Question 86

The 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 blood accumulation and minimizes potential complications for the patient.

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

While observing the site may be a part of ongoing monitoring, it is not an appropriate immediate response when a hematoma is developing. The priority is to take action to prevent further injury or complications rather than simply watching the situation escalate.

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

Asking the patient to apply pressure can be a helpful measure after the draw has been completed, but it is not advisable to do so while the procedure is still ongoing and a hematoma is forming. The phlebotomist should first stop the draw and manage the situation appropriately.

C) release the tourniquet and stop the draw.

This option is correct because it directly addresses the issue of the developing hematoma. By releasing the tourniquet and ceasing the blood draw, the phlebotomist can prevent further blood leakage into the surrounding tissue, thus minimizing the risk of a larger hematoma and ensuring patient safety.

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

While involving a nurse may be necessary if the situation escalates or if the patient shows signs of distress, the immediate and appropriate action is to stop the draw and release the tourniquet. This option does not prioritize the urgent need to manage the developing hematoma effectively.

Conclusion

Releasing the tourniquet and stopping the draw is the most effective response to a developing hematoma, as it directly addresses the immediate risk of further injury. Other options either delay necessary action or do not adequately manage the situation, underscoring the importance of prompt intervention in phlebotomy procedures.