Why is the specimen compromised

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Problem

Suzie Cue, a phlebotomist, is sent to the ER department to collect an EDTA specimen for a STAT type and crossmatch on a MVA victim. She properly identifies the patient and is in the process of filling the lavender top tube when the emerg nurse tells her that the doctor wants to add a STAT set of electrolytes to the test order. Suzie Cue acknowledges the request. She finishes filling the lavender top tube and then collects a heparinized tube. After completing the draw, she labels the tubes and delivers them immediately to the laboratory.

I. One of the specimens Suzie Cue collected is compromised. Which is it? The heparinized tube is compromised. Get the instant assignment help.

II. Why is the specimen compromised and how may the results be affected? The heparinized tube is compromised because the lavender top tube (EDTA) was collected first. The correct order of draw is important to prevent cross-contamination between tubes. Electrolytes (which are typically collected in a heparinized tube) should be collected before the EDTA tube to avoid EDTA contamination. Since the EDTA tube was drawn first, it could contaminate the heparinized tube, leading to inaccurate electrolyte results. Specifically, EDTA can interfere with the accurate measurement of electrolytes, such as potassium, causing falsely low values.

III. How could have Suzie avoided the problem without having to draw blood from the patient twice.

Reference no: EM133846670

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