A phlebotomist was acting as an instructor for a phlebotomy student from the local college and was anxious to help her learn all the special tests that had not been practiced in class.  When a stat blood culture and electrolytes were ordered on a patient in the ICU, the instructor quickly grabbed the student and they headed for the floor.  It was clear after looking at the patient that they would have to use a butterfly in a hand vein to collect the test specimen.  The instructor was busy helping the student prepare the site and did not pay attention to the order the student layout all of the equipment/tubes/bottles for the draw. The student elated that she was able to access the difficult vein and that blood was flowing freely to the anaerobic bottles. After filling both it and the aerobic bottle to the proper level, she proceeded to draw a sst tube for the electrolytes. The blood flow was now very slow, with blood entering the tube one drop at a time.  After patiently waiting for the tube to fill, both she and the instructor were relieved to be finished.  After returning to the lab they were sent back by the chemistry department to redraw the electrolytes because the potassium value was too high.  Before leaving, the instructor grabbed a new set of blood culture bottles because he knew that they would need to be redrawn as well.   1.  Should the chemistry tech have run the original sample at all?

Chemistry: The Molecular Science
5th Edition
ISBN:9781285199047
Author:John W. Moore, Conrad L. Stanitski
Publisher:John W. Moore, Conrad L. Stanitski
Chapter13: The Chemistry Of Solutes And Solutions
Section13.6: Expressing Solution Composition
Problem 13.7PSP
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A phlebotomist was acting as an instructor for a phlebotomy student from the local college and was anxious to help her learn all the special tests that had not been practiced in class.  When a stat blood culture and electrolytes were ordered on a patient in the ICU, the instructor quickly grabbed the student and they headed for the floor.  It was clear after looking at the patient that they would have to use a butterfly in a hand vein to collect the test specimen.  The instructor was busy helping the student prepare the site and did not pay attention to the order the student layout all of the equipment/tubes/bottles for the draw. The student elated that she was able to access the difficult vein and that blood was flowing freely to the anaerobic bottles. After filling both it and the aerobic bottle to the proper level, she proceeded to draw a sst tube for the electrolytes. The blood flow was now very slow, with blood entering the tube one drop at a time.  After patiently waiting for the tube to fill, both she and the instructor were relieved to be finished.  After returning to the lab they were sent back by the chemistry department to redraw the electrolytes because the potassium value was too high.  Before leaving, the instructor grabbed a new set of blood culture bottles because he knew that they would need to be redrawn as well.

 

1.  Should the chemistry tech have run the original sample at all?

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