An RN has just completed venipuncture for blood specimens on… | MyMerci
MyMerci — full questions and rationale, free Start for free
Performance Improvement MOC
Question

An RN has just completed venipuncture for blood specimens on four assigned patients during morning rounds and brings the unlabeled tubes to the nursing station to label them all together. Which is the safest action?

Explanation
The Joint Commission National Patient Safety Goal NPSG.01.01.01 (improve the accuracy of patient identification) and CLSI GP33 require that specimen tubes be labeled at the bedside, immediately after collection, after verifying two unique patient identifiers (such as full name and date of birth) against the patient's wristband and the patient's self-stated identifiers when possible. Carrying unlabeled specimens to a central area is a leading cause of mislabeling sentinel events that result in transfusion of incompatible blood, missed diagnoses, and treatment of the wrong patient. Choices 1, 2, and 3 violate point-of-care labeling by moving specimens to a location distant from the patient before labeling. Choice 1 sends unlabeled tubes to the laboratory, where staff cannot verify from which patient each tube was drawn; even with printed orders, the chain of identification is broken. Choice 2 attempts labeling at the nursing station with order cross-checking, but this still breaks the bedside labeling requirement. Choice 3 adds a witness at the nursing station, which does not correct the fundamental error of labeling away from the patient. Only choice 4 rectifies the breach by returning to the bedside, re-verifying two identifiers, and labeling at the point of care.
Next question on this topicAn RN realizes at 0900 that a pain assessment performed yesterday at 1700 was never docume…

In-depth explanation

Specimen mislabeling is one of the most preventable causes of harm in hospitals. The principle is "label the tube in the presence of the patient, immediately after collection, before leaving the room." Two-identifier verification must occur at the point of labeling, not at the nursing station — otherwise the chain of identification is broken. Bringing unlabeled tubes to a central area, even with a witness, is the precise scenario described in multiple Joint Commission sentinel event alerts on wrong-blood-in-tube events. The right corrective action is to take the tubes back to each bedside, re-verify identity, and label there.

Clinical scenario

An RN has just completed venipuncture for blood specimens on four assigned patients during morning rounds. The unlabeled tubes are in a tray at the nursing station, and the printed laboratory orders are laid out next to them.

Key concepts

Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free
Read in another language: English한국어日本語繁體中文Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.