Final answer:
The phlebotomy technician should perform the draw with the patient in a reclined or supine position to prevent the patient from fainting during the procedure.
Step-by-step explanation:
If a patient reports feeling lightheaded and almost passed out during a previous blood draw, the phlebotomy technician should perform the draw with the patient reclined or in a supine position. This helps to prevent the patient from fainting by ensuring that blood flow to the brain remains steady during the venipuncture procedure. It's a common and recommended practice for individuals who have a history of syncope or near-syncope in response to phlebotomy.
While calling the patient's doctor, offering food or drink, or ensuring a trained first aid provider is nearby are considerations for different circumstances, specifically when a patient has a history that indicates a risk for fainting, the best action is to adjust the patient's position during the blood draw. This measure can help reduce the chance of adverse effects and provide a safer experience for the patient.