A comparison of the quality of blood specimens drawn in the field by EMS versus specimens obtained in the emergency department

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Gina HarrisonMarlon G Daniel

Abstract

Emergency 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. Data was collected on 400 patients regarding phlebotomist type, intravenous (i.v.) site, i.v. angiocatheter size, number of i.v. attempts producing blood specimens, redraw reason, undue blood exposure to phlebotomist, diagnosis, and length of stay. In 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. Based on no statistically significant differences between the two study groups in redraw rates, a decreased ED patient th...Continue Reading

References

Mar 20, 2002·Archives of Pathology & Laboratory Medicine·Jane C Dale, David A Novis
Aug 30, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Lisa DuganJoy Corriher

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Citations

May 9, 2021·The American Journal of Emergency Medicine·Jason P StopyraSimon A Mahler

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