A large spill has occurred in a laboratory involving venous blood. Which of the following actions should the phlebotomist take?

Choice A Reason:

The median cubital vein is often the first choice for venipuncture due to its size and accessibility. It is located in the antecubital fossa and is usually well anchored by surrounding tissues, which makes it less likely to roll during needle insertion. This vein is also less painful for patients when punctured due to its location and the type of surrounding tissue.

Choice B Reason:

The basilic vein is another option for venipuncture, but it is not typically the first choice. It is located on the medial aspect (inner side) of the arm and is more prone to rolling and injury because it is not as well anchored as the median cubital vein. Additionally, the basilic vein is located near nerves and arteries, which increases the risk of complications during venipuncture.

Choice C Reason:

The cephalic vein runs along the lateral aspect (outer side) of the arm and can be used for venipuncture. However, it is often more difficult to locate and has a tendency to roll, which can make venipuncture more challenging. It is usually considered after the median cubital vein.

Choice D Reason:

Veins on the underside of the wrist should generally be avoided for routine venipuncture because they are often smaller, can be more painful due to the proximity to nerves and tendons, and have a higher risk of complications. These veins are considered only when other sites are not available or are unsuitable for venipuncture.

Choice A Reason:
CLIA, or the Clinical Laboratory Improvement Amendments, sets standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results. While CLIA provides a framework for laboratory operation, it does not offer specific guidelines for chemical spill cleanup.

Choice B Reason:
OSHA, or the Occupational Safety and Health Administration, provides regulations to ensure worker safety, including protocols for handling hazardous materials. However, OSHA itself does not provide the specific cleanup procedures; instead, it requires workplaces to follow certain safety practices.

Choice C Reason:
SDS, or Safety Data Sheets, provide detailed information on chemicals, including their properties, health hazards, protective measures, and safety precautions, including spill response and cleanup procedures. In the event of a chemical spill, the SDS contains the most direct instructions for safe and effective cleanup, making it the primary reference for a phlebotomist in this situation.

Choice D Reason:
The CDC, or Centers for Disease Control and Prevention, focuses on public health and disease prevention. While the CDC provides guidelines for infection control and laboratory safety, it is not the primary resource for chemical spill cleanup procedures.