We have initiated a process for tighter glycemic control during the immediate 
post-operative period (until pts start eating).  Patients are on insulin drips 
with sugars tested q30-60 min.  As you can imagine, that's alot of finger 
sticks!  We were trying to come up with a way to draw blood from 
1)      pre-exisiting lines
2)      dedicated PIV cath

so that we would not be sticking patients so often.  However, nurses are 
worried about drawing discards that often from CVCs.  So relating to a PIV site 
dedicated for blood draws, I have questions:

1.      How long will the site last (in your experience)?  We only need it for 
1-3 days.
2.      Should heparin be used to flush this PIV cath with Clave directly on 
the hub, since we're doing frequent blood draws?
3.      How much discard might we need to draw?

TIA for your comments/answers.

Donna Fritz



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