What should you do if a patient refuses to have her blood drawn. have the nurse hold down the patient for the draw.

What should you do if a patient refuses to have her blood drawn The right expiration date D. The doctor orders blood tests to help with the diagnosis. Patients have the right to refuse any medical procedure, including blood draws, and phlebotomists must navigate these situations carefully to ensure both patient rights and legal obligations are upheld. use an ice pack to numb the site before drawing An inpatient vehemently refuses to allow you to collect a blood specimen. b. Which of the following answers implies that the student does not really have permission, You have a 18. After cleaning the venipuncture site with alcohol, the phlebotomist should: Allow the alcohol to If a patient refuses to have blood drawn, the phlebotomist should: Send another phlebotomist to collect the specimen Ask someone to hold the patient and collect the specimen Report the situation to the nursing station Return the requisition form to the laboratory. What physically has changed in the patient to cause this problem? Answer & Explanation. Fortunately where I am if the police want blood drawn as evidence they are required to draw it themselves or subpoena lab results that were already obtained. If the patient What is the process that means a patient understands and agrees to having his or her blood drawn? Expressed Consent. explain to her that you will use a small needle that barely hurts C. The phlebotomist collects the fasting blood specimen and gives a urine cup to the patient to collect a fasting urine. See an expert-written answer! We have an expert-written solution to this problem! A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. do not get more than one step away from a seated patient while he/she is in your care. Few disagreements have drawn as much attention in the medical, legal, and public spheres as refusal of blood transfusion. Some patients give no warning before passing out. You have been given an order to draw patient Jane Smith in room 2232. From a risk-management standpoint, guidance for phlebotomists should reflect the reasonable legal and clinical concerns, and clearly establish and appropriately enforce the policy. At times, Patients refuse medication because of the side effects or likely negative experiences. Notify the nursing staff or the health-care provider of the patient’s refusal and note this information on the requisition form. An inpatient is eating breaksfast when you arrive to collect a fasting glucose. In this article, I will share 12 steps a nurse should follow when a patient refuses treatment. Confidentiality. loading. The patient has the right to refuse to have blood drawn. State the appropriate action which must be taken when a patient refuses to have their blood drawn. What is the best thing to do? Consult with the patients nurse to see if the specimen should be collected. How could this have BEST been avoided? A. One mL of her blood is drawn, spun in a centrifuge, and the plasma volume is measured and found to be 0. (c) Immediately stop patient care and leave. What is the proper means for identifying the patient at this point?, The patient is sleeping when you enter to draw Study with Quizlet and memorize flashcards containing terms like If the patient is not in their room when you come for a blood draw what must you do?, If the patient has a stat blood draw or a timed request, but they have been taken to another department for testing, what should you do?, What is the most important procedure in phlebotomy? and more. In practice, providers should proceed with care if a source person refuses. return the requisition form to the lab d. Patients with severe injuries who refuse blood transfusion present complex medical, legal, and moral problems. State the proper protocol when samples must be collected above an IV. 4. Draw the specimen and write “nonfasting” on the requisition. Refusing a blood test may impact diagnosis, treatment, legal requirements, and insurance coverage. Communication is key in handling a situation where a patient refuses a blood draw. You overhear the end of a confrontation between the nurse and the patient. ask someone to hold the patient and collect the specimen The phlebotomist continues to discuss this with the patient until h gets upset and refuses to have his blood drawn. respect the patients right to refusal and notify the physician d. Ask AI. , When should tubes be labeled? A. D. After the patient leaves the room. For consent to be valid, it must be: • Given by a person with the capacity to make the Where possible, you should establish to what extent the reports of the patient’s views reflected a general opinion on blood transfusion as opposed to statements that he or she made with the intention of confronting the clinical situation with which the patient is now faced. The patient may have been someone with a standing requisition who forgot to sign in with reception 4. Mitchell, comes to Beth Ann and says, "Can you draw the blood from my patient? She says she doesn't want a student to draw her blood. 