Scenario: You are working in an outpatient clinic where you meet a 34-year-old married mother of two small children who is seeing the doctor for numbness and tingling in her right leg. Over the next 6 months, she has critically high glucose levels, she doesn't take her medication, and the provider is significantly concerned. She continues to have numbness and tingling that migrate from her left hip, leg, and foot. The physician orders scans of her leg and lower spine. Each scan is negative. She continues to have pain and numbness and tingling in her neck, back, and legs. During her most recent visit, the provider orders a scan of her thoracic spine and right knee. One week later, the patient e-mails the provider that while the knee scan was completed, no one has contacted her about the other scan. The nurse checks the record and responds, "My bad.... I missed it.... I'll order it now." The next day the patient unexpectedly appears at the clinic, where you observe her staggering at the desk and slurring her speech, asking to see you. You and the receptionist place her immediately into a wheelchair. After being assessed, she is admitted to the hospital, where she is diagnosed with a slow bleed into the spinal column. The patient has irreparable damage to the spine and will be quadriplegic the remainder of her life. 1. What standards of practice apply in this scenario?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Scenario: You are working in an outpatient clinic where you meet a 34-year-old married mother of two small children who is seeing the doctor for numbness and tingling in her right leg. Over the next 6 months, she has critically high glucose levels, she doesn't take her medication, and the provider is significantly concerned. She continues to have numbness and tingling that migrate from her left hip, leg, and foot. The physician orders scans of her leg and lower spine. Each scan is negative. She continues to have pain and numbness and tingling in her neck, back, and legs. During her most recent visit, the provider orders a scan of her thoracic spine and right knee. One week later, the patient e-mails the provider that while the knee scan was completed, no one has contacted her about the other scan. The nurse checks the record and responds, "My bad.... I missed it.... I'll order it now." The next day the patient unexpectedly appears at the clinic, where you observe her staggering at the desk and slurring her speech, asking to see you. You and the receptionist place her immediately into a wheelchair. After being assessed, she is admitted to the hospital, where she is diagnosed with a slow bleed into the spinal column. The patient has irreparable damage to the spine and will be quadriplegic the remainder of her life. 1. What standards of practice apply in this scenario?

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