Question 36

Release the tourniquet with one hand.

When using a tourniquet, a phlebotomist should release the tourniquet with one hand to maintain control of the site and ensure the patient's safety during blood collection.

A) Tie a knot with the tourniquet that will not slip.

Tying a knot that does not slip is not recommended as it can cause excessive pressure and discomfort to the patient. The tourniquet should be applied snugly but not so tightly that it restricts blood flow excessively.

B) Release the tourniquet with one hand.

Releasing the tourniquet with one hand allows the phlebotomist to keep their other hand free to stabilize the needle or adjust the site as needed. This technique minimizes the risk of complications and enhances patient comfort during the procedure.

C) Position the tourniquet 3 to 4 inches below the site.

Positioning the tourniquet too far below the venipuncture site could make it difficult to visualize the veins and may not effectively engorge the veins for easier access. The tourniquet should generally be placed 3 to 4 inches above the intended site.

D) Wash the tourniquet with soap and water after use.

While maintaining cleanliness is important, washing the tourniquet with soap and water after every use is not a standard practice. Instead, tourniquets should be properly disinfected according to protocol, as they are often made of materials that may not be suitable for washing.

Conclusion

In conclusion, releasing the tourniquet with one hand is the most effective practice as it ensures patient safety and allows the phlebotomist to maintain control during the procedure. The other options either introduce unnecessary risks or do not align with best practices in phlebotomy. Thus, option B is the clear and correct choice.