CPT (Certified Phlebotomy Technician) Practice Exam

If you notice petechiae or a hematoma forming during a blood draw, what should you do?

1. Continue as normal

2. Consult a colleague

3. Petechiae: Remove tourniquet; Hematoma: Stop

4. Apply more pressure

The correct answer is: Petechiae: Remove tourniquet; Hematoma: Stop

The correct approach when observing petechiae or a hematoma during a blood draw is to address each condition appropriately to ensure patient safety and comfort. In the case of petechiae, these small red or purple spots indicate that small blood vessels are bleeding into the skin, often due to the prolonged application of a tourniquet. In this situation, removing the tourniquet is crucial as it helps to alleviate the pressure on the blood vessels and prevents further bleeding. When a hematoma starts to form, which is a larger accumulation of blood outside of the vessels due to ruptured blood vessels, stopping the blood draw immediately is necessary. Continuing the procedure could lead to more extensive bruising and discomfort for the patient. Instead, applying pressure to the site after stopping the draw can minimize further bleeding after the needle is removed. Thus, the highlighted response addresses both conditions succinctly, prioritizing the patient's well-being during the blood collection process.