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. Bevel up with a 45° angle: A 45° angle is too steep for venipuncture; this angle is typically used for intramuscular injections.
B. Bevel down with a 45° angle: Bevel down is incorrect for venipuncture as it increases the risk of the needle piercing through the vein.
C. Bevel up with a 15° angle: This is the correct technique for venipuncture. The needle should be inserted at a 15° to 30° angle, with the bevel facing up to ensure smooth entry into the vein and minimize discomfort.
D. Bevel down with a 15° angle: Bevel down is not recommended for venipuncture because it can cause the needle to catch on the vein wall, increasing the risk of injury or complications.
Correct Answer is D
Explanation
A. The number of no-shows on the patient's record: While the number of no-shows can be relevant for overall management, it is not the primary consideration when scheduling a specific appointment.
B. The referring provider's recommendation: Referring provider recommendations are important but typically influence the initial appointment or consultation rather than ongoing scheduling.
C. The amount of deductible the patient owes for their insurance: Insurance deductible information is important for billing but does not directly affect the scheduling of appointments.
D. The amount of time required based on the reason for visit: It is essential to consider the time needed for the appointment based on the patient's reason for the visit to ensure that the appointment is appropriately scheduled and sufficient time is allocated.