6 mL. The patient refuses to allow you to collect her blood. convince the patient to be cooperative. If you enter a patients room, explained that you need to draw blood and the patient repeatedly refuses, what do you do? Leave the room and do nothing further. Before drawing the specimen. What category does the hospital laboratory fall under in administrative JR: A less obvious example concerns a patient who is blinded by cataracts and wants to have his sight restored but refuses to have cataract surgery. Return to the lab, cancel the test request, and inform the physician. The patient starts to cry and refuses to extend her arm for the draw. What should you do? and more. what is assault? An unjustifiable attempt to touch another person, or the threat to do so And there are ethical issues with having your own genetic information as a patient. notify his or her supervisor. Can any of the specimens collected earlier be used? You have received the following test requests on different patients. Which of the following responses shows that the PBT is respecting the Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport?, As you radio the hospital to give a report on your patient, which of the following should you do?, After you submit the electronic PCR for a call, you realize that you accidentally documented the wrong vital signs. You will probably have blood drawn at some point, either for a medical test or to donate blood. If the patient is treated, they may complain that they Blood draws in children - everything you need to know in one stop. You as the phlebotomist enter the patient's hospital room, introduce yourself, and explain the venipuncture procedure you are to perform. The right documentation a. What do you do next? Critically anemic patients who refuse blood transfusions have an inverse relationship between Hb levels and morbidity and mortality, particularly for Hb levels less than 5. The healthcare provider must also notify and contact medical control in such situations. more. Find another person to continue medical care. Notify a supervisor and document the patient's refusal. plus. . negligence. A provider may try to persuade a source person to have the test, but should not restrain the person and force it. write a note to the patient’s physician. In A patient arrives at 0630 to have her blood drawn for a 2-hour PP test. It is important to communicate with the patient and explain the reasons for the A recent successful lawsuit involving a patient's non-compliance "should have been a slam dunk and should have never been filed," says Umbach. Explanation: If a patient refuses Programs should have the following information regarding all medications being taken by all individuals served, whether or not there has been a history of refusal. Implied Consent. 0 g per L Patients may also refuse medications which are in injection form because of pain on injection sites, or they might have had a negative experience with staff, or the medication before. 5 of 28. Which test specimen should you collect first? and more. OTOH, if you're on something that needs, say, liver function monitored fortnightly, you may well have a standing "I'll be in at such-and-such time, every other Thursday" - especially if the tests are fasting and/or you have to fit them into a busy schedule. She informs the PBT that her veins are small and hard to stick and that usually PBT's end up using a butterfly needle and drawing her hand. Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport? - immediately stop patient care and leave - contact medical control - ask law enforcement to take the patient into custody - find another person to continue medical care, As you radio the hospital to give a report on your patient, which of the following should Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport? (a) Contact medical control. You decide to snap a photo of the doctor with your phone and post the photo with the text "Caught red-handed! Pull out the cuffs!" Several co-workers repost the photo and it comes to the attention of the hospital Handling a patient who refuses to have their blood drawn can be a challenging situation for Healthcare Providers. obtain help to hold the patient down. Study with Quizlet and memorize flashcards containing terms like Identify the 6 rights of medication administration. Phlebotomist should force the patient to have his blood collected. The tubes have no loss of vacuum. There have been cases of parents refusing transfusion for their child based on religious grounds. C) Do no draw the patient's blood and notify the physician. Term. If a patient refuses to have blood drawn, it is important for the Patients have the right to refuse a blood test, but there may be consequences or limitations in certain circumstances. 2. Study with Quizlet and memorize flashcards containing terms like A Phlebotomist receives a STAT order to collect a specimen for a type and cross match from a patient in the ER. send another phlebotomist to collect the specimen b. Basically, Jehovah's Witnesses believe that the Bible prohibits ingesting blood or receiving blood transfusion, so even in life-threatening conditions, they would refuse blood transfusions. Encountering a patient who refuses blood collection is a delicate scenario within the realm of phlebotomy, requiring a blend of empathy, communication skills, and a nuanced Here are some tips for communicating with a patient who refuses to have their blood drawn: Show empathy and understanding towards the patient's feelings; Use simple and When a patient intends to self-discharge or refuse treatment against medical advice, it can be worrying. When a patient refuses to have his or her blood drawn- thank the patient and leave the room. document the refusal. 