Question 57

Release the tourniquet and stop the draw.

When a phlebotomist observes a hematoma developing during a venous blood draw, the immediate action should be to release the tourniquet and stop the draw to prevent further complications and minimize discomfort for the patient.

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

While monitoring the site can be part of post-procedural care, it is not an appropriate first action upon noticing a hematoma. Continuing to observe without taking action could allow the situation to worsen.

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

Instructing the patient to apply pressure may not suffice as a primary intervention. While applying pressure can help reduce bleeding, it should not replace the need to stop the draw and release the tourniquet to prevent further blood accumulation.

C) Release the tourniquet and stop the draw.

This is the correct course of action. Releasing the tourniquet alleviates venous pressure and stopping the draw prevents additional trauma to the blood vessel, thereby reducing the risk of further hematoma formation.

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

Although assessing the patient's condition is important, it should occur after addressing the immediate issue of the hematoma. Delaying action by calling for assistance could exacerbate the situation and increase discomfort for the patient.

Conclusion

The correct answer is to release the tourniquet and stop the draw, as this action directly addresses the risk of further hematoma development. Other options either delay necessary intervention or do not adequately manage the immediate complication, emphasizing the importance of prompt action in phlebotomy procedures.