We piloted 23G butterfly sets with pre-attached safety holders during the 6–10 a.m. inpatient run across three stations — re-stick rate dropped from 2.4% to 1.5% and average draw time fell by 18 seconds, but supply cost per draw rose $0.21 and sharps bin turnover increased about 15%. For teams that standardized these, did the gains in first-pass success and throughput justify the cost/waste, and how did you handle training and inventory when mixing adult and pediatric volumes?
We switched our 6 a.m. rounds to pre‑attached 23G and kept standard holders for days — first‑pass improved and we saved about 20 sec per draw, felt like switching to pre‑cut tape (less fumbling). The caveat was sharps volume, so we put taller 5L bins s and limited butterflies to hands/peds and known “tricky veins,” which brought the cost bump down to about +$0.08/draw. @OP, if you try the hybrid, label at the cart first — the bulkier hub made mid‑hall labeling a drop risk for us.
We trialed them on our 6–10 a.m… admits and saw about the same 18‑sec gain, but the “15%” sharps churn was real — . What helped was staging a larger wall‑mount at the nurses’ station and planning a quick bin swap at 8:00 so the cart stays light; we still keep standard holders for single‑tube, easy veins to blunt the extra $0.21. Worth it for first‑pass on tough sticks, but I’d limit them to the early rush — have you tried a mid‑run swap?
Worth it for our 6–10 a.m. blitz — re-sticks dropped and we saw the same ~“18 seconds” per draw. To blunt the $0.21 and 15% sharps churn, we EHR-flag hard sticks/chemo arms so pre-attached sets are pulled only for those, and we centralized an 8-qt floor sharps at the pod (piggybacking @jupa574’s staging idea). Small caveat: 23G can drag on big panels, so we keep a 21G straight set ready when volumes are heavy.
@asanchez81 Biggest win for us was training everyone to pop a quick discard tube before any light blue when using the pre‑attached butterflies — it killed our underfill recollects and kept the throughput bump. Small caveat: 23G can drag on big panels, so we keep a 21G straight set handy.
Quick example: we kept the 23G butterflies with the built‑in holder for known hard sticks during the early‑morning inpatient rush and stuck with straight multisample on easy ACs. That preserved the first‑pass bump without paying the extra “$0.21” on every draw, and the bin creep stopped driving me nuts. Small caveat: on big veins, ease the first tube in so the vacuum doesn’t surge and hemolyze.