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Therapeutic Phlebotomy equipment

  • 1.  Therapeutic Phlebotomy equipment

    Posted 16 days ago
    ​​Hello ONS community,
    I am curious of those who perform therapeutic phlebotomies, what equipment you use.  We are using a type of blood bank collection bag with a 16 gauge needle already attached.  I was trying to find an apparatus that you could safety draw a specimen from and be able to safely run saline through if needed if the patient had a blood pressure issue.
    Can anyone share what you use and do you feel it is effective and safe?

    appreciate
    Shari

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    Shari Kellen, MSN, RN, CNL, OCN ONN.
    Nurse Manager Infusion Center
    Fremont, CA 94536
    Shari.kellen@yahoo.com
    510-818-5056
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  • 2.  RE: Therapeutic Phlebotomy equipment

    Posted 15 days ago
    We have a separate collection bag from our needle. That way you can assess whether you have to use such a large gauge needle or not. The larger needles are so damaging to the veins if they get the phlebotomy done often. I find that a 20 gauge needle often works well and can easily be used to give fluids once the bag is detached. This size needle is also much easier on the vein and better for smaller veins as well.

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    Brenda Griswold, RN, MSN, OCN
    INFUSION Nurse
    UVA Emily Couric Cancer Center
    Chatlottesville, VA
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  • 3.  RE: Therapeutic Phlebotomy equipment

    Posted 14 days ago
    Would you let me know the brand name etc on the type of bags you use? We currently use multiple large volume syringes when ​we do phlebotomies with smaller gauge needles.

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    Kimberly Liberman RN CMSRN CHPN
    Staff RN
    Evansville IN
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  • 4.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    Hello Kimberly We use a blood collection bag -  Fenwal-Blood -Pack Units.  It comes with 5 bags in its packet with approx. 450 ml.  It is a 16 ga Ultra Thin wall  Fen-wall High Flo Needle manufactured by Fresenius Kabi Ag.

    These are the ones we are trying to move away from, although they work, well, but it is challenging if you want to collect a blood draw from them and you have to use the 16 G as there is no way to attach a different size. Also you can't attach saline if needed.

    thanks
    Shari

    ------------------------------
    Shari Kellen, MSN, RN, CNL, OCN ONN.
    Nurse Manager Infusion Center
    Fremont, CA 94536
    Shari.kellen@yahoo.com
    510-818-5056
    ------------------------------



  • 5.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    Hello Brenda,
    Would you happen to have the collection bag and or product information? I agree that it would be nice to have the option to use a smaller needle.  IN addition to the other points I mentioned, the equipment we have only allows for a 16 gauge and there is no way to disconnect and attach a different size.
    Appreciate the response and any additional product info you can provide

    thanks
    Shari

    ------------------------------
    Shari Kellen, MSN, RN, CNL, OCN ONN.
    Nurse Manager Infusion Center
    Fremont, CA 94536
    Shari.kellen@yahoo.com
    510-818-5056
    ------------------------------



  • 6.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    Hi Brenda, would you share the brand of collection bag you are using? Thank you, Kim

    ------------------------------
    Kimberly Willford BSN RN
    PCI Education Coordinator
    ProMedica Cancer Institute
    Northwest Ohio, Southeast Michigan
    kimberly.willford@promedica.org


    Education CoordinatorPromedica Cancer Institute
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  • 7.  RE: Therapeutic Phlebotomy equipment

    Posted 15 days ago
    We also use what you do in some cases but mainly we insert an 18 or 20 gauge peripheral IV and then connect a blood collection bag with a Luer lock to the peripheral IV. It’s pretty much the same Blood collection bag but Without the needle on the end. Instead it’s a twist on luer lock on the end of the tubing just like regular IV tubing. This process works pretty well. We have some physicians that order post hydration after every therapeutic phlebotomy so we use this process instead of Having to stick the patient Twice.

    - Tiff




  • 8.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    ​Hello Tiffany,
    What is the product name and info on the blood collection bag?  I was having a hard time finding a product that would allow us to use it like a Luer lock so we could connect it to an PIV.  That would be great, because it would allow for saline if needed and allow us to use a smaller gauge than a 16.

    thanks for your response and input.
    Appreciate any info you could give me on the product

    Shari

    ------------------------------
    Shari Kellen, MSN, RN, CNL, OCN ONN.
    Nurse Manager Infusion Center
    Fremont, CA 94536
    Shari.kellen@yahoo.com
    510-818-5056
    ------------------------------



  • 9.  RE: Therapeutic Phlebotomy equipment

    Posted 14 days ago
    We use a regular IV and use regular secondary tubing or specialty tubing to connect to an evacuated container. If needed, we will put a 3-way stopcock in between the IV's j-loop and secondary tubing and attach a saline line or lab draw equipment to the other port on the stopcock.

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    Kim Anderson, BSN, RN, OCN, BMTCN
    Clinical Resource Nurse
    Sacramento, CA
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  • 10.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    ​Our SPD supply us with the  bag called Fenwal-Blood -Pack Units.  It comes with 5 bags in its packet with approx. 450 ml , and it says  "For collection and processing of 450 ml  Blood Y-sampling site, 16 ga Ultra Thin wall  Fen-wall High Flo Needle manufactured by Fresenius Kabi Ag.

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    Norma Wasson RN-CMSRN
    Registered Nurse
    Asheville NC
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  • 11.  RE: Therapeutic Phlebotomy equipment

    Posted 11 days ago
    Our center uses K shield advantage. The phlebotomy bag and needle are attached with a Y site that allows for fluid to be piggybacked  through the same site.

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    Aprill Baker RN CRNI OCN RMC
    RN
    Cleveland Clinic Indian River Hospital
    Vero Beach FL
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  • 12.  RE: Therapeutic Phlebotomy equipment

    Posted 13 days ago
    Hello, I work in an outpatient setting. We use a 18 or 20 gauge IV catheters connected to extension tubing connected to a secondary set that is spiked into an empty collection bag. We use a digital scale to measure the volume. The collection bags hold 300 ml plus. We then use 10ml or 20ml syringes to draw off the rest.

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    Audri Arndt
    Registered Nurse
    Ridgecrest Regional Hospital Cancer and Infusion Center
    Ridgecrest CA
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  • 13.  RE: Therapeutic Phlebotomy equipment

    Posted 12 days ago
    Thank you everyone for your responses and input
    -Shari ​

    ------------------------------
    Shari Kellen, MSN, RN, CNL, OCN ONN.
    Nurse Manager Infusion Center
    Fremont, CA 94536
    Shari.kellen@yahoo.com
    510-818-5056
    ------------------------------



  • 14.  RE: Therapeutic Phlebotomy equipment

    Posted 11 days ago
    We have switched to this product and love it- ​https://www.macopharma.com/en/category/hospital/fluid-collection/

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    Sam Campbell BSN
    Oncology Clinical Manager
    St Johns Health Center
    JACKSON WY
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  • 15.  RE: Therapeutic Phlebotomy equipment

    Posted 11 days ago
    ​Thanks for your help. I have passed this on to my manager.

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    Kimberly Liberman RN CMSRN CHPN
    Staff RN
    Evansville IN
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  • 16.  RE: Therapeutic Phlebotomy equipment

    Posted 8 days ago
    We also use the blood collection bag from our local blood center. It has 16 g needle. Has a side port to use vacutainer for lab draw and another pig tail to attach IV tubing for IV fluids after phlebotomy. It works very well. We have no complaints.

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    Jennifer Scott RN
    Georgetown KY
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