Podcast
Questions and Answers
What is essential when communicating with patients about pre-collection requirements?
What is essential when communicating with patients about pre-collection requirements?
Why is it important to review testing requirements and directions with patients?
Why is it important to review testing requirements and directions with patients?
What should patients be encouraged to do during the patient interview?
What should patients be encouraged to do during the patient interview?
What is the purpose of fasting before some tests?
What is the purpose of fasting before some tests?
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Why is it important to take medications at a predetermined time for some tests?
Why is it important to take medications at a predetermined time for some tests?
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What should you do if a patient arrives at the laboratory without adhering to testing requirements?
What should you do if a patient arrives at the laboratory without adhering to testing requirements?
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Why is it important to use terms patients understand when explaining testing requirements?
Why is it important to use terms patients understand when explaining testing requirements?
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What is the purpose of having patients repeat the directions?
What is the purpose of having patients repeat the directions?
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What should be documented in the medical record if a patient is suspected to be intoxicated?
What should be documented in the medical record if a patient is suspected to be intoxicated?
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Why should a patient rest for 15 to 30 minutes before blood collection if they have recently exercised?
Why should a patient rest for 15 to 30 minutes before blood collection if they have recently exercised?
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What is an important consideration when educating a patient who has never had a venipuncture before?
What is an important consideration when educating a patient who has never had a venipuncture before?
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Why is it important to review the specific order and tests being conducted with the patient?
Why is it important to review the specific order and tests being conducted with the patient?
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Which of the following can affect coagulation activation and platelet reactivity?
Which of the following can affect coagulation activation and platelet reactivity?
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Why should patients who have been fasting be informed about sugar in chewing gum?
Why should patients who have been fasting be informed about sugar in chewing gum?
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What should be explained to the patient regarding the insertion of the needle?
What should be explained to the patient regarding the insertion of the needle?
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Why is patient education important in the phlebotomy process?
Why is patient education important in the phlebotomy process?
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Why is it necessary to clarify the patient's lifestyle or work habits when scheduling appointments for basal state testing?
Why is it necessary to clarify the patient's lifestyle or work habits when scheduling appointments for basal state testing?
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What should you ask the patient to confirm their adherence to pretesting requirements?
What should you ask the patient to confirm their adherence to pretesting requirements?
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What is the primary purpose of a patient interview before a venipuncture?
What is the primary purpose of a patient interview before a venipuncture?
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Why is it essential to use simple and clear language when communicating with patients about fasting?
Why is it essential to use simple and clear language when communicating with patients about fasting?
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What should you ask the patient to determine their exact basal state?
What should you ask the patient to determine their exact basal state?
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Why is it necessary to determine if the patient has taken any medication before the collection process?
Why is it necessary to determine if the patient has taken any medication before the collection process?
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What is the primary reason for refraining from eating or exercising for 12 hours before specimen collection?
What is the primary reason for refraining from eating or exercising for 12 hours before specimen collection?
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What should you ask the patient to confirm their understanding of the pretesting requirements?
What should you ask the patient to confirm their understanding of the pretesting requirements?
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What should you consider before applying a tourniquet to a patient who has had a mastectomy?
What should you consider before applying a tourniquet to a patient who has had a mastectomy?
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Why is it important to ask the patient which arm they prefer for venipuncture?
Why is it important to ask the patient which arm they prefer for venipuncture?
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What should you consider when obtaining information on a patient's current medications?
What should you consider when obtaining information on a patient's current medications?
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Why is it important to understand common medications and their classification?
Why is it important to understand common medications and their classification?
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What can affect test results, apart from medications?
What can affect test results, apart from medications?
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Why should you ask about previous unsuccessful blood collections in a patient's arm?
Why should you ask about previous unsuccessful blood collections in a patient's arm?
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What should you avoid using for venipuncture due to the risk of injury or infection?
What should you avoid using for venipuncture due to the risk of injury or infection?
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What can acetaminophen falsely elevate in a blood test?
What can acetaminophen falsely elevate in a blood test?
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What is the primary reason for asking patients about latex allergies?
What is the primary reason for asking patients about latex allergies?
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Why is it essential to engage patients in conversation during the procedure?
Why is it essential to engage patients in conversation during the procedure?
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What is a common issue experienced by patients who are fasting?
What is a common issue experienced by patients who are fasting?
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What should be available at all times during the procedure?
What should be available at all times during the procedure?
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What should you do if a patient feels faint during the procedure?
What should you do if a patient feels faint during the procedure?
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Why is it essential to ask patients questions related to their medical history?
Why is it essential to ask patients questions related to their medical history?
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What is the minimum time a patient should be observed after a fainting episode?
What is the minimum time a patient should be observed after a fainting episode?
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What should be done for patients who lose consciousness and do not respond immediately?
What should be done for patients who lose consciousness and do not respond immediately?
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Fasting for 8 to 12 hours prior to blood collection is required for all tests.
Fasting for 8 to 12 hours prior to blood collection is required for all tests.
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It is not necessary to review testing requirements and directions with patients.
It is not necessary to review testing requirements and directions with patients.
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Patients should not drink water during fasting periods.
Patients should not drink water during fasting periods.
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A patient's medication schedule does not affect the timing of blood collection.
