Phlebotomy Pages 
A guide dedicated to students and professionals in phlebotomy!
A guide dedicated to students and professionals in phlebotomy!
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Venipuncture Technique Using the Vacutainer® System...
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REMEMBER: Whether you choose the evacuated tube system or the syringe system to collect blood, safety holders (preferably disposable), safety needles, safety blood transfer devices and shields are mandatory (as required by OSHA!)
Watch this short phlebotomy video clip!
A phlebotomy student using the vacutainer system:
Click here! 
ATTENTION: Please realize that this video (published form YouTube using YouTube code) is NOT HERE TO TEACH you phlebotomy techniques, but merely to show you different scenarios of the phlebotomist's daily routine. The video may contain techniques, or procedures that do not conform to proper, and safe venipuncture protocol. Viewer discretion is strongly advised. If you spot errors share your tip how to do better here! Remember to add which video it Venipuncture Technique Using the Vacutainer® System...
Multisample Vacutainer® System -- Blood Collection General Instructions:
Open needle package but do not remove needle shield - safety needles should be used! Thread needle onto holder. If drawing sterile sample, use sterile holder/needle combination Select tube or tubes appropriate for the type of sample Tubes that contain additives should be gently tapped to dislodge any additive which may be trapped around the stopper OSHA's recent ban on tube holder reuse dictates use of a NEW tube holder for every patient! Insert tube into holder, then gently push tube so that the stopper is penetrated by the needle Select site for venipuncture by viewing and palpating all available veins of both arms Apply tourniquet. Prepare venipuncture site with an appropriate antiseptic. YOU MUST NOT PALPATE VENIPUNCTURE SITE AGAIN AFTER CLEANSING!
Secure patient's arm in a downward position that is stable but yet comfortable for the patient Remove needle shield Perform venipuncture Push tube onto holder, puncturing diaphragm of stopper Remove tourniquet as soon as blood appears in tube. Do not overfill the collection tube If no blood flows into tube or ceases to flow before an adequate sample is collected, the following steps are suggested to complete satisfactory collection:
Confirm correct position of needle cannula in veinIf a multiple sample needle is being used, remove the tube and place a new tube into the holderIf the second tube does not draw, remove needle and discard in appropriate disposal deviceRepeat procedure from Step 1 When first tube is adequately filled remove it from holder Place succeeding tubes in holder (following correct order of draw), puncturing diaphragm to initiate flow. Tubes without additives are drawn before tubes with additives While each successive tube is filling, invert the previous tube containing additives 8-10 times. DO NOT SHAKE! As soon as blood stops flowing in the last tube, remove needle from vein Activate the needle shield's safety feature, and discard If conventional needles are used do not recap needle, bend, or shear. Dispose needle straight into proper container! Apply pressure to puncture site with dry, sterile swab, until bleeding stops
Apply bandage if desired, except in infants and toddlers Proper precautions should be take when handling tubes to avoid contact with blood droplets Dispose of any holder that becomes contaminated with blood
The Vacutainer® System
A patient should be offered the option to return to the office on a different day for another try after two failed attempts of finding the vein. Going to the local hospital, a health care facility, or a freestanding reference laboratory where more experienced phlebotomists are drawing blood could also be discussed as an option.Trademark: Vacutainer is a federally and internationally registered trademark owned by BD (Becton, Dickinson and Company) that is used in connection with a complete system of tubes, needles and needle holders, sharps collectors, and safety devices. Reference: Becton Dickinson Trade Information # 109.
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Are You Cut Out To Be A Phlebotomist?The first step when deciding on a fitting career is to take time to assess what you do well. It's also important to explore the educational, training, and career opportunities available in your particular area first. Take the MAPP Career Assessment to identify your strengths.
More Phlebotomy Chapters:
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Learning Phlebotomy:
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Phlebotomy Skills Review:
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Blood Collection Review:
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Venipuncture Technique Using the Vacutainer® System
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The Blood PanelThank You For Linking To Us!
Title: Plebotomy Pages For Phlebotmists
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