Case Study 1. A health care worker

Case Study 1. A health care worker in the ambulatory outpatient clinic was checking in an elderly outpatient for blood collection who indicated that she has been on Coumadin (a blood thinner) therapy for the past seven months. 1. What precautions should the health care worker take for this patient when collecting her blood? Case Study 2 Sally Landers had been on the job for only 8 months. She was a health care worker at a rural hospital in the Southwest where she had been hired to do early-morning blood collections and deliver specimens to the centralized laboratory. She was tired when she went to work one Friday morning. She drew blood from a frail middle-aged man, Mr. Gilmore. She had trouble with the collection procedure in that she had to stick him twice before she acquired the blood specimen. Sally was relieved when she finally finished the procedure. As she began to clean up and discard the used equipment, she noticed that the biohazard container was full. She decided, however, that it could probably hold the needles she had used on Mr. Gilmore. She used her fingers to push the used needles and needle holders into the container and she felt a sharp puncture. She realized that she had stuck herself with a contaminated sharp object. She gathered the specimens she had drawn and quickly left. She immediately reported the injury to her supervisor. 1. Describe what Sally did correctly and incorrectly? 2. What procedures would need to be reviewed with Sally? 3. What additional education would you recommend for Sally?

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