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When I was in home infusion we supplied and advised some outpatient clinics concerning this. We found that the tunneled Groshong did not work well, lost the blood return almost immediately. We never had a patient who was able to use the Groshong for more than one phlebotomy. Tunneled Hickmans were much better. We provided tubings and vacuum glass bottles (like you would fill in the pharmacy), and this worked well.
Leigh Ann
Leigh Ann Bowe-Geddes, RN, CRNI
IV Therapy Specialist Infusion Services Department University of Louisville Hospital Louisville, KY 502-562-3530 >>> "Blais, Gail" <[EMAIL PROTECTED]> 1/18/2006 1:59 PM >>> Does anyone use SVADs for therapeutic phlebotomies? My institution recently had an outpt come in, caused some concern with staff as we've only used them for lab draws. I'm not sure which diagnosis she has, I'm assuming that if it's Hemochromatosis that she's not new at it (when you're trying to draw 500ml of sludge), rather, at the point of maintinance draws and hard to access.
Any hints, does and don'ts, etc would be appreciated. Info on using tunneled catheters etc too. Thanks. I think this is my first post to you all, I've hovered for awhile and appreciated the bits of wisdom I've gain from you already. Gail (PICC RN)
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