NHA Certified Phlebotomy Technician (CPT)Safety and ComplianceEasy
A phlebotomy technician is documenting a venipuncture procedure. Which of the following pieces of information is LEAST critical to include in the immediate post-procedure documentation for routine blood collection?
- APhlebotomist's initials.
- BDate and time of collection.
- CSite of venipuncture.
- DPatient's primary care physician's contact information.
Show answer & explanationAnswer & explanation
Correct answer: D. Patient's primary care physician's contact information.
For routine post-procedure documentation, details directly related to the collection itself are critical for traceability and quality. The patient's primary care physician's contact information is important for overall care but is typically part of the patient's existing record and not a critical element of immediate post-venipuncture documentation.
Why the other options are wrong
- A. Crucial for accountability and identifying the collector.
- B. Essential for specimen tracking and validity.
- C. Important for future reference, especially if complications arise or for subsequent draws.
Venipuncture Documentation
The essential information that must be recorded immediately following a venipuncture procedure to ensure traceability, accountability, and patient safety.
- Patient identification (full name, DOB, ID number).
- Date and time of collection.
- Phlebotomist's initials/ID.
- Venipuncture site.
- Any complications or special circumstances.
Memory trick: DOC: Details On Collection.