Failure to demonstrate proper care that results in an injury to another person is an example of:

Choice A Reason:
Contacting the physician by paging or calling right away is the most appropriate action when critical values are confirmed on a laboratory test. Critical values are defined as those that indicate the patient is in danger of death unless treatment is initiated immediately. Immediate notification of the responsible licensed caregiver is required so that appropriate clinical action can be taken for the patient. This is a standard procedure compliant with CLIA regulation 493.1109(f) and is essential for patient safety.

Choice B Reason:
Leaving a message at the physician's office number is not an adequate response to confirmed critical values. Messages can be overlooked or not checked until the next business day, which could delay necessary urgent medical interventions.

Choice C Reason:
Calling the physician's office on the next business day is not acceptable when dealing with critical values. The urgency of critical results requires immediate action, and waiting until the next business day could result in significant harm or death to the patient.

Choice D Reason:
Faxing the results to the physician's office with a stat fax cover is not sufficient for immediate communication of critical values. While the fax may indicate urgency, there is no guarantee that the fax will be seen immediately by the physician or their staff. Direct communication through paging or calling ensures that the critical information is relayed without delay.

Choice A reason:
When performing a capillary blood collection, such as a fingerstick, the lancet should be positioned perpendicular to the fingerprint grooves. This orientation helps to ensure that the incision is made across the ridges of the fingerprint, which can facilitate a better blood flow and make it easier to collect an adequate sample without needing to squeeze the finger excessively, which could hemolyze the sample.

Choice B reason:
Positioning the lancet parallel to the nail bed is not recommended because it can result in a cut that runs along the length of the fingerprint grooves, which may not bleed as freely and could also be more painful for the patient.

Choice C reason:
Using the lancet along the lateral portion of the first digit is not part of the standard aseptic technique protocol for capillary blood collection. The first digit, or thumb, has a pulse and should generally be avoided because it can be more sensitive and is more prone to bruising.

Choice D reason:
The medial portion of the fifth digit, or the little finger, is also not a recommended site for capillary blood collection with a lancet. The little finger is typically smaller and may not provide an adequate site for blood collection, and similar to the thumb, it can be more sensitive and prone to injury.