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Author Topic: this is unbelievable to me!  (Read 3486 times)
Riverwhispering
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« on: May 09, 2012, 07:32:02 AM »

Last time I had my blood draw I told the nurse that it could be only on my right arm because of the fistula in my left arm.  She did draw it ok but she told me it would be ok to use my fistula arm to draw blood.  What the heck was she thinking?  I can just picture her putting that band over my fistula to pop up the vain.  I donno but that seems really wrong and no way will I allow it ever.   Isn't that something a nurse that draws blood should know about or am I totally wrong?
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amanda100wilson
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« Reply #1 on: May 09, 2012, 07:44:14 AM »

I totally agree with you.  I would be inclined to talk to her superviser.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

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WishIKnew
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Alports, dialysis '07-'12,cancer'11,transplant '12

« Reply #2 on: May 09, 2012, 07:48:25 AM »

Yes!  a phlebotomist SHOULD know that!  I have a similar situation with blood pressure.  I had lymph nodes removed on the left side when I had breast cancer so no BP's on that side because of lymphodema.   The right arm was used for two fistula attempts - neither one worked long enough to use, but the surgeon told me no BP's in that arm.  So they must use my leg, but you should see how tricky it becomes trying to get them to do that.  "Oh, it's ok I can use either of your arms"....  What the heck!

Good thing we know what's what!

 :flower; :flower; :flower;
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dialysisadvocate
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« Reply #3 on: May 09, 2012, 11:31:14 AM »

Totally UNacceptable -- Every person who draws blood should know that this is not okay.
I would not only report this to the head of the department (if it was in a hospital, the lab director, and i would even give this informkation to the administrator of the hospital. ) If this happened to you, and you were knowledgeable, what about a patient who is not educated ??? If it was in the physician's office, report to physician and director of the office.
I am glad you were educated and knew this was wrong...
opinion of Roberta Mikles www.qualitysafepatientcare.com
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Roberta Mikles BA RN - www.qualitysafepatientcare.com
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willowtreewren
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« Reply #4 on: May 09, 2012, 02:14:55 PM »

OH no! No! No! No!

Blood draws should never be done from your fistula!  :banghead;

Aleta
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MooseMom
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« Reply #5 on: May 09, 2012, 02:21:30 PM »

I'm really shocked.
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smcd23
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« Reply #6 on: May 09, 2012, 08:52:21 PM »

The only nurse who ever took blood out of my SO's fistula arm was the PD nurse with 20+ years of experience. And that's only because he had a clotted fistula already in the other arm which makes finding a good vein tricky at times. Any other person should NOT touch it. That is completely unacceptable. I'd contact a supervisor immediately. You knew better, but what about someone else who doesn't?? That could end terribly for someone who is not so educated!
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Caregiver to Husband with ESRD.

1995 - Diagnosed with vesicoureteral reflux and had surgery to repair at age 11. Post surgery left side still had Stage I VUR, right side was okay. Both sides were underdeveloped.
2005 - Discovered renal function was declining, causing HBP. Regular monitoring began.

March 2008 - Started transplant evaluation for preemptive transplant due to declining function.

September 16, 2008 - Transplanted with my kidney.
September 18, 2008 - Kidney was removed due to thrombosis in the vessels in and leading to the kidney.

October 2008 - Listed in Region I

May 2009 - Started in Center Hemo
January 2010 - Started CCPD on Liberty Cycler

June 15, 2012 - Kidney transplant from a 43 year old deceased donor
June 22, 2012 - Major acute rejection episode and hospitalization began
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Now what?
galvo
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« Reply #7 on: May 09, 2012, 09:53:37 PM »

Hit her over the head with a bed pan. Preferably, a full one.
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Galvo
Henry P Snicklesnorter
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« Reply #8 on: May 09, 2012, 11:04:56 PM »

.
« Last Edit: October 21, 2013, 07:22:16 AM by Henry P Snicklesnorter » Logged
Grumpy-1
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« Reply #9 on: May 10, 2012, 07:13:14 AM »

NO NO NO NO - the only person(s) to take blood from a fistula are the dialysis nurses that are trained to do so.  Anyone else - NO WAY !!!!
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dialysisadvocate
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« Reply #10 on: May 10, 2012, 09:02:10 AM »

Grumpy, when do the dialysis nurses take blood from your fistula? Don't they take it from the line?
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Adam_W
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« Reply #11 on: May 10, 2012, 03:16:39 PM »

Ugh! I don't know how many times I've had to tell a nurse, paramedic, etc. to NOT draw blood or place IVs in my access arm. Same with blood pressures. It's maddening!  :banghead;
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


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Grumpy-1
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« Reply #12 on: May 11, 2012, 04:19:08 AM »

Sorry to confuse you.  I switched to PD shortly after they started using my fistula.  So when I said the nurses use the fistula to take blood, I was referring to the PD nurses taking blood work for the lab.  I'm a hard stick and the fistula was a VERY easy location to use.  I would NEVER allow any other nurses or techs to use the fistula to take blood.  But sorry to say the first fistula clotted up and they couldn't get it reopened. They tried putting in a second fistula, but couldn't due to not enough veins to work with.  So it has been back to multiple sticks each time to get enough blood for the labs.  Grumpy
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Make me the person my dog thinks I am
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