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Venous Blood Gas Worklfow

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Hi there!

Just curious who collects and runs venous blood gases at your facility, if anyone is willing to share.

At my facility, respiratory therapy runs them on the i-STAT, but they do not collect venous samples. They have to call phlebotomy to the patient's room to draw the venous sample for them. 

This process seems odd to me, and I am looking at ways to improve this workflow. I would love to hear how other facilities handle this. Thanks!

5 Replies

I agree, this seems like an extra unnecessary step that would cause additional delays.  If the RT can draw an arterial, they can definitely draw venous as well.  
  • I suspect this has more to do with quota's or exactly how payment of draw is obtained and which dept gets the credit for it.

The RT's draw all samples that they run here, arterial, venous, capillary.  

At my facility, nursing uses the iSTATs and respiratory uses GEMs. Neither requires a phlebotomist.

Fabulous Sent from my iPhone

We have 10 GEM 5000 i our facility.  8 Roam with resp., 2 are located in the lab.  Due to our resp. group does not draw venous blood, our phlebotomist draw the sample.  It is then transported to the laboratory and ran by the lab.

With the iSTAT being an unsolicited POC test, and not a traditional Lab test, it will not trigger phlebotomy notification when a provider orders the test. Depending on your EMR, you may be able to cause the provider order to trigger a Lab "Draw-order" that initiates the phlebotomy draw then finalizes when marked collected.

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