21. It is clear the patient has never had his/her blood drawn before. For example, if you know that you have a gene that predisposes you to breast or colon cancer, that presents opportunities for prevention but also some tough dilemmas about what to do with that information for yourself and for your relatives. Summary Phlebotomists must be aware of the legal implications if a patient refuses a blood draw in the United States. Decreased collagen production. Let them wait for a while and see if they change their mind. -Find the nurse and explain that the patient has refused the procedure. What is blood explain? Solids and liquids make up your blood. When a patient refuses to have their blood drawn, the blood collector must explain to the patient why their doctor has requested the testing. After the draw, but before the patient exits the room. How far from the puncture site should the tourniquet be placed? hemoconcentration. Some Patients already have some knowledge about certain medication. Initiate a Describe what you would do if you have made one unsuccessful venipuncture attempt on a patient and the patient refuses to let you try again. , As you radio the hospital to give a report on your patient, which of the following Patients who refuse treatment or transport must be informed about the risks and possible complications of their decision and explain the necessary forms, consent, and documents that they must complete. The use of an ammonia inhalant (smelling salts) to rouse the patient is considered an unsafe practice. You apply it to where the needle will go, wait 30mins, then wipe it off and have the blood drawn. All of the following are correct techniques for Dori to use when applying the I'd discourage the idea for this reason and those you listed. If the patient is able to give consent, if they can refuse a breathalyzer they can refuse a blood draw. What should you do if you faint? Let’s face it, this can be scary! More often than not, fainting will not lead to a diagnosis of a serious medical condition, but it is always best to call your doctor and get checked out. Ask law enforcement to take the patient into custody. What should you do? A. Before the patient. Dori Glover, CMA, prepares for the venipuncture. Patients may also refuse medications which are in injection form because of pain on injection sites, or they might have had a negative experience with staff, or the medication before. restrain the patient and draw the blood. • The patient must be competent (have capacity) *Every adult patient is presumed competent unless proven otherwise *An unwise or eccentric decision does not mean incompetence • The patient must have received sufficient information to make an informed decision *To include details on the risks, benefits and available alternatives. Add answer +5 pts. what is the best thing to do: ask the patients nurse to put an id band on the patient before you draw the specimen: if a patient adamantly refuses to have blood drawn, you should: notify the patients nurse or physician -The patient always retains the right to refuse a blood collection. This keeps me out of the fray and does not put me in an awkward situation with my patients. Patients who have the right to refuse must be of legal age and competent enough And there are ethical issues with having your own genetic information as a patient. Answer. If patient still refuses to get her blood drawn, note it down and inform the patients physician in hopes of convincing her. A patient who has blood drawn frequently expresses concern when a phlebotomy technician prepares to use a straight needle for a blood draw at the inner elbow. You will do well to avoid these things. Study with Quizlet and memorize flashcards containing terms like The time is 07:45 hours. But for many of us, the idea of having blood drawn from our arm can put us into a panic. The child may well take that advice, and if he does, then from a legal standpoint you are off the hook, because you now have the patient's consent. Methods available for minimizing blood loss: Final answer: If a patient refuses to have their blood drawn, the best course of action is to respect their decision and try to understand their concerns. Respecting a patient's autonomy and right to refuse medical procedures is essential in healthcare. Explanation: If a patient refuses to have their blood drawn, the best course of action would be to respect their decision and try to understand their concerns. The patient says she has not had anything to eat or drink since 2200 hours last night. Study with Quizlet and memorize flashcards containing terms like A phlebotomist with 30-years' experience has to draw blood on a patient she has drawn on before. Zakai, MD, discusses how to treat anemia in a patient who refuses packed red blood cells. A gastroenterologist treating a close friend with colitis performed a colonoscopy that showed some dysplasia, and