This is another issue that was discussed at the last AVA conference, and
addressed by a lab person...she was specifically referring to the practice
with blood cultures, but the same idea applies.  Ellen Jo Barton of Stanford
gave the presentation (she was excellent) and I believe she stated that is
does not effect the outcome and she has researched hospitals that do discard
and those that do not, but she recommended more study be done.  AVA
attendees--pls correct me if I am mistaken. 

Chris Cavanaugh, CRNI
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Rakay Dance
Sent: Thursday, September 21, 2006 1:16 PM
To: Mazza, Kathleen
Cc: [EMAIL PROTECTED]
Subject: RE: Waste with blood draws

This is commonly done in children with CA.  We use a stop cock and draw
the waste into a syringe that is prefilled with 1cc of 10u/ml heparin
and rotate it, then draw the blood for lab into the syringe attached to
the other port.  Then return hepranized blood, then remove stopcock and
flush line as usual--never had a problem.   RaKay

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mazza, Kathleen
Sent: Thursday, September 21, 2006 8:15 AM
To: Laura Cook RN; [EMAIL PROTECTED]
Subject: RE: Waste with blood draws

When I worked in neonatal ICU this was common practice - Blood volumes
on babies are so small that you didn't want to waste a drop (A
transfusion could be 5-10cc). However, in adults I have not seen it done

Kathleen Mazza, RN, MBA, CRNI 
Director of Infusion Therapy 
St. Vincent Catholic Medical Center CHHA, New York

 [EMAIL PROTECTED]                        
Tel.: (631)-851-4510 
Fax: (631)-851-4536 





-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Laura Cook RN
Sent: Thursday, September 21, 2006 8:54 AM
To: [EMAIL PROTECTED]
Subject: Waste with blood draws


Waste with blood draws form central lines.  Has anyone heard of pushing
the "wasted" blood back into the lines.  I would think the risk for
blood clots and the risk for infection would exclude this practice.  Am
I right....or am I right?  Mind you I am not talking about a closed
heparinized system like you sometimes see with arterial
lines.........thoughts?


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