Case Studies Case Studies 69 CASE STUDY 3-1: AIRBORNE PRECAUTIONS A phlebotomist arrives at a patient's room for a timed blood draw. The phlebotomist observes an airborne precautions sign on the patient's door. There is a cart in the hallway outside the door with supplies on it. Questions 1. What will the phlebotomist have to do before entering the room? 2. Will the specimen require special handling in addition to what is normally required for the test? 3. Name one disease that requires airborne precautions for anyone entering the patient's room. 4. Name two diseases that do not require airborne precautions for a phlebotomist who is immune to them. CASE STUDY 3-2: WORK RESTRICTIONS (APPENDIX D) A phlebotomist wakes up with a fever and an extremely sore throat. After a call to the doctor, the phlebotomist is sent to a laboratory for a rapid strep test. The test is positive for group A strep. The phlebotomist is given a prescription for an antibiotic. The phlebotomist picks up the prescription and takes the first dose at 13:00 hours. The phlebotomist, who is scheduled to work later that afternoon, but has no sick leave left, takes some aspirin and goes to work. Questions 1. Which work restrictions are required for a person with strep throat? 2. What is the earliest that the phlebotomist should have reported for work provided he was symptom-free? 3. What might be the consequences of reporting to work while still exhibiting symptoms? CASE STUDY 3-3: TRAVELING GERMS A phlebotomist works the morning shift at large hospital. Today the phlebotomist is wearing a new parr of scrubs just purchased the day before. They are a little long, so the phle- botomist rolls them up. Unfortunately, they do not stay that way, and the phlebotomist finally just lets them drag the floor. The phlebotomist considers the scrubs street clothes and always remembers to wear a laboratory coat when drawing patients. Several patients have been in contact isolation today and the phlebotomist has been careful to follow all precau- tions indicated. Two rooms have a sign on the door that says handwashing with soap and water is required after patient contact, and the phlebotomist has done so meticulously. After work, the phlebotomist stops by the daycare center to pick up the couple's toddler. While there, the phlebotomist talks with a neighbor who is there to pick up her toddler. The toddler is sucking on a pacifier while holding onto his mother's legs, begging to be picked up. The pacifier drops on the floor next to the phlebotomist's feet. Before his mom has a chance to retrieve it, the toddler picks it up and puts it in his mouth. The next week the phlebotomist learns that the neighbor's toddler has been hospitalized due to severe diarrhea and dehydration. Questions 1. Why would handwashing with soap and water be required in addition to the contact precautions required for several of the patients? 2. Which CLSI guideline was not been followed by the phlebotomist? 3. The phlebotomist could have had something to do with the toddler's illness. Why is that? 4. If the phlebotomist was responsible for the toddler's illness, what can be done to prevent something similar from happening in the future?
Case Studies Case Studies 69 CASE STUDY 3-1: AIRBORNE PRECAUTIONS A phlebotomist arrives at a patient's room for a timed blood draw. The phlebotomist observes an airborne precautions sign on the patient's door. There is a cart in the hallway outside the door with supplies on it. Questions 1. What will the phlebotomist have to do before entering the room? 2. Will the specimen require special handling in addition to what is normally required for the test? 3. Name one disease that requires airborne precautions for anyone entering the patient's room. 4. Name two diseases that do not require airborne precautions for a phlebotomist who is immune to them. CASE STUDY 3-2: WORK RESTRICTIONS (APPENDIX D) A phlebotomist wakes up with a fever and an extremely sore throat. After a call to the doctor, the phlebotomist is sent to a laboratory for a rapid strep test. The test is positive for group A strep. The phlebotomist is given a prescription for an antibiotic. The phlebotomist picks up the prescription and takes the first dose at 13:00 hours. The phlebotomist, who is scheduled to work later that afternoon, but has no sick leave left, takes some aspirin and goes to work. Questions 1. Which work restrictions are required for a person with strep throat? 2. What is the earliest that the phlebotomist should have reported for work provided he was symptom-free? 3. What might be the consequences of reporting to work while still exhibiting symptoms? CASE STUDY 3-3: TRAVELING GERMS A phlebotomist works the morning shift at large hospital. Today the phlebotomist is wearing a new parr of scrubs just purchased the day before. They are a little long, so the phle- botomist rolls them up. Unfortunately, they do not stay that way, and the phlebotomist finally just lets them drag the floor. The phlebotomist considers the scrubs street clothes and always remembers to wear a laboratory coat when drawing patients. Several patients have been in contact isolation today and the phlebotomist has been careful to follow all precau- tions indicated. Two rooms have a sign on the door that says handwashing with soap and water is required after patient contact, and the phlebotomist has done so meticulously. After work, the phlebotomist stops by the daycare center to pick up the couple's toddler. While there, the phlebotomist talks with a neighbor who is there to pick up her toddler. The toddler is sucking on a pacifier while holding onto his mother's legs, begging to be picked up. The pacifier drops on the floor next to the phlebotomist's feet. Before his mom has a chance to retrieve it, the toddler picks it up and puts it in his mouth. The next week the phlebotomist learns that the neighbor's toddler has been hospitalized due to severe diarrhea and dehydration. Questions 1. Why would handwashing with soap and water be required in addition to the contact precautions required for several of the patients? 2. Which CLSI guideline was not been followed by the phlebotomist? 3. The phlebotomist could have had something to do with the toddler's illness. Why is that? 4. If the phlebotomist was responsible for the toddler's illness, what can be done to prevent something similar from happening in the future?
Chapter19: Child Health
Section: Chapter Questions
Problem K5CRE
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Read part a, b, and c of the case study and answer the questions that go along with them
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