title: Percutaneous venepuncture practice in a large urban teaching hospital.
abstract: Occupational exposure to bloodborne pathogens remains an important and largely preventable issue in hospital practice. This article argues that formal training can increase use of best practice phlebotomy. A survey of at-risk healthcare workers at a central London hospital was conducted to identify factors associated with use of an evacuated blood collection system (BD Vacutainer and gloves while taking blood. Eighty per cent of doctors and 37% of non-doctors performing percutaneous venepuncture did not use the Vacutainer system exclusively. Doctors qualified less than three years were particularly likely to prefer needle and syringe. Venepuncture technique training significantly increased the probability of always using the Vacutainer system from 7% to 46%. The only factor independently associated with glove use was operator experience. There is considerable room for improvement in phlebotomy technique, particularly among junior doctors. The Modernising Medical Careers initiative provides a unique opportunity to implement this.
authors.affiliation: Division of Immunity and Infection, University of Birmingham, Edgbaston. m.little@bham.ac.uk
authors.forename: Mark A
authors.initials: MA
authors.lastname: Little
authors.forename: Tanya
authors.initials: T
authors.lastname: Hussein
authors.forename: Mark
authors.initials: M
authors.lastname: Lambert
authors.forename: Stuart J
authors.initials: SJ
authors.lastname: Dickson
mesh_terms: D001800:Blood Specimen Collection / Q000295:instrumentation*; D017848:Blood-Borne Pathogens; D002983:Clinical Competence; D004501:Education, Medical; D004506:Education, Nursing; D005932:Gloves, Surgical / Q000706:statistics & numerical data*; D006282:Health Personnel; D006784:Hospitals, Teaching; D006801:Humans; D008131:London; D015999:Multivariate Analysis; D009339:Needles / Q000706:statistics & numerical data; D016602:Needlestick Injuries / Q000517:prevention & control; D016273:Occupational Exposure / Q000517:prevention & control*; D018962:Phlebotomy; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013594:Syringes / Q000706:statistics & numerical data; D014505:Urban Population