Phlebotomy documentation 2025

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Phlebotomists must use proper technique and care to avoid splattering or dripping blood. OSHA regulations mandate that any material exposed to blood or other infectious matter must be disposed of in a container labeled bio-hazardous. Reusable materials must be properly disinfected to remove any possible infection.
The first and most critical standard of safety precautions in phlebotomy is to maintain proper hand hygiene. Good hand hygiene is the first line of defense against infection and contamination. Always wash your hands thoroughly with soap and warm water before and after every procedure.
Use stomach and lower back muscles to support the body for long periods without getting tired. Be physically active for long periods without getting tired or out of breath. Make quick, precise adjustments to machine controls. Use muscles to lift, push, pull, or carry heavy objects.
All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances. Mouth pipetting/suctioning of blood or other potentially infectious materials is prohibited.
When phlebotomists document their procedures and findings accurately, they can communicate important information to other members of the healthcare team, such as changes in the patients condition, Test Results, and any special considerations for future blood draws.
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The documentation should refer to the written lab order by date and