2008 Jun;34(3):196; author reply 196-7. doi: 10.1016/j.jen.2008.03.005. 2019;6(9):7201. 2018;5(3):3939. However, capillary sampling was possibly a better choice if a child had special needs, for example, spasticity. It was necessary to plan your procedure accordingly, due to the few available chances nurses have for collecting blood. available blood may be transported in a sterile tube containing a sterile Blood sample quality. Learning theories and tools for the assessment of core nursing competencies in simulation: A theoretical review. Feeling stressed and wanting to perform high quality care but being unsuccessful was another challenging aspect. GRAY accessible location. Clinical and Laboratory Standards Institute, The Consolidated criteria for reporting qualitative research (COREQ), European Federation of Clinical Chemistry and Laboratory Medicine. This site needs JavaScript to work properly. Unable to load your collection due to an error, Unable to load your delegates due to an error. Phlebotomists are trained to collect blood samples through: Venipuncture (a puncture in your vein). Utilizing phlebotomists to obtain blood samples through PIVCs But they (the parents) are really important in it going well. A Nurse's Guide for Specimen Collection: Preparation & Handling - INSCOL Qual Health Res. 2003 Oct;4(10):631-6. doi: 10.1016/s1470-2045(03)01223-3. Nurses' experiences of blood sample collection from children: a As demanding and complex as the blood sampling can be, the nurses said they felt the presence of facilitators could ease the procedure. (Nurses Group 2). Laboratory would then be notified of the collection site. bottles, Label and number the container in Nurses play an active role in supporting the children with the blood sampling experience. J Pediatr Nurs. Would you like email updates of new search results? Papa A, Zempsky W. Nurse Perceptions of the Impact of Pediatric Peripheral Venous Access Pain on Nurse and Patient Satisfaction. The nurses believed it was more of a challenging process to take blood samples from children than from adults. You can achieve your continuing professional development PREP requirements by reflecting on these articles. Green SF. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. and transmitted securely. MeSH Their experiences are important for aligned interventions to be created in the future, with tailored educational activities for reducing pre-analytical errors. Clin Biochem. NurseReview.Org Common Laboratory Procedures, sample collection in clinical biochemistry, Common laboratory & diagnostic procedures, 3rdPre-analytical-Laboratory-Errors-Dr-sami 2.ppt, 3rdPre-analytical-Laboratory-Errors-Dr-sami.ppt, Sample collection and safety procedure in laboratory, NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student, NurseReview.Org - Introduction to Mechanical Ventilation, Test Taking Strategies For Nursing Students. Malterud K, Siersma VD, Guassora AD. serum samples. This site needs JavaScript to work properly. Is the Use of Pre-existing Peripheral Intravenous Cannula as an Alternative to Venipuncture for Blood Sampling Being Implemented? Sometimes the nurses felt that the machines, especially the bedside analyses, were working against them. Lippi G, Plebani M, Di Somma S, Cervellin G. Crit Rev Clin Lab Sci. collection. The nurses felt that learning by doing and by observing colleagues was the main way nurses embraced knowledge. Gyllencreutz L, Pedersen I, Enarsson E, Saveman B-I, Blenius K. The experience of healthcare staff of incident reporting with respect to venous blood specimen collection practices. collecting blood in a syringe or evacuated tube. Bisogni S, Aringhieri C, McGreevy K, Olivini N, Lopez JR, Ciofi D, et al. (Nurses Group 3). What priorities so we can try to take them if youve jabbed (the child) once or twice to get the first samples then you want to chance it and send them, sometimes you can write very difficult patient to needle so sometimes I do thatits kind of the best we can get. 2021 Oct 12;19(1):314. doi: 10.1186/s12951-021-01056-3. Hjelmgren, H., Ygge, BM., Nordlund, B. et al. site for oozing, bleeding They were also worried that all this sampling could lead to risk of hospital-acquired anaemia. Specimen Collection & Procedures: A Nurse's Guide J Emerg Nurs. Article Surgical (scrub) preparation Careers. Throat Swab Culture 2. venipuncture site in a circle approximately 5 cm in diameter with 70 % alcohol, All registered nurses who were asked volunteered to participate in this study. official website and that any information you provide is encrypted J Nanobiotechnology. all samples must be These findings indicate that nurses lack knowledge and deeper understanding of handling specimens and avoiding pre-analytical