Reply To: Stopcocks/blood draw systems

  • Mary Lynn Rae

    Member
    August 19, 2016 at 11:05 am

    1) Does your unit use a stopcock/”homemade” system to draw labs from central lines? Yes, we use a closed blood set from ICU medical (QUAD type of set up). 

    2) Have you tracked data regarding CLABSIs/line functionality/etc. before and after implementing your system? If so, was a change noted? We implemented several years ago. Yes we track CLABSIs but at the time we implemented we changed several products at the same time.

    3) What evidence drives this practice? The more clearcut:  decreased single + blood cultures; we actually had a back order for 2 months and housewide our CLABSI rates went up (but we were also short staffed)

    I am curious as ONS access guidelines do not mention this recommendation (and I cannot find specifics from INS) and I know I’ve heard of structured systems being used in other hospitals.

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    Mary Lynn Rae, CPHON,MSN,RN
    Ann & Robert H Lurie Childrens Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 08-18-2016 04:50 PM
    From: Chris Donaghey
    Subject: Stopcocks/blood draw systems

    Hello all,

    This topic has been mentioned before, but I haven’t noted many specifics, but if you could please answer each of the following, that’d be very helpful:

    1) Does your unit use a stopcock/”homemade” system to draw labs from central lines?

    2) Have you tracked data regarding CLABSIs/line functionality/etc. before and after implementing your system? If so, was a change noted?

    3) What evidence drives this practice? The more clearcut

    I am curious as ONS access guidelines do not mention this recommendation (and I cannot find specifics from INS) and I know I’ve heard of structured systems being used in other hospitals.

    Thanks for the info!

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    Chris Donaghey, CNS,CPHON,MSN,RN
    Clinical Nurse Specialist – Hematology/Oncology/Stem Cell Transplant
    Indianapolis, IN
    United States
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