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 A
Explanation
Choice A reason:
Chilling the sample is the correct method for preparing a lactic acid sample for processing and transportation. Lactic acid levels can continue to change after the blood is drawn due to ongoing cellular metabolism. Chilling the sample slows down this metabolism, preserving the accuracy of the lactic acid measurement. The sample should be placed on ice or in a refrigerated environment as soon as possible after collection.
Choice B reason:
While protecting the sample from light is important for some types of specimens, it is not the primary concern for lactic acid samples. The key factor for lactic acid stability is temperature control, not light exposure. Therefore, while it may be beneficial to keep the sample out of direct sunlight, chilling it is the priority to prevent changes in lactic acid levels.
Choice C reason:
Attaching a heat block to the sample is not a recommended method for lactic acid samples. Heat can increase metabolic activity, potentially altering the lactic acid levels in the sample. This would lead to inaccurate results, as the goal is to preserve the state of the sample at the time of collection.
Choice D reason:
Freezing the sample is not typically recommended for immediate processing and transportation of a lactic acid sample. While freezing can preserve certain types of specimens for long-term storage, it is not necessary for short-term transport and can cause issues such as hemolysis, which may interfere with the test results.
Correct Answer is C
Explanation
Choice A Reason:
Patient's insurance information is not typically included in the follow-up documentation of a stat result. Insurance information is relevant for billing purposes and does not pertain to the immediate clinical care or the communication of test results.
Choice B Reason:
The room number of the patient might be included in the internal documentation for logistical purposes but is not the primary piece of information required following a verbal report of a stat result. The focus should be on the communication details rather than the location.
Choice C Reason:
The name of the provider contacted is essential information in the follow-up documentation after a verbal report. This ensures that there is a record of who received the information, which is crucial for accountability and continuity of care.
Choice D Reason:
The provider's phone number is not necessary in the follow-up documentation if the name of the provider is already included. The phone number would have been used to make the initial contact, and the key information is the confirmation that the provider was reached and informed of the stat result.
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