About

Access Before Analysis™ is an observational framework designed to document pre-analytic access variability in workflows—particularly encounters where a specimen cannot be obtained.

It focuses on the earliest stage of diagnostic care:
whether specimen acquisition is reliably achievable before laboratory analysis begins.

This work brings visibility to a critical but often unmeasured gap—when access fails and no specimen exists to evaluate.

Franchesca Kelly

PBT(ASCP), MLA, RBT

Franchesca Kelly is a pediatric laboratory and behavioral integration specialist with over eight years of direct pediatric blood collection experience.

Her work centers on pre-analytic access variability—the often unmeasured space between test ordering and analytic evaluation—particularly in developmentally variable pediatric populations.

Access Before Analysis™ emerged from direct clinical observation at the intersection of:

• Laboratory workflow
• Specimen acquisition feasibility
• Behavioral regulation during pediatric procedures

The framework formalizes structured observation of specimen access attempts before analytic comparison begins.

Her approach integrates:

• Pre-analytic laboratory integrity
• Developmental and behavioral readiness
• Workflow stability in high-variability pediatric encounters
• Regulatory-aligned observational methodology

Her writing on pediatric diagnostics and patient experience has been featured in:

• ASCP Critical Values
• Contemporary Pediatrics

Franchesca continues active behavioral work with neurodivergent children, grounding this framework in real-world clinical complexity.

https://criticalvalues.org/news/item/2026/04/14/when-no-specimen-exists--a-pre-analytic-blind-spot-in-pediatric-care

Learn more about pediatric patient-support and behavioral preparation:

Poke Pals™
www.pokepalskids.com