NHA Certified Phlebotomy Technician (CPT)Patient PreparationMedium
A phlebotomy technician approaches a patient to perform a venipuncture. The patient immediately pulls their arm away and states, 'I don't want to do this.' What is the MOST appropriate initial response from the technician?
- AStop the procedure and ask the patient if they would like to discuss their concerns.
- BExplain that the doctor ordered the test and it must be done.
- CAttempt to gently persuade the patient that it will be quick and painless.
- DProceed quickly with the draw to minimize the patient's discomfort.
Show answer & explanationAnswer & explanation
Correct answer: A. Stop the procedure and ask the patient if they would like to discuss their concerns.
Patients have the right to refuse medical procedures. If a patient expresses refusal, the technician must stop and attempt to understand their concerns. Proceeding without consent can be considered assault.
Why the other options are wrong
- B. This dismisses patient autonomy and can increase distress.
- C. While well-intentioned, persuasion after a direct refusal is inappropriate and can be coercive.
- D. Proceeding with the draw after a patient's refusal is a violation of consent and can have serious legal implications.
Patient Refusal of Care
A patient's right to decline a medical procedure or treatment. Healthcare providers must respect this right and seek to understand the patient's reasons.
- Patient autonomy must be respected.
- Never force a procedure.
- Attempt to address concerns or notify nursing staff.
Memory trick: Refusal's a stop sign, not a suggestion; listen, understand, then address the question!