What is the appropriate action if a hematoma is forming during a blood draw?

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When a hematoma is forming during a blood draw, the most appropriate action is to push the needle slightly in, apply firm pressure, and potentially use an ice pack. This approach addresses the immediate issue of a hematoma developing, which occurs when blood leaks from a vein into surrounding tissues. By slightly adjusting the needle, you may ensure that it remains in the vein properly, allowing for a more effective draw.

Applying firm pressure helps to control the bleeding from the affected vessel, reducing the volume of blood that accumulates in the surrounding tissue. Utilizing an ice pack can further alleviate swelling and discomfort by constricting blood vessels, limiting further bleeding and minimizing the extent of the hematoma.

This method is the most effective way to manage and mitigate complications resulting from a blood draw, rather than leaving the needle in and continuing the draw, which could exacerbate the situation, or removing the needle entirely without proper care for the developing hematoma. Redirecting the needle may not be necessary and could lead to further complications.

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