cultures
2. Light Blue: Citrate tubes for Protime, PTT, Thrombin time, D-Dimer, Fibrinogen.
3. Red: Plain for Chemistries, Electrolytes, and Serology.
4. Red/Gray or Gold: SST for Basic Metabolic panels and Comprehensive Metabolic panels.
5. Green: Heparin for Albumin, Ammonia, Bilirubin, and Cholesterol.
6. Lavender: EDTA for CBC and related tests.
7. Gray: Fluoride for Glucose analysis and ETOH analysis.
Responsibilities When Drawing Blood
Protocol:
Double check the order before proceeding.
Identify the patient clearly to ensure correct sample collection.
Explain the procedure and necessity of tests to the patient.
Collect the specimen accurately, gently rotate the tube after collection.
Label the specimen immediately at the bedside.
Place the specimen in the designated bag and send it to the lab following facility protocols.
IV Access Sites
Common sites include:
Cephalic vein: Located in the forearm, proximal to the axillary vein.
Basilic vein: Found in the forearm, joins the brachial vein.
Median cubital vein: Superficial, lies over the cubital fossa and connects cephalic and basilic veins.
Brachial, Axillary, and Subclavian veins: Deeper veins used for various IV interventions.
Catheter Selection
Purpose of IV Catheters:
General fluid administration.
Administration of blood products.
Use in surgical patients and trauma.
Sizes (smaller number indicates larger diameter):
16 gauge - Gray
18 gauge - Green
20 gauge - Pink
22 gauge - Blue
24 gauge - Yellow
Normal Saline Flush
Components: Mixture of salt and water.
Uses:
Flush residual medications or fluids through IV lines.
Keep peripheral IV (PIV) line patent.
Reduce infection or occlusion risk.
Scheduled flushes ensure IV remains open and free from blood clots.
CDC Guidelines for Infection Prevention
Implement the following protocols:
Verify physician's order for procedures.
Maintain hand hygiene.
Use aseptic technique for peripheral lines and sterile technique for central lines.
Preferred skin prep using Chlorhexidine.
Sterile stylet must only contact skin once.
Perform assessments every 4 hours minimum.
Begin IV access distal and progress proximal, avoiding marked areas.
Secure device properly to prevent movement and displacement.
Documentation Practices
Always document actions clearly, e.g.:
"Inserted 18g PIV in right antecubital; labs drawn; normal saline flush 3-5 mL patent; no signs of irritation or infection; secured with a transparent dressing; patient tolerated well."
Documenting details ensures continuity and quality of care.
Infection Risks and Control
Local Signs/Symptoms of IV Infection:
Edema, redness, heat, pain or tenderness, and loss of function.
Systemic Signs/Symptoms:
Fever, malaise, anorexia, nausea, vomiting, and lymph node enlargement.
Control Measures: Include policies to minimize risk of healthcare-associated infections, employing both medical and surgical asepsis techniques to protect patients and staff.
References
Cooper, K., & Gosnell, K. (2023). Foundations and adult health nursing. (9th ed.). St. Louis, MO: Elsevier.
Ford, S. (2022). Roach’s introductory clinical pharmacology. (12th ed.). Philadelphia PA: Wolters Kluwer.
Perry, A., Potter, P., & Ostendorf, W. (2020). Nursing Interventions & Clinical Skills (7th ed.). St. Louis, MO: Elsevier.