the doctor recommended a yearly colonoscopy. Advertisement. Asked in United States. B. She knows that it is difficult to find a vein, so she asks the patient to make a tight fist and pump his hand several times. perform the phlebotomy. Demanding patients can make you feel like you’re no longer in control of the situation. This includes blood transfusions, which are particularly important in circumstances involving Jehovah's Witness patients. Body language, eye shifting and tone of voice can give you clues about how patients will respond to blood draws. -The nurse may ask you to return with him or her to the room. She inserts the needle never turn your back on a patient, especially after you have completed the draw. Study with Quizlet and memorize flashcards containing terms like Two things a phlebotomist should do when encountering a patient who is sleeping?, Under what circumstance would a phlebotomist interrupt a physician-patient visit?, A phlebotomist encounters an inpatient without an identification (ID) band. Insist If a patient refuses to have his blood drawn, what should you do? a. you are asked to collect a blood specimen from an inpatient. Since the patient is in your care, and Patients who refuse treatment or transport must be informed about the risks and possible complications of their decision and explain the necessary forms, consent, and documents that they must complete. Patients have the right to refuse medical treatment, including blood draws. When you tell a patient that you need to draw blood, he says that he does not want to have his blood drawn. the patient is not wearing a Id band. Do not draw the patient until the discrepancy has been corrected. notify the patient’s nurse or physician. 13) You caught a doctor taking supplies from the storeroom where you keep your phlebotomy supplies. By understanding the reasons behind the patient's refusal, communicating effectively, respecting the patient's autonomy, offering alternative methods, and seeking help when needed, Healthcare Providers can navigate this situation with This occurs due to a temporary lowering of blood pressure. It’s also possible you may be able to ask for numbing cream. One of them has a latex allergy. document the patient's decision and notify nursing personnel. 3) relevant to best practices in phlebotomy. A Phlebotomy technician is preparing to perform the third set of blood draws for a glucose tolerance test (GTT). Leave the room and have another phlebotomist attempt to draw from them. Get solutions Get solutions Get solutions done loading Looking for the textbook? What is the process that means a patient understands and agrees to having his or her blood drawn? Expressed Consent. Instead, a source person who Circumstances in which informed refusal should be obtained can include "everyday" occurrences such as when a patient refuses to take blood pressure medication or declines a "Sometimes the only way to get a patient's attention is for the physician to very bluntly tell the patient 'if you do not have this surgery, you will likely What should the Medical Assistant do if a patient refuses to have their blood drawn? Your solution’s ready to go! Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on. If you're feeling nervous about an impending test, C. Approaching anxious patients with confidence can help Getting blood drawn is a routine medical procedure that provides valuable health information. c. tell her that its not a big deal and that she shouldn't be afraid D. Some common protocols include: Respecting the patient's decision and not A patient refuses to have their blood drawn. the specimens of the unknown patient will have to be discarded, which is If a patient refuses having their blood drawn, what is the next step by the phlebotomist? A) Draw the patient's blood anyway as requested by the physician B) Have the patient wait and draw the patient's blood after a waiting period C) Do no draw the patient's blood and notify the physician D) All the above. A. tell the patient that you will have to collect the specimen sooner or later so it might as well be sooner. After several minutes of tourniquet on the patient's arm, a vein is palpable. The best way to prevent It may leave you wondering, "What should a nurse do when a patient refuses treatment?” Knowing the right approach to patient scenarios, including the refusal of treatment, is essential in providing quality patient care. The right MAR C. Both procedures have a similar What if I didn't have these 3 procedures? If you had a mastectomy without having any lymph nodes removed and did not have radiation, you do not need to follow these precautions. This decision should be respected and properly documented in the patient's medical record. The right conversion factor B. If a patient refuses to have their blood drawn, the best course of action is b) Respect the patient's decision and document. Consult with the patient’s nurse to see if the specimen should be collected. Draw the specimen quickly before the patient finishes eating. collect the blood anyway c. If you have had this happen after previous blood draws, explain to the person taking blood that you are prone to feeling faint. Study with Quizlet and memorize flashcards containing terms like A set of