Handover of the filled form and sample to the courier
14
Ensure receiver's signature on form
15
Approval: Signature Verification from Phlebotomist
16
Scan the completed form
17
Upload the scanned form in the system
18
Disposal of used phlebotomy materials
19
Sanitize the workstation
20
Update patient's record with collection information
Patient Identification
Verify the identity of the patient to ensure accurate record-keeping and sample collection. This task is crucial in preventing any mix-ups or errors in the phlebotomy process. Collect the patient's full name, date of birth, and contact information.
Explanation of procedure to patient
Clearly explain the phlebotomy procedure to the patient to ensure their understanding and alleviate any anxiety or concerns they may have. Provide a friendly and reassuring explanation.
Obtain consent from patient
Obtain the patient's consent before proceeding with the phlebotomy procedure. Inform them about the purpose of the collection, potential risks or discomfort, and their rights to refuse or withdraw consent.
1
Agreed
2
Not Agreed
Prepare the requisition form
Ensure all necessary details are ready on the requisition form before collecting the blood sample. This form serves as a record of the patient's information, tests to be performed, and other relevant instructions.
Complete patient details on the form
Fill in the patient's details accurately and legibly on the requisition form. Include information such as name, date of birth, contact information, and any relevant medical history.
1
Male
2
Female
3
Other
Indicate type of test(s) to be performed
Specify the type of test(s) to be conducted on the collected sample. This ensures that the correct tests are performed and accurately recorded for further analysis.
1
Blood Count
2
Glucose
3
Cholesterol
4
Hormone Levels
5
Liver Function
Prepare the patient for venipuncture
Ensure the patient is prepared for the blood collection procedure. This involves cleaning the site, positioning the patient comfortably, and making necessary arrangements for the collection process.
1
Clean the collection site
2
Provide patient with a comfortable position
3
Gather necessary equipment
4
Explain the procedure to the patient
5
Ensure patient comfort
Perform the venipuncture
Execute the venipuncture procedure to collect the blood sample. Follow sterile techniques and the appropriate blood collection method to ensure a successful and safe collection process.
1
Select appropriate site
2
Apply tourniquet
3
Cleanse site with disinfectant
4
Insert needle into vein
5
Collect adequate amount of blood
Label the collected samples
Label each collected sample accurately to maintain traceability and avoid mix-ups. Ensure that the labels include patient identification details and collection information.
Record date and time of collection on the form
Document the exact date and time of sample collection on the requisition form. This information is crucial for tracking and analyzing the samples accurately.
Inclusion of any special instructions
Include any special instructions or considerations for the collected sample on the requisition form. This helps laboratory personnel understand and handle the sample appropriately.
Seal sample in a biohazard bag
Securely seal the collected sample in a biohazard bag to minimize the risk of contamination or leakage during transportation. Ensure the bag is properly labeled with patient details.
Handover of the filled form and sample to the courier
Safely hand over the filled requisition form and the sealed sample to the designated courier. Ensure proper documentation is done to track the sample's journey.
Ensure receiver's signature on form
Obtain the signature of the receiver to acknowledge the handover of the filled requisition form. This ensures accountability and a record of the transfer.
Approval: Signature Verification from Phlebotomist
Will be submitted for approval:
Label the collected samples
Will be submitted
Record date and time of collection on the form
Will be submitted
Inclusion of any special instructions
Will be submitted
Seal sample in a biohazard bag
Will be submitted
Handover of the filled form and sample to the courier
Will be submitted
Ensure receiver's signature on form
Will be submitted
Scan the completed form
Scan the completed requisition form to create a digital copy for record-keeping and future reference. Make sure the scan is clear and legible to avoid any issues with data retrieval.
Upload the scanned form in the system
Upload the scanned copy of the completed requisition form into the designated system or database. This ensures easy access to the form and maintains a digital record of the sample collection process.
Disposal of used phlebotomy materials
Properly dispose of any used phlebotomy materials in compliance with biohazard waste disposal regulations. This includes needles, gloves, and other disposable items.
Sanitize the workstation
Thoroughly sanitize the phlebotomy workstation to eliminate any potential contamination and maintain a clean and safe environment for future procedures. Follow proper sanitization protocols and use appropriate cleaning agents.
Update patient's record with collection information
Record the collection information in the patient's medical record to ensure accurate tracking and analysis of the sample. This information helps healthcare professionals make informed decisions based on the collected data.