The Use of Cross-Sectoral Cooperation to Reduce Emergency Room Blood Specimen Coagulation and Hemolysis Rate

2.50
Hdl Handle:
http://hdl.handle.net/10755/304311
Category:
Abstract
Type:
Presentation
Title:
The Use of Cross-Sectoral Cooperation to Reduce Emergency Room Blood Specimen Coagulation and Hemolysis Rate
Author(s):
Chu, Tsui-Ping; Lu, Yi Jung; Lin, Ya Ying; Lin, Mei Ling
Lead Author STTI Affiliation:
Non-member
Author Details:
Tsui-Ping Chu, RN, MS, e57879@adm.cgmh.org.tw; Yi Jung Lu, RN, BS; Ya Ying Lin, RN, BS; Mei Ling Lin, RN, BS;
Abstract:

Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013

Purpose: Coagulation and hemolysis of blood samples create significant delays in the treatment and disposition of patients in the emergency department (ED). Although coagulated and hemolyzed specimens may reflect the presence of hemolytic anemia, in most cases they are due to preanalytical sources related to incorrect blood collection procedures, handling and storage of the samples; some of these are typical of the ED. It is essential to develop effective processes for reducing the coagulation and hemolysis rate of blood specimen in ED.The purpose of this project was to establish a comprehensive specimen collection process, to reduce the blood sample rejection rate through a cross-sectoral cooperation.

Methods:

The project term member included ED physicians, ED nurses, and Medical technologists. Several strategies, such as providing in-service education, using vacuum blood collection techniques, finding a blood collection angle, applying DC-extension tube for blood collection, employing smaller capacity blood collection tubes, and developing a “Blood Specimen Collection Standard Operating Books” and teaching CD for nurses who were responsible for collecting blood, were utilized to accomplish the project purposes.

Results:

In the first stage, the blood sample coagulation rate was decreased from 0.51% to 0.23%. However, the hemolysis rate increased from 0.47% to 1.48%. In the second stage, we decided to have a 3ml tube for blood collection. The blood sample coagulation and hemolysis rate were decreased to 0.14% and 0.70%. Blood specimen rejection rate was decreased from 1.23% to 0.81%.

Conclusion:

The “Blood Specimen Collection Standard” can effectively reduce hemolysis and coagulation rate of blood specimen, as well as the rejection rate.

Key words: emergency department (ED), blood specimen, coagulation rate, hemolysis rate

Keywords:
coagulation rate; emergency department (ED); blood specimen
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Use of Cross-Sectoral Cooperation to Reduce Emergency Room Blood Specimen Coagulation and Hemolysis Rateen_GB
dc.contributor.authorChu, Tsui-Pingen_GB
dc.contributor.authorLu, Yi Jungen_GB
dc.contributor.authorLin, Ya Yingen_GB
dc.contributor.authorLin, Mei Lingen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsTsui-Ping Chu, RN, MS, e57879@adm.cgmh.org.tw; Yi Jung Lu, RN, BS; Ya Ying Lin, RN, BS; Mei Ling Lin, RN, BS;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304311-
dc.description.abstract<p>Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013</p><b>Purpose: </b>Coagulation and hemolysis of blood samples create significant delays in the treatment and disposition of patients in the emergency department (ED). Although coagulated and hemolyzed specimens may reflect the presence of hemolytic anemia, in most cases they are due to preanalytical sources related to incorrect blood collection procedures, handling and storage of the samples; some of these are typical of the ED. It is essential to develop effective processes for reducing the coagulation and hemolysis rate of blood specimen in ED.The purpose of this project was to establish a comprehensive specimen collection process, to reduce the blood sample rejection rate through a cross-sectoral cooperation. <p><b>Methods: </b> <p>The project term member included ED physicians, ED nurses, and Medical technologists. Several strategies, such as providing in-service education, using vacuum blood collection techniques, finding a blood collection angle, applying DC-extension tube for blood collection, employing smaller capacity blood collection tubes, and developing a “Blood Specimen Collection Standard Operating Books” and teaching CD for nurses who were responsible for collecting blood, were utilized to accomplish the project purposes. <p><b>Results: </b> <p>In the first stage, the blood sample coagulation rate was decreased from 0.51% to 0.23%. However, the hemolysis rate increased from 0.47% to 1.48%. In the second stage, we decided to have a 3ml tube for blood collection. The blood sample coagulation and hemolysis rate were decreased to 0.14% and 0.70%. Blood specimen rejection rate was decreased from 1.23% to 0.81%. <p><b>Conclusion: </b> <p>The “Blood Specimen Collection Standard” can effectively reduce hemolysis and coagulation rate of blood specimen, as well as the rejection rate. <p>Key words: emergency department (ED), blood specimen, coagulation rate, hemolysis rateen_GB
dc.subjectcoagulation rateen_GB
dc.subjectemergency department (ED)en_GB
dc.subjectblood specimenen_GB
dc.date.available2013-10-22T20:33:19Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:33:19Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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