Young Hee Sung; Moon Sook Hwang; Jee Hyang Lee; Hyung Doo Park; Kwang Hyun Ryu; Myung Sook Cho; Young Hee Yi; S. Song

doi:10.4040/jkan.2012.42.3.443

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Original Article
A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department: Young Hee Sung, Moon Sook Hwang, Jee Hyang Lee, Hyung Doo Park, Kwang Hyun Ryu, Myung Sook Cho, Young Hee Yi, S. Song; Journal of Korean Academy of Nursing 2012;42(3):443-451.
DOI: https://doi.org/10.4040/jkan.2012.42.3.443
Published online: June 29, 2012

¹Professor, Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

²Assistant Professor, Department of Nursing Science, School of Oriental Medicine in WooSuk University, Jeonbuk, Korea.

³Nursing Manager, Department of Nurisng, Samsung Medical Center, Seoul, Korea.

⁴Assistant Professor, Department of Laboratory & Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

⁵General Directror, Department of Laboratory & Genetics, Samsung Medical Center, Seoul, Korea.

⁶Associate Professor, Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

⁷Associate Professor, Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

⁸Adjunct Faculty, School of Nursing, University of Maryland, Baltimore, USA.

Address reprint requests to: Hwang, Moon Sook. Department of Nursing Science, School of Oriental Medicine in WooSuk University, 443 Samnye-ro, Samnye-eup, Wanju-gun, Jeollabuk-do 565-701, Korea. Tel: +82-63-291-1989, Fax: +82-63-291-1547, msyellow45@hanmail.net

• Received: September 28, 2011 • Accepted: May 30, 2012

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to compare the rates of hemolysis and repeated sampling in blood samples obtained by a syringe needle versus a vacuum tube needle.
Methods
A randomized, prospective study was used to evaluate the differences between the two blood sampling methods. The study group consisted of patients seen in the emergency department (ED) for blood sampling to determine electrolyte level. ED patients were randomly assigned to either the syringe group or the vacuum tube group. All blood samples were collected by experienced ED nurses and hemolysis was determined by experienced laboratory technologists. Data were analyzed using Fisher's exact test and binary logistic regression.
Results
One hundred forty-five valid samples were collected (74 in the syringe group versus 71 in the vacuum tube group). 5 of 74 (6.8%) blood samples in the syringe group and 8 of 71 (11.3%) in the vacuum tube group hemolyzed. Repeated blood sampling occurred for 2 of 74 (2.7%) and 3 of 71 (4.2%) in each group respectively. There were no significant differences in rates of hemolysis and repeated sampling between two groups (B=1.97, p=.204; B=2.36, p=.345).
Conclusion
Venipuncture with syringe needles can be recommended for ED nurses to obtain blood samples.
Keywords: Hemolysis; Blood specimen collection; Syringe; Vacuum tube; Emergency

This study was financially supported by the research fund of nursing department of Samsung Medical Center in 2010.

REFERENCES

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Table 1

Rate of Hemolysis and Repeated Blood Sampling (N=145)

SG=Syringe group; VTG=Vacuum tube group.

^*Fisher's exact test.

Table 2

Characteristics related to Blood Sampling and its Homogeneity by Group (N=145)

SG=Syringe group; VTG=Vacuum tube group

^*Fisher's exact test; ds=disease.

Table 3

Comparison of Hemolysis and Repeated Blood Sample (N=145)

CI=Confidence interval; Site of blood sampling: Left upper extremity(1) vs Right upper extremity(0); Size of needle=22G(1) vs 20 & 21G(0), Method of blood sampling: Vaccutainer(1) vs Syringe(0).

^*Hemolysis: -2 log likelihood=64.49, Model χ² for df 6=20.86 (p=.002); Hosmer-Lemeshow χ² for df 8=8.63(p=.375), Percentage of correct prediction=90.3%; ^†Repeated blood sampling: -2 log likelihood=29.70, Model χ² for df 6=12.99(p=.043), Hosmer-Lemeshow χ² for df 8=11.52 (p=.174), Percentage of correct prediction=97.0%.

Figure & Data

REFERENCES

Citations

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A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department

J Korean Acad Nurs. 2012;42(3):443-451. Published online June 29, 2012

DOI: https://doi.org/10.4040/jkan.2012.42.3.443

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A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department

Table 1

Rate of Hemolysis and Repeated Blood Sampling (N=145)

SG=Syringe group; VTG=Vacuum tube group.

^*Fisher's exact test.

Table 2

Characteristics related to Blood Sampling and its Homogeneity by Group (N=145)

SG=Syringe group; VTG=Vacuum tube group

^*Fisher's exact test; ds=disease.

Table 3

Comparison of Hemolysis and Repeated Blood Sample (N=145)

CI=Confidence interval; Site of blood sampling: Left upper extremity(1) vs Right upper extremity(0); Size of needle=22G(1) vs 20 & 21G(0), Method of blood sampling: Vaccutainer(1) vs Syringe(0).

Table 1 Rate of Hemolysis and Repeated Blood Sampling (N=145)

SG=Syringe group; VTG=Vacuum tube group.

^*Fisher's exact test.

Table 2 Characteristics related to Blood Sampling and its Homogeneity by Group (N=145)

SG=Syringe group; VTG=Vacuum tube group

^*Fisher's exact test; ds=disease.

Table 3 Comparison of Hemolysis and Repeated Blood Sample (N=145)

CI=Confidence interval; Site of blood sampling: Left upper extremity(1) vs Right upper extremity(0); Size of needle=22G(1) vs 20 & 21G(0), Method of blood sampling: Vaccutainer(1) vs Syringe(0).