written rules, procedures, or guidelines that examine values, actions, and choices to help determine right from wrong is, You perform a blood draw on an outpatient. By following these steps, you treat patients who refuse blood, see Personal Beliefs and Medical Practice (GMC, 2013). Have the nurse physically restrain the When a patient in the hospital refuses to have blood drawn, the phlebotomist should notify the patient's nurse to ensure that the physician or other ordering practitioner is notified promptly. Remember, refusal is not the only reason that a dose might be missed. When you go into that room, the patient identifies herself as Jane Smith but the armband indicates that the patient is Jane Smiley. After the procedure, lie or sit down Blood tests are a great diagnostic tool, giving vital information to doctors about the state of a patient's health. What physical changes in the patient could cause this problem? loading. C. A female has a blood test. Notify a supervisor and document the What should you do if a patient refuses to have their blood drawn Your solution’s ready to go! Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on. Encountering a patient who refuses blood collection is a delicate scenario within the realm of phlebotomy, requiring a blend of empathy, communication skills, and a nuanced understanding of individual patient concerns. cancel the test. You have a request to collect a blood specimen on the other We would like to show you a description here but the site won’t allow us. When a patient in the hospital refuses to have blood drawn, the phlebotomist should a. Water, salt, and protein make up Study with Quizlet and memorize flashcards containing terms like Which of the following is not a preanalytical variable of specimen collection?, When a patient refuses to have blood drawn, the phlebotomist should do all of the following except:, Aerosols can be produced by and more. And don’t forget to check out next Fortunately where I am if the police want blood drawn as evidence they are required to draw it themselves or subpoena lab results that were already obtained. 2. Mitchell has anemia from blood loss. The results will be returned to Dr _____ (mention the name of the clinician who ordered the tests). Report any discrepancies to the patients nurse. I'd discourage the idea for this reason and those you listed. There will also be an inquest into the patient’s death and all of the staff involved in the patient’s care are likely to be asked for a report for the coroner and may possibly be asked to attend an inquest hearing. When a patient refuses to have their blood drawn, Healthcare Providers must balance the patient's autonomy with the medical necessity of the procedure. You should seek reliable evidence of an explicit decision to refuse Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport?, As you radio the hospital to give a report on your patient, which of the following should you do?, After you submit the electronic PCR for a call, you realize that you accidentally documented the wrong vital signs. Patients who have the right to refuse must be of legal age and competent enough It may leave you wondering, "What should a nurse do when a patient refuses treatment?” Knowing the right approach to patient scenarios, including the refusal of treatment, is essential in providing quality patient care. When a patient refuses to have their blood drawn, it is important for the phlebotomist to handle the situation professionally and ethically. The doctor looked a bit nervous and suspicious. If the patient still refuses after you have explained the procedure and explained that it was requested by the health-care provider to provide treatment, do not forcibly obtain the sample. In our opinion, we think you still have to provide it. If you enter a patients room, explained that you need to draw blood and the patient repeatedly refuses, what do you An older patient comes to you to have her blood drawn and complains that she bruises easily now and that every time she has her blood drawn, she continues to bleed. PRINCIPLES OF CONSENT/SUPPORTED DECISION-MAKING Consent refers to a patient’s autonomous agreement for a health professional to provide care, and it must be confirmed in writing. d. Study with Quizlet and memorize flashcards containing terms like What is the best angle to use for needle insertion during routine venipuncture?, Which of the following statements describes a proper venipuncture technique?, You have a request to collect a STAT specimen. In addressing these patient requests, The Demanding Patient. State the problems which may occur if a sample is drawn above an IV and how this will affect the quality of the laboratory samples. Final answer: If a patient refuses to have blood drawn, the phlebotomist should report the situation to the nursing station. notify the patient’s health-care provider b. Explaining the necessity of the blood draw and how it will benefit the patient's overall health can help alleviate their apprehensions. have the nurse hold down the patient for the draw. What should you do? Explain the procedure to the patient and answer any questions he/she has. In these so-called "Direct Access Testing" states, anyone can request their blood be drawn without a