Hello:

 

I was wondering if anyone has a weight cut off for the following:

1.  Returning the waste to patients (we currently use < 5 kg)

2.  Using micro-containers

Thanks,

Mary Lynn Rae-Zahradnik,RN, MSN, CPON

Children's Memorial Hospital

Chicago, IL 60192

Ann Marie Frey, an infusion

Ann Marie Frey, an infusion nurse specialist from Childrens Hospital in Philadelphia, would be the best person to reply. She is the author of a review article on drawing blood samples. I am most familiar with nurses adding the heparin to the syringe rather than a syringe purchased with the heparin already in it. Also, I am not sure what you mean by micro-containers. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Blog http://hadawayassociates.blogspot.com/
Office Phone 770-358-7861

We just do this in our NICU

We just do this in our NICU and we do use a closed system however how would you use a heparinized syringe? Do they come in a larger size other than 1 ml?  I only know of the 1 ml syirnge that we use to draw blood gases. 

Also, what about the use of micro-containers?

Mary Lynn Rae-Zahradnik, RN, MSN, CPON
Clinical Educator-Hem/Onc/SCT
Children's Memorial Hospital
Chicago, IL

Returning the "waste" blood

Returning the "waste" blood is never a good idea. The only acceptable method would be to hold that "waste" blood in a heparinzed syringe attached to a stopcock. I would never, under any circumstances, detach this syringe and set it aside while I drew the actual blood sample and then  return it to the patient, at any age. This has been studied and found to return clots and possible organisms. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Blog http://hadawayassociates.blogspot.com/
Office Phone 770-358-7861