2.50
Hdl Handle:
http://hdl.handle.net/10755/162546
Type:
Presentation
Title:
Efficacy of Obtaining Prehospital Lab Specimens
Abstract:
Efficacy of Obtaining Prehospital Lab Specimens
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Schmedel, Wayne, RN, BS, CCRN
P.I. Institution Name:Providence St. Vincent Medical Center
Title:Staff Nurse
Contact Address:9205 SW Barnes Road, Portland, OR, 97225, USA
Contact Telephone:503-216-2361
Co-Authors:Marian Martin, RN; Heidi Lindner, BSN, CCRN, CEN, SANE; Jennifer Romans, RN, CEN; Mickey Heidt, RN, BSN; Carrie McMahon, RN, BSN, CEN
[Annual Conference Research Poster]
Purpose: Determination of the efficacy of obtaining labs in the prehospital setting compared to labs obtained in the emergency department (ED) defined by the amount of time lab results become available and the frequency labs are required to be redrawn due to hemolysis. Various studies have found that waiting for lab results delays treatment 50% of the time. Decreasing lab turn-around time has even decreased length of stay in the ED.

Design: Retrospective observational quantitative study.

Setting: 522 bed non-profit community metropolitan hospital with a 50 bed emergency department.

Sample: 101 patients were used in this study. Each patient had an IV placed by prehospital personnel. Some patients (58) had prehospital labs obtained while 43 patients had labs obtained by hospital ED staff after arriving at the hospital. All patients were English speaking adults who were able to sign the consent form to be in the study. Kaiser Permanent patients were excluded from the study. Patients were conveniently assigned to one of the two groups based on whether or not labs were obtained in the prehospital setting.

Methodology: 101 patients were consented and enrolled in the study and were conveniently assigned to either the prehospital lab group or the hospital lab group. The lab was blinded to the study. The amount of time that CBC and chemistry lab results were obtained was recorded as well as the frequency necessitating laboratory redraw.

Results: Prehospital CBC results were 26 minutes sooner than hospital CBC results (p<0.004) and prehospital chemistry results were 28 minutes sooner than hospital chemistry results (p<0.02). There was no significant difference between prehospital and hospital lab draws requiring either CBC or chemistry redraws.

Conclusion: When an intravenous line is placed in the prehospital setting, labs should be obtained if possible in order to expedite clinical results which may even decrease overall length of stay.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEfficacy of Obtaining Prehospital Lab Specimensen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162546-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Efficacy of Obtaining Prehospital Lab Specimens</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schmedel, Wayne, RN, BS, CCRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Providence St. Vincent Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9205 SW Barnes Road, Portland, OR, 97225, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">503-216-2361</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">wayne.schmedel@providence.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marian Martin, RN; Heidi Lindner, BSN, CCRN, CEN, SANE; Jennifer Romans, RN, CEN; Mickey Heidt, RN, BSN; Carrie McMahon, RN, BSN, CEN</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference Research Poster] <br/>Purpose: Determination of the efficacy of obtaining labs in the prehospital setting compared to labs obtained in the emergency department (ED) defined by the amount of time lab results become available and the frequency labs are required to be redrawn due to hemolysis. Various studies have found that waiting for lab results delays treatment 50% of the time. Decreasing lab turn-around time has even decreased length of stay in the ED. <br/><br/>Design: Retrospective observational quantitative study. <br/><br/>Setting: 522 bed non-profit community metropolitan hospital with a 50 bed emergency department. <br/><br/>Sample: 101 patients were used in this study. Each patient had an IV placed by prehospital personnel. Some patients (58) had prehospital labs obtained while 43 patients had labs obtained by hospital ED staff after arriving at the hospital. All patients were English speaking adults who were able to sign the consent form to be in the study. Kaiser Permanent patients were excluded from the study. Patients were conveniently assigned to one of the two groups based on whether or not labs were obtained in the prehospital setting. <br/><br/>Methodology: 101 patients were consented and enrolled in the study and were conveniently assigned to either the prehospital lab group or the hospital lab group. The lab was blinded to the study. The amount of time that CBC and chemistry lab results were obtained was recorded as well as the frequency necessitating laboratory redraw. <br/><br/>Results: Prehospital CBC results were 26 minutes sooner than hospital CBC results (p&lt;0.004) and prehospital chemistry results were 28 minutes sooner than hospital chemistry results (p&lt;0.02). There was no significant difference between prehospital and hospital lab draws requiring either CBC or chemistry redraws. <br/><br/>Conclusion: When an intravenous line is placed in the prehospital setting, labs should be obtained if possible in order to expedite clinical results which may even decrease overall length of stay.</td></tr></table>en_GB
dc.date.available2011-10-27T10:30:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:30:01Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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