A phlebotomist has entered incorrect information in a patient's paper chart after a venipuncture procedure. Which of the following actions should the phlebotomist take to correct the error?
Notify the provider about the error.
Ask an administrator to erase the error and input the correct information.
Strike a line through the error and initial.
Erase the error and enter the correct information.
The Correct Answer is C
Choice A Reason:
Notifying the provider about the error is an important step, but it does not correct the error in the patient's chart. Communication with the provider ensures that they are aware of the mistake and can make informed decisions regarding patient care. However, the physical correction of the documentation is also necessary to maintain accurate medical records.
Choice B Reason:
Asking an administrator to erase the error is not a recommended practice. Erasing or using correction fluid can make the chart appear tampered with, which can have legal implications. It is essential that the original entry remains visible to preserve the integrity of the medical record.
Choice C Reason:
Striking a line through the error and initialing is the correct method for correcting a written error in a patient's chart¹². This approach allows the original entry to remain legible, which is crucial for legal and clinical reasons. It also shows that the correction was made by an authorized individual, as the initials indicate who made the change.
Choice D Reason:
Erasing the error and entering the correct information is not an acceptable practice for the same reasons as choice B. It is important not to remove or conceal the original entry, as this could be considered falsifying medical records.
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Related Questions
Correct Answer is A
Explanation
Choice A Reason:
A quiet and professional tone of voice is essential for a phlebotomy technician when introducing themselves to a patient. This tone conveys respect and maintains a calm environment, which is particularly important in healthcare settings where patients may be anxious or fearful about medical procedures. A professional demeanor helps to establish trust and reassures the patient that they are in capable hands.
Choice B Reason:
A loud and authoritative tone is not appropriate when introducing oneself to a patient. It can be intimidating and may increase the patient's anxiety. The goal is to make the patient feel comfortable and safe, not overpowered or coerced.
Choice C Reason:
Being assertive and humorous can sometimes help to lighten the mood and make the patient feel more at ease. However, humor must be used judiciously as it may not be well-received by all patients, especially in a medical setting where they might be experiencing stress or discomfort.
Choice D Reason:
A commanding and confident tone may convey confidence, but it can also come across as overbearing. While confidence is important, it should not overshadow the need for empathy and understanding of the patient's feelings and comfort.
Correct Answer is A
Explanation
Choice A reason:
The left antecubital area is the correct site to perform venipuncture on a patient who has had a right-sided mastectomy. It is recommended to avoid the side of the mastectomy due to the risk of lymphedema and other complications associated with the removal of lymph nodes during the surgery. The left antecubital fossa, which is the area in front of the elbow, is a common site for venipuncture and is generally safe for use when the right side cannot be used.
Choice B reason:
The right cephalic vein should be avoided in a patient with a right-sided mastectomy. Venipuncture on the same side as the mastectomy can increase the risk of complications, including lymphedema, which is a condition characterized by swelling due to lymph fluid accumulation. Therefore, the right cephalic vein is not an appropriate choice.
Choice C reason:
The left femoral artery is not a venipuncture site; it is an arterial site. Venipuncture refers to accessing a vein, not an artery, for blood collection. Additionally, arterial puncture is a more invasive procedure typically reserved for arterial blood gas analysis and is not performed for routine venipuncture.
Choice D reason:
Similar to choice B, the right basilic vein should be avoided for venipuncture in a patient who has had a right-sided mastectomy. The basilic vein is located on the inner side of the arm and using it could pose the same risks as using the right cephalic vein, including the potential for lymphedema.
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