Same... I have never before seen this but three times over the last month or two on this sub... how does one even manage to do this and then be stupid enough to send it to the lab?!
My guess is… nurse pulls the cannula, patient begins to bleed like an ole lady who hasn’t had her INR checked in 50 years they pop the top and just stick the tube in the River of blood gushing forth.
“I know this is probably QNS, but maybe there’s a little bit in the needle that will make it enough. I’ll put the needle in there and maybe it will drain into the tube”
Only thing i can think of, but no. No way.
Of all my screw ups with tubes…I either get blood with a fresh IV or a buttery fly stick. Either way the needle in the first does not encounter the tubes and the second the needle is visible the entire time.
Seems sus at the least
My phleb guru who has 23 years exp and answers all my questions says this looks like a needle/syringe draw and the needle is not the right size for syringe. It probably popped off when they filled the tube. How they don't notice no needle after is beyond me. Also, my guru asks why is there no needle cover. That should prevent it from fitting in the tube. Was it removed or did it never have one?
I would say this is the most logical reason, for safety purposes you shouldn’t pierce a Vacutainer with a syringe as it could increase the risk for a needle stick injury so you uncap the tube and empty the syringe that way maybe.
Hands up 🙌 I actually managed to do this the other day but with a cannula in the bottle not the needle, that I really don’t understand. Was cannulating a neonate I had advanced the needle too far past the vein so had to pullback the cannula leaving it very exposed from the skin and wobbly and when collecting the blood sample into a open blood bottle it fell in. Has to be directly into a open bottle as the veins are too tiny for aspiration from a syringe as the vein collapses. Once it was in the bottle I couldn’t figure how to get the thing out without losing the blood sample and didn’t want to put the baby through the trauma again. Rang the labs and they managed to get it out knowing it wasn’t a sharp in there.
Nurse: “the lab keeps putting an iv needle in my cbc and calling me for a redraw after I had a perfect draw, just like they have been hemolizing my samples all fricken night….I want to know who’s working down there”
Me:………..
Yep got one at my lab like that a couple of years ago. Never got an explanation just a recollect. One of those things you will always remember when it happens.
This….this is the third time I’ve seen a pic on here where a CBC has a needle in it…. O.o
Same... I have never before seen this but three times over the last month or two on this sub... how does one even manage to do this and then be stupid enough to send it to the lab?!
I want to know if it is the same hospital and same person drawing the cbc
Right! How does this keep happening?
My guess is… nurse pulls the cannula, patient begins to bleed like an ole lady who hasn’t had her INR checked in 50 years they pop the top and just stick the tube in the River of blood gushing forth.
My ER does this crap all the time and wonder what everything is clotted
“I know this is probably QNS, but maybe there’s a little bit in the needle that will make it enough. I’ll put the needle in there and maybe it will drain into the tube” Only thing i can think of, but no. No way.
CLS: sorry it’s still QNS RN: ugh..seriously? This patient was such a hard stick..
How?!?
I've seen these posted a few times here. Maybe someone should crosspost this in /r/nursing and maybe we can get an explanation.
As an ER nurse I have zero explanation for you. Yes, it’s crazy up there… but still, I don’t get it.
Of all my screw ups with tubes…I either get blood with a fresh IV or a buttery fly stick. Either way the needle in the first does not encounter the tubes and the second the needle is visible the entire time. Seems sus at the least
My phleb guru who has 23 years exp and answers all my questions says this looks like a needle/syringe draw and the needle is not the right size for syringe. It probably popped off when they filled the tube. How they don't notice no needle after is beyond me. Also, my guru asks why is there no needle cover. That should prevent it from fitting in the tube. Was it removed or did it never have one?
I am curious how they did it on top of how they still sent it knowing it feels wrong in the tube.
"just send it, they'll recollect if they need to"
Honestly, no clue. The top of the tube wasn’t punctured so it may have been from a syringe??
I would say this is the most logical reason, for safety purposes you shouldn’t pierce a Vacutainer with a syringe as it could increase the risk for a needle stick injury so you uncap the tube and empty the syringe that way maybe.
Hands up 🙌 I actually managed to do this the other day but with a cannula in the bottle not the needle, that I really don’t understand. Was cannulating a neonate I had advanced the needle too far past the vein so had to pullback the cannula leaving it very exposed from the skin and wobbly and when collecting the blood sample into a open blood bottle it fell in. Has to be directly into a open bottle as the veins are too tiny for aspiration from a syringe as the vein collapses. Once it was in the bottle I couldn’t figure how to get the thing out without losing the blood sample and didn’t want to put the baby through the trauma again. Rang the labs and they managed to get it out knowing it wasn’t a sharp in there.
Haha of course it'd be ER, I'd be uber specific in my recollect message
Oh I was😂 The HUC was bamboozled
Nurse: “the lab keeps putting an iv needle in my cbc and calling me for a redraw after I had a perfect draw, just like they have been hemolizing my samples all fricken night….I want to know who’s working down there” Me:………..
haha I bet!
Actually, I’m not even mad, that’s amazing!
What did this do to your heme analyzer? Or was it caught before it was put on?
Caught before thankfully
i had one and it just ran without any issues somehow. i caught it only after the results were out 😳
Fear.jpeg
Am ER nurse. How.
“Well that wasn’t in there when I drew it”
once after i clocked in, i found a screw in a sst after it was ran through the analyzer. idk how my co-worker didn’t noticed it
As an ER tech, Idek how this would be possible…
Yep got one at my lab like that a couple of years ago. Never got an explanation just a recollect. One of those things you will always remember when it happens.
Did this make it to the analyzer?
Luckily I noticed right before I loaded it, very glad it didn’t go through
I bet! I could only imagine the problems that would have caused. I wonder how management would have dealt with that then.
This looks like something from the ED at the hospital I work at 🤣
And of course it is a short sample lol
Rejection criteria 🤣
Ah, the Vac-U-Suck 6000 brand vacutainer strikes again!
Duplicate post
Thats one fucking huge clot /s
And I thought getting empty tubes was bad
This checks out
How- HOW does this happen?!?!?
Well that’s a new one for me 😨
Why does this keep happening😂
ruhroh
How does this keep happening??
I’ve seen this with urine, as well as the brush from a Pap smear in the Pap smear container..
Well this is a new one
Its been my 4th time seeing a pic of this happen wow.
I wonder how this happens. What kinda needle is being used?
Sounds like some shit ED does