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Therapeutic Phlebotomy through an Infusaport.

  • 1.  Therapeutic Phlebotomy through an Infusaport.

    Posted 08-09-2019 15:29
    Recently our institution is asking us to do therapeutic phlebotomies through an Infusaport. So far we have not done this. Everything I have found is that’s it’s discouraged. Any thoughts?
    Jeanne Bradley, RN OCN
    Parkview Cancer Institute

    Sent from my iPhone


  • 2.  RE: Therapeutic Phlebotomy through an Infusaport.

    Posted 08-10-2019 07:09
    We have done this and it is written in our policy that a physician order is required to perform therapeutic phlebotomy from a port or PICC. We draw manually using 60ml syringes until the desired amount is collected.

    - Tiff




  • 3.  RE: Therapeutic Phlebotomy through an Infusaport.

    Posted 08-10-2019 08:53
    There is actually a NEW port out for apharesis.  The hub is different and you access it with a special large bore PIV catheter.  If you do a lot of these, you may want to look into these new ports.  You can also utilize them to draw labs, give medications, and fluids.

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    Ella-Mae Shupe MSN RN
    Clinical Specialist
    Orlando FL
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  • 4.  RE: Therapeutic Phlebotomy through an Infusaport.

    Posted 08-11-2019 12:03
    I am the leader for developing the Therapeutic Phlebotomy in my clinic- So many of our patients have power ports. I have always wondered about using power port, however I have no guidelines or documentation found for proce
    dure .  I am also a member of INS- and go by their guidelines- I am going to further investigate this procedure. - may INS standards- I will post on their discussion board as well.

                                                                                                                            Christine Lint, RN CRNI

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    [Christine] [Lint, RN CRNI]
    Outpatient Oncology
    Bridgton Hospital
    Bridgton, Maine
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  • 5.  RE: Therapeutic Phlebotomy through an Infusaport.

    Posted 08-10-2019 14:24
    I am assuming an Infusaport is the same as a Portacath or Mediport (vascular device implanted in the chest). We have done this on a couple of our patients who have run out of peripheral options for phlebotomy. It has generally worked well. One patient it didn’t work well on as her Portacath was pesky and we to use syringes to keep the flow going.

    Hope that helps.