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Comparing the Push-Pull Versus Discard Blood Sample Method From Adult Central Vascular Access Devices
1St. Luke's Mountain States Tumor Institute, Meridian, Idaho. Dia Byrne, MSN, RN, ACNS-BC, OCN®, is a clinical nurse specialist in outpatient oncology at St. Luke's Mountain States Tumor Institute in Meridian, Idaho.
Abstract:
This study demonstrates the feasibility of replacing the discard blood sampling method for central vascular access devices with the push-pull method. A comparative, within-subject design was used to evaluate 61 unique, paired blood samples from 1 adult outpatient oncology clinic. A 21-measure laboratory panel was conducted on each of the paired samples. Interpretation showed a small mean bias and excellent agreement between the methods. Blood samples obtained using the push-pull method were within clinically acceptable ranges. No hemolysis was noted by laboratory evaluation of 59 samples.
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