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Drawing blood was Kara’s favorite skill she learned in clinical medical assistant school. She is pleased that Greenland Family Care Clinic draws lab work onsite rather than sending patients to an outpatient laboratory for phlebotomy procedures. Lindsay reviewed all of the procedures with her before she left on vacation, knowing that Kara would have the opportunity to perform phlebotomy on several patients. Dr. Dean has ordered lab tests on Mr. Jose M. Garcia, and Kara will need to draw his blood. This is her first “real” patient since completing her externship, and she is a little nervous. Kara looks at the lab requisition form and learns Dr. Dean has ordered a CBC with Diff, Serum Fasting Glucose, and Basic Metabolic Panel. Kara gathers the supplies and enters Mr. Garcia’s exam room with a smile. Do not forget to ask yourself questions like these: What should Kara do next? What is the appropriate color of tube(s) Kara needs to draw? Will Kara need to change tubes during this procedure? What tools or supplies does Kara need before entering the room? What is the priority action Kara should take upon entering Mr. Garcia’s exam room? What should Kara do next? What question (specific to the ordered tests) should Kara ask Mr. Garcia prior to specimen collection? Kara missed Mr. Garcia’s vein on the first attempt. What would be her next steps? After obtaining the blood specimen(s), what information is necessary for Kara to write on the tube label? What other circumstances will Kara need to consider? As an initial contribution to this forum, carefully break down each step Kara must take to comply with Dr. Dean's request. Next, explain the importance of knowing each step of the process. And to finish, include one of the possible situations that can be generated from this process not being followed in the corresponding way. Do not forget to go through the contribution of at least two of your colleagues and exchange ideas about these possible situations and suggest a possible solution to what he presents.
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