训练有素的护士能够获取满意的骨髓穿刺液和环钻活检组织。
Trained nurses can obtain satisfactory bone marrow aspirates and trephine biopsies.
作者信息
Lawson S, Aston S, Baker L, Fegan C D, Milligan D W
机构信息
Department of Haematology, Birmingham Heartlands Hospital, UK.
出版信息
J Clin Pathol. 1999 Feb;52(2):154-6. doi: 10.1136/jcp.52.2.154.
AIMS
To assess the feasibility of training nurse practitioners to perform bone marrow aspiration and trephine biopsy, and to compare the quality of these samples with those obtained by medical staff.
METHODS
A retrospective audit was undertaken of nurse practitioner and medical staff performance in bone marrow procedures in a busy haematology day unit.
RESULTS
Nurse practitioners fared favourably in comparison with medical staff in performing bone marrow trephine biopsies, with mean biopsy lengths of 11 mm and 10.7 mm respectively. However, only 78% of the smears obtained by the nurses were judged technically satisfactory, compared with 91% prepared by doctors. This discrepancy was thought to be due largely to the quality of slide spreading.
CONCLUSIONS
With motivated staff and a structured educational and training programme it is possible for nurse practitioners to perform the techniques of bone marrow aspiration and biopsy, and obtain specimens of satisfactory quality, thus improving efficiency of the haematology day unit and increasing quality of patient care.
目的
评估培训执业护士进行骨髓穿刺和活检的可行性，并将这些样本的质量与医务人员获取的样本质量进行比较。
方法
对繁忙血液科日间病房中执业护士和医务人员进行骨髓操作的表现进行回顾性审计。
结果
在进行骨髓活检方面，执业护士与医务人员相比表现良好，平均活检长度分别为11毫米和10.7毫米。然而，护士制作的涂片只有78%在技术上被判定为满意，而医生制作的为91%。这种差异被认为主要是由于涂片制作质量。
结论
有了积极主动的工作人员以及结构化的教育和培训计划，执业护士有可能进行骨髓穿刺和活检技术，并获得质量令人满意的标本，从而提高血液科日间病房的效率并提升患者护理质量。
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