According to the Joint Commission, which of the following should a phlebotomist use as a unique identifier when establishing correct inpatient identification?
Patient's room number
Patient's bed label
Patient's inpatient chart
Patient's verbal confirmation
The Correct Answer is C
Choice A Reason:
A patient's room number is not considered a unique identifier by the Joint Commission standards. Room numbers can change if patients are moved, and they do not reliably identify an individual.
Choice B Reason:
A patient's bed label is also not a unique identifier. Bed labels can be switched, and similar to room numbers, they are not specific to the individual patient.
Choice C Reason:
A patient's inpatient chart typically contains multiple unique identifiers, such as the patient's name, an assigned identification number, date of birth, or other person-specific identifiers. These are considered acceptable by the Joint Commission for verifying patient identity, ensuring that the service or treatment is intended for that individual.
Choice D Reason:
Patient's verbal confirmation alone is not sufficient for establishing correct inpatient identification. While it can be used as one method of identification, it should be supplemented with another identifier to meet the Joint Commission's requirement of using at least two patient identifiers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Wiping the site with clean gauze after applying antiseptic is not recommended. This action can remove the antiseptic before it has had sufficient time to disinfect the area, potentially reintroducing bacteria to the site and increasing the risk of contamination.
Choice B Reason:
Allowing the site to air dry after applying antiseptic is the appropriate technique. This ensures that the antiseptic has enough contact time to effectively reduce microbial flora on the skin. Air drying also prevents any potential irritation that might be caused by wiping or touching the site before the venipuncture.
Choice C Reason:
Blowing on the site to speed up drying is not an appropriate technique. This can introduce bacteria from the breath to the clean site, which could lead to contamination and increase the risk of infection.
Choice D Reason:
Waving hands over the site is not an appropriate technique either. This action could potentially contaminate the site with bacteria or particles from the skin or the environment. It is also less effective in ensuring that the antiseptic has dried completely.
Correct Answer is A
Explanation
Choice A reason:
Occult blood detection is not a process that occurs naturally after a venipuncture to control bleeding. It is a laboratory test used to detect blood in the stool that is not visible to the naked eye. This test is unrelated to the venipuncture process.
Choice B reason:
The term "Phlebotomists" refers to healthcare professionals who perform venipuncture. It is not a process but a profession. Therefore, it does not fit the context of the question regarding the control of bleeding after venipuncture.
Choice C reason:
Hematopoiesis is the process of creating new blood cells in the body and occurs in the bone marrow. While it is an ongoing process essential for replenishing the body's blood supply, it is not directly related to controlling bleeding after a venipuncture.
Choice D reason:
Hemoconcentration is a condition where the blood concentration of cells and solids is higher than normal, usually due to a loss of plasma. This can occur during venipuncture if the tourniquet is left on for too long, but it is not a process used to control bleeding.
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