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