7 Complications and Quality Practices Free Online FlashCards

What should you do if a hematoma develops during a draw?

Stop the draw, release the tourniquet, remove the needle safely, and apply firm pressure. Do not probe or redirect the needle under the skin.

How should you respond to fainting or near-fainting during collection?

Stop the draw, remove the needle safely, and protect the patient from falling. Call for help and follow facility procedures; do not leave the patient alone.

What do sudden tingling or electric-shock pain during venipuncture require?

Stop immediately, remove the needle safely, and report the event according to policy. Never continue through persistent or sharp pain.

What should you check when blood does not flow?

Check that the tube is seated correctly and the equipment works. A missed vein, needle against the vein wall, or collapsed vein may prevent flow. Do not probe; stop and seek help if needed.

How should you handle a hemolyzed or otherwise unsuitable specimen?

Use laboratory rejection and recollection procedures. Do not alter or conceal a specimen-quality problem.

What is the first response to patient distress, nausea, or movement?

Pause, secure the equipment, and address the patient's immediate needs. If the patient becomes unresponsive or the situation exceeds your training, summon help and follow emergency procedures.

What is quality assurance in specimen collection?

Quality assurance is planned, ongoing work to prevent errors and check that collection meets established requirements.

What should you verify about an order before collection?

Confirm the requested tests and check timing, fasting, and special handling requirements. Ask for clarification if instructions conflict or are unclear.

How do you positively identify a patient before collection?

Use the identifiers required by facility policy and compare them with the order or wristband. Never rely on a room number or familiar face.

When should specimen tubes be labeled?

Label specimens as required at the collection site and time. Never pre-label tubes for multiple patients.

What should be checked when assessing specimen acceptability?

Check that it is properly identified, collected in the correct tube, and sufficient and suitable for the requested test. Follow laboratory policy for specimen problems.

Why report errors and near misses?

Report problems through the established quality or safety process. Accurate reporting can reveal recurring causes and help improve procedures.