Phelebotomy
Phelebotomy
Proficiency Scale:
1 = No Experience | 2 = Need Training | 3 = Able to perform with supervision | 4 = Able to perform independently
Administrative Duties
| Preparation | Rating Stars (Click) |
|---|---|
| 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). Compare patient ID information with barcode label. | |
| Checks testing requirements (i.e. fasting). | |
| Prepares supplies and tube selection. | |
| Washes hands, dons gloves. |
| Getting Started | Rating Stars (Click) |
|---|---|
| Positions Patient and applies tourniquet. | |
| Palpates antecubital area to select venipuncture site. | |
| Properly cleanses venipuncture site. |
| Sample Collection | Rating Stars (Click) |
|---|---|
| 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 | Rating Stars (Click) |
|---|---|
| Labels tubes immediately (ie at bedside). | |
| Legibly completes label/requisition with username and date/time of collection. | |
| Observe special handling requirements. | |
| Checks puncture site to ascertain bleeding has stopped. Applies bandage. | |
| Places tubes into biohazard bag. Label(s)/requisition are placed in sleeve of bag. | |
| Removes gloves and practices hand hygiene. | |
| Transport specimens to lab via porter or pneumatic tube system. STATs are sent immediately. |
Age-Specific Competencies
| Age Specific Competencies | Rating Stars (Click) |
|---|---|
| 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) |