The results of a close follow-up of trainees to gain a good blood collection practice Translated title: Rezultati detaljnog praćenja polaznika obuke u cilju podizanja kvaliteta i dobre prakse u postupku uzimanja uzoraka krvi

Abstract

Background

Phlebotomy is one of the most important steps in the preanalytical phase of a clinical laboratory process. In order to decrease phlebotomy errors, this specific procedure should be taught in detail by laboratory organizations. Our study aims to practice the training program on venous blood sampling and observe the close follow-up results.

Methods

In this observational study, 127 students who started their summer internship in Antalya Education and Research Hospital were given a one-day theoretical phlebotomy training in accordance with the Venous Blood Sampling Guidelines. After the theoretical training, phlebotomy applications of 10 students who were working in the field of out-patient blood sampling were observed both with and without their knowledge. A comprehensive checklist related to phlebotomy was created by the trainers in Antalya Education and Research Hospital and the observers answered each question as yes or no. For the statistical analysis, IBM SPSS Statistics 21.0 was used.

Results

After the theoretical education, the trainees were observed but no significant difference was found between the first and the second informed observations (p = 0.125). The students were observed three times more in the following week without their knowledge. There was a statistically significant difference between the first and the third unannounced observations (p=0.001).

Conclusions

In order to perform phlebotomy correctly, apart from theoretical education, a close follow-up is necessary too.

Translated abstract

Uvod

Flebotomija je jedan od najvažnijih koraka u preanalitičkoj fazi kliničkog laboratorijskog procesa. Da bi se smanjile greške u flebotomiji, laboratorije treba da pruže detaljnu obuku iz ovog specifičnog postupka. Cilj naše studije je sprovođenje programa obuke o uzimanju uzoraka venske krvi i posmatranje rezultata praćenja polaznika te obuke.

Metode

Ova opservaciona studija je uključila 127 studenata koji su započeli letnje stažiranje u Obrazovno-istraživačkoj bolnici u Antaliji. Navedeni studenti su prošli jednodnevno teorijsko usavršavanje iz flebotomije, a u skladu sa Smernicama za uzimanje uzoraka venske krvi. Nakon teorijske obuke, sprovedeno je praćenje primene procedura uzimanja uzoraka krvi kod 10 studenata koji su uzimali uzorke krvi u dnevnoj bolnici, i to sa ili bez njihovog znanja o tome. Treneri u Obrazovno-istraživačkoj bolnici u Antaliji su sačinili sveobuhvatnu listu pitanja, a studenti su na svako pitanje odgovorili sa da ili ne. Za statističku analizu korišćen je program IBM SPSS Statistics 21.0.

Rezultati

Nakon teorijske nastave, sprovedena je opservacija polaznika, ali nije uočena značajna razlika između prvog i drugog puta kada su studenti obavešteni da se vrši opservacija njihovih postupaka (p = 0,125). Sledeće nedelje je provera sprovedena tri puta i to bez znanja studenata. Utvrđena je statistički značajna razlika (p = 0,001) između prvog i trećeg nenajavljenog posmatranja.

Zaključak

Za pravilno uzimanje uzoraka krvi, osim teorijskog obrazovanja, neophodno je i pažljivo praćenje primene naučenog.