A nurse is collecting morning blood specimens from a geriatric patient with small veins that collapse or disappear when the nurse tries to insert the needle.The patient has IV fluids infusing through a peripherally inserted central catheter (PICC)in the left antecubital area.After two attempts in the right antecubital space using a Vacutainer, the nurse is unable to obtain the required specimens.Which action is most appropriate for the nurse to take next?

Question

Quizplus · Accepted Answer

The nurse should confirm the ordering healthcare provider's order and institutional policy regarding the use of a PICC for specimen collection. Depending on the policy, the nurse may be required to use the PICC for blood draws, or a separate order may be needed to use the PICC for this purpose. If using the PICC is not an option or against policy, alternative methods such as drawing from a different vein or using a different method of collection such as a syringe attached to a butterfly needle may need to be attempted. However, confirming the policy and order first is the appropriate first step. Requesting assistance from another nurse or attempting another venipuncture may also be appropriate options in addition to confirming the policy. Withdrawing a sample from the Y-Port may not provide accurate results, so that option is not appropriate.

A Nurse Is Collecting Morning Blood Specimens from a Geriatric