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Contribution of a Winged Phlebotomy Device Design to Blood Splatter

Published online by Cambridge University Press:  02 January 2015

Donna J. Haiduven ,
Christine McGuire-Wolfe  and
Shawn P. Applegarth
Donna J. Haiduven*
Affiliation:
Veterans Administration Health Services Research and Development/Rehabilitation Research and Development Research Center of Excellence, Tampa, Florida Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida
Christine McGuire-Wolfe
Affiliation:
Veterans Administration Health Services Research and Development/Rehabilitation Research and Development Research Center of Excellence, Tampa, Florida Department of Global Health, College of Public Health, University of South Florida, Tampa, Florida
Shawn P. Applegarth
Affiliation:
Veterans Administration Health Services Research and Development/Rehabilitation Research and Development Research Center of Excellence, Tampa, Florida
*
Department of Global Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Boulevard, MDC 56, Tampa, FL 33612 ([email protected])
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Abstract

Background.

Despite a proliferation of phlebotomy devices with engineered sharps injury protection (ESIP), the impact of various winged device designs on blood splatter occurring during venipuncture procedures has not been explored.

Objectives.

To evaluate the potential for blood splatter of 6 designs of winged phlebotomy devices.

Design.

A laboratory-based device evaluation without human subjects, using a simulated patient venous system.

Methods.

We evaluated 18 winged phlebotomy devices of 6 device designs by Terumo, BD Vacutainer (2 designs), Greiner, Smith Medical, and Kendall (designated A-F, respectively). Scientific filters were positioned around the devices and weighed before and after venipuncture was performed. Visible blood on filters, exam gloves, and devices and measurable blood splatter were the primary units of analysis.

Results.

The percentages of devices and gloves with visible blood on them and filters with measurable blood splatter ranged from 0% to 20%. There was a statistically significant association between device design and visible blood on devices (P< .0001) and between device design and filters with measurable blood splatter (P< .0001), but not between device design and visible blood on gloves. A wide range of associations were demonstrated between device design and visible blood on gloves or devices and incidence of blood splatter.

Conclusions.

The results of this evaluation suggest that winged phlebotomy devices with ESIP may produce blood splatter during venipuncture. Reinforcing the importance of eye protection and developing a methodology to assess ocular exposure to blood splatter are major implications for healthcare personnel who use these devices. Future studies should focus on evaluating different designs of intravascular devices (intravenous catheters, other phlebotomy devices) for blood splatter.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 11 , November 2012 , pp. 1069 - 1076
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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