Phlebotomists must recognize and respond appropriately to cultural differences while performing their job duties. Patient-centered care includes respecting the patient. If necessary, follow established institutional policies regarding cultural customs, keeping in mind that patient safety must be maintained. For example, in some cultures, the family may have a spokesperson. If this is the case, the patient may not speak directly to certain healthcare workers. This may pose a challenge to the phlebotomist when positively identifying the patient before venipuncture. This may pose a challenge to the phlebotomist when positively identifying the patient before venipuncture. The spokesperson may verbalize answers to all of the phlebotomist's questions, but the phlebotomist must adhere to precise identification procedures. While respecting the patient's cultural customs, the phlebotomist must ensure that accurate patient identity is established.