A phlebotomist is performing a venipuncture on a patient who is allergic to alcohol. Which of the following is an appropriate antiseptic to use in place of alcohol?

Choice A reason:
Capturing the initial stream of urine, also known as the "first catch," is not recommended for a urine culture. This part of the urine stream can contain contaminants from the urethral opening and is not ideal for culture testing, which requires a clean sample.

Choice B reason:
Cleaning the genital area prior to collection is crucial for obtaining a clean-catch urine specimen. This reduces the risk of contamination from bacteria that are normally present on the skin around the urinary opening. Patients should be instructed to use antiseptic wipes to clean the area before collecting the urine sample.

Choice C reason:
Filling the container to capacity is not necessary and is not a specific instruction for urine culture collection. The focus should be on obtaining a midstream sample after the genital area has been cleaned, which provides a more accurate representation of the urine for culture purposes.

Choice D reason:
Labeling the lid prior to collection is an important step in the process to ensure proper identification of the specimen. However, it is not the primary instruction related to the actual collection of the urine sample. The label should include the patient's name, date, and time of collection and should be done after the sample is collected to avoid confusion or contamination.

Choice A Reason:
Stopping the procedure is the first and most critical action a phlebotomist should take if a patient slumps over during blood collection. The patient's safety is the primary concern, and continuing the procedure could cause further harm. The phlebotomist should immediately remove any needles or equipment from the patient to prevent injury.

Choice B Reason:
Alerting the supervisor is an important step, but it should come after ensuring the patient is safe and the procedure has been stopped. The supervisor will need to be informed of the incident to help manage the situation and provide assistance as needed.

Choice C Reason:
Documenting the incident is a necessary step for legal and medical records. However, it is not the first action to take. The patient's immediate well-being takes precedence over documentation, which can be completed after the situation is under control and the patient is stable.

Choice D Reason:
Sliding the patient to the floor may be necessary if the patient is at risk of falling from the chair. However, this should only be done after the procedure has been stopped, and if it is safe to move the patient. If the patient is unconscious, the phlebotomist may need to initiate CPR, which is best performed on a flat surface.