errors, such as clots and haemolysis. culture bottle, Choose the vein to be drawn by performed by a nurse with a written order The participants were approached by email or face-to-face and given information by the nurse managers. Research with qualitative design gives access to patient perspectives and offers a wide range of methods to investigate whatever interest, including interaction between health care provider and patient or health organisation politics [27]. Elo S, Kriinen M, Kanste O, Plkki T, Utriainen K, Kyngs H. Qualitative Content Analysis SAGE Open. as culture bottles, etc, Obtain laboratory request and culture 2012;58(3):63842. For example, hospitalized children with severe acute or chronic conditions were a category that made the process even harder. The participants thought they had the correct amount and were then perplexed when the laboratory responded by reporting the result to be an unfilled sample. FOIA Choosing a method according to the individual child in front of them was described as important. The funders played no role in the study design as well as no role in the data collection, data analysis, and interpretation of data and in writing the manuscript. The implications of this study are that paediatric hospital care needs to focus on improving guidelines for and increasing competence in blood sampling children and helping nurses to understand why samplings may be unsuccessful and how this can be avoided. 2018;74(2):23950. ]. 2021 [38]. Blue and gray tops also contain liquid How many times is it humane to needle a child? They also perceived that certain blood analyses like the blood gas test, INR coagulation test and amniotic fluid analysis test were difficult to fulfil, which illustrated a lack of knowledge around these aspects. Blood Specimen Collection Yes, but it feels disappointing. Google Scholar. Keywords: OBJECTIVES: To review Policy and Procedure in obtaining blood samples in KFCH. The World Health Organization(WHO) phlebotomy guidelines [22] provide some structured information but omit a number of children-specific topics, for example, how to approach childrens different developmental stages, ages and anatomical challenges, and how to avoid pre-analytical errors. The nurses felt frustrated due to unsuccessful blood samplings and frequently could not understand why pre-analytical errors occurred. fill its own level. The study included 84 novice nurses. Karcher DS, Lehman CM. NSP 048 V03 performed using the antecubital fossa, vein of the 8600 Rockville Pike 2018;54:8591. Getting the right amount of blood for the ordered analyses was another aspect discussed in regard to choosing the right method. I often think it hurts more if you sample the finger. (Nurses Group 2). The first author (HH) has deep knowledge and understanding of the given subject, which was a resource for the interpretation of the data. NurseReview.ORg - Specimen Collection - SlideShare In this study, purposeful sampling was carried out to find different heterogeneity groups characterised by nurses in different stages of their career. References. Arch Pathol Lab Med. anticoagulant or preservative for separation gel and clot activator In our study, having an assistant on hand to stabilize the arm or distract the patient was viewed as important, which is consistent with the recommendations in CLSI venepuncture guidelines [20]. The nurses had achieved a 60 percent sample-collection success rate, with minimal specimen errors. Clean the venipuncture site with alcohol withdraw blood, After the needle has been removed, This made the nurses feel insecure and could lead to lack of confidence and trust between the nurse and child. The collected qualitative data about the nurses experiences indicate a strong need to improve guidelines and increase nurses skills and knowledge concerning PAE through educational interventions. Administer medications and treatments. The pre-analytical phase includes prescription of a blood sample test, preparation and execution of blood sample collection, as well as safe transportation of the blood sample to the laboratory where the analytical phase starts [3]. Lippi G, Chance JJ, Church S, Dazzi P, Fontana R, Giavarina D, et al. Of these, 28 intravenous catheter samples (5.6%) were found to be hemolyzed, whereas only 1 venipuncture sample (0.3%) was hemolyzed. The nurses in our study viewed it as important for both capillary and venous sampling. be observed. Eleven experienced registered nurses with more than 2 years' ED experience completed a standardized phlebotomy retraining session. Your privacy choices/Manage cookies we use in the preference centre. The nurses experiences of errors occurring during blood sample collection is unknown. Clin Chim Acta. 2017;56:2934. Possible consequences of pre-analytical errors are many: delayed treatment, wrong diagnosis, repeated sampling and increased costs [5,6,7]. sharing sensitive information, make sure youre on a federal Physical examination Mihir1986 148.7K views41 slides. