blood draws in the pre-hospital setting

[Guest guest]

I don't know of anybody here who does blood draws in the field except the

cops, and they just got themselves into a giant battle over it. A big bunch of

cases got thrown out.

When I first became a paramedic almost 30 years ago, we were drawing blood in

the field. The hospitals would dump them right into the trash in front of

us. Why would anybody need to do blood draws in the field today?

Some folks want LE ordered blooddraws to be done in Texas. Don't let that

happen. The cops are finding it's not the cure they thought it would be.

GG

>

> I am starting a research project on blood draws in the pre-hospital

> setting.

>

> How many services are doing blood draws with a butterfly?

>

> How many services are having their blood accepted by the ED's?

>

> How many services are drawing blood through the IV start?

>

> How many services are drawing blood through needle and hub system?

>

> Tim Hardy

> EMS Instructor

> Blinn College

> tim.hardy@...

>

>

>

>

**************

It's only a deal if it's where you want to go. Find your travel

deal here.

(http://information.travel.aol.com/deals?ncid=aoltrv00050000000047)

[Guest guest]

I am starting a research project on blood draws in the pre-hospital

setting.

How many services are doing blood draws with a butterfly?

How many services are having their blood accepted by the ED's?

How many services are drawing blood through the IV start?

How many services are drawing blood through needle and hub system?

Tim Hardy

EMS Instructor

Blinn College

tim.hardy@...

[Guest guest]

> How many services are doing blood draws with a butterfly?

Yes but rarely.

> How many services are having their blood accepted by the ED's?

Yes, they really appreciate the pre-hospital bloods.

> How many services are drawing blood through the IV start?

Yes almost every IV start

> How many services are drawing blood through needle and hub system?

>

Yes

Jim<

[Guest guest]

Blood draws are in our protocol as we provide treatment to the patient. We DO

NOT do blood draw for Law Enforcement, and they do not ask us to. Blood tubes

are labeled by EMS and provided to the ED upon arrival at the hospital. Lab will

gather them for processing. If LE desires results, they follow legal procedure

to obtain results from the hospital.

If LE wants there own tube to be drawn, this is done by lab personnel at the ED

after the patient has been delivered by EMS.

How many services are doing blood draws with a butterfly?

We do not use a butterfly needle. Blood draw is accomplished through the IV cath

with a Vacutainer system. The local hospital lab requests the order of tubes to

be red, blue, green, purple. I do not know the reasoning, unless it has to do

with the anticoagulants or other agents contained in the tubes.

How many services are having their blood accepted by the ED's?

The local hospital does accept our draws and is appreciative of having the tubes

ready to send to lab. When we started our blood draws, we involved the local lab

director to learn his preferences and the hospital furnishes the tubes. As far

as I know, the surrounding hospitals also utilize our blood draws.

How many services are drawing blood through the IV start?

If we do a blood draw, it is drawn through the IV cath as described above.

How many services are drawing blood through needle and hub system?

Our vacutainer locks to the cath hub.

, Director

Seminole EMS

Seminole, TX

blood draws in the pre-hospital setting

I am starting a research project on blood draws in the pre-hospital

setting.

How many services are doing blood draws with a butterfly?

How many services are having their blood accepted by the ED's?

How many services are drawing blood through the IV start?

How many services are drawing blood through needle and hub system?

Tim Hardy

EMS Instructor

Blinn College

tim.hardy@...

[Guest guest]

At Acadian, we carry Vacutainers and the slip tip collection adapters

for drawing blood from the catheter hub. I typically draw a rainbow of

blood tubes with every IV start. The local hospitals in southwest

Louisiana greatly appreciate the blood, and willingly accept it.

That said, it's not required of us. It's simply a courtesy, and most of

our medics don't bother. If I can do it without delaying care, and the

hospitals appreciate it, I figure, why not?

--

Grayson, CCEMT-P

www.kellygrayson.com

[Guest guest]

At my service, we draw the standard rainbow blood tubes through the iv

catheter with the needless luer lock adapter that the city provides

us. I do it as a courtesy, but if I can't get the blood, than I don't

bother with it.

As far as hospitals accepting EMS blood, from my experience the local

hospitals with the exception of one accept EMS blood and is greatly

appreciative with the exception of a few major hospitals in the

medical center, they just throw it away. However, on night shift,

there will sometimes be a few nurses that accept our blood, but not

all of the time.

>

> Blood draws are in our protocol as we provide treatment to the

patient. We DO NOT do blood draw for Law Enforcement, and they do not

ask us to. Blood tubes are labeled by EMS and provided to the ED upon

arrival at the hospital. Lab will gather them for processing. If LE

desires results, they follow legal procedure to obtain results from

the hospital.

>

> If LE wants there own tube to be drawn, this is done by lab

personnel at the ED after the patient has been delivered by EMS.

>

> How many services are doing blood draws with a butterfly?

>

> We do not use a butterfly needle. Blood draw is accomplished through

the IV cath with a Vacutainer system. The local hospital lab requests

the order of tubes to be red, blue, green, purple. I do not know the

reasoning, unless it has to do with the anticoagulants or other agents

contained in the tubes.

>

> How many services are having their blood accepted by the ED's?

>

> The local hospital does accept our draws and is appreciative of

having the tubes ready to send to lab. When we started our blood

draws, we involved the local lab director to learn his preferences and

the hospital furnishes the tubes. As far as I know, the surrounding

hospitals also utilize our blood draws.

>

> How many services are drawing blood through the IV start?

>

> If we do a blood draw, it is drawn through the IV cath as described

above.

>

> How many services are drawing blood through needle and hub system?

>

> Our vacutainer locks to the cath hub.

>

>

>

> , Director

> Seminole EMS

> Seminole, TX

>

>

> blood draws in the pre-hospital setting

>

>

> I am starting a research project on blood draws in the pre-hospital

> setting.

>

> How many services are doing blood draws with a butterfly?

>

> How many services are having their blood accepted by the ED's?

>

> How many services are drawing blood through the IV start?

>

> How many services are drawing blood through needle and hub system?

>

> Tim Hardy

> EMS Instructor

> Blinn College

> tim.hardy@...

>

>

>

>

>

>

>

[Guest guest]

We do not have blood draw in our routine protocol. In our response area's we

have 7 hospitals that we do transports to and at least 3 different tube

configurations that these hospitals use. Only about 50% of the time is EMS blood

going to be accepted so the expence is not justifiable.

NOW from a teaching standpoint I have always opted to teach all methods. Not

every student will be my employee and not teaching all methods to me is leaving

your studnets with a less than needed education

23 yrs ago drawing blood was routine but now it is not so much at least in our

area. I still though remember watching it all go into a sharps container and

wondering why we even bothered.

Just my thought

For what its worth

Terrell EMT-P CC...,...,...,.,....( all the other things that still mean

I am a paramedic)