Blood Sample Collection and Handling: Roles of Nursing and Laboratory Professionals

Authors

  • Alhamed, Abdulrahman Saleh A
  • Alruwaili, Badr Ghardig A
  • Mamdouh Alturqi R. Alruwaili
  • Mansour Mohammed Alruwaili
  • Yahya Matar Dhahi Alanazi
  • Wafa Yatim Jilbakh Alruwaili
  • Noor Talal Alshalan
  • Lamia Hamad Ayed Alshammary
  • Abdullatif Hadyan H Althuwaybi
  • Suad Zamil Alanazi
  • Abeer Nasser Salem Al Saiari

DOI:

https://doi.org/10.22399/ijcesen.4485

Keywords:

Blood sample collection, nursing professionals, laboratory professionals, patient care, aseptic technique, sample handling

Abstract

Blood sample collection is a critical process in clinical diagnostics, requiring meticulous attention to detail to ensure accuracy and reliability of test results. Nurses play a pivotal role in this process, as they are often the first healthcare professionals to interact with patients during sample collection. Their responsibilities include preparing the patient, selecting the appropriate collection site, using aseptic techniques, and ensuring the correct use of collection tubes. Adequate patient preparation, including explaining the procedure and alleviating anxiety, helps ensure a smooth collection process. Moreover, nurses are responsible for documenting the procedure and any pertinent patient information, thereby facilitating effective communication between healthcare teams. Laboratory professionals complement the efforts of nursing staff by focusing on the post-collection handling of blood samples. Their responsibilities include managing the transportation, processing, and storage of samples to maintain integrity and prevent contamination. Proper labeling and timely analysis are critical to yield accurate laboratory results. Laboratory professionals must adhere to standard operating procedures and quality control measures to mitigate errors. Collaboration between nursing and laboratory teams is essential to optimize patient care, streamline workflows, and ensure that diagnostic results are delivered promptly and accurately for effective decision-making in treatment plans.

References

1. Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clinical Chemistry. 2007;53(7):1338–1342.

2. Dorotic A, Antoncic D, Biljak VR, Nedic D, Beletic A. Hemolysis from a nurses’ standpoint–survey from four Croatian hospitals. Biochemia Medica (Zagreb). 2015;25(3):393–400.

3. Willock J, Richardson J, Brazier A, Powell C, Mitchell E. Peripheral venepuncture in infants and children. Nursing Standard. 2004;18(27):43–50; quiz 2, 5–6.

4. Lippi G, Banfi G, Church S, Cornes M, De Carli G, Grankvist K, et al. Preanalytical quality improvement. In pursuit of harmony, on behalf of European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working group for Preanalytical Phase (WG-PRE). Clinical Chemistry and Laboratory Medicine. 2015;53(3):357–70.

5. Da Rin G. Pre-analytical workstations: a tool for reducing laboratory errors. Clinica Chimica Acta. 2009;404(1):68–74.

6. Grahn M, Olsson E, Mansson ME. Interactions Between Children and Pediatric Nurses at the Emergency Department: A Swedish Interview Study. Journal of Pediatric Nursing-Nursing Care of Children and Families. 2016;31(3):284–292.

7. Bolenius K, Brulin C, Graneheim UH. Personnel’s Experiences of Phlebotomy Practices after Participating in an Educational Intervention Programme. Nursing Research and Practice. 2014;2014:538704.

8. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77–101.

9. Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology. 2020. pp. 1–25.

10. CLSI. Collection of Diagnostic Venous Blood Specimens. Wayne, PA: Clinical and Laboratory Standards Institute; 2017.

11. Arslan FD, Karakoyun I, Basok BI, Aksit MZ, Celik E, Dogan K, et al. The Effects of Education and Training Given to Phlebotomists for Reducing Preanalytical Errors. Journal of Medical Biochemistry. 2018;37(2):172–180.

12. Lippi G, Von Meyer A, Cadamuro J, Simundic A-M. Blood sample quality. Diagnosis. 2019;6(1):25–31.

13. Lippi G, Chance JJ, Church S, Dazzi P, Fontana R, Giavarina D, et al. Preanalytical quality improvement: from dream to reality. Clinical Chemistry and Laboratory Medicine. 2011;49(7):1113–1126.

14. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349–357.

15. Watson ID, Wilkie P, Hannan A, Beastall GH. Role of laboratory medicine in collaborative healthcare. Clinical Chemistry and Laboratory Medicine. 2019;57(1):134–42.