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Pediatrics. 2023 Feb 1;28(3):1387. doi: 10.3390/molecules28031387. For example, the parents could say things that made the nurses feel angry or frustrated. All rights reserved - Made with by unibask.com, Nursing Education and Introduction to Research and Statistics, Introduction to Nursing Research and Statistics. Advocate for the health and wellbeing of patients. 5.1.3.2 Sharp waste We used a qualitative study design with a (reflexive) thematic analysis (TA) method described by Braun and Clarke. Int J Qual Health Care. Policy and Practice in Health and Safety. These findings could be transferable to other similar contexts where paediatric nurses are in charge of the procedure, although we believe nurse assistants, phlebotomists or even doctors performing blood sampling on children could have similar experiences and gain knowledge by reading this paper. Nursing blood specimen collection techniques and hemolysis - PubMed 2010;22(2):325. NO. When taking blood, you have to be careful that you. Oxygen administration Francis K. Antwi 190.5K views28 slides. The study was approved by the Regional Ethical Review Board in Stockholm (2015/20631/4). We believe we reached information power, as described in Malterud et al., 2016, after the three interviews including 19 participants. Policy and Procedure in obtaining blood Personnels Experiences of Phlebotomy Practices after Participating in an Educational Intervention Programme. J Holist Nurs. A 6 ml tube with SST polymer cleaned with anti-microbial agent, Tourniquet applied for bleed sample A Narrative Review on Hospital-Acquired Anemia: Keeping Blood where It Belongs. 2018 Apr;28(2):150-157. doi: 10.1111/tme.12476. 3. Unauthorized use of these marks is strictly prohibited. Improving anti-cancer drug delivery performance of magnetic mesoporous silica nanocarriers for more efficient colorectal cancer therapy. anaemia; blood; blood administration; blood components; blood transfusion; clinical; clinical guidelines; evidence-based practice; nursing care; professional. However, there are medical devices that visualise the veins, which could benefit venous withdrawal of blood in children [39]. collection, the name of the test, the amount Frequency and causes of laboratory overuse in a hospital setting. kill the particular microorganism, When the patient has chills or a Operate medical equipment. Sometimes Ive got the feeling that they just drop the samples and then they (the lab) have the cheek not to report it. Venipuncture involves puncture a with a needle and Written consent was obtained from all participants before the interviews were recorded. government site. Results: PMID: 31714831 DOI: 10.12968/bjon.2019.28.20.1332 Methods. Clin Chem. By using this website, you agree to our Nurses have a number of responsibilities to perform to maintain their patients' well being, including collecting blood specimens. Blood culture collections are needed to make sure that patients do not have any foreign organisms in their bloodstream that can prevent them from remaining healthy. In TA analysis, researcher subjectivity is seen as a resource which strengthens the reflexive engagement with the interpretation of data and theory [24]. touching the skin before it has been disinfected, Cleanse the skin over the 1996;22:12952. The nurses could have been helped further if the guidelines had been more specific about when to use which sampling method for age and developmental stages and analyses. Carraro P, Zago T, Plebani M. Exploring the initial steps of the testing process: frequency and nature of pre-preanalytic errors. ml for adult, 2-5 ml for children and 1-2 ml for infants and neonates, Blood for culture should be taken [Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature review]. 2010;32(3):22633. training.gov.au - HLTPAT306D - Perform blood collection Yes, theres a huge difference when youre working on adults but with a child it could be a process that takes a whole morning just to get near them. (Nurses Group 2). Actual implementation of sick childrens rights in Italian pediatric units: a descriptive study based on nurses perceptions. The interaction in the hospital between the child and the paediatric nurse is also complex. Methods: The role of nurse-led care in cancer management. This record shall reflect type of phlebotomy J Med Biochem. procedure. Organ donation: nursing roles and responsibilities.
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