1.One of the specimens that Jake drew is compromised. Which one is it He delayed in taking the green one he took after he finished but it should be taken asap 2.Why is the specimen compromised, and how may test results be affected? 3.How could Jake have avoided the problem without drawing blood from the patient twice?
1.One of the specimens that Jake drew is compromised. Which one is it He delayed in taking the green one he took after he finished but it should be taken asap 2.Why is the specimen compromised, and how may test results be affected? 3.How could Jake have avoided the problem without drawing blood from the patient twice?
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Case Study 7-2. Order of Draw
Jake, a phlebotomist, is sent to the ER to collect an EDTA specimen for a STAT type and crossmatch on
an accident victim. He properly identifies the patient and is in the process of filling the lavender-top tube
when an ER nurse tells him that the patient's physician wants to add a STAT set of electrolytes to the
test order. Jake acknowledges her request.
He finishes filling the lavender top and grabs a green top. After completing the draw, he takes the
specimens straight to the laboratory to be processed immediately.
Questions
1.One of the specimens that Jake drew is compromised. Which one is it
He delayed in taking the green one he took after he finished but it should be taken asap
2.Why is the specimen compromised, and how may test results be affected?
3.How could Jake have avoided the problem without drawing blood from the patient twice?
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Transcribed Image Text:words
English (Canada)
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The new tube works fine. While it is filling, he picks up the first lavender top and mixes it. After
completing the draw, he labels his tubes, putting the hematology label on the lavender top he collected
first. He finishes up with the client, delivers the specimens to the laboratory, and goes to lunch. When
he returns from break his supervisor tells him to recollect the CBC on Louise Jones because the
specimen had a clot in it.
Questions
1.What can cause clots in EDTA specimens?
improper mixing of sample tubes after collection.
2.What most likely caused the clot in this specimen?
Most likely caused by delay in mixing
3. How might the problem with the second lavender top have contributed to the clotting of the first one?
Second lavender top tube led to an even greater delay in mixing the specimen
4.Would the problem with the second lavender top have been an issue if Chi had handled the first
lavender top properly? Explain your answer.
No because there would be no delay
5. What can Chi do to prevent this issue from happening in the future?
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