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,Phlebotomy Essentials, Eighth Edition
Ruth E. McCall
Answer Key to Critical Thinking Questions
Chapter 1
Critical Thinking Questions: Chapter 1
Phlebotomy: Past and Present and the Healthcare Setting
1. If you were hiring a phlebotomist, what credentials, professional qualities,
and work ethics would you want that person to have?
Answer: If I were hiring a phlebotomist, I would want the individual to have
a professional appearance, display self-confidence, be nationally certified in
phlebotomy, and licensed if this were required by the state. I would want the
phlebotomist to present a professional image on the job, which would include
being self-motivated, compassionate, dependable, and ethical.
NAACLS Entry Level Competencies: 9.0, 9.1, 9.2, 9.3, and 9.6
Objectives: #1 and # 2
2. While on phlebotomy rounds one morning, a phlebotomist sees an order
to collect a specimen from a patient who lives in the same neighborhood
as thephlebotomist. After returning home that evening, the phlebotomist
calls her neighbors to let them know that their mutual friend is in the
hospital, so thatthe neighbors can send cards or flowers. Is this a proper
thing to do? Explainyour answer.
Answer: Although on the surface it seems like a nice gesture, it is not a
proper thing to do. The patient may not want anyone to know of the
hospitalization. It violates the patient’s privacy which is a HIPAA violation.
Penalties for HIPAA violations include disciplinary action, termination of
employment, fines, and even possible jail time.
NAACLS Entry Level Competencies: 9.0 and 9.1
Objective: #2
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1-1
,Phlebotomy Essentials, Eighth Edition
Ruth E. McCall
Answer Key to Critical Thinking Questions
Chapter 1
3. A well-known person has been admitted to a large hospital in the city. The
phlebotomist collects the blood test requested from the person and upon
returning to the lab, checks the computer for information on the diagnosis.
The phlebotomist knows that such information is not to be shared and plans
to keep the information confidential. Explain possible consequences of such
actions.
Answer: Whether or not the phlebotomist intends to share the information,
checking the patient’s diagnosis without a valid reason is unethical, a HIPAA
violation, and an action that could get the phlebotomist fired and in legal
trouble.
NAACLS Entry Level Competencies: 9.0, 9.1, 9.5, and 9.6
Objective: #2
4. The phlebotomist must collect a blood specimen from an elderly patient
whohas hearing loss and for whom English is not a first language. The
patient looks angry when attempts are made to communicate with her. What
communication barriers are involved in the interaction with this patient?
What is the best approach to use with this patient? How is it possible to tell if
the message is getting through to her?
Answer: Barriers involved in this communication are age, hearing loss, and
anger. The phlebotomist should speak slowly and distinctly, use an
empathetic tone of voice when speaking, and ask the patient permission to do
the draw so that the patient feels in control of the situation. The phlebotomist
should wait for feedback and watch for nonverbal cues to make certain that
the patient understands what is being said.
NAACLS Entry Level Competencies: 9.0, 9.2, and 9.3
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1-2
, Phlebotomy Essentials, Eighth Edition
Ruth E. McCall
Answer Key to Critical Thinking Questions
Chapter 1
Objective: #2
5. A requisition is received in the laboratory for a STAT blood specimen from
aninpatient who has been in the hospital for a few days. After carefully
checking the patient’s ID, the phlebotomist tells the patient there is an order
for blood work to be done immediately. The patient says all phlebotomists
are vampires and does not want to see any of them ever again. He complains
that everyone is poking him somewhere with something, and he says that he
is tired of it. How would you handle this situation?
Answer: I would try to empathize with such patients and try to validate their
feelings. Give them a sense of control by telling them that they do have the
right to refuse testing, but that their doctor ordered the test for an important
part of their care. You can win the confidence of patients by appearing
knowledgeable, honest, and sincere. Often this is enough to get patients to
agree to testing and sometimes to even apologize for being short-tempered.
NAACLS Entry Level Competencies: 9.0, 9.3 and 9.6
Objective: #1 and # 2
6. The telephone rings in the phlebotomy station. It is a busy time in the
laboratory, and there is no one available to answer the phone. After many
rings, a new, inexperienced phlebotomist grabs the phone and says hello in a
hesitant manner. The person on the line is angry about being charged twice
for the same test. When a call comes in on another line, the phlebotomist
says, “Just a minute,” to the first caller, picks up the other line and says,
“Can you hold?” and then puts that caller on hold before the person has a
chance to say anything. After the first caller hung up out of anger and
frustration, the phlebotomist goes back to the second caller to find it is the
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1-3