VENIPUNCTURE PROCEDURE
The venipuncture procedure is complex, requiring both knowledge and skill to perform. Each
phlebotomist generally establishes a routine that is comfortable for her or him.
Phlebotomists are considered to have occupational exposure to blood borne pathogens. The
performance of routine vascular access procedures by skilled phlebotomists requires, at a minimum, the
use of gloves to prevent contact with blood. Laboratory coats or work smocks are not typically needed
as personal protective equipment during routine venipuncture, but an employer must assess the
workplace to determine whether certain tasks, workplace situations, or employee skill levels may result
in an employee's need for laboratory coats or other personal protective equipment to prevent contact
with blood. It is an employer's responsibility to provide, clean, repair, replace, and/or dispose of
personal protective equipment/clothing. As part of presenting a professional appearance, an
institutional dress code may include wearing of a laboratory coat or smock.
Several essential steps are required for every successful collection procedure:
Patient comfort. Is the seating comfortable and has the patient been seated for at least 5 minutes to
avoid being rushed or confused?
Carry out hand hygiene before and after each patient procedure, before putting on and after removing
gloves.
Identify the patient using two different identifiers, asking open ended questions such as, "What is your
name?" and "What is your date of birth?"
Assess the patient's physical disposition (i.e. diet, exercise, stress, basal state).
Check the requisition form for requested tests, patient information, and any special requirements.
Label the collection tubes at the bedside or drawing area.
Select a suitable site for venipuncture.
Prepare the equipment, the patient and the puncture site.
Perform the venipuncture, collecting the sample(s) in the appropriate container(s).
Recognize complications associated with the phlebotomy procedure.
Assess the need for sample recollection and/or rejection.
Promptly send the specimens with the requisition to the laboratory.