Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
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Blood Collection Workload and Safety of Medical Technologists at Korean Hospitals

한국 의료기관에서 임상병리사의 채혈 업무 현황과 안전 실태 조사

  • Sung-Bae PARK (Department of Biomedical Laboratory Science, Masan University) ;
  • Suk JEKAL (Good Morning Internal Medicine Hospital) ;
  • Weon Joo HWANG (Department of Laboratory Medicine, Pusan National University Hospital) ;
  • Do Wang LEE (Department of Laboratory Medicine, Ulsan University Hospital) ;
  • Choong Won SEO (Department of Biomedical Laboratory Science, Dong-Eui Institute of Technology) ;
  • Sunghyun KIM (Department of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan)
  • 박성배 (마산대학교 임상병리과) ;
  • 제갈석 (굿모닝내과병원) ;
  • 황원주 (부산대학교병원 진단검사의학과) ;
  • 이도왕 (울산대학교병원 진단검사의학과) ;
  • 서충원 (동의과학대학교 임상병리과) ;
  • 김성현 (부산가톨릭대학교 보건과학대학 임상병리학과)
  • Received : 2023.06.08
  • Accepted : 2023.07.20
  • Published : 2023.09.30
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Abstract

This study investigates the current situation of medical technologists for blood collection, which is considered the most important step for diagnosis. The survey enrolled 650 medical technologists working in hospitals and medical check centers in Busan, Ulsan, and Gyeongnam. We found that each medical technologist performed blood collection for about 100 patients. There was more than one blood collection failure per day, with more than one case of pain and filing of civil complaints per year. Hence, there was a high work burden on the medical technologists. Cases where a medical technologist was stabbed with a used needle occurred more than once a year, and about 15% of them received infection control and treatment because of stab wounds. Additionally, more than half of the participants suffered from musculoskeletal disorders and mental stress due to blood collection work. Unlike administering intravenous and intramuscular injections using the same needle, no fee is charged for blood collection. Based on the results of this study, it will be possible to improve the safety and rights of medical technologists by calculating the actual fee for blood collection work and assigning a relative value score.

본 연구에서는 진단검사를 수행하기 위해 가장 중요하다고 할 수 있는 채혈 업무에 대한 임상병리사의 현 상황을 알아보고, 이를 통해 채혈 업무에 대한 행위료의 보험 수가 산정 및 상대 가치점수 부여를 통한 임상병리사의 권익을 향상시키고자 하였다. 부산·울산·경남 지역의 병원에서 근무하고 있는 임상병리사를 대상으로 설문조사를 실시하였고, 총 650명의 임상병리사를 대상으로 연구를 수행하였다. 연구결과 1명의 임상병리사가 약 100명의 피검자를 대상으로 채혈 업무를 수행하는 것을 확인할 수 있었다. 채혈 실패 건수는 하루에 1건 이상 실패하는 것을 확인할 수 있었고, 통증 호소 환자 및 이를 통한 민원 발생은 1년간 1건 이상 발생하여 검사자의 부담감이 높은 것을 확인할 수 있었다. 사용한 바늘에 채혈자가 찔리는 경우도 1년간 1건 이상 발생되고 있고, 자상으로 인한 감염관리 진료 및 치료를 받은 경우도 약 15% 발생되고 있음을 확인하였다. 채혈 업무로 인한 근골격계 질환 발생 및 정신적 스트레스를 받는 비율은 절반 이상의 인원이 받는 것을 확인할 수 있었다. 현재 같은 주사침을 이용한 정맥 및 근육 주사와는 달리 채혈 업무에 대한 행위료는 없는 상황이기 때문에, 이러한 연구 결과를 기반으로 채혈 업무에 대한 행위료 산정 및 상대 가치점수 부여를 통해 임상병리사의 안전 및 권익을 향상시킬 수 있을 것으로 사료된다.

Keywords

Acknowledgement

We would like thank medical technologists from Pusan, Ulsan, and Gyeongnam who participated in the survey.

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