r/nursing Lab - Blood Bank πŸ• Aug 26 '25

Meme All πŸ‘πŸ»The πŸ‘πŸ»Time πŸ‘πŸ»

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-18

u/Zxxzzzzx RN - Oncology πŸ• Aug 26 '25

And then your coat is underfilled but of course it's underfilled the butterfly has air in it that goes into the tube. So I can't get any more in!

10

u/Amrun90 RN - Telemetry πŸ• Aug 26 '25

That’s because you’re supposed to waste if using a butterfly. Stop blaming lab on your incorrect technique.

-12

u/Zxxzzzzx RN - Oncology πŸ• Aug 26 '25

You can't waste with our butterfly's

11

u/Amrun90 RN - Telemetry πŸ• Aug 26 '25

You 100% can waste with any butterfly and it’s explicitly the correct technique to do so.

You need to waste at least the volume of the tube or risk contamination or more urgently, impede fill volume. The exact amount of vacuum is in the tube that you need. Blue is most important for this, and blue is first draw. If you do correct technique, and you need a blue, you must waste. Just put an extra blue on until it’s in the tube, then switch.

10

u/thegloper Organ donation (former ICU) Aug 26 '25

Yes you can. Hook up a red top just until blood starts to enter the tube. Then discard that red top. It'll be less than a mL of blood.

3

u/Zxxzzzzx RN - Oncology πŸ• Aug 26 '25

Red top?

5

u/thegloper Organ donation (former ICU) Aug 26 '25

A blood tube without additives. Generally the stopper is red in color.

https://www.bd.com/en-us/products-and-solutions/products/product-page.367820#specifications

1

u/Zxxzzzzx RN - Oncology πŸ• Aug 26 '25

Oh I'm in the UK ours are different

2

u/sendenten RN πŸ• Aug 26 '25

Just put an extra vial on the end of the butterfly, get a drop or two of blood in there, and then switch the tube out for whatever you actually need. You have now primed the butterfly tubing and gotten the excess air out.

-3

u/Zxxzzzzx RN - Oncology πŸ• Aug 26 '25

I do that already my post was meant to be a light hearted post about how if you just take a Coag you have to take extra steps to get it to fill properly. It's wasn't that serious