The Steps of Blood Collection:
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.
Properly
identifying the patient by name and date of birth, or medical record number
Assessing the
patient and environment before proceeding
Properly
completing the lab requisition slip and labels
Considering
special needs and different approaches for children and the elderly
Special needs
of the psychiatric patient
Verifying order, and deciding on appropriate collection
method
Assembling
proper (safety!) equipment
Applying
tourniquet
Selecting an
appropriate site (palpate the site)
Wearing PPE
and using Universal Precautions
Properly
preparing the site (cleanse the site)
Performing the
skin or venipuncture
Recognizing
and appropriately intervening with complications
Controlling of
bleeding
Properly
obtaining, handling, and labeling specimens:
Patient’s
first and last name
Unique
patient ID number
Date and
time specimen was collected
Identity
of the phlebotomist who collected the specimen
Properly
charting procedure into patient record
Practicing
infection control
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: 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:
A watertight primary
receptacle
A secondary receptacle which is
watertight and contains a biohazard label
Absorbent material placed between the
primary and secondary receptacles
Sturdy outside packaging of corrugated
cardboard, wood, metal, or plastic
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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