Question 59

A phlebotomist should release the tourniquet and stop the draw.

Releasing the tourniquet and stopping the draw is essential when a hematoma develops at the site of a venous blood draw. This action helps prevent further injury and reduces the risk of complications.

A) observe the site to see whether the hematoma worsens.

Observing the site may not be beneficial in this situation, as allowing the hematoma to develop further could exacerbate the injury. Immediate intervention is necessary to mitigate any complications from the blood draw.

B) ask the patient to apply pressure to the area.

While applying pressure can help manage a hematoma, it should not be the first action taken if a hematoma is observed during a blood draw. The priority is to stop the draw and release the tourniquet to prevent further bleeding.

C) release the tourniquet and stop the draw.

This is the correct response, as it addresses the immediate concern of the developing hematoma. Stopping the draw and releasing the tourniquet minimizes the risk of additional blood accumulation and potential complications.

D) call for a nurse and assess the patient's condition.

While involving a nurse may be appropriate in some cases, it should not be the first course of action when a hematoma is observed. The phlebotomist must first stop the draw and release the tourniquet to ensure the patient's safety.

Conclusion

Releasing the tourniquet and stopping the draw is the most effective response to a developing hematoma, as it directly addresses the issue and minimizes further risk to the patient. Other options, while they may have some merit in certain contexts, do not prioritize immediate patient safety and intervention as effectively as option C.