PICC line Blood Draw Instructions
Central lines are IVs that allow medications to be given into large veins in the body or blood to be drawn for lab work. Flushing a central line requires saline flushes and alcohol pads, and the doctor may want to add heparin, an anticoagulant, depending on the line.
Do you flush a PICC line before drawing blood?
u2022 Attach a 10cc normal saline syringe to the PICC, draw back 1-2mls, get blood return, and flush PICC according to hospital policy.
Can you draw blood from single lumen PICC line?
A single lumen PICC has one tubing and one cap on the end, and it can be used to draw blood if it is large enough.
Why can’t you draw blood from a PICC line?
Excessive force can cause a flexible PICC to collapse and obstruct blood flow. On a peripheral vein, you could be pulling the vein wall over the catheter lumen, as shown in this drawing. If slow and gentle doesn’t work, try a smaller syringe.
Can a phlebotomist draw blood from a PICC line?
You’ll 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 if drawing blood from a peripherally inserted central catheter (PICC) line or central line.
Do you aspirate when flushing a PICC line?
Because PICC lines are frequently flushed with heparin to maintain patency, aspirating 5 mL of blood from the line prior to use is essential.
How long should an IV be turned off prior to drawing blood from a line?
The CLSI guidelines go on to recommend techniques for drawing blood below (distal to) an IV catheter, including turning off the IV for two minutes or longer and placing a tourniquet between the IV site and the blood draw site.
Do you draw back on PICC line?
The PICC may be clamped or kinked, so you can’t draw blood back into the syringe before flushing it.
Can you draw blood from a TPN line?
Because TPN is lipid-rich and sticks to catheters, blood collection from the same lumen of a catheter used to administer the solution is best avoided. For most tests collected from adult TPN patients, stopping the infusion for 2 to 3 minutes prior to blood collection should suffice.
How much blood do you waste when drawing from a port?
8. Remove 5ml (or the appropriate amount) of blood with an empty 10ml syringe and discard.
Which blood test should not be drawn through a needleless connector?
Medication level specimens should not be drawn from a CVAD lumen that has had that drug infused through it. Blood Culture 1. Should only be collected from a CVAD if no arterial line or peripheral site for venipuncture is available.
What’s the difference between a central line and a PICC line?
PICC stands for “peripherally inserted central-line catheter,” and it’s a longer catheter that’s also placed in the upper arm. Its tip ends in the body’s largest vein, which is why it’s called a central line. A CVC is similar to a PICC line, but it’s placed in the chest or neck.
How many lumens does a PICC line have?
PICC lines can have one to three lumens, which allow medications to be attached and flow through the line, as well as blood draws for lab purposes. The one pictured has two lumens with orange u201ccapsu201d to help keep the line sterile.