California Phlebotomy Certification Practice Exam

If a patient has experienced syncope during previous draws, what should the phlebotomy technician do prior to the blood draw?

1. Provide the patient with water

2. Place the patient in a supine position

3. Encourage the patient to take deep breaths

4. Collect the sample quickly

The correct answer is: Place the patient in a supine position

When a patient has a history of syncope, which is a temporary loss of consciousness often related to a drop in blood flow to the brain, placing them in a supine position is crucial prior to the blood draw. This position—lying flat on their back—helps ensure that blood flow to the brain is maintained, reducing the risk of fainting during the procedure. By having the patient supine, the phlebotomy technician can enhance the patient's comfort and safety, allowing for better circulation and minimizing the likelihood of syncope. Providing the patient with water may be beneficial in some cases, as hydration can help prevent fainting, but it does not specifically address the potential for unconsciousness during the blood draw. Encouraging deep breaths can also help alleviate anxiety, which might contribute to syncope, but again, it is not as directly beneficial as ensuring the patient is lying down. Collecting the sample quickly might seem efficient, but rushing can increase anxiety and the chances of complications, particularly for a patient who has previously experienced syncope. Prioritizing the patient's position addresses their specific care needs effectively.