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![]() ![]() It is available "online" ) (Pages 524 & 525 of the 9th edition) I'd highly recommend reading the procedure and rationale in that book if you're going to use it in practice. So there is no "how long" it's just a pause. (2015) "The Royal Marsden Manual of Clinical Nursing Procedures" Wiley-Blackwell is considered a beacon of nursing procedures in European countries and the recommendation they have is to just pause infusions and continue with the procedure using a vacutainer system. I've asked a lot of people and read a heap of research on the topic and it's all fairly inconsistent. I personally put more weight into manufacturer guidelines (as there is a high degree of accountability) unless there is a specific local guideline and policy. ( and 48 are high yield for information re discard volume) avoiding the use of the flush method for Ht requests. Manufacturer guidelines for the specific CVC you're using at your facility as it appears the product literature of the lines I'm familiar with supports the use of the discard method unless there is a clinical reason for blood-sparing, in which case you can use a blood conservation devices (example drawn from Edwards Lifesciences product guide: read from page 45 forward) also the product guide suggests different methods for different hematology requests ie. Local policy / guidelines in your facility though. ![]() There isn't a robust evidence base, it appears. dead-space) discard volume from the proximal lumen is sufficient for minimizing blood loss and offering reliable hematology results. This study also suggesting that >6ml discard volume required for accurate results. Noting that this paper also recognises the absence of literature on the amount of time for holding any IV infusions. (2012) posits that 60 second hold time for any intravenous fluids is sufficient, showing that results were not skewed but also that a shorter time may have been sufficient but was not tested. As always, do not rely on Reddit alone for answers critical to your health or your career.ĭrawing on banks of research and policies mostly from Oncology / Hematology (some of which are pediatric) the method most widely used appears to be the 'discard' method (Adlard 2008).Īdlard (2008) also suggests that the push-pull method vs the research sample had "extremely high degree of agreement". ![]() Safety Reminder: We do not provide official answers or provide professional judgement. r/UKHealthcare: Everything and anything related to UK Healthcare r/Pharmacy: Pharmacists, pharmacy students, techs, and anyone else in the pharmaceutical industry! r/MedicalSchool: Medical students and physicians who wish to advise them. r/HealthIT: Health information technology, electronic health records, security and privacy issues, and related legislation. r/Healthcare: Links and discussion about health care: systems, costs, problems and proposed solutions. r/GlobalHealth: Discusses the discipline concerned with improving the health of the most number of people, irrespective of where those people live in the world. Specific clarification on moderation related to the topics of abortion and reproductive healthįree Mental Healthcare for HCWs Related Subreddits For Prospective Nurses: No racism, sexism, or other intolerable isms. No COVID denialism, antivax, or other anti-science rubbish No revealing of personal information or social media accounts ® SEAHAWKS, SEAHAWKS LOGO, SPIRIT OF 12, WE ARE 12, BRING ON THE 12, LEGION OF BOOM, 12 and 12S are trademarks of the Seattle Seahawks.All posts should be related to nursing or healthcare ![]()
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