During phlebotomy, they made sure that the patients were not experiencing any pain or numbness in their hands. They maintained eye contact with the patient throughout the process. Prior to phlebotomy, they told the patients to make a fist and explained where venipuncture will be performed and how much blood (in mL) will be drawn. For example, they inform the patients that they are starting the blood collection. Subjects who played the role of nurses communicated with those who played the role of patients in order to reduce their anxiety. ' Thus, we confirmed that those who played the role of a nurse asked the patients if they have any preferences in terms of the site of venipuncture. Īs students, we have been taught that 'venipuncture should generally be performed in the superficial vein (cephalic, basilic, and medial cubital veins in the anterior elbow) but can also be performed in the dorsal hand veins if the former is challenging. Since phlebotomy is highly invasive, it is important to ensure that the procedure is performed safely and, more importantly, to ensure that patients feel comfortable while undergoing the procedure. Our training focused on phlebotomy since it is a high-priority skill required in the clinical setting that novice nurses often feel uncomfortable performing. As learners find their positions in the hospitals and clinics, we administered a survey to ask them about the skills that they feel uncomfortable performing so that we could plan our training to focus on those skills. The training was structured with individual courses that had specific purposes and learning objectives and used clinical equipment and tools to simulate the clinical setting. Additionally, as part of the effort led by the prefecture, we also invited novice nurses working in small-to-medium, non-academic hospitals or clinics to improve their overall quality and skills. Notably, since nursing students do not have a nursing license, they are limited in terms of the types of technical skills they can learn while in the clinical setting.Īt the Fukui University Hospital, we conducted hands-on training for novice nurses who had just started their jobs in April in order to enhance their practical skills. The Ministry of Health, Labour and Welfare reported that there is a discrepancy between the technical skills of graduating nurses and the expected level of competency in the clinical setting. However, there is significant variation among different nursing curriculums. Novice nurses are also required to meet such expectations thus, it is critical to enhance the skills of novice nurses to ensure the delivery of safe and high-quality care. Nurses have a significant role in addressing and adapting to these changes and expectations of the general public regarding the level of medical care expected. Nursing practice has become diverse due to advancements in medicine, changes in the types of diseases, aging of the patient population, and reduced lengths of stay.

Studies have demonstrated that the advantage of having phlebotomists is that medical professionals are able to focus on tasks that require advanced medical skills. a medical assistant that performs phlebotomy, and they do not require any other medical certification or degree. For example, training is sufficient for an individual to become a phlebotomist, i.e. In contrast, these clinical tasks are delegated to specific medical professionals in other countries such as the US and UK. In Japan, phlebotomy is almost exclusively performed by the nursing staff although a subset is performed by medical laboratory technologists.

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