Present Clinical Issues about Routine Blood Sampling in the NICU <Original Article>

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  • NICUにおけるルチーン採血の現状と課題 <原著>
  • NICUにおけるルチーン採血の現状と課題
  • NICU ニ オケル ルチーン サイケツ ノ ゲンジョウ ト カダイ

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Abstract

The purpose of this study was to identify the present clinical issues about routine blood sampling in the NICU. A structured questionnaire was distributed to 201 NICU nurse managers and 115 valid responses were received (57.2%). Data were descriptively analyzed. On the whole results were as follows: 1) Blood sampling was done by a neonatologist alone from 6am to 9am, 2) Site of blood sampling was chosen as heel or back of hand by blood sample volume, 3) Needle was more used than lancet for heelstick, and 23-gauge needle was used for collecting blood drops from vein of hand, 4) Warming of the site of blood sampling was not done, 5) Pacifier was used on crying for pain alleviation (40%), and 6) NICU nurse managers recognized the necessity of improvement of present condition. Through the study results, four clinical issues were identified about routine blood sampling in the NICU: 1) Blood sampling method, 2) Heel lancing device, 3) Pain alleviation, 4) Collaboration between nurse and medical doctor.

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