16. Piazza J, Merkel S, Neusius H, Murphy S, Gargaro J, Rothberg B, et al. It’s Not Just a Needlestick: Exploring Phlebotomists’ Knowledge, Training, and Use of Comfort Measures in Pediatric Care to Improve the Patient Experience. Journal of Applied Laboratory Medicine. 2019;3(5):847–56.

17. Carraro P, Zago T, Plebani M. Exploring the initial steps of the testing process: frequency and nature of pre-preanalytic errors. Clinical Chemistry. 2012;58(3):638–642.

18. Gyllencreutz L, Pedersen I, Enarsson E, Saveman B-I, Bölenius K. The experience of healthcare staff of incident reporting with respect to venous blood specimen collection practices’. Policy and Practice in Health and Safety. 2019. pp. 1–10.

19. Hjelmgren H, Nilsson A, Andersson-Papadogiannakis N, Ritzmo C, Ygge BM, Nordlund B. Retrospective study showed that blood sampling errors risked children's wellbeing and safety in a Swedish paediatric tertiary care. Acta Paediatrica. 2019;108(3):522–8.

20. World Health Organization. WHO Guidelines on drawing blood: best practices in phlebotomy, paediatric and neonatal blood sampling. Geneva: World Health Organization; 2010.

21. Shander A, Corwin HL. A Narrative Review on Hospital-Acquired Anemia: Keeping Blood where It Belongs. Transfusion Medicine Reviews. 2020;34(3):195–199.

22. Simundic AM, Bolenius K, Cadamuro J, Church S, Cornes MP, van Dongen-Lases EC, et al. Joint EFLM-COLABIOCLI Recommendation for venous blood sampling. Clinical Chemistry and Laboratory Medicine. 2018;56(12): 2015–38.

23. Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clinical Biochemistry. 2013;46(13–14):1175–1179.

24. Danielsson L, Lundstrom ML, Holmstrom IK, Kerstis B. Anaesthetizing children-From a nurse anaesthetist’s perspective-A qualitative study. Nursing Open. 2018;5(3):393–9.

25. Hjelmgren H, Nilsson A, Myrberg IH, Andersson N, Ygge BM, Nordlund B. Capillary blood sampling increases the risk of preanalytical errors in pediatric hospital care: Observational clinical study. Journal for Specialists in Pediatric Nursing. 2021;26:e12337.

26. Karcher DS, Lehman CM. Clinical Consequences of Specimen Rejection A College of American Pathologists Q-Probes Analysis of 78 Clinical Laboratories. Archives of Pathology and Laboratory Medicine. 2014;138(8):1003–1008.

27. Karlsson K, Rydstrom I, Enskar K, Englund AC. Nurses’ perspectives on supporting children during needle-related medical procedures. International Journal of Qualitative Studies on Health and Well-being. 2014;9:23063.

28. Morgan DL. Reconsidering the role of interaction in analyzing and reporting focus groups. Qualitative Health Research. 2010;20(5):718–722.

29. Preisz A, Preisz P. Restraint in paediatrics: A delicate balance. Journal of Paediatrics and Child Health. 2019;55(10):1165–1169.

30. The National Society for Pediatric Nurses & the Swedish Nurses' Association. Guidelines for competence for pediatric nurses. Stockholm: Collected August, 2020.

31. Braun V, Clarke V. What can “thematic analysis” offer health and wellbeing researchers? International Journal of Qualitative Studies on Health and Well-being. 2014;9(1):26152.

32. Cadamuro J, Gaksch M, Wiedemann H, Lippi G, von Meyer A, Pertersmann A, et al. Are laboratory tests always needed? Frequency and causes of laboratory overuse in a hospital setting. Clinical Biochemistry. 2018;54:85–91.

33. Rosenberg RE, Williams E, Ramchandani N, Rosenfeld P, Silber B, Schlucter J, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hospital Pediatrics. 2018;8(6):330–337.

Downloads

Published

2024-06-30

How to Cite

Alhamed, Abdulrahman Saleh A, Alruwaili, Badr Ghardig A, Mamdouh Alturqi R. Alruwaili, Mansour Mohammed Alruwaili, Yahya Matar Dhahi Alanazi, Wafa Yatim Jilbakh Alruwaili, … Abeer Nasser Salem Al Saiari. (2024). Blood Sample Collection and Handling: Roles of Nursing and Laboratory Professionals. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4485

Issue

Section

Research Article