engleski

National recommendations for venous blood sampling

Phlebotomy is one of the most complex medical procedures in diagnosis, management and treatment of patients in healthcare. In order to minimize the possibility of errors, phlebotomy procedure should be standardised, well-documented and written instructions should be available at every workstation. Most European countries use one of two documents: CLSI (Clinical Laboratory Standards Institute) H3-A6 Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture ; Approved Standard-Sixth Edition (CLSI, 2007) and WHO (World Health Organization) guidelines on drawing blood: best practices in phlebotomy (WHO, 2010), while only a small number of countries have their own recommendations. Even though Croatia has the Standard of good laboratory practise issued by Croatian Chamber of Medical Biochemists, the document is outdated and in need of expansion and revision based on the evidence from the recent literature. In 2012, Croatian Society of Medical Biochemistry and Laboratory Medicine (CSMBLM) formed the Working group for preanalytical phase, with the first task of issuing national recommendations for venous blood sampling. Document was drafted after review of relevant literature sources in phlebotomy published in the last decade with the biggest focus on adaptation of H3-A6 guideline. Recommendation is primarily intended for laboratory staff when performing venous blood sampling within medical biochemistry laboratories. Only evacuated tubes are recommended, use of syringes is discouraged.

phlebotomy, preanalytical phase

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