NHA Certified Phlebotomy Technician (CPT)Collection RoutineEasy

A phlebotomy technician is preparing to perform a venipuncture on a patient with a history of fainting during blood draws. Which of the following actions should the technician take to ensure patient safety?

  1. APerform the venipuncture as quickly as possible without conversation.
  2. BInstruct the patient to hold their breath during the draw.
  3. CPosition the patient in a supine or semi-recumbent position.
  4. DHave the patient stand to facilitate better blood flow.
Show answer & explanation

Correct answer: C. Position the patient in a supine or semi-recumbent position.

Patients with a history of fainting (vasovagal syncope) should be placed in a supine or semi-recumbent position to prevent injury if they lose consciousness. This position helps maintain blood flow to the brain.

Why the other options are wrong

  • A. Rushing can increase patient anxiety and does not address the physiological risk of fainting.
  • B. Holding breath can exacerbate anxiety and may not prevent fainting.
  • D. Standing increases the risk of injury if the patient faints.

Vasovagal Syncope Prevention

Measures taken to prevent or mitigate fainting episodes during venipuncture, often due to a sudden drop in heart rate and blood pressure.

  • Often triggered by anxiety or pain.
  • Symptoms include dizziness, lightheadedness, pallor, and nausea.
  • Positioning is key to patient safety.

Memory trick: Fainting patients need a safe landing.

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