Thursday, May 01, 2014

Phlebotomist

I was trying to find if Oklahoma phlebotomists were allowed to start intravenous access. It would be a matter of law if Oklahoma allows non-licensed personnel to start an IV. Intravenous access usually begins with a Registered Nurse in most states. Even Licensed Practical Nurses aren't necessarily permitted to perform intravenous puncture for the purpose of administering medications.

Phlebotomists are for blood draws. Withdrawing blood from a VEIN primarily to perform blood tests. 

Sometimes, in the south, anyone can perform a procedure if there is a MD present that orders them to perform that task. In other words, the MD is god. If a secretary is 'trained enough' to perform Intravenous access for the purpose of administering medications it is legal. I was just wondering if MDs were god in Oklahoma and a phlebotomist under the MD's license can obtain an IV access with a catheter to administer medications.

When a cardiologist and/or a PA access a femoral artery for cardiac catherization and/or stent placement it requires a sheath. 

The sheath is a tube to control any leakage from the artery. The removal of the sheath is a procedure all to itself simply because there is a hole in the artery. There has to be significant pressure placed on the artery at the groin to prevent bleeding and/or hematoma.

If a phlebotomist is accessing a femoral artery, they are doing so without the benefit of good practice. A sheath placement when  properly done would not explode or have that appearance at all. It would be interesting to find a phlebotomist that actually does sheath placements.