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Blood Draw - Phlebotomy
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Protocol number: GEN-002
Description: Blood
draw/phlebotomy
Date implemented: January 26, 2006
Last revision date: implementation
OMD:
Page 1 of 2
Reviewed Date/By:
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INTRODUCTION:
Pre-hospital providers may draw blood collection tubes in the
field to assist receiving facilities in securing diagnostic laboratory
tests more rapidly. It may also reduce the number of needle
sticks experienced by the patient. All ALS level technicians who
have received proper training and evaluation in the technique of
phlebotomy as part of starting an IV site may perform this
procedure.
INDICATIONS:
Patient
Selection
A.
Patients who meet the criteria for establishment of an IV site under
AC-7 (All Chest Pain)
B.
Patients who meet the criteria for establishment of an IV site under
AC-9 (Pulmonary Edema)
C.
Patients who meet the criteria for establishment of an IV site under
AM-3 or AM-5 (Asthma or Exacerbation of COPD)
Condition of patient should be taken into account through the
provider’s impression. Drawing blood in the field is NOT
REQUIRED but will enable receiving facilities to complete
diagnostic tests more rapidly and could mean faster definitive
diagnosis and treatment for the patient. Never stop to draw blood if it
will delay critical measures (ex: drug administration during cardiac
arrest or transport in a multi-systems trauma)
CONTRAINDICATIONS:
None when performed properly and coinciding with needed IV
establishment.
EQUIPMENT:
PROCEDURE:
Procedure
A.
Select a site that is appropriate for IV cannulation, as well as
phlebotomy. Prepare all necessary equipment.
B.
Cannulate the vein in the normal fashion. Attach short extension set
but do not attach IV tubing
C.
Attach vacutainer OR 10cc or larger syringe to the IV
extension set or IV catheter hub. Do not delay needed treatment as
dictated by patient condition to obtain blood samples in the
field.
D.
Draw blood in prescribed order: Red tube, Blue tube, Green Tube, Purple
tube**. If blood draw is difficult or flows extremely slow DO
NOT lose patent IV site to draw blood in the field.
E.
Attach IV tubing to IV catheter hub or extension set and flush with
Normal Saline.
F.
Note time of blood draw on PPCR or blood tubes. Label each individual
tube with patient’s last name, date of birth and provider initials.
Tape tubes directly to IV bag, or place in zip lock style bag and keep
with PPCR.
G.
Upon arrival at ED, transfer blood to ED staff with appropriate patient
identifying information and time of blood draw.
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