Question

ht, und delivereu ule specimen lu le du. Case Study 10-2: Capillary Specimen Collection Technique and Order of Draw flowing, but he eventually filled a lavender bullet for the CBC to a proper level. After the samples had her submitted to the lab he was told to recollect the CBC because the results were questionable. A phlebotomist had a request to collect STAT electrolytes on a patient and a CBC that was not STAT. The patient had an IV just above the wrist in the left arm. The right antecubital area was badly bruised, and the patient did not have any suitable veins in either hand. Consequently, the phlebotomist decided to collect the specimens by capillary puncture, choosing the right middle finger as the collection site. After making the puncture, the phlebotomist decided to collect the electrolytes first because they were STAT and he was having a difficult time getting good blood flow. He was able to fill the green top bullet for the electrolytes and proceeded to collect the CBC. He had to use a lot of pressure on the finger to keep the blood QUESTIONS 1. What was most likely wrong with the CBC results 2. Why was only the CBC affected? 3. What could the phlebotomist have done differently to protect the CBC? 4. What should the phlebotomist do differently when he recollects the specimen?

Answer 1

1. The sample must have hemolysed.

2. Because lot of pressure was applied to fill the lavender top and it is suppose to be filled upto the leveled mark and not fully.

3. He could have filled upto the level marked only.

4. Instead of doing capillaries puncture, he can use veins of foot or take arterial sample.