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Rinsho Byori. the Japanese Journal of... Mar 2007Phlebotomy-related nerve injury is relatively rare but could be a serious complication of venipuncture; however, widely recognized and effective methods to prevent nerve... (Review)
Review
Phlebotomy-related nerve injury is relatively rare but could be a serious complication of venipuncture; however, widely recognized and effective methods to prevent nerve injury at venipuncture have not been established. By considering the anatomical features of peripheral nerves and veins of the arm, several techniques may be feasible. To prevent median nerve injury, which is the most serious among the nerve injuries in the arm, the following order of vein selection is recommended: (1) radial vein (2) median cubital vein (3) basilic vein (4) forearm veins (5) veins of the back of the hands. However, this order should be changed according to the status of the actual veins of the patient. To avoid the needle from being inserted too deeply, short needles such as butterfly needles may be preferred. Although probing is a very dangerous procedure which must be avoided, re-direction of the needle is an acceptable procedure if it is performed once per venipuncture. In addition to these technical efforts, it is critical to ask each patient before venipuncture whether he or she has experienced nerve injury during previous phlebotomy in order to avoid unnecessary repetitive nerve injuries in the same patient. In order to avoid such situations, we have established a computer-based system to alert phlebotomists to the complications which patients have experienced during venipuncture. These and other methods should be tested in many institutes and data should be systematically collected to investigate whether phlebotomy-related nerve injury can be effectively prevented.
Topics: Arm; Humans; Iatrogenic Disease; Information Systems; Median Nerve; Needles; Phlebotomy; Practice Guidelines as Topic; Veins
PubMed: 17441469
DOI: No ID Found -
Transfusion Mar 2012
Topics: Blood Component Removal; Erythrocytes; Female; Hemochromatosis; Humans; Male; Phlebotomy
PubMed: 22404509
DOI: 10.1111/j.1537-2995.2012.03548.x -
The Veterinary Clinics of North... Sep 2018Results may be changed with suboptimal sample collection and transport, which then result in incorrect diagnoses. Quality management of samples must start in the... (Review)
Review
Results may be changed with suboptimal sample collection and transport, which then result in incorrect diagnoses. Quality management of samples must start in the patient, extend through sampling itself, include appropriate short transport, and then be correctly accessioned at the referral laboratory or in-house station to ensure accurate diagnosis of disease. A quality assurance plan at the laboratory chosen is mandatory under American Society for Veterinary Clinical Pathology guidelines.
Topics: Animal Diseases; Animals; Animals, Exotic; Humans; Phlebotomy; Specimen Handling; Veterinary Medicine
PubMed: 30078449
DOI: 10.1016/j.cvex.2018.05.008 -
British Journal of Nursing (Mark Allen... Dec 2018Katy Skarparis, Lecturer, Adult Nursing, Northumbria University ( [email protected] ) and Claire Ford, Lecturer, Adult Nursing, Northumbria University... (Review)
Review
Katy Skarparis, Lecturer, Adult Nursing, Northumbria University ( [email protected] ) and Claire Ford, Lecturer, Adult Nursing, Northumbria University describe how to select a suitable site and take a blood sample using vacuum collection tubes.
Topics: Adult; Humans; Nursing Process; Phlebotomy
PubMed: 30525977
DOI: 10.12968/bjon.2018.27.22.1312 -
Nursing Standard (Royal College of... Apr 2014
Topics: Community Health Services; Efficiency, Organizational; Hospitals, Public; Phlebotomy; State Medicine; Time and Motion Studies; United Kingdom
PubMed: 24749603
DOI: 10.7748/ns2014.04.28.34.32.s40 -
The Journal of Infectious Diseases Apr 2016Phlebotomy, a commonly performed medical procedure in healthcare, is essential for disease diagnosis and patient management. However, poorly performed phlebotomy can... (Observational Study)
Observational Study
BACKGROUND
Phlebotomy, a commonly performed medical procedure in healthcare, is essential for disease diagnosis and patient management. However, poorly performed phlebotomy can compromise patient safety, healthcare worker (HCW) safety, and specimen quality. We carried out a study between June and July 2010 to assess knowledge, quality and safety of phlebotomy before implementation of a public-private partnership between Becton, Dickinson and Company and the US President's Emergency Plan for AIDS Relief.
METHODS
This was a cross-sectional observational study in 8 healthcare facilities within 4 regions of Kenya. HCWs were observed conducting venous and capillary blood collections, and pre- and posttests were offered during HCW training.
