Question

208 Unit II Blood Collection Procedures SKILLS DRILL 10-4: HEELSTICK PROCEDURE RATIONALE (Textbook Procedure 10-2) Match the rationale summary from the following list with the heelstick procedure steps listed by placing the appropriate letter next to the step under Rationale Summary A. Absorbs excess blood and helps stop bleeding B. An acceptable one is on the medial or lateral plantar surface of the heel C. Doing this in advance helps ensure everything is ready and within reach D. Encourages the blood flow without compromising specimen integrity E. Exposure to latex can trigger a life-threatening reaction in some individuals F. Follow facility protocol before doing this G. Helps ensure correct specimen identification H. Helps prevent sudden unexpected movement by the patient 1. Makes collection easier and reduces a tendency to squeeze the site J. Must be reviewed for completeness K. Necessary for proper additive function L. Necessary to protect specimen integrity M. Necessary to verify bleeding has stopped N. Placing it flat against the skin ensures good contact for the puncture O. Plays a major role in infection control P. Prevents contamination of the specimen with excess tissue fluid Q. Removes or inhibits skin flora that could cause infection R. The infant should be lying face up with the foot lower than the torso S. This is courteous and professional T. Vital to patient safety and meaningful test results Rationale Segary Heelstick Procedure Step 1. Receive, review, and accession test request. 2. Approach, greet, and identify the patient. 3. Explain the procedure, and obtain consent 4. Verify collection requirements, and identify sensitivities and potential problems. 5. Sanitize hands, and put on gloves. 6. Position the patient. 7. Select puncture site. 8. Warm the site. 9. Clean and air dry the site. 10. Prepare equipment. 11. Grasp the heel firmly, position the lancet, puncture the site, and discard the lancet. 12. Lower the heel and apply gentle pressure until a blood drop forms 13. Wipe away the first blood drop. 14. Fill and mix the tubes/containers in the order of draw. 15. Place gauze, elevate the heel, and apply pressure. 16. Label and prepare the specimen for handling and transport. 17. Check the site

Answer 1

1. Must be reviewed for completeness.

The procedure step of receive, review and accession test request is done for reviewing the completeness.

2. Vital to patient safety and meaningful test results.

3.This is courteous and professional

4.Exposure to latex can trigger a life-threatening reaction in some individuals

5. Plays a major role in infection control

6. The infant should be lying face up with the foot lower than the torso

7. An acceptable one is on the medial or lateral plantar surface of the heel

8. Makes collection easier and reduces a tendency to squeeze the site

9. Removes or inhibits skin flora that could cause infection

10. Doing this in advance helps ensure everything is ready and within reach

11.helps prevent sudden unexpected movement by the patient

12.Encourages the blood flow without compromising specimen integrity

13.Prevents contamination of the specimen with excess tissue fluid

14.Necessary for proper additive function

15.Absorbs excess blood and helps stop bleeding

16. Helps ensure correct specimen identification

17.Necessary to verify bleeding has stopped