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Our clinic flow is as follows; patient’s VS, ht/wt completed in intake. Patient is then taken to a draw station, 6 bays and 4-5 RNs who can start PIV, draw from central line, or access ports. All labs are completed here. If patient is schedule for infusion they then move on to the infusion area.
We have nurses assigned to “lab” every day. (Usually 3-4 depending on how many patients are scheduled). These nurses will access ports, draw peripheral labs, or place an IV in order to draw labs, depending on what the patient needs for the rest of the day. It’s not a separate position, our infusion nurses are all trained and rotate through lab.
It does help keep labs on time, which has a lot of downstream effects for clinic flow. If the infusion nurses were drawing the labs they may be stuck with another patient and unable to draw labs as soon as the patient is ready. Versus the lab nurses are only responsible for drawing labs (and relaying information if there is an issue they discover), so they can just keep working the lab queue, getting as many patient’s labs drawn as possible.
Part of this design is also due to our geography and how the clinic’s physical space is structured. We’re getting a new building in 2022 with the plan that the patient will spend their whole visit in one room (lab, exam, infusion); right now that is three different spaces. This may or may not change the nursing flow.
—————————— Amanda Lulloff, PhD, RN, PCNS, CPHON Seattle Children’s Hospital Nurse Educator-Cancer and Blood Disorders Center ——————————
Original Message: Sent: 02-05-2020 01:00 PM From: Mary Lynn Rae Subject: PORTS in Clinic
We have an infusion center (26 beds) and a Hem/Onc/SCT clinic with 18 rooms and 3 triage rooms (separate staff for each area). We are trialing a PORT access/blood draw room in our clinic (with an assigned nurse) vs. individual nurses and teams manage the patient’s blood draw/port access. Wondering if any other OP areas do something similar? And if so pluses and minuses?
—————————— Mary Lynn Rae, MSN, RN, CPHON NPD Practitioner/Clinical Educator Hem/Onc/SCT Ann & Robert H. Lurie Children’s Hospital of Chicago 312-227-4224 email@example.com 225 East Chicago Avenue, Chicago, Illinois 60611-2991 ——————————