In the Blood Banking section, the medical technologist on duty unfortunately released an incompatible blood with the patient, leading to loss of life. What is the MOST PROBABLE PENALTY that will be given to the medical technologist. Explain. (Not more than 10 sentences)
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- 6. The phlebotomist used a needle gauge (23 or under) that is too small for the patient's vein. The said situation depicts which of the following? Hemoconcentration Hemolysis Hematoma Petechiae 7. Recommended needle gauge for adults: (Check all that applies.) 19 21 22 8. Which of the following statements is/are true about tourniquet application? (Check all that applies.) Apply tourniquet about 3-4 inches above the venipuncture site. Tourniquet application should be 1-2 minutes. Prolonged tourniquet application may cause hemoconcentration. Application of tourniquet must be tight enough to make vein visible 201. To ensure quality of blood specimen, which of the following should be considered? ratio of anticoagulant to the volume of blood to be collected clotting time room temperature all of the above 2. In specimen labeling the phlebotomist should indicate in the container patient first name O patient medical record number O date and time of collection O all of the above2. Describe how both routine and thick blood smears are made and the reasons for making them at the collection site
- Proper patient identification meansa. actively involving patients in their own identification.b. asking a second person to verify your ID procedure.c. checking the requisition against the patient’s room number.d. scanning patient ID bands with barcode readers only.Below is a diagram representing the blood type analysis of a new patient (p mation obtained from the slide, fill out the medical technologist's report. 2. A Medical Technologist's Report Rh Patient Name: - B АВО Туре: * Rh Type: -11.Take the tray at patient’s bedside. Verify the patient’s identity. a. Check name on patient’s identification band b. Ask patient to state his/her name c. Verify patient’s identification with a staff member who knows the patient.
- 4. A tourniquet is used by the phlebotomist to assess and determine the location of a suitable vein for venipuncture. Explain briefly:a. Why the tourniquet should be applied prior to blood withdrawal b. Where the tourniquet should be applied before blood can be withdrawn.2. The order written by physician is for Mrs. Winters is to receive one dose of Mucomyst 300 mg by mouth before heart cath. Pharmacy sends 600mg/2ml. How many ml will you administer per dose? 1 ml was wrong answer2. Which of the following is/are disadvantages of syringe method? (Check all that applies.) Readily available and cheap Time consuming Prone to needle pricks O Easily maneuvered Changeable needle gauge 3. Which of the following is/are included in a properly labeled collection tube? (Check all that applies.) Date and time of collection Name of the patient Age and sex of the patient Name or initials of the phlebotomist Lab test requested 4. Which of the following statements are true about proper disinfection of venipuncture site? (Check all that applies.) Clean site prior to selection of vein Clean site with 70% alcohol for 30 seconds Allow site to dry completely Do not touch the cleansed site before reapplication of tourniquet 5. Post-phlebotomy procedure: (Check all that applies.) Perform hand hygiene Recheck the labels on the tubes Discard used syringe and needle Ask patient how she/he is feeling O O O O O O O O O 0 O O O 0
- 7. A phlebotomist has a requisition to collect an ABG specimen from a patient in the cardiac care unit (CCU). The phlebotomist identifies the patient and records the required requisition information. The patient has an IV in the left arm in the area of the wrist, so the phlebotomist chooses the right arm. The patient is having difficulty breathing and appears quite restless and agitated. The phlebotomist performs the modified Allen test. The result is positive. The phlebotomist attempts puncture of the radial artery. The patient moves his arm as the needle is inserted and it misses the artery. The phlebotomist redirects the needle several times and finally hits the artery. The blood pulses into the syringe but is dark reddish-blue in color. The phlebotomist completes the draw, removes the needle, holds pressure over the site, and at same time activates the needle safety device, removes the needle, and caps the syringe, being careful not to introduce air bubbles into it. After holding…Pretend you were a junior medtech working in a night shift. You were assigned at the blood banking section of the laboratory where you are designated to test blood for cross matching and release blood bags. You release O positive blood bag for a patient with anemia. After 10 minutes, the nurse called and said that the patient is having a "reaction" of the said blood and told you to investigate and re-checked. 2. What is/are the possible reasons of the problem encountered. Give atleast 3.15 CASE STUDIES FOR MANAGEMENT OF MED-SURG PATIENTS. Case 1 Doris Lochan, is a 54-year-old female admitted to the Accideut & Emergency Department at the San Fernando General Hospital on Thursday January 30th, 2021 at 5am. On arrival to the Accident and Emergency department in the San Femando General Hospital, she was alert and oriented to time, person, and place, she was in distress due to severe pain, she complained of fever, nausea and vomiting, abdominal pain 8 out of 10 on pain scale, protruding hernia, constipation. Patient vital signs Temp 38.8 Celsius Pulse 136 bpm Respiration 22bpm Blood Pressure 160/102 mmHg Blood Sugar 306 mg/dl Spo2 97 % Urinalysis Blood + Glucose ++ Patient was examined by Dr, R who found that her bowel sounds were normoactive on auscultation, abdomen was generally soft, but a firm, focaly tender mass was noted in the left lower quadrant. Local examination revealed a 4 cm mass palpable in the navel region. Plan ordered as follows: 1.Abdominal ultrasound 2.…