Phelebotomy

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Preparation

Introduces self to patient and explains blood tests have been ordered by physician *

Identifies the patient with two unique identifiers (armband, ask for name & DOB). Compares patient ID information with barcode label. *

Checks testing requirements (ie fasting) *

Prepares supplies and tube selection *

Washes hands and dons gloves *

Getting Started

Positions patient and applies tourniquet *

Palpates antecubital area to select venipuncture site *

Properly cleanses venipuncture site *

Sample Collection

Stabilizes vein *

Inserts needle, bevel up *

Smoothly pushes tube(s) into holder without changing needle position *

Adjusts needle, if necessary, to obtain flow, then stabilizes vacutainer *

Releases tourniquet as blood begins to flow *

Changes vacutubes without changing needle position *

Fills vacutubes in correct order *

Mixes anticoagulated vacutubes properly *

Removes last tube from needle before withdrawing needle *

Withdraws needle from arm smoothly *

Applies pressure to site after withdrawing needle *

Disposes of needle properly and safely, discards tourniquet *

Handling & Processing

Labels tubes immediately (ie at bedside) *

Legibly completes label/requisition with username and date/time of collection *

Observes special handling requirements *

Checks puncture site to ascertain bleeding has stopped, applies bandage *

Places tubes into biohazard bag. Labels/requisition are placed in sleeve of bag *

Removes gloves and practices hand hygiene *

Transports specimens to lab via porter or pneumatic tube system. STATs are sent immediately *

Age Specific Competencies

Infant (Birth - 1 Year) *

Preschooler (Ages 2-5 Years) *

Childhood (Ages 6-12 Years) *

Adolescents (Ages 13-21 Years) *

Young Adults (Ages 22-39 Years) *

Adults (Ages 40-64 Years) *

Older Adults (Ages 65-79 Years) *

Elderly (Ages 80+ Years) *

Phelebotomy

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