RESULTS
Of 283 blood samples obtained, 194 were venous draws conducted by 72 HCWs and 89 were capillary draws performed by 33 HCWs. Based on 12 preset quality-associated criteria, none of the 194 observed phlebotomies met the standard. In total, 91 HCWs were trained in phlebotomy. The mean knowledge increase between pre- and posttraining test was 41%, ranging from 39% to 45% (95% confidence interval, 29.3%-53.5%;P< .001).
CONCLUSIONS
Inadequate knowledge and imperfect phlebotomy procedures were noted. This formed the basis for the safe phlebotomy partnership to address these deficiencies. To ensure sustainability, safe phlebotomy practices were integrated into preservice training.
Topics: Blood Specimen Collection; Cross-Sectional Studies; Delivery of Health Care; Health Personnel; Humans; Kenya; Phlebotomy; Public-Private Sector Partnerships; Quality Control; Safety
PubMed: 27025699
DOI: 10.1093/infdis/jiv747 -
Nursing Standard (Royal College of...
Topics: Benchmarking; Blood Specimen Collection; Clinical Competence; Humans; Infection Control; Nursing Staff, Hospital; Phlebotomy
PubMed: 17036742
DOI: 10.7748/ns.21.3.67.s63 -
Journal of Perinatology : Official... Dec 2019Characterize frequency and volume of blood draws and transfusions in extremely low birth weight infants in the first 10 weeks of life.
OBJECTIVE
Characterize frequency and volume of blood draws and transfusions in extremely low birth weight infants in the first 10 weeks of life.
STUDY DESIGN
We included infants with a birth weight <1000 g born 23 0/7-29 6/7 weeks gestational age (GA) and with a length of stay ≥10 weeks, admitted between 2014 and 2016 to a single neonatal intensive care unit.
RESULTS
Of 54 infants, median (25th, 75th percentile) GA and birth weight were 25 weeks (24, 26) and 665 g (587, 822), respectively. Median number of blood draws per infant decreased from 57 (49, 65) in week 1 to 12 (8, 22) in week 10. Median volume of blood extracted was 83 mL (70, 97), and median number of blood transfusions was 8 (5, 10).
CONCLUSIONS
This cohort experienced a high number and volume of blood draws. Draw frequency and transfusions decreased over the first 10 weeks of life.
Topics: Anemia; Erythrocyte Transfusion; Female; Humans; Infant, Extremely Low Birth Weight; Infant, Extremely Premature; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Intensive Care Units, Neonatal; Male; Phlebotomy
PubMed: 31582812
DOI: 10.1038/s41372-019-0515-6 -
Games For Health Journal Aug 2019A large number of children report fear and distress when undergoing blood work and intravenous placement. In pediatric departments, Child Life interventions are... (Randomized Controlled Trial)
Randomized Controlled Trial
A large number of children report fear and distress when undergoing blood work and intravenous placement. In pediatric departments, Child Life interventions are considered to be the gold standard in nonmedical pain management techniques. Virtual reality (VR) has also been identified as an effective tool for pain distraction in children undergoing painful medical procedures. The aim of this study was to document the efficacy of VR as a mode of distraction during a medical procedure compared with two comparison conditions: watching television (TV, minimal control condition) and distraction provided by the Child Life (CL, gold standard control condition) program. A total of 59 children aged 8-17 years (35% female) were recruited through the emergency department (ED) of the Children's Hospital of Eastern Ontario and randomly assigned to one of the three conditions. The key outcome measures were visual analog scale ratings of pain intensity and fear of pain, administrated before and right after the procedure. Patient satisfaction was also measured after the intervention. A significant reduction in fear of pain and pain intensity was reported in all three conditions. A larger and statistically significant reduction in fear of pain was observed among children who used VR distraction compared with the CL and TV conditions, but this effect was not observed for pain intensity. The children's satisfaction with the VR procedure was significantly higher than for TV and comparable to CL. The advantages of using VR in the ED to manage pain in children are discussed.
Topics: Adolescent; Analysis of Variance; Child; Emergency Service, Hospital; Fear; Female; Humans; Male; Ontario; Pain Management; Phlebotomy; Virtual Reality
PubMed: 31135178
DOI: 10.1089/g4h.2018.0111 -
MLO: Medical Laboratory Observer Sep 2010
Topics: Clinical Competence; Dermatitis, Atopic; Humans; Internship and Residency; Japan; Pain; Phlebotomy
PubMed: 20929167
DOI: No ID Found