We are pleased to announce that the new online continuing education course is now ready. This course took a year to create and is a strong source for your evidence-based practice. We have analyzed more than 100 studies to bring you the results. Questions that are answered in the course include:
These and many other questions are addressed in this course. After completion of this course, the learner will be able to:
The course awards 5 contact hours after successful completion. In honor of I.V. Nurses Day on January 25, we will offer a discount for this course. The regular registration fee is $149. For a limited time, the fee is $119. Register today and learn the most recent evidence-based practices for blood sampling.
263 Comments
Shelly
2/26/2015 02:42:42 am
I'm not sure if this is exactly where I can ask this question but I am and Infusion nurse and work in home care. Recently there was a questioned posed in regards to blood drawing from a PICC line. An agency had communicated that they draw from the line directly from the hub of the PICC line. They stated they remove the extension and connect right to the hub to draw the labs. Some have heard of this method but I have not and I fell that would not be the most prudent way. I think that there is more risk for introducing microbes drawing that way. When I remove the extension to attach a new extension the time is very limited and I clean the hub thoroughly and then I don't remove the alcohol pad from the opening until I have the extension right there ready to connect. Could you give me you view on this method of drawing blood from the hub? Is this common practice elsewhere?
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7/28/2016 01:22:36 am
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Lynn
2/26/2015 06:17:18 am
Hi Shelly, This is fine for asking your question. It is complex and I can not go into a great amount of detail in this small space. First, CVADs (which includes PICCs) should not routinely be used for drawing a blood sample unless there are specific patient factors indicating that this is the only alternative for that patient. This is explained in great detail in our online course. Removal of the needleless connector is required for drawing a blood culture from a CVAD. The needleless connector (and quite possibly the attached extension set) is a source of contamination. So you would get a false positive blood culture if drawing from these used devices. You can remove the old one, attach hub to hub and draw the sample, then attach a new one. Or you can remove the old, attach a new one, scrub it and then draw the sample for culture. There is no evidence pro or con for removing the extension set or needleless connector for drawing other lab samples. There is a lot more information about these issues and concerns in the course, with lots of evidence to support what you will be learning. Thanks Lynn
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Shelly
2/27/2015 12:22:17 am
Hi Lynn, Thank you for getting back to me so quickly. I appreciate your response. I am definitely a newer infusion nurse and really want to learn as much as possible. You did answer my question. It has me thinking now since we draw all of our blood samples from the PICC line. We very rarely stick the patient. I look forward to your courses, I hope to get doing some of them soon. I have a quick question again, about how long should one of your courses take to finish? I know everyone works at their own pace but it is doable in a week if I work on it a little at a time or more like a few months? Thanks, Shelly
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Lynn
2/27/2015 01:21:27 am
This course on Blood Sampling will earn 5 contact hours, so it will take you about 5 hours to work through the information and take the test. We just got approved for 5 CRNI recertification units for this course also. You will have access to the course for a year after your registration, so you can return to it to refresh your memory or clarify some information. There is an online discussion forum also for more Q & A. We need a lot more young infusion nurses like yourself.
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Cynthia
3/2/2015 10:49:28 pm
Lynn,
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Lynn
3/2/2015 11:45:43 pm
Cynthia, there is a tremendous risk for hospital acquired anemia in all ages of patients. This is directly attributed to wasting so much blood when drawing from a VAD. This problem is thoroughly explored in the course. The course discusses the use of a closed blood draw device for sampling from arterial and venous catheters. It does not include arterial puncture. It is primarily focused on venous sampling and the many factors that should be considered when choosing to draw from a venipuncture or VAD. Thanks Lynn
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Racquel Pineda RN BSN
1/8/2016 09:57:26 pm
Hi Lynn, I am a Vascular Access Nurse in a hospital, is it true that we are not allowed to draw blood from Midlines? WE use Bard products and according to them yes we can but is the policy not being able to draw blood from Midline or PICC lines based on hospitals? What is the safe practice?
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Lynn Hadaway
2/10/2016 03:41:47 am
Hi Racquel, sorry your message got caught in spam and we just found it. Each hospital must establish their own policy which should be in compliance with evidence in the published literature and the manufacturer's instructions for use. From my work in searching the literature for the recent Infusion Therapy Standards of Practice, there are no studies about drawing blood samples from a midline catheter. This may be the reason why your hospital has established their policy in this manner. There is some early reports that central venous catheters should not routinely be used for drawing blood samples. And there is a recommendation that patients receiving parenteral nutrition NOT have their central venous catheters used for drawing blood samples. The bottom line is that you must follow your hospital policy. If you want to change that policy, you must work through the appropriate committees at your hospital.
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4/13/2016 12:09:44 am
I'm not certain in the event that this is precisely where I can pose this question however I am and Infusion attendant and work in home consideration. Great tips. I will be imparting this to the greater part of my companions!
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7/25/2016 06:43:09 pm
I am from medical field and working as a nurse. I am interested I learning this online course to improve my knowledge in Venipuncture and using of those access device to take blood samples. After your post I came to know that there is need to me to do this course for my future to get job. I liked the fee structure and ready to join can you give out date of staring the course I will adjust my timing according to that.
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