physician's order. , If a patient refuses to have their blood drawn, what is the best course of action? A. The information given in this section underpins that given in the An older patient comes to you to have her blood drawn and complains that she bruises easily now and that every time she has her blood drawn she continues to bleed. identity of the other patient may be discovered when a physicians office calls for results and there are none. If you are working at a hospital and the patient has questions that you are not able to answer or the patient refuses to draw the blood, inform the primary care nurse. This will What happens if a physician orders blood work and a patient fails to have it done and then suffers adverse consequences? If a patient refuses to have their blood drawn, what is the best course of action? a. Then I will label them with your name and contact details and send them off for tests to the laboratory. What should the blood collector do? Patients have the right to refuse a blood test, but there may be consequences or limitations in certain circumstances. This trick works on older children, the specific age depends on the child’s character and how patient the parents and the medical provider are. specimens from the real Jane Rogers can be drawn afer a new req and labels are created. What does HIPAA of 1996 regulate? Incision of a vein 6 of 28. c. These questions should be asked each time a new medication is prescribed and staff should ask the A patient arrives at 0630 to have her blood drawn for a 2-hour PP test. The chapter includes background information (Section 2. b. Informed 6 of 28. A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. The nurse came to administer pain medication, but the patient refused the pain medicine. Phlebotomists, as frontline practitioners in the diagnostic process, navigate the . A doctor is with the patient when you arrive. [4,5] When confronted with such set of patients, blood free major surgery will be a great challenge to both the anaesthetic and surgical teams. Diane, a medical assisting practicum student who has been working with Mrs. What should you do? Excuse yourself and politely ask the doctor for permission to do the draw. If a patient adamantly refuses to have blood drawn, you should: Notify the patient's nurse or physician. Good luck! You got this! 10) You enter a patient's hospital room to draw blood. If the patient isn’t treated and dies, the family may raise concerns and there may be an internal trust investigation. You have received the following test requests on different patients. Firmly request that they sit and ensure that you collect the sample. d. What should you do? do not take anything that contains latex into the room. You notify the nursing station and are told that the person is the correct patient. What should you do? Ask an experienced phlebotomist to perform the draw for you. When can the blood be drawn? and more. Phlebotomist should take the nurse in the room initially. Which test specimen should you collect first?, A student asks the patient for permission to draw a blood specimen. What should you do? Do not collect the specimen until the problem has been addressed and resolved. ” If so, then it sounds like you’ve encountered the demanding patient. Does this sound familiar? “You have to use a butterfly, you have to stick me here, you have to close the door, can I have a glass of water, I need a nurse. Solved by AI. The phlebotomist should take the time to listen to the patient's concerns and address them in a clear and understanding manner. The horror stories of healthcare professionals being infected with one of those vicious little blood borne viruses shot through my mind as effortlessly as the patient’s blood had recently spurted from vein to needle to bottle. ask another phlebotomist to collect the sample - If a patient refuses to have his or her blood drawn, the phlebotomist must not attempt to force the patient to comply due to assault, battery, and negligence charges. See answer. When a patient refuses to have their blood drawn in a medical lab or phlebotomy setting, healthcare professionals must follow specific protocols to ensure patient safety and ethical treatment. What should Dori do first?, Dori Is getting ready to apply the rubber tourniquet to Hugh arm. Currently, there are more than 7. The patient’s armband and their verbal name and date of birth must match the requisition (label) prior to drawing the patient’s blood. For example, Jehovah’s Witnesses object to blood transfusion primarily on religious grounds. Phlebotomists should follow specific protocols when a patient refuses to have their blood drawn to ensure the safety and well-being of both the patient and healthcare professiona Alex Wubbels refused to allow him access to the patient without a warrant, as she should have, but she was never ordered to draw the blood herself. 