QA In Phlebotomy- Policy

1. True/False. It is acceptable to "pop a finger" out of a glove if you have a difficult draw.

True

False

Popping a finger out of a glove is not an acceptable practice, even if someone is having a difficult draw. This is because it compromises the integrity of the glove and can lead to contamination or exposure to harmful substances. It is important to follow proper procedures and protocols when using gloves to ensure safety and prevent any potential risks.

Explanation

Popping a finger out of a glove is not an acceptable practice, even if someone is having a difficult draw. This is because it compromises the integrity of the glove and can lead to contamination or exposure to harmful substances. It is important to follow proper procedures and protocols when using gloves to ensure safety and prevent any potential risks.

2. What is the max number of attempts at drawing a patient allowed?

4

3

2

1

The maximum number of attempts at drawing a patient allowed is 2. This means that if the healthcare professional is unable to draw blood from the patient after 2 attempts, they should stop trying and seek assistance from someone else or consider alternative methods for drawing blood. This limit helps prevent unnecessary discomfort and potential complications for the patient.

Explanation

The maximum number of attempts at drawing a patient allowed is 2. This means that if the healthcare professional is unable to draw blood from the patient after 2 attempts, they should stop trying and seek assistance from someone else or consider alternative methods for drawing blood. This limit helps prevent unnecessary discomfort and potential complications for the patient.

3. At what time in the process of drawing someone's blood should you label (write patient name your tubes?

Before drawing the blood

After the collection, while the patient is in the bathroom

After collection and after the patient leaves

After collection and in the presence of the patient

The correct answer is "After collection and in the presence of the patient." It is important to label the blood tubes after collecting the blood and in the presence of the patient to ensure accuracy and avoid any mix-ups or misidentification. Labeling the tubes before drawing the blood may lead to confusion if multiple patients are being tested at the same time. Labeling after the collection and after the patient leaves or while the patient is in the bathroom can also increase the risk of mislabeling or misplacing the samples. Therefore, labeling in the presence of the patient after the collection is the most appropriate and reliable option.

Explanation

The correct answer is "After collection and in the presence of the patient." It is important to label the blood tubes after collecting the blood and in the presence of the patient to ensure accuracy and avoid any mix-ups or misidentification. Labeling the tubes before drawing the blood may lead to confusion if multiple patients are being tested at the same time. Labeling after the collection and after the patient leaves or while the patient is in the bathroom can also increase the risk of mislabeling or misplacing the samples. Therefore, labeling in the presence of the patient after the collection is the most appropriate and reliable option.

4. How long is it acceptable for a tourniquet to left on the patient?

No more than 1 minute

However long it takes me to assemble supplies and draw the blood

2 minutes

Do not know

A tourniquet should not be left on a patient for more than 1 minute because prolonged use can lead to tissue damage and ischemia. Tourniquets are typically used to restrict blood flow during medical procedures, and exceeding the recommended time limit can result in complications such as nerve damage or skin necrosis. Therefore, it is crucial to remove the tourniquet promptly after its intended use to ensure patient safety and minimize potential harm.

Explanation

A tourniquet should not be left on a patient for more than 1 minute because prolonged use can lead to tissue damage and ischemia. Tourniquets are typically used to restrict blood flow during medical procedures, and exceeding the recommended time limit can result in complications such as nerve damage or skin necrosis. Therefore, it is crucial to remove the tourniquet promptly after its intended use to ensure patient safety and minimize potential harm.

5. True/False. It is acceptable to draw blood from a fistula or shunt.

True

False

Drawing blood from a fistula or shunt is not acceptable. Fistulas and shunts are created surgically to provide access for dialysis or medication administration. Drawing blood from these sites can disrupt the flow of blood and cause complications such as infection or clotting. It is important to use alternative sites for blood draws to ensure the safety and integrity of the fistula or shunt.

Explanation

Drawing blood from a fistula or shunt is not acceptable. Fistulas and shunts are created surgically to provide access for dialysis or medication administration. Drawing blood from these sites can disrupt the flow of blood and cause complications such as infection or clotting. It is important to use alternative sites for blood draws to ensure the safety and integrity of the fistula or shunt.

6. If a patient has had a double mastectomy, what site is acceptable to draw the blood?

Foot Draw

Antecubital Fossa of the oldest mastectomy side

Back of the hand on the newest mastectomy side

Back of the hand on the oldest mastectomy side

After a double mastectomy, the lymphatic system may be affected, leading to lymphedema in the arm on the side of the oldest mastectomy. To avoid further complications, it is acceptable to draw blood from the back of the hand on the oldest mastectomy side. This location is less likely to cause damage or exacerbate lymphedema compared to drawing blood from the antecubital fossa or the hand on the newest mastectomy side. The foot draw option is not appropriate for this situation.

Explanation

After a double mastectomy, the lymphatic system may be affected, leading to lymphedema in the arm on the side of the oldest mastectomy. To avoid further complications, it is acceptable to draw blood from the back of the hand on the oldest mastectomy side. This location is less likely to cause damage or exacerbate lymphedema compared to drawing blood from the antecubital fossa or the hand on the newest mastectomy side. The foot draw option is not appropriate for this situation.