Can Phlebotomists Start Ivs? - Scope Of Practice
Can a Phlebotomist Start an IV
Generally, no, a phlebotomist cannot start an IV. Starting an intravenous (IV) line is a procedure that typically falls outside the standard scope of practice for a certified phlebotomist. Phlebotomy training focuses on drawing blood for lab tests through venipuncture, which is a different skill set and purpose than placing and maintaining an IV catheter for administering fluids or medication.
Phlebotomy vs. IV Therapy
The key difference lies in the procedure's goal and complexity. Venipuncture for blood draw is a single puncture to collect a sample. In contrast, starting an IV involves inserting a flexible catheter into a vein and securing it for ongoing access.
- Phlebotomy: Short-term blood collection
- IV Therapy: Long-term venous access for infusion
IV insertion requires additional training in catheter placement, securing the line, and monitoring for complications like infiltration. This is why nurses or specialized IV technicians usually perform this task.
Exceptions and Advanced Roles
In some states or specific healthcare settings, a phlebotomist may receive additional certification to perform IV starts. This is not the norm. Some military-trained phlebotomists or those in specialized roles may have expanded skills.
Always check your state's health board regulations and your facility's policy. For most clinical settings, IV insertion remains a nursing responsibility due to the higher level of assessment and care required.