Which of the following specimens requires a chain of custody form?

Choice A reason:
A specimen bag is typically used for transporting specimens from the collection site to the laboratory. It is not designed for the disposal of contaminated items such as microscope slides. These bags are not puncture-resistant and do not provide the necessary protection against sharps injuries or contamination.

Choice B reason:
A biohazard bag is used for disposing of items that have been contaminated with potentially infectious materials. While it is suitable for materials like gloves, tissues, or any other items that do not have sharp edges, it is not the appropriate choice for glass slides, which can puncture the bag and pose a risk to handlers.

Choice C reason:
A red sharps container is specifically designed for the disposal of sharps waste, which includes any device that can puncture or cut skin, such as needles, syringes, lancets, and contaminated glass such as microscope slides. These containers are rigid, puncture-resistant, leak-proof, and usually marked with a biohazard symbol, making them the correct choice for disposing of contaminated microscope slides.

Choice D reason:
A medical waste container is a broad term that can refer to various types of containers used for medical waste. However, not all medical waste containers are suitable for sharps disposal. Unless the medical waste container is designed like a red sharps container, it may not be safe for disposing of glass slides.

Choice A Reason:

Keeping the patient as upright as possible is not recommended in cases of shock. When a patient is in shock, it is important to lay them down and elevate their legs slightly, unless this position causes pain or further injury. This position helps improve blood flow to the brain.

Choice B Reason:

Providing a cooling blanket is not a standard first aid measure for shock due to a medication reaction. A cooling blanket may be used in cases of hyperthermia or heatstroke to reduce body temperature, but not typically for shock, which requires maintaining normal body temperature and preventing chilling.

Choice C Reason:

Administering oral fluids to a patient in shock is not advisable. During shock, a patient may have an impaired swallowing reflex or be unconscious, increasing the risk of aspiration. It is best to avoid giving anything by mouth until medical personnel arrive.

Choice D Reason:

Maintaining an open airway is crucial for a patient in shock. Ensuring that the airway is clear allows the patient to breathe effectively, which is essential for delivering oxygen to the tissues and organs. If the patient is unconscious or has an altered level of consciousness, the phlebotomist should check for breathing and begin CPR if necessary.