This study is aimed at studying the problems that arise when nurses perform phlebotomy for laboratory research in Russia, and compare them with international experience to improve the quality of the pre-analytical stage of laboratory research. Using the method of sociological research, 153 nurses of the North-Western and Ural federal districts of Russia were interviewed regarding phlebotomy . The results were compared with data from an international survey conducted by the working group of the European Federation of Clinical Chemistry and Laboratory Medicine at the preanalytical stagelaboratory studies (EFLM WG-PA). On the territory of Russia, the most frequent problems with blood sampling are duplicate tests (80.4%), inaccessibility of veins (39.9%), blood sampling in newborns and children under 1 year of age (10.5%), accidental needle injections (28%) . Hemolysis (79.1%), confused patient samples (15.7%), broken test tubes (5.2%) were noted among the reasons for repeated analyzes. The study found that 19.6% of nurses were not trained to take blood from a vein for clinical laboratory studies.
An international study found that not all countries have educational programs in phlebotomy.and there are national guidelines for its implementation, which requires further study of this problem. It is necessary to develop educational and training programs for medical personnel involved in phlebotomy , and to create national standards harmonized with international recommendations for conducting this procedure to improve the quality of the pre-analytical stage of laboratory research.
The study was carried out in the course of the study. The technique of sociological survey was applied. 123 medical nurses of the North West federal okrug and the Ural federal okrug. The questionnaire refers to issues of application ofphlebotomy. The results were compared to a study on the pre-analytical stage of the European Federation of Chemicals and Laboratory Medicine (EFLM WG-PA). Dubbed analyzes (80.4%), out-of-the-way placement ofvein (39.9%), up to 1 year (10.5%), casual pricks (28%). Established hemolysis (79.1%), “mixed up” samples ofpatients (15.7%), broken test tubes (5.2%). I would like to draw a letter from a phantotomy study. developed.
Phlebotomy (bloodletting) is a therapeutic measure consisting in extracting a certain amount (200–500 cm ³) of blood using a puncture (the so-called venipuncture) or a vein incision (less often an artery) or by means of leeches. Currently phlebotomy is a blood collection procedure for testing.
The method was popular for almost 2 thousand years, until the end of the 19th century, when it gradually fell out of use.
Bleeding – sometimes local – with the help of pricks, notches, putting leeches and devices sucking blood – and general – by opening some large veins in the neck, arm or leg. Bloodletting was known in the deepest antiquity to the Hindus, and Hippocrates even left a whole treatise on it. During this long period up to the present day, Bleed, its benefits and harms, have been the subject of constant controversy in medicine. Currently, science has established very accurate and definite indications that have significantly limited the range of its use. Local Bloodletting is in most cases used for localized blood stasis, for inflammation of certain organs and parts of the body. By removing more or less blood, we reduce the contents of the veins and remove obstacles to proper blood circulation in the diseased part of the body.
A bowl-shaped device in which a vacuum is created is placed on the patient’s back, shoulder, hip, or abdomen, depending on the symptoms. Vacuum suction helps suck blood. The amount of sucked blood depends on the symptoms, and can vary from a quarter cup to a full cup. During the procedure, the patient experiences light painful sensations.
If, according to experts, the patient needs to release more blood, an additional 2-2.5 cups are released from the deep veins of the tongue located in the hypoglossal region.
Have you ever heard the phrase “dirty blood”? Western medicine does not mention it, however, the “dirty blood” is the blood thick, dark and friable. At first, these words sounded too medical for me, so I did not take them seriously. The idea of dirty clotted blood did not at all correspond to William Harvey’s theory of blood circulation. However, when I myself went through the procedure of bloodletting, I understood what “dirty blood” is as soon as I saw my own blood. It happened in January 2005 at a hospital in Busan (Pusan), specializing in traditional Korean medicine. My blood even looked seemingly dirty, and was dark purple in color. I could not believe that she was indeed taken from my body. It was strikingly different from the blood that was taken from the veins in her arms for analysis.