A patient's medication schedule does not affect the timing of blood collection.
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It is not necessary to use simple and clear language when explaining testing requirements to patients.
It is not necessary to use simple and clear language when explaining testing requirements to patients.
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Patients do not need to be informed about the importance of adhering to testing requirements.
Patients do not need to be informed about the importance of adhering to testing requirements.
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Smoking has no effect on coagulation factors.
Smoking has no effect on coagulation factors.
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Patients who have been fasting should not be informed about sugar in chewing gum.
Patients who have been fasting should not be informed about sugar in chewing gum.
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Vigorous exercise has no effect on coagulation activation.
Vigorous exercise has no effect on coagulation activation.
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Patient education is not necessary for phlebotomy procedures.
Patient education is not necessary for phlebotomy procedures.
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It is not necessary to document patient factors such as exercise or medication in the medical record.
It is not necessary to document patient factors such as exercise or medication in the medical record.
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Patients who have never had a venipuncture do not require extra explanation and education.
Patients who have never had a venipuncture do not require extra explanation and education.
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It is not necessary to review the specific order and tests being conducted with the patient.
It is not necessary to review the specific order and tests being conducted with the patient.
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Alcohol has no effect on coagulation activation and platelet reactivity.
Alcohol has no effect on coagulation activation and platelet reactivity.
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Exercise and food can affect test results.
Exercise and food can affect test results.
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Patients should be asked about their current medications during the patient interview.
Patients should be asked about their current medications during the patient interview.
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Patients who have never had a venipuncture before require additional education and clarification.
Patients who have never had a venipuncture before require additional education and clarification.
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Fasting for 12 hours is not necessary for all laboratory tests.
Fasting for 12 hours is not necessary for all laboratory tests.
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Patients should be asked about their allergies to any of the supplies or equipment to be used.
Patients should be asked about their allergies to any of the supplies or equipment to be used.
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Patients should rest for 15 to 30 minutes before blood collection if they have recently exercised.
Patients should rest for 15 to 30 minutes before blood collection if they have recently exercised.
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Study Notes
Patient Adherence
- Some tests have specific pre-collection requirements, such as fasting, medication administration, or avoiding specific foods/beverages, which must be discussed with the patient.
- Patients may arrive at the laboratory with instructions from their provider, and it's essential to know which tests have requirements to discuss with the patient.
- Fasting requirements typically include avoiding food/drink (except water) for 8-12 hours before blood collection.
- Medication administration requires patients to take medication at a specific time or write down when they took it, and blood/urine collection must be done at the correct time.
- Basal state preparation involves collecting specimens in the morning, after a 12-hour fast, to establish reference ranges; exercise and food can affect test results.
Patient Interview
- Determine whether the patient has adhered to pre-testing requirements before proceeding with the patient interview.
- Ask questions to prevent/manage complications during collection, such as allergies to supplies/equipment, recent exercise, or smoking.
- Document any factors that may affect test results, such as alcohol consumption or medication use.
Patient Education
- Educate the patient on the procedure, using terminology they understand, to lessen anxiety.
- Review the specific order and tests being conducted to ensure accuracy.
- Discuss potential complications based on patient risk factors.
- Explain the procedure, including steps and potential pain, to minimize nervousness.
- Inform patients about the possibility of fainting, nausea, or vomiting, and have supplies available to manage these reactions.
Special Considerations
- Consider patient allergies, especially latex and adhesives, and use hypoallergenic materials when necessary.
- Be aware of patients who may be prone to syncopal reactions or low blood sugar levels.
- Use reclining chairs or examination tables for patients who may be susceptible to fainting.
- Ask patients about their medical history, including mastectomies, central venous access ports, or arteriovenous fistulas, to choose the correct venipuncture location.
- Consider current medications, including over-the-counter and prescription drugs, that may affect test results or require special precautions.
Patient Adherence
- Some tests have specific pre-collection requirements, such as fasting, medication administration, and avoiding specific foods or beverages.
- Patients may arrive at the laboratory with instructions from the provider, and it is essential to know which tests have requirements to discuss with the patient.
- If a patient arrives without adhering to testing requirements, consult with the provider, and be sensitive if the patient becomes upset or angry.
Pretesting Preparations
- Fasting: Some tests require patients to fast for 8-12 hours before blood collection, allowing only water intake, and in some cases, black coffee or tea.
- Medication: Patients should take medication at a predetermined time, and the timing of blood or urine collection is crucial for accurate test results.
- Basal State: Specimens are typically collected in the morning, after 12 hours of fasting and refraining from exercise, to establish reference ranges.
Patient Interview
- Determine whether the patient has adhered to pre-testing requirements before performing a venipuncture.
- Ask questions using terminology the patient understands, such as "Have you had anything to eat or drink?" or "What time did you wake up?"
- Identify potential allergies to supplies or equipment, and note any predictable complications during the collection process.
Patient Education
- Educate the patient on the procedure, including the steps involved, to lessen anxiety and ensure accuracy in interpreting the order or requisition form.
- Explain the procedure in simple terms, discussing potential complications based on patient risk factors, and answer questions before beginning the procedure.
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Description
This quiz covers patient adherence in laboratory testing, including pre-collection requirements and communication with patients and healthcare providers.
