Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters

Short peripheral catheters (SPC) are an existing conduit into many patients’ veins and line draws from SPC are a desired method of routine blood collection especially in difficult venous access patients. The PIVO device facilitates blood collection through SPC and is being used clinically in a numbe...

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Main Authors: Suzanne Adams, Bridget Toroni, Meenal Lele
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/7380527
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author Suzanne Adams
Bridget Toroni
Meenal Lele
author_facet Suzanne Adams
Bridget Toroni
Meenal Lele
author_sort Suzanne Adams
collection DOAJ
description Short peripheral catheters (SPC) are an existing conduit into many patients’ veins and line draws from SPC are a desired method of routine blood collection especially in difficult venous access patients. The PIVO device facilitates blood collection through SPC and is being used clinically in a number of hospitals. This study aimed to determine the appropriate wait time following a flush and the minimum waste volume required to obtain an undiluted blood sample when using the PIVO device and how that differed from current guidelines from SPC line draws. A clinical study was conducted examining the analyte results of samples drawn with PIVO through a SPC at varying wait times following a saline flush. Both an initial waste volume and a postwaste sample were compared to a venipuncture control. The resulting samples showed no saline dilution as measured by sodium and creatinine results at all studied wait times. These findings suggest that blood collections using the PIVO device can produce a clinically valid sample with a 30-second wait following a SPC flush and no waste volume prior to sample collection.
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spelling doaj-art-1a131b8f7b0d4ed0a3db5881b70a3dd32025-08-20T03:54:21ZengWileyNursing Research and Practice2090-14292090-14372018-01-01201810.1155/2018/73805277380527Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV CathetersSuzanne Adams0Bridget Toroni1Meenal Lele2Thomas Jefferson University, Clinical Research Institute, 1015 Chestnut Street, Suite 317, Philadelphia, PA 19107, USAThomas Jefferson University, Clinical Research Institute, 1015 Chestnut Street, Suite 317, Philadelphia, PA 19107, USAVelano Vascular, Inc., 1028 Kearny Street, San Francisco, CA 94133, USAShort peripheral catheters (SPC) are an existing conduit into many patients’ veins and line draws from SPC are a desired method of routine blood collection especially in difficult venous access patients. The PIVO device facilitates blood collection through SPC and is being used clinically in a number of hospitals. This study aimed to determine the appropriate wait time following a flush and the minimum waste volume required to obtain an undiluted blood sample when using the PIVO device and how that differed from current guidelines from SPC line draws. A clinical study was conducted examining the analyte results of samples drawn with PIVO through a SPC at varying wait times following a saline flush. Both an initial waste volume and a postwaste sample were compared to a venipuncture control. The resulting samples showed no saline dilution as measured by sodium and creatinine results at all studied wait times. These findings suggest that blood collections using the PIVO device can produce a clinically valid sample with a 30-second wait following a SPC flush and no waste volume prior to sample collection.http://dx.doi.org/10.1155/2018/7380527
spellingShingle Suzanne Adams
Bridget Toroni
Meenal Lele
Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
Nursing Research and Practice
title Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
title_full Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
title_fullStr Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
title_full_unstemmed Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
title_short Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters
title_sort effect of the pivo device on the procedure of phlebotomy from peripheral iv catheters
url http://dx.doi.org/10.1155/2018/7380527
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