Should phlebotomist have done differently to prevent error

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Reference no: EM133988369

Assignment:

A phlebotomist received a verbal request for a stat blood draw in the ER. When he arrived the nurse told him that the patient (Mr. Johnson) was in bed 1 and needed electrolytes and an H&H drawn. The patient had no ID band. The nurse assured the phlebotomist that it was the correct patient and that she would prepare the requisition and labels while he drew the specimens. The patient was able to verbally confirm name and date of birth, so the phlebotomist proceeded to collect specimens, a green top and a lavender top. Just has he was finishing up the nurse told the phlebotomist that they had another stat draw in bed three. This patient needed electrolytes and glucose specimens drawn. The nurse said that she hadn't had time to prepare the requisition or labels for either patient, that she would do so now.

The phlebotomist put the first two specimens in his phlebotomy tray and headed for bed three. The patient was unconscious and no one else was there to confirm his identity. The nurse said that she didn't know his name either, as he had no identification with him when he was found. The phlebotomist proceeded to collect the specimens, a green top and a lavender top, as with the first patient. He put the specimens in the tray when he was finished and went to the nurses' station for the requisitions and labels, which the nurse did have ready for him. When he went to the label the specimens he had to stop and think about which specimens were the correct ones for each patient since they were the same type of tubes. He was pretty sure he had put each patient specimens at opposite ends of the tray, but had he turned the trait around since then? He decided that the ones that felt warmest were the last ones drone, placed the labels on the tubes, and delivered them to the lab.

Questions:

1)The phlebotomist made several errors. What were they?

2)What should the phlebotomist have done differently to prevent each error?

3)How might the actions of the phlebotomist affect treatment of the patients?

Reference no: EM133988369

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