American Medical Certification Association (AMCA) Phlebotomy Practice Exam

If a hematoma begins to form during a blood draw and the patient reports pain, what should be your immediate action?

1. Continue with the blood draw

2. Change the needle

3. Stop the draw immediately and apply pressure

4. Inform the patient it's normal

The correct answer is: Stop the draw immediately and apply pressure

When a hematoma begins to form during a blood draw and the patient reports pain, the appropriate immediate action is to stop the procedure and apply pressure. This response is critical because continuing the draw could exacerbate the situation, potentially increasing discomfort and causing further complication. Stopping the draw allows you to assess the site of the hematoma more effectively and take measures to minimize additional bleeding. Applying pressure to the site is necessary to help control bleeding and stabilize the area, preventing further accumulation of blood under the skin, which is what creates the hematoma. Not addressing the situation promptly could lead to more significant complications for the patient, including increased pain and potential injury to surrounding tissue. Maintaining open communication with the patient about what is happening and ensuring their comfort should also be part of the response. This approach enhances patient trust and understanding during a potentially distressing situation.