Different Wiping Motions in Phlebotomy

Study Overview
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Brief Summary
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This study was conducted with 90 patients. The phlebotomy site was wiped with circular motion in the group-I, vertical movement in the group-II, and first vertical and then circular motion in the group-III.

Detailed Description
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Aim: This study was conducted to evaluate the effects of different wiping motions used in phlebotomy on vein visibility, procedural success, and phlebotomy-related complications. Background: In phlebotomy practice, many application guidelines or textbooks are used. In these references, it is seen that phlebotomy site is wiped with different motions. Methods: This study was conducted with 90 patients. The phlebotomy site was wiped with circular motion in the group-I, vertical movement in the group-II, and first vertical and then circular motion in the group-III.

Official Title
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The Effect of Different Wiping Motions in Phlebotomy on Vein Visibility, Procedural Success and Phlebotomy-related Complications

Conditions
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Nurse's Role

Intervention / Treatment
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* Other: circular motion
* Other: vertical motion
* Other: circular+vertical motion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: who are over 18 years old, without any psychiatric diseases, without vision or hearing problems, hospitalized in the internal medicine clinic, with platelet counts of 200 000 / mm³ and above, 8 cc of blood is ordered for lab test and individuals who volunteered to participate in the study Exclusion Criteria: having a local or systemic infection, having vascular disease, having an immunopathological problem, scarring, psoriasis, active dermatitis in the phlebotomy site, having peripheral nerve disease, having peripheral neuropathy, patients with coagulation disorder, individuals who don't volunteered to participate in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: circular motion<br>The phlebotomy site was wiped in a circular motion from the center outwards, approximately 5x5 cm wide. | Other: circular motion<br>* The phlebotomy site was wiped in a circular motion from the center outwards, approximately 5x5 cm wide.<br>|
| Experimental: vertical motion<br>The phlebotomy site was wiped vertically from top to bottom with a single maneuver. | Other: vertical motion<br>* The phlebotomy site was wiped vertically from top to bottom with a single maneuver.<br>|
| Experimental: first vertical then circular motion<br>The phlebotomy site was first vertically wiped from top to bottom with a single maneuver, and then it was wiped in a circular motion from the center to the outside. Different swabs were used in both wipes. | Other: circular+vertical motion<br>* The phlebotomy site was first vertically wiped from top to bottom with a single maneuver, and then it was wiped in a circular motion from the center to the outside.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vein Assessment | This evaluation has a total of 5 assessment steps, (1) veins are neither visible nor palpable, (2) veins are visible but not palpable, (3) veins are barely visible and palpable, (4) veins are visible and palpable, and (5) veins are clearly visible and easily palpable. | up to 1 minute after wiping the venipuncture site | 
| Change in complications at 72 hours | The results of evaluations such as complication development and size of the complications. It was evaluated three times at the 24th, 48th and 72nd hours. | 24th, 48th and 72nd hour |