A phlebotomist has entered incorrect information in a patient's paper chart after a venipuncture procedure. Which of the following actions should the phlebotomist take to correct the error?
Notify the provider about the error.
Ask an administrator to erase the error and input the correct information.
Strike a line through the error and initial.
Erase the error and enter the correct information.
The Correct Answer is C
Choice A Reason:
Notifying the provider about the error is an important step, but it does not correct the error in the patient's chart. Communication with the provider ensures that they are aware of the mistake and can make informed decisions regarding patient care. However, the physical correction of the documentation is also necessary to maintain accurate medical records.
Choice B Reason:
Asking an administrator to erase the error is not a recommended practice. Erasing or using correction fluid can make the chart appear tampered with, which can have legal implications. It is essential that the original entry remains visible to preserve the integrity of the medical record.
Choice C Reason:
Striking a line through the error and initialing is the correct method for correcting a written error in a patient's chart¹². This approach allows the original entry to remain legible, which is crucial for legal and clinical reasons. It also shows that the correction was made by an authorized individual, as the initials indicate who made the change.
Choice D Reason:
Erasing the error and entering the correct information is not an acceptable practice for the same reasons as choice B. It is important not to remove or conceal the original entry, as this could be considered falsifying medical records.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Shoe covers are used to protect the shoes and prevent the spread of contaminants from one area to another. They are not specifically required for droplet precautions during blood glucose monitoring. Droplet precautions typically focus on protecting mucous membranes of the eyes, nose, and mouth from droplet spatter.
Choice B Reason:
Masks are essential when dealing with patients under droplet precautions. Droplets can transmit infections when a person coughs, sneezes, or talks, and a mask provides a barrier that prevents the inhalation of these potentially infectious droplets. For procedures like blood glucose monitoring, where close contact with the patient is necessary, wearing a mask is crucial to protect both the healthcare worker and the patient.
Choice C Reason:
A gown is used to protect the healthcare worker's skin and clothing from contamination with potentially infectious material. While it is an important piece of personal protective equipment, it is not the primary requirement for droplet precautions in the context of blood glucose monitoring, unless there is a risk of substantial splashing or spraying of bodily fluids.
Choice D Reason:
Goggles are used to protect the eyes from splashes of blood or other body fluids. They are important in procedures where there is a risk of splashing, but for blood glucose monitoring, the risk is minimal. Therefore, goggles are not the primary piece of equipment required for droplet precautions in this scenario.
Correct Answer is B
Explanation
Choice A Reason:
Serology is the division of the laboratory that deals with the study of blood serum. In serology, the focus is on identifying and measuring antibodies in the serum. While serology can be used to support the diagnosis of infections, it does not involve culture and sensitivity testing, which is specific to identifying pathogens and determining their susceptibility to antibiotics.
Choice B Reason:
Microbiology is the correct division for culture and sensitivity tests. This division specializes in studying microorganisms, including bacteria, fungi, parasites, and viruses. When a culture and sensitivity test is ordered, it is the microbiology lab that cultures the sample to grow the organism and then tests various antibiotics to determine which are most effective against it.
Choice C Reason:
Histology is the study of the microscopic structure of tissues. Histology labs prepare and examine tissue samples to diagnose diseases, but they do not perform culture and sensitivity tests, which are specific to microbiology.
Choice D Reason:
Chemistry is a division of the laboratory that performs a wide range of tests to measure chemicals and enzymes in the body. These tests can include blood glucose levels, liver enzymes, and hormone levels, among others. However, chemistry does not handle culture and sensitivity testing, as this is not within the scope of chemical analysis.
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