About 2 years ago we had a patient with a Groshong Tunneled catheter who needed Therapeutic Phlebotomy for hemachromatosis. We first used her veins since we were uncomfortable using the tunneled catheter. But needless to say this did not last long. The reason she had the tunneled catheter was due to poor venous access and her need for IV fluids at different periods of time. After talking with her physician we opted to try the tunneled catheter. We first started by using 60 ml syringes to aspirate the blood but this was a long drawn out process. After putting our heads together we decided to try using a 500 ml thoracentesis bottle. This worked great. We used a stopcock and attached the tunneled catheter to one and and the thoracentesis tubing to the other. We then attached a 20 ml syringe to the stopcock and aspirated back. Once we had a good blood return we opened the catheter to the thoracentesis tubing and drained the blood. Work very well. Patient d! id well also. How do other do the phlebotomy when using a port, PICC or tunneled catheter? Margaret Margaret M Nicastro, CRNI, OCN Coorordinator IV Therapy/Oncology Gettysburg Hospital PO Box 3786 147 Gettys Street Gettysburg, PA 17325 Phone: 717-337-4312 option 2 Fax: 717-337-4485 Confidentiality Notice: This e-mail may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this e-mail is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information.
________________________________ From: [EMAIL PROTECTED] on behalf of Gail Sansivero Sent: Wed 8/9/2006 8:30 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: RE: VAD choice for therapeutic phlebotomy in pt with NO Veins Yes, we've done this. We've used different lines...depends on the pt and how often they need to be phelbotomized or exchanged. My favorite device in this group of pts used to be the CathLink by BARD. It worked great! I would say for the most part now, though, we use ports. Typically we'll place a standard profile with an 8 or 9Fr polyurethane catheter attached to it. If you don't think you'll have to treat that much, a large PICC will do it too. Gail Gail Egan Sansivero, MS, ANP Nurse Practitioner Department of Radiology Albany Medical Center Albany, New York 12208 518-262-5149 >>> "Nadine Nakazawa" <[EMAIL PROTECTED]> 08/09/06 7:33 PM >>> Any suggestions for Anh below? Nadine From: "Ngo, Anh" <[EMAIL PROTECTED]> To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED] Subject: Help needed! Date: Wed, 9 Aug 2006 13:40:21 -0700 Nadine, This is the only PICC nurse at VMC in San Jose who would like to ask you one question. Have you ever placed a PICC or encountered any Port placement just for phlebotomy in patients with hemochromatosis because patient has liver disease and has no veins at bilateral antecubital fossa. Thanks for your help. Anh ----------------------------------------- CONFIDENTIALITY NOTICE: This email and any attachments may contain confidential information that is protected by law and is for the sole use of the individuals or entities to which it is addressed. If you are not the intended recipient, please notify the sender by replying to this email and destroying all copies of the communication and attachments. Further use, disclosure, copying, distribution of, or reliance upon the contents of this email and attachments is strictly prohibited. To contact Albany Medical Center, or for a copy of our privacy practices, please visit us on the Internet at www.amc.edu. CONFIDENTIALITY NOTICE: This email may contain confidential health information that is legally privileged. This information is intended for the use of the named recipient(s). The authorized recipient of this information is prohibited from disclosing this information to any party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this email is strictly prohibited. If you receive this e-mail message in error, please notify the sender immediately to arrange disposition of the information.
