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Phlebotomist Checklist

GENERAL VENIPUNCTURE METHOD * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Vacationer Method
Syringe Method
Butterfly Method
Blood Culture Bottles
Therapeutic Drug Monitoring
Bleeding Times
GENERAL VENIPUNCTURE METHOD * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Vacationer Method
Syringe Method
Butterfly Method
Blood Culture Bottles
Therapeutic Drug Monitoring
Bleeding Times
KNOWLEDGE OF APPROPRIATE BLOOD TUBES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Blood Cultures
Red Topped (Plain)
Light Blue Topped (Coagulation)
Serum Separation (Tiger Top, Speckled, etc.)
Green Topped (Heparin, Ammonia)
Purple Topped (EDTA)
Gray Topped (Fluoride, Potassium Oxalate)
Brown Topped (Lead)
KNOWLEDGE OF APPROPRIATE BLOOD TUBES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Blood Cultures
Red Topped (Plain)
Light Blue Topped (Coagulation)
Serum Separation (Tiger Top, Speckled, etc.)
Green Topped (Heparin, Ammonia)
Purple Topped (EDTA)
Gray Topped (Fluoride, Potassium Oxalate)
Brown Topped (Lead)
IDENTIFYING PATIENTS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Inpatient Identification
Outpatient Identification
ID of Infants
ID of Young Children
Emergency Department Patient ID
IDENTIFYING PATIENTS * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Inpatient Identification
Outpatient Identification
ID of Infants
ID of Young Children
Emergency Department Patient ID
PROCEDURES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Greet Patients
Explain Procedure
Test Requisitions
Supplies for Venipuncture
Positioning Patient
Venipuncture Sites
Warming the Puncture Site
Tourniquet Application
Tourniquet Removal
Decontamination of Puncture Site
Order of Specimen Collection
Invert Tube Post Draw
Apply Site Pressure Post Draw
Bandage Post Draw
Proper Waste and Sharps Disposal
Specimen ID and Labeling
Basic Specimen Handling
Specialized Specimen Handling
Transportation of Specimen to Laboratory
PROCEDURES * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Greet Patients
Explain Procedure
Test Requisitions
Supplies for Venipuncture
Positioning Patient
Venipuncture Sites
Warming the Puncture Site
Tourniquet Application
Tourniquet Removal
Decontamination of Puncture Site
Order of Specimen Collection
Invert Tube Post Draw
Apply Site Pressure Post Draw
Bandage Post Draw
Proper Waste and Sharps Disposal
Specimen ID and Labeling
Basic Specimen Handling
Specialized Specimen Handling
Transportation of Specimen to Laboratory
SPECIAL POPULATIONS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Mastectomy
Damaged Veins
Occluded Veins
Sclerosed Veins
Burned Areas
Scarred Areas
Dialysis
Heparin Locks
Hickman Catheter
Port-A-Cath
Blood Alcohol
Glucometer Systems
Cardiac Arrest
SPECIAL POPULATIONS * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
SPECIAL POPULATIONS * SKILL FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Mastectomy
Damaged Veins
Occluded Veins
Sclerosed Veins
Burned Areas
Scarred Areas
Dialysis
Heparin Locks
Hickman Catheter
Port-A-Cath
Blood Alcohol
Glucometer Systems
Cardiac Arrest
EVALUATE LABORATORY DATA * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Assess Accuracy of Test Procedure
Recognize and Report Abnormal Results
Recognize Need for Additional Testing
EVALUATE LABORATORY DATA *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Assess Accuracy of Test Procedure
Recognize and Report Abnormal Results
Recognize Need for Additional Testing
COMPLICATIONS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Fainting
Failure to Draw Blood
Hematomas
Petechiae
Excessive Bleeding
Edema
Infections
COMPLICATIONS * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Fainting
Failure to Draw Blood
Hematomas
Petechiae
Excessive Bleeding
Edema
Infections
PEDIATRIC PHLEBOTOMY PROCEDURES * SKILL

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Microcapillary Skin Puncture
Heel Stick
Neonatal Screening
Finger Stick
Venipuncture
PEDIATRIC PHLEBOTOMY PROCEDURES *FREQUENCY

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Microcapillary Skin Puncture
Heel Stick
Neonatal Screening
Finger Stick
Venipuncture
URINALYSIS AND BODY FLUIDS * SKILL

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Physical Urinalysis
Chemical Urinalysis
Microscopic Urinalysis
Cerebrospinal Fluids
Synovial Fluid
Serous
Semen
Feces
URINALYSIS AND BODY FLUIDS *FREQUENCY

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Physical Urinalysis
Chemical Urinalysis
Microscopic Urinalysis
Cerebrospinal Fluids
Synovial Fluid
Serous
Semen
Feces
PRINCIPLES RELATED TO SAFETY * SKILL

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Data Security
Patient Confidentiality
Quality Assurance
Body Mechanics
Blood Borne Pathogens Exposure Plan
Personal Protective Equipment (PPE)
Handwashing
Standard Precautions
Tuberculosis Exposure Plan
Radiation Safety
Hazardous Materials
Material Safety Data Sheets
PRINCIPLES RELATED TO SAFETY *FREQUENCY

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Data Security
Patient Confidentiality
Quality Assurance
Body Mechanics
Blood Borne Pathogens Exposure Plan
Personal Protective Equipment (PPE)
Handwashing
Standard Precautions
Tuberculosis Exposure Plan
Radiation Safety
Hazardous Materials
Material Safety Data Sheets
ELECTRONIC DOCUMENTATION * SKILL

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
ELECTRONIC DOCUMENTATION *FREQUENCY

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
AGE SPECIFIC COMPETENCIES * SKILL

Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient. I have performed the task/skill several times and feel moder
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)