A blood draw device for use with a peripheral intravenous catheter (PIVC) includes a catheter having a proximal end, a distal end, and a sidewall defining a lumen, a secondary catheter having a proximal end, a distal end, and a sidewall defining a lumen, an introducer having a proximal end, a distal end, and a sidewall defining an inner volume configured to movably receive the catheter, and an actuator movably coupled to the introducer. The actuator having a first portion disposed outside of the introducer and a second portion disposed in the inner volume of the introducer. The second portion of the actuator having a main body with a first height and an extension with a second height. The main body and the extension define an opening, with the catheter and the secondary catheter attached to the actuator and in fluid communication with the opening.