According to the director of the hospital, thirty years earlier, who graduated with honors from the medical faculty of Kung Hee University, phlebotomy is the fastest and right way to remove toxins from the body.
Indeed, after the bleeding session, the traces of tiredness around the eyes and a feeling of heaviness in my head disappeared, and I was in great shape.
After receiving this experience, I began to take out my patients who had undergone rehabilitation after strokes, complained of general fatigue and discomfort, were in menopause, and also suffered from high blood pressure, atopic dermatitis, autonomic nervous disorders, erectile dysfunction, once a month. enlarged prostate, headaches and other disorders, to the hospital in Busan. All of them, without exception, having experienced the impressive healing effect of bloodletting, began to feel much better.
Phlebotomy training courses
The health sector is growing at a fast pace and there is a continuous need for qualified and effectively trained people in this subject. Phlebotomy is, of course, one such profession that can experience incredible growth. Phlebotomy means a procedure for taking blood from people for research purposes. Accreditation recognizes that people in the field of phlebotomy are capable enough to work in laboratories, hospitals and private and public clinics. Phlebotomy qualifications are required in a simple two states in Usa, and they include Ca and La. Many hospitals, clinics and laboratories want to hire those people holding qualifications. You should get a certificate, rather then missing a chance of getting a good job. Accreditation of phlebotomy gives an additional edge to people in such a field. American Society of Clinical Pathology, The American Society of Technical Staff Phlebotomy and the National Phlebotomy Association provide testimony to people. Two types of people can take qualifications in the field of phlebotomy. The first type includes people who have completed courses in the field of phlebotomy. Other kind of people include people who have events in the area. The prerequisites for accreditation from the American Society of Clinical Pathology include high school graduation, 40 hours of school study space, One hundred and twenty hours of visible training, and one hundred independent blood collections. Phlebotomy Technical Staff Association Requirements – Completion of a phlebotomy training curriculum from an approved institute, 100 registered and successful venipunctures, current members of ABLE and 5 successful skin punctures. Those with one year of experience in this field may attend a training course and qualify for phlebotomy certification through the National Phlebotomy Association. To be eligible for this certification, the curriculum must include venipuncture methods, one hundred and sixty hours of study of the classroom and practical internship. It is preferable for people to obtain accreditation from an accredited college of phlebotomy or educational fund. Those people who have a high school diploma or those with phlebotomy experience can get a certificate in this area. An alternative option available to interested students is to obtain qualifications as a result of online institutions. These online exams can be taken by people who register for approved phlebotomy courses and people
Phlebotomy 101 training course teaches anatomy, problems of physiology with phlebotomy along with venipuncture tactics and administrative aspects. Training courses additionally teach those people means meeting with patients and caring for reports. For students looking to obtain a phlebotomy certificate, it is better to have actual realistic training after moving past the phlebotomy exam. In most students, phlebotomy institutes are actually able to work in practical settings like hospitals, clinics and laboratories. Such training institutions should be selected after careful analysis. After completing the academic use of the educational institution and after you have a certificate, the phlebotomist can get a job in a core position in this area. After that, how several years of practical experience and additional training people can work in a supervisory position or raise other responsibilities in the health sector. However, additional training is usually necessary in these cases.
Why don’t bloodletting be done in Japan?
In earlier times, acupuncture specialists and manual therapists regularly performed phlebotomy, which was considered one of the traditional methods of treatment. However, in recent years, they do not have such an opportunity, since now, by law, bloodletting can only be done by certified doctors. Alas, in Japan, with the exception of a small handful of professionals, doctors have no idea about the effectiveness of phlebotomy. Doctors who prefer the methods of modern Western medicine, can only prescribe drugs that have many side effects. As a result, phlebotomy, as if disappeared from the face of the earth. Meanwhile, bloodletting not only helps in the treatment of hemochromatosis, but has recently been actively used, also for the treatment of hepatitis. And, anyway, many doctors do not know that phlebotomy is extremely effective for preventing hepatitis,