Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. I… Oxford University Press is a department of the University of Oxford. But, like anything else, there can be too much of a good thing when it comes to iron in the blood. We added capillary puncture success rates and found they both have similar rates (90–95% successful on average) to venipuncture in 0- to 3-year-old subjects. After all, they are responsible for performing a procedure on one of our largest and most vulnerable populations that is invasive and can cause long-term negative effects, including reduced pain tolerance and avoidance of healthcare as an adult (). The World Health Organization has issued practice guidelines for nurses who draw blood, which is referred to as phlebotomy. WHO intends these guidelines to help improve outcomes for health care providers and their patients, to share information about the risks associated with drawing blood, to increase safe practices, and to reduce blood-borne virus exposure and transmission. endobj
Key concept. Aside from quality indicators, the other primary mechanism for improving quality in the preanalytical phase is through investigation of errors detected in the testing laboratory or through patient complaints. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
diagnostic and therapeutic difficulties. ASH Guidelines are developed by leading clinical, methodological, and patient experts through a rigorous process to review evidence and write actionable recommendations. • Therapeutic phlebotomy • Donor and therapeutic apheresis • Component preparation, storage, and modification • Hematopoietic progenitor cells • Tissue storage and issue • Donor selection, collection, and testing Urinalysis • Urinalysis • Urinalysis dipstick, automated and manual methods • … Author Contributions:All authors confirmed they have contributed to the intellectual content of this paper and have met the following 4 requirements: (a) significant contributions to the conception and design, acquisition of data, or analysis and interpretation of data; (b) drafting or revising the article for intellectual content; (c) final approval of the published article; and (d) agreement to be accountable for all aspects of the article thus ensuring that questions related to the accuracy or integrity of any part of the article are appropriately investigated and resolved. Nurse and parent education accompanied these changes to assure that everyone involved in the patient's care understands the science behind the practice and is informed of our efforts to optimize the care and comfort of this vulnerable population. In order to improve efficiency and quality within their organizations, pediatric hospitalists should: Lead, coordinate, or participate in the development and implementation of cost-effective, safe, evidence-based procedures and policies for IV access, adhering to national guidelines for infection control. This is about 1 pint (2 cups) or less. During your therapeutic phlebotomy procedure, a nurse will use a needle connected to a blood collection bag to draw a certain amount of your blood. As a result, rather than combining venipuncture and heel stick into one collection, we changed our process to separate newborn screen collections, for which heel puncture is the preferred sample, from other blood collections. Communication: Always be honest with the child. endobj
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