The impact of prehospital blood collection on time to laboratory test results and emergency department length of stay

Heidi Lindner, Wayne Schmedel, Marian Martin, Mickey Heidt, Carrie McMahon, Jennifer Romans

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Introduction: The purpose of this prospective study was to determine the impact of obtaining blood specimens in the prehospital setting versus drawing specimens in-hospital. Variables examined were length of time from arrival to laboratory result availability; specimen quality; and emergency department length of stay. Methods: A total of 101 patients were enrolled in the study and assigned to either prehospital group (n = 58) or the in-hospital group (n = 43). Clinical laboratory personnel were blinded to the study groups. Results: Patients in the experimental group had door-to-results times for complete blood cell counts of 26 min shorter than the control group (p < .004). Doorto- results times for serum chemistry studies were 28 min faster than controls (p < .02). There was no significant difference between groups for hemolysis. Conclusions: Collecting samples in the prehospital setting significantly shortens time to results, is not associated with an increase in hemolysis, and may decrease overall emergency department lengths of stay.
    Original languageEnglish
    Pages (from-to)354-359
    Number of pages6
    JournalAdvanced Emergency Nursing Journal
    Volume32
    Issue number4
    Publication statusPublished - 2010

    Keywords

    • emergency nursing
    • hemolysis

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