Collection of blood specimen from a completely implantable venous access device
CPT4 code
Name of the Procedure:
Collection of blood specimen from a completely implantable venous access device (Port-a-Cath blood draw)
Summary
A procedure to collect a blood sample directly from a surgically implanted device under the skin, usually located in the chest area. The device, known as a Port-a-Cath, provides long-term access to a major vein for patients requiring frequent blood draws or intravenous treatments.
Purpose
This procedure is used to obtain blood samples without the need for multiple needle sticks. It simplifies blood draws for patients who require regular blood tests, such as those undergoing chemotherapy or long-term intravenous therapy.
Indications
- Frequent blood tests
- Chemotherapy administration
- Long-term intravenous therapy
- Patients with difficult vein access or needle phobia
Preparation
- Confirm the port’s patency with a recent X-ray or ultrasound if there are concerns.
- Follow any specific instructions about fasting if the blood test requires it.
- Discuss any medications you are taking with your healthcare provider.
Procedure Description
- The patient is positioned comfortably, usually sitting or lying down.
- The skin over the port is cleaned with an antiseptic solution.
- A special needle (non-coring Huber needle) is inserted into the port through the skin.
- Blood is drawn into syringes or directly into blood collection tubes.
- The needle is removed, and a sterile dressing is applied over the site.
Tools and Equipment:
- Sterile gloves
- Antiseptic solution
- Non-coring Huber needle
- Syringes or blood collection tubes
- Sterile dressing
Anesthesia or Sedation: Typically not required, but local anesthetic cream can be used if the patient is sensitive to needle sticks.
Duration
The procedure typically takes about 10-15 minutes.
Setting
This procedure can be performed in a hospital, outpatient clinic, or infusion center.
Personnel
- Registered Nurse (RN)
- Phlebotomist
- Oncologist or other specialists (if necessary)
Risks and Complications
- Infection at the port site
- Bleeding or bruising
- Discomfort or pain during the needle insertion
- Port malfunction or blockage
Benefits
- Reduced need for multiple needle sticks
- Convenient access for patients with difficult veins
- Decreased anxiety and discomfort for frequent blood draws
Recovery
- Apply gentle pressure to the insertion site to reduce bleeding.
- Keep the area clean and dry.
- Follow any specific post-procedure instructions provided by your healthcare provider.
- Monitor for signs of infection, such as redness or swelling.
Alternatives
- Peripheral venipuncture: Direct needle insertion into a vein, which may be difficult for patients with poor vein access.
- Central venous catheter: Another type of long-term intravenous access, less commonly used for frequent blood draws compared to a Port-a-Cath.
Patient Experience
During the procedure, patients might feel a small pinch or pressure when the needle is inserted into the port. Patients generally report less discomfort compared to multiple peripheral needle sticks. Pain management is usually minimal, with over-the-counter pain relievers if needed. Post-procedure, patients can typically resume normal activities immediately.