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Vickie
Evidence to support routine lab draws from PIVs

Is there evidence to support drawing labs from PIVs routinely?  This question has come up frequently as we rarely will use a PIV for obtaining labs from someone who is difficult access.  The INS Standard list specific situations for using a PIV to obtain labs such as in peds patients, adults with difficult acces, presence of bleeding disorders, and the need for serial testing.  The standard also contains a comment indicating that sampling of lbood from indwelling short peripheral catheters is reliable for many routine blood tests.  Can anyone share evidence to support routinely drawing labs from PIVs?

lynncrni
I just did a literature

I just did a literature search on this issue and there are numerous studies. Hemolysis is an issue but there are so many factors that causes hemolysis. I am doing a presentation on this issue in Orlando this weekend. Please visit our website to learn more about our services for evidence based practice information. www.hadawayassociates.com 

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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