Question

Case Study 13-2: Urine C&S Specimen Collection Luann recently received on-the-job phlebotomy training. Today was the first day she had been allowed to work alone. It was a busy day and patients were starting to stack up in the waiting area. One elderly woman needed a blood test and a urine C&S. Luann was good at drawing blood and liked doing it. She hated to instruct patients in urine collection, however. She drew the blood specimen, quickly bandaged the patient and handed her a labeled urine collection container and several antiseptic wipes. She asked the patient if she had ever given a urine specimen for a culture before and when the patient said "Yes," she showed her where the restroom was, and told her that she should put the specimen on the counter when she was finished and then she could leave. She then called another patient in for a blood draw. The elderly woman came out of the rest room, set the specimen on the counter as she had been told and left. Later that day when things quieted down, Luann discovered that the patient had placed the antiseptic wipes in the urine container with the specimen. She was mad that the woman could be so foolish and also that she would have to call her and request that the woman return to the lab and submit a new specimen. QUESTIONS 1. Why would the patient make such a mistake if she had submitted a urine specimen before? 2. What should Luann have done that would have prevented the problem with the specimen? Case Study 13-3: AFB Culture It was Friday morning in the small rural hospital, Gerry, the phlebotomist, had just finished his usual morning draws when the nurse handed him an order for an AFB culture and directed him to the patient who was in isolation. The phlebotomist had not seen this order before and asked the nurse if someone else could do it. The nurse said it needed to be done that morning and because they were short staffed he needed to advise the patient on how to collect the specimen. Before dressing to enter the room, he called his supervisor and was told to bring the request to the tech in the micro laboratory. He was relieved and quickly left the floor. QUESTIONS 1. What does AFB mean? 2. What disease do they think the patient has? 3. What type of specimen would be collected and how should it be done?

Case Study 13-2: Urine C&S Specimen Collection
Luann recently received on-the-job phlebotomy training. Today was the first day she had been allowed to work alone. It was a busy day and patients were starting to stack up in the waiting area. One elderly woman needed a blood test and a urine C&S. Luann was good at drawing blood and liked doing it. She hated to instruct patients in urine collection, however. She drew the blood specimen, quickly bandaged the patient and handed her a labeled urine collection container and several antiseptic wipes. She asked the patient if she had ever given a urine specimen for a culture before and when the patient said "Yes," she showed her where the restroom was, and told her that she should put the specimen on the counter when she was finished and then she could leave. She then called another patient in for a blood draw. The elderly woman came out of the rest room, set the specimen on the counter as she had been told and left. Later that day when things quieted down, Luann discovered that the patient had placed the antiseptic wipes in the urine container with the specimen. She was mad that the woman could be so foolish and also that she would have to call her and request that the woman return to the lab and submit a new specimen.
QUESTIONS
1. Why would the patient make such a mistake if she had submitted a urine specimen before?
2. What should Luann have done that would have prevented the problem with the specimen?
Case Study 13-3: AFB Culture
It was Friday morning in the small rural hospital, Gerry, the phlebotomist, had just finished his usual morning draws when the nurse handed him an order for an AFB culture and directed him to the patient who was in isolation. The phlebotomist had not seen this order before and asked the nurse if someone else could do it. The nurse said it needed to be done that morning and because they were short staffed he needed to advise the patient on how to collect the specimen. Before dressing to enter the room, he called his supervisor and was told to bring the request to the tech in the micro laboratory. He was relieved and quickly left the floor.
QUESTIONS
1. What does AFB mean?
2. What disease do they think the patient has?
3. What type of specimen would be collected and how should it be done?

Added by Paul M.

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