کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2611016 1134613 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A Comparison of the Quality of Blood Specimens Drawn in the Field by EMS Versus Specimens Obtained in the Emergency Department
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی امداد اورژانس
پیش نمایش صفحه اول مقاله
A Comparison of the Quality of Blood Specimens Drawn in the Field by EMS Versus Specimens Obtained in the Emergency Department
چکیده انگلیسی

IntroductionEmergency Department (ED) acceptance of blood specimens drawn by Emergency Medical Services (EMS) staff is not a consistent standard of practice across hospitals. The literature does not address acceptance of pre-hospital phlebotomy specimens drawn by EMS staff. The purpose of this study was to compare specimen redraw rates and ED throughput times for specimens drawn by EMS versus ED staff.MethodsData was collected on 400 patients regarding phlebotomist type, intravenous (IV) site, IV angiocatheter size, number of IV attempts producing blood specimens, redraw reason, undue blood exposure to phlebotomist, diagnosis, and length of stay.ResultsIn this study of 400 patients (EMS=200; ED=200), the redraw rate was higher for the ED group (11.5%) than the EMS group (9.5%). The primary reason for redraw in the EMS group was insufficient quantity (52.6%; ED=8.7%, p<.05). The primary reason for redraw in the ED group was hemolysis (52.2%; EMS=31.6%). Median ED throughput time was 17 minutes less for the EMS group (163 minutes) than for ED group (180 minutes). There were no incidences of undue blood exposure in either group.DiscussionBased on no statistically significant differences between the two study groups in redraw rates, a decreased ED patient throughput time, and no undue blood exposure incidences, pre-hospital phlebotomy by EMS in the field and subsequent ED acceptance of samples is a standard of practice that can be implemented.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Emergency Nursing - Volume 36, Issue 1, January 2010, Pages 16–20
نویسندگان
, , , ,