Judging by the looks of my bakery customers, I reckon they loved my secret ingredient in the cakes.
Who here has experienced or been alerted to being put on allocation for vacutainers? BD is experiencing national/global supply shortages.
Any meaningful ways you've helped reduce draws?
CMO Memos, asking ED not to do rainbow draws, and EMR add-on prompts to alert ordering doc that redraw isn't necessary, lab has specimen.
Perhaps this isn’t a normal thing. Mine’s the mint SST.
Been wanting to be a Phleb since 2016. After jumping through hoops, I FINALLY am in week 6 of a 7 week course. Problem? I'm having difficulty with anchoring the hub while drawing multiple tubes. Last night was a poop show. I messed it all up and I don't even know why. Maybe it was the tight desk space we have to use (that's what usually gets me) or maybe it was the whole, "this is my 25th venipuncture! I get this one and I am set to pass the lecture!!!" IDK. Nerves too? Who knows.
The only way I have been shown how to anchor it is by using the last 3 fingers on the hand that is holding the hub and wrapping them firmly around the underside of patient's forearm, you do that and nothing is going anywhere (especially if they faint and their arms try to go up). I did try it once. On my 70 year old mother. I squeezed her bone. 😨 Needless to say, I don't want to be doing that to people.
I am open to anything anyone has to say. I looked at YouTube videos. They are all for schools, understandable due to HIPPA. Literally, they all only show the part where you anchor the vein first, which is what I have been doing. Have I been doing them wrong and no one has told me? Because that hub and needle basically have just been hanging out in my one hand with nothing anchoring it. And I want to be the best that I can be.
I discovered that my hospital had vacutainer needles about 6 months back, but NO ONE ever used them. Myself and another CVT started using a butterfly vacutainer setup on cats shortly later, which proved to help a lot with collapsing veins and the blood clotting in the syringe, since the blood tubes do the job. The last couple months, I’ve started using just the vacutainer needles for dogs and it’s great! I feel like I get better flow, the pet wiggles less, I stay in the vein easier, it’s a faster blood draw (other than jugular draws), and no clotted blood!
Who else uses these? Do you like them? I’m wondering if I should also switch over to using a tourniquet. My hospital is fear free. Thoughts? Experiences? Thanks!
I work in a small hospital where collections are almost exclusively performed by MLAs and MLTs. Tonight we had a sensitive case and to keep the number of people in and out of the room low nursing performed the collection.
I was given the SST tube about 30 minutes later and it appeared to have been left horizontally for some of the clotting time. Also when manipulating the tube a very very small amount of liquid (a small drop?) could be seen moving despite now waiting >30min before spinning. This confused me, as I couldn't figure how the tube being horizontal could prevent complete clotting. Being new I decided to do some sleuthing, and found that many guides suggest leaving a tube vertically to clot, but give no indication as to why that should matter.
I called the reference lab we would be referring it to for clarification as I was working alone. The tech sort of laughed it off, said if it's in a gold tube, just spin it and it should be fine. It looked fine after being spun.
So was I over thinking this? Was the small amount of movement nothing to worry about? Finally, why do so many guides say to allow the tube to clot in a vertical position? Thanks for your help!
Hey all! I'm not sure how many phlebotomists will be able to weigh in on this - I've only ever used the monovette system and I'm curious as to how it compares to the vacutainer system. Is there anyone here who's had experience with both? What are the advantages and disadvantages? Which do you prefer? Thanks
plucked one from the doc, did i get the wrong kind? did i get the right kind? anyone think they can guide me through it? thanks
i have this specific one in my possession btw http://www.bd.com/vacutainer/products/venous/#push_bc
Which vacutainer is recommended for prp procedures? My research online has given me mixed results.
Can someone explain the quote below, insofar as the standard way Vacutainers are used (at least in medical or purely research environments), and whether or not they are used differently, when collecting and storing evidence?
I understand that common practice with the kind of Vacutainer tube in which SA's blood was stored is that a double-ended needle is used to extract blood from the subject and inject the blood through a hole in the Vacutainer cap into the Vacutainer tube. I have read conflicting accounts as to whether the hole in the cap, which vacuum seals as the needle is pulled out, remains a visible hole, and whether any blood could be left on the outside of the cap, as is the case with one of the tubes of SA's blood examined by Buting and the prosecution.
All that aside, though, Buting says that he talked with LabCorp, and suggests that the same cap is not kept on tubes kept as evidence, precisely so that it will be easy to tell if the seal has been broken in order to extract whatever is in the tube. If this were the case, a hole in the cap would indicate that someone had taken blood from the tube, and that there is no record of who even opened the box and styrofoam container, yet alone punctured the tube.
If, in fact, Vacutainers used for collection and storage of evidence are commonly stored with visible holes and blood on their caps, why bother debate the presence of EDTA in the samples in the car? Why didn't the prosecution simply say that there was no evidence that the tubes had been compromised, and leave it at that?
I am also curious as to whether there is record of how many tubes were in the container. I know there was more than one? Are they all accounted for? Is there a way to know? Did any other tubes have visible holes and/or blood on the outside of them?
Here is what Buting says on the phone to Strang, shortly after the hole in the Vacutainer cap is discovered.
BUTING: Right in the center of the top of the tube is a little tiny hole. Just about the size of a hypodermic needle. Yes. And I spoke with a LabCorp person already who told me they don't do that. You can... Have you fallen on the floor yet or no? Think about it, Dean. If LabCorp didn't stick the needle through the top, then who did?
they had a guy there showing how the syringe hole is placed in the stopper but also said that the ring of blood around the stopper, trapped in the glass is "not at all uncommon".
As a layman, I call bullshit, because that defeats the purpose of having a stopped in the first place. It's to remain vacu-sealed...and if there is blood, it is because it is trapped there with the stopper removal and replacement.
Any folks who work with these types of vacutainers and rubber stoppers that can verify if that guy was blowing smoke or if his claim is legit? Do you commonly see rings between the stopper and glass on your vacutainers?
I don't want to step on anybody's toes here, but the amount of non-dad jokes here in this subreddit really annoys me. First of all, dad jokes CAN be NSFW, it clearly says so in the sub rules. Secondly, it doesn't automatically make it a dad joke if it's from a conversation between you and your child. Most importantly, the jokes that your CHILDREN tell YOU are not dad jokes. The point of a dad joke is that it's so cheesy only a dad who's trying to be funny would make such a joke. That's it. They are stupid plays on words, lame puns and so on. There has to be a clever pun or wordplay for it to be considered a dad joke.
Again, to all the fellow dads, I apologise if I'm sounding too harsh. But I just needed to get it off my chest.
Any one else just get that added pressure when drawing iso patients? So much time to don on and off, making sure you have the right supplies, not to mention they don’t have the best veins already!
Sometimes I don’t feel adequate enough or those missed sticks just ruin my day, and for some reason, I feel like I am ruin my “stats”, ie how many sticks I’m getting per hour and don’t feel like I’m contributing to the team. Getting these morning rounds done gives me anxiety everyday.
Alot of great jokes get posted here! However just because you have a joke, doesn't mean it's a dad joke.
THIS IS NOT ABOUT NSFW, THIS IS ABOUT LONG JOKES, BLONDE JOKES, SEXUAL JOKES, KNOCK KNOCK JOKES, POLITICAL JOKES, ETC BEING POSTED IN A DAD JOKE SUB
Try telling these sexual jokes that get posted here, to your kid and see how your spouse likes it.. if that goes well, Try telling one of your friends kid about your sex life being like Coca cola, first it was normal, than light and now zero , and see if the parents are OK with you telling their kid the "dad joke"
I'm not even referencing the NSFW, I'm saying Dad jokes are corny, and sometimes painful, not sexual
So check out r/jokes for all types of jokes
r/unclejokes for dirty jokes
r/3amjokes for real weird and alot of OC
r/cleandadjokes If your really sick of seeing not dad jokes in r/dadjokes
Punchline !
Edit: this is not a post about NSFW , This is about jokes, knock knock jokes, blonde jokes, political jokes etc being posted in a dad joke sub
Edit 2: don't touch the thermostat
The doctor says it terminal.