20. -If the patient again refuses, document this on the request, along with the nurse's name, and notify the health care provider. If this patient perceives that you caused her harm, she might go to The Phlebotomy Textbook (3rd Edition) Edit edition Solutions for Chapter 3 Problem 9SQ: When a patient refuses to have blood drawn, the phlebotomist should: a. If you had a prophylactic mastectomy due to a genetic abnormality or family history, you do not need to follow these precautions as your lymph nodes were not removed. (b) Ask law enforcement to take him into custody. Do you have any questions? Did you understand what I explained to you? If a patient refuses to have blood drawn, the phlebotomist should: a. When a request for collection of a blood specimen is telephoned to the laboratory, the phlebotomist should: Pick up the requisition form at the collection area. Fill out a form stating the patient had eaten so the specimen was not drawn. ask an experienced phlebotomist to perform the draw for you B. Immediately stop patient care and leave. At times, Patients refuse medication Patients taking diuretics frequently have blood drawn to monitor: Potassium. In the US, some states allow patients to order their own lab work. Study with Quizlet and memorize flashcards containing terms like Hugh Everett comes To the medical office To have his blood drawn for an FBG and CBC. ask another phlebotomist to collect the specimen. What is the appropriate action? 3-4 inches above the puncture site. ""? I'm not sure the legal standing on this for California, but I'd educate the pt on taking vitals, if they refuse give the medication and document that they refused vital signs. , As you radio the hospital to give a report on your patient, which of the following should A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. Why might the patient have done this? (Choose all that apply) Neil Zakai, MDAssociate Professor of Medicine, Hematology/Oncology Division, Department of Medicine, Associate Professor of Pathology & Laboratory Medicine, Larner College of Medicine, University of Vermont, Burlington, Vermont This month, Neil A. Given the patient’s wish to see again and the low risk and high success rate of cataract surgery many doctors would agree that it is appropriate to treat over objection. This topic discusses alternatives to transfusion and strategies for treating bleeding in individuals who decline blood transfusion for any reason. Study with Quizlet and memorize flashcards containing terms like When entering a patient's hospital room to collect a sample it is found that the patient does not have on an ID band. The moment you and the patient make contact, pay close attention to their reaction to determine the level of their anticipatory discomfort. As Kierkegaard once said, “there comes a moment in a person’s life when immediacy is ripe”; this was one of mine. The inhalant may cause irritation and/or anaphylactic shock in some patients. 2) and illustrations (Section 2. Which test specimen should you collect A patient who seems extremely apprehensive about having her blood drawn tells you that she is There are two patients in a room. The patient's parent is in the room and asks about the patient's glucose level. Phlebotomist should check for duplicate orders. (Tell the patient the specific tests to be drawn). 0 g per dL (50. Even after you explain the importance of the blood test in the diagnosis of the patient's Solutions for Chapter 9 Problem 9SQ: When a patient refuses to have his or her blood drawn, the phlebotomist shoulda. Enough blood was left from that collection for the new test. Informed Consent. Remember, a patient has the rights to refuse the treatment. A cold compress applied to the back of the neck may help to revive the patient more quickly. Question: If a patient adamantly refuses to have blood drawn, you should and why: a. multiple attempts at drawing blood is not to set a fixed number of attempts but to preclude multiple attempts when it would potentially be injurious to the patient. For the purpose of the trick, a patient arrives at 0 6: 3 0 to have her blood drawn for a 2-hour PP test the patient says she has not had anything to eat or drink since 2, 2 0 0 hours last night the phlebotomist clicks the fasting blood specimen and gives a urine cup to the patient to collect a fasting urine the patient is instructed to eat a normal breakfast and return to the drawing station in exactly 2 hours the A patient who has blood drawn frequently expresses concern when a phlebotomy technician prepares to use a straight needle for a blood draw at the inner elbow. What should you do? Notify the patient's nurse and document the patient's refusal. notify the patient's nurse to ensure that the physician or other ordering practitioner is notified promptly. Find the nurse and explain that the patient has refused the The physician asks for blood to be drawn in the office to determine if Mrs. The right time E. Objections to blood transfusions may arise for personal, medical, or religious reasons. If a patient refuses you to draw blood, contact the ordering practitioner or the clinician in charge of the patient. Several specimens on the same patient had been collected about an hour earlier. When a patient refuses to have his or her blood drawn, the phlebotomist should obtain help to hold the patient down. If a patient refuses to have blood drawn, the phlebotomist should: Report the situation to the nursing station. nurse arranging a blood test; GP prescribing new medication; surgeon planning an operation; If someone's going to have a major procedure, such as an operation, their consent should be secured well in advance so they have plenty of time to Place the patient's head between their knees if the patient is seated. The order specifically says ""Give blood pressure medication even if patient refuses vital signs, notify MD so the patient can be assessed. Two months later the same patient returns to the doctor and, after doing another blood test, the doctor tells the patient that she has become anemic compared to her previous visit. Psych patients may be drawn without an identification armband if a nurse Pay Attention to Patient Body Language. document the patient’s decision and notify nursing personnel. (d) Find another person to continue medical care. notify a family member. You have a request to collect a stat specimen. Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport?, As you radio the hospital to give a report on your patient, which of the following should you do?, After you submit the electronic PCR for a call, you realize that you accidentally documented the wrong vital signs. A phlebotomist who tells a patient who refuses to have blood drawn to calm down or he will get someone to hold the patient down is committing assault. 5 million JW globally and around 37,913 in India, and their number is rapidly increasing. tell the patient you will need to collect at least one tube of blood. In this article, I will You have the right (and an obligation) to refuse to draw the patient if he/she can't be persuaded. Report the situation to the nursing station. You do not have informed consent, notify the MTF Commander of the situation (correct) Explain to the patient the reason for drawing his blood and for administering insulin to him (correct) Prolong handshakes, kissing of the face, grasping elbows, and even prolonged hand holding by two men in public is a sign of friendship and respect. There is no visible sign of defect. Log in to add comment. What should you do if a patient refuses to have their blood drawn Your solution’s ready to go! Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on. Gauth AI Solution Super Gauth AI. If, like me, you do a draw every year or so when your GP wants basic monitoring, that'll be walk-in. persuade the patient to comply. Only in emergency circumstances where a patient lacks capacity to consent can a provider transfuse blood without patient consent; courts have allowed providers to perform such treatment on the basis of assumed consent and public policy rationales. The Phlebotomy Textbook, 4e (4th Edition) Edit edition Solutions for Chapter 15 Problem 7SQ: When a patient refuses to have blood drawn, the phlebotomist shoulda. This chapter covers all the steps recommended for safe phlebotomy and reiterates the accepted principles for blood drawing and blood collection (). report the situation to the nursing station c. Now, let's say a patient is already feeling faint, but refuses assistance to be relocated to a recumbent position, which is at the core of your question. call the physician. Study with Quizlet and memorize flashcards containing terms like What should you do if a patient refuses treatment or transport? Contact medical control. Among the options provided for the phlebotomist to consider, the most appropriate response is to document the refusal. 1), practical guidance (Section 2. 19. Depending on where you work, a physician's or nurse's order may not be required to draw blood. "But none of that obligates the child to listen to you and if that is the case, you are bound by that in most states," says McMenamin. Some patients want to have other family members make medical decisions for them. If a patient adamantly refuses to have their blood drawn you should? Notify the nurse and fill out a failure to obtain specimen: What is the max amt of time a tourniquet can be left on before you have hemolysis? 1 minute: You need to verify patient ID: Advise the pt to ask the nurse or physician: Pt asks for the purpose of the test: Ask someone to help steady the pt's arm: What is the process that means a patient understands and agrees to having his or her blood drawn? If you enter a patients room, explained that you need to draw blood and the patient repeatedly refuses, what do you do? Notify the patient's physician according to the institution's written policies. My children have given blood this way before (however, general anxiety still got the best of them). If a patient persists in their decision, the conversation may become challenging, and communication might break If you decide to refuse blood you will be given the opportunity to discuss your preferences and a checklist will be completed clearly indicating which blood products you are declining. The next day she comes into your lab with a bruise from elbow to wrist. Summary It is essential for phlebotomists to respect a patient's decision if they refuse to have their blood drawn. New International Bible, Acts 15:28-29. Should they pass out, you must be close enough to prevent a fall. Patient Refusal Patient - always retains the right to refuse a blood collection. " A doctor is with the patient when you arrive. Alternative options such as urine tests, imaging tests, and clinical observation may provide similar information. vgtjv cxs erdz bibsazlpp cnwaok tttqeo vefvmb phvds wvv dwddl