Checklist for Skill 8. Blood Draw from a Central Venous Catheter
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Skill 8. Blood Draw from a Central
Venous Catheter
Able to
Perform
Able to
Perform with
Assistance
Unable to
Perform
Initials
and Date
General Guidelines for Specimen Collection
1.
2.
3.
4.
5.
Check physician’s order.
Check child for allergies to any materials used, e.g., povidone-iodine.
Prepare child and family.
Gather equipment.
Wash hands. Don gloves.
Procedure
1.
Steps 1–5 of General Guidelines.
Comments:
2.
Position child as necessary to complete procedure.
Comments:
3.
Select lumen for blood withdrawal when child has multilumen catheter.
a. Preferable to select largest lumen.
b. Avoid using lumen where total parenteral nutrition (TPN)
currently infusing if possible.
c. Check for medication/serum sample interactions.
Comments:
4.
Turn off all infusions; clamp other infusions with multilumen catheters.
Comments:
5.
Put on nonsterile gloves.
Comments:
6.
Prep end of injection port as specified by agency policy. One method is
to wipe off injection port with three (3) povidone-iodine wipes; allow
to dry. Wipe with alcohol wipes.
NOTE: Agency policy may require removal of injection port when drawing
blood for culture. When this is required, a new injection cap is placed
after blood sample is obtained. When drawing blood for culture wear
sterile gloves. Put gloves on after cleansing injection port to maintain
sterility of gloves.
Comments:
Copyright © 2007 Thomson Delmar Learning, a division of Thomson Learning, Inc.
Permission to reproduce for clinical use granted.
Page 1 of 2
Skill 8. Blood Draw from a Central
Venous Catheter
7.
Able to
Perform
Able to
Perform with
Assistance
Unable to
Perform
Initials
and Date
Wipe injection port with alcohol wipe.
Comments:
8.
Attach syringe with saline flush to injection port. Flush with 5–10 cc,
enough to equal two to three times the intraluminal volume of the
catheter.
NOTE: Small amounts are used with neonates.
Comments:
9.
Attach empty syringe to catheter. Withdraw blood equal to two to three
times the intraluminal volume of the catheter.
NOTE: Discard or return blood in accordance with agency policy. If blood
to be returned, it must be drawn into a syringe that contains heparin,
generally 1 cc of heparin (10 u/cc).
Comments:
10. Attach empty syringe onto injection port and withdraw volume of
blood needed for ordered lab tests.
Comments:
11. Discard or return blood per agency policy. Discard in appropriate
container.
Comments:
12. Attach syringe and flush with normal saline.
Comments:
13. Resume previous infusion(s) or heparin/saline flush per agency policy.
Comments:
14. Place blood into appropriate containers.
Comments:
15. Label containers and place specimen in appropriate bag or container
along with laboratory requisition slips.
Comments:
16. Remove gloves. Wash hands.
Comments:
Documentation
1.
2.
Time, source/site, specimen sent to lab (specify for what test).
Record results of any test performed on the unit.
Comments:
Copyright © 2007 Thomson Delmar Learning, a division of Thomson Learning, Inc.
Permission to reproduce for clinical use granted.
Page 2 of 2