Collection ProceduresQuestion 34 of 100

A legal blood alcohol specimen is ordered. Which site preparation is required?

a.70% isopropyl alcohol allowed to dry for one minute
b.Alcohol followed by chlorhexidine
c.No cleaning at all, to avoid contaminating the sample
d.A non-alcohol antiseptic such as povidone-iodine or soap and water

Explanation

Alcohol-based antiseptics can contaminate the specimen and cast doubt on a legally defensible result, so a non-alcohol antiseptic is used. Chlorhexidine preparations frequently contain alcohol, so combining them does not solve the problem. Skipping antisepsis entirely violates infection control and would itself invalidate the collection.

Law Reference: CLSI GP41

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