Which of the following items should a phlebotomist recognize as part of the aseptic technique protocol?
Standard precautions
Safety devices
Quality control logs
Disaster emergency plan
The Correct Answer is A
Choice A Reason:
Standard precautions are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These measures are to be applied to all patients, regardless of their diagnosis or presumed infection status. Standard precautions include hand hygiene, use of personal protective equipment (PPE), respiratory hygiene/cough etiquette, safe injection practices, safe handling of potentially contaminated equipment or surfaces in the patient environment, and aseptic technique.
Choice B Reason:
Safety devices, such as needles with engineered sharps injury protections, are designed to prevent needlestick injuries and the transmission of bloodborne pathogens. While they are an important aspect of a phlebotomist's work, they are not specifically part of the aseptic technique protocol. Aseptic technique focuses on preventing contamination of sterile surfaces and materials to prevent infection.
Choice C Reason:
Quality control logs are records that document the performance of equipment and procedures to ensure they meet the required standards. They are essential for maintaining the integrity of laboratory results and ensuring patient safety. However, quality control logs themselves are not a component of the aseptic technique protocol, which is more concerned with the immediate prevention of infection during clinical procedures.
Choice D Reason:
A disaster emergency plan is a comprehensive document outlining the actions to be taken in case of an emergency. This plan is crucial for ensuring safety and continuity of care during unexpected events but is not related to the aseptic technique protocol. Aseptic technique is a method used to prevent infection during medical procedures by maintaining a sterile environment.
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Related Questions
Correct Answer is D
Explanation
Choice A reason:
The axillary vein is not commonly used for routine venipuncture due to its location in the armpit area, where it is more difficult to access and poses a higher risk of complications.
Choice B reason:
The median cubital vein is often the vein of choice for venipuncture due to its size and accessibility. However, in the case of a patient with bilateral scarring on the forearms, this vein may be compromised, making it a less suitable option.
Choice C reason:
The basilic vein, while also a common site for venipuncture, is located on the inner aspect of the arm and may be affected by the scarring on the patient's forearms. Additionally, it is closer to nerves and arteries, which increases the risk of complications.
Choice D reason:
The dorsal hand veins are a good alternative for venipuncture when the more common sites are not available, such as in the case of a patient with bilateral scarring on the forearms. These veins are usually more superficial and can be accessed with minimal risk of complications.
Correct Answer is C
Explanation
Choice A Reason:
Arm restraints are typically used to prevent patients from moving, particularly in pediatric or psychiatric settings where the patient may not voluntarily keep still. However, they are not specifically designed for stabilizing the arm during venipuncture procedures.
Choice B Reason:
A blood pressure cuff can be used as a substitute for a tourniquet to engorge the veins before venipuncture, but it is not designed to stabilize the arm during the procedure. Its primary function is to measure blood pressure, not to provide stability.
Choice C Reason:
A phlebotomy wedge is a device specifically designed to support and stabilize a patient's arm during venipuncture. It helps to maintain the arm in a comfortable and steady position, which can be particularly helpful for patients with tremors or for those who have difficulty holding their arm still.
Choice D Reason:
A phlebotomy cart is used to transport and organize phlebotomy supplies. While it is an essential piece of equipment for a phlebotomist, it does not play a role in stabilizing a patient's arm during venipuncture.
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