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Phlebotomy Safety

Have you ever heard the phrase: "Phlebotomy safety means sticking to good practices!". If not, it definitely is something you should make your own motto! To help you remember, below is a general outline of the steps to follow when preparing and performing a venipuncture blood draw. Though these steps are generally followed in the order given, however, some may happen simultaneously with others.

 
blood drop bullet  Properly identifying the patient by name and date of birth, or medical record number 
blood drop bullet  Assessing the patient and environment before proceeding 
blood drop bullet  Properly completing the lab requisition slip and labels 
blood drop bullet  Considering special needs and different approaches for children and the elderly 
blood drop bullet  Special needs of the psychiatric patient 
blood drop bullet   Verifying order, and deciding on appropriate collection method 
blood drop bullet  Assembling proper (safety!) equipment 
blood drop bullet  Applying tourniquet 
blood drop bullet  Selecting an appropriate site (palpate the site) 
blood drop bullet  Wearing PPE and using Universal Precautions 
blood drop bullet  Properly preparing the site (cleanse the site) 
blood drop bullet  Performing the skin or venipuncture 
blood drop bullet  Recognizing and appropriately intervening with complications 
blood drop bullet  Controlling of bleeding 
blood drop bullet  Properly obtaining, handling and labeling specimens: 
  1. Patient’s first and last name 
  2. Unique patient ID number 
  3. Date and time specimen was collected 
  4. Identity of the phlebotomist who collected the specimen 
blood drop bullet  Properly charting procedure into patient record 
blood drop bullet  Practicing infection control 
blood drop bullet  Maintaining specimen integrity during transit 
 

 

Venipuncture Technique Video 
 
Watch this phlebotomy instructor's venipuncture lecture! No matter which venipuncture technique you prefer there are a number of steps that should be followed carefully and meticulously when collecting blood. 

Click here!  
attention ATTENTION: Please realize that this video (published from YouTube) 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. 


Regulating agencies (OSHA, Department of Transportation) require specimen packaging to include the following: 
blood drop bullet  a watertight primary receptacle 
blood drop bullet  secondary receptacle which is watertight and contains a biohazard label 
blood drop bullet  absorbent material placed between the primary and secondary receptacles 
blood drop bullet  sturdy outside packaging of corrugated cardboard, wood, metal, or plastic 

  Visit: Lab Tests Online Collecting the Blood


OSHA has developed this Information Regarding the Disposal of Contaminated Needles and Blood Tube Holders Used for Phlebotomy to provide relevant information regarding OSHA’s policy on the prohibition of contaminated needle removal from medical devices. OSHA wants sharps containers to ensure that wherever blood is being drawn the sharps container is appropriate for immediate disposal of sharps, including SESIP.
 
The following linked Safety and Health Information Bulletin outlines OSHA requirements during disposal of contaminated needles or sharps: Disposal of Contaminated Needles and Blood Tube Holders Used for Phlebotomy* 

*This Safety and Health Information Bulletin is not a standard or regulation. It creates no new legal obligations. The Bulletin is advisory in nature.
 
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