Which of the following conditions is a cause for specimen rejection for a routine urinalysis?

A. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.

B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.

C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.

D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles).

A. Wrapping hinged instruments in the open, unlocked position: Hinged instruments should be wrapped in the open, unlocked position to ensure that steam can penetrate all surfaces for effective sterilization.
B. Allowing the temperature of the autoclave to reach 200° F before timing: The autoclave should reach the required temperature (typically 250°F or 121°C) for the appropriate amount of time for sterilization, not 200°F.
C. Using a ballpoint pen to label contents: It is not advisable to use a ballpoint pen for labeling sterilized items because ink might not withstand the autoclave's high temperatures. Permanent markers or labels that can endure high temperatures should be used.
D. Stacking wrapped packages tightly into the autoclave: Items should be arranged in a way that allows steam to circulate freely, so tightly stacking packages can hinder proper sterilization.