While performing a blood culture venipuncture, a medical assistant cleanses a patient's skin with isopropyl alcohol. Which of the following actions is the next step?
Cleanse the site with chlorhexidine.
Prepare a wet mount slide.
Confirm the patient's blood type.
Obtain the patient's temperature.
The Correct Answer is A
A. Cleanse the site with chlorhexidine. After cleaning with isopropyl alcohol, the site should be cleansed with chlorhexidine to ensure the skin is sterile, reducing the risk of contamination in the blood culture.
B. Prepare a wet mount slide. Preparing a wet mount slide is unrelated to blood culture venipuncture and would not be the next step in this procedure.
C. Confirm the patient’s blood type. Confirming blood type is not part of the blood culture process and is not relevant at this stage.
D. Obtain the patient’s temperature. While monitoring the patient’s temperature might be necessary for diagnostic purposes, it is not the next step in performing a blood culture venipuncture.
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Correct Answer is C
Explanation
A. Share personal experience with the patient: Sharing personal experiences is not appropriate and does not provide professional support or resources.
B. Refer the patient to another provider: While referral might be necessary, it’s important to first provide immediate support and resources, such as community organizations.
C. Provide a list of relevant community organizations: Providing a list of community organizations that offer support and resources for victims of partner violence is a helpful and appropriate action.
D. Counsel the patient on the situation: Counseling should be provided by a trained mental health professional; the medical assistant should provide support by referring the patient to appropriate resources.
Correct Answer is C
Explanation
A. 1: Checking the medication order against the label only once is insufficient for ensuring accuracy.
B. 2: While checking twice is better than once, the standard practice is to check three times for maximum accuracy.
C. 3: The "three checks" method involves checking the medication order against the label at three key points: when selecting the medication, when preparing it, and before administering it to the patient.
D. 4: Checking four times is not a standard practice and could be excessive; three checks are considered sufficient.