NHA Phlebotomy Certification Practice Exam

When drawing blood from a patient with severe Down's syndrome, what is the first step?

1. Proceed with the draw immediately

2. Speak with the patient guardian

3. Explain the procedure to the patient

4. Calm the patient first

The correct answer is: Speak with the patient guardian

In the context of drawing blood from a patient with severe Down's syndrome, the best first step is to engage with the patient's guardian. Individuals with Down's syndrome may have varying levels of cognitive and communicative abilities, and those with severe conditions may struggle to understand or cope with medical procedures. By speaking with the guardian, the phlebotomist can gather important information about the patient's needs, preferences, and any accommodations that might help facilitate a smoother experience. The guardian can provide insights on effective communication strategies and any behavioral considerations that could make the procedure less stressful for the patient. This approach prioritizes the patient's well-being and ensures a more informed and sensitive approach to the situation. Additionally, this step allows the healthcare professional to build rapport with both the patient and guardian, which is crucial for obtaining consent and ensuring that the patient feels supported and secure during the blood draw.