What information must be documented after a blood draw?

Documenting the relevant information after a blood draw is crucial for maintaining accurate medical records and ensuring patient safety. The requirement to include the patient's name, date and time of the draw, and the phlebotomist's initials provides a comprehensive record of the procedure.

Including the patient's name ensures that the sample can be correctly associated with the right individual, reducing the risk of misidentification and potential errors in treatment. The date and time of the draw are important for various reasons, including monitoring test results over time and determining the appropriateness of test timing in relation to patient events or treatments. Lastly, the inclusion of the phlebotomist's initials adds an element of accountability and traceability, allowing for the identification of the technician who performed the procedure in case of any issues that arise related to the sample or the process.

This thorough documentation is essential not only for legal and ethical reasons but also for clinical practices to uphold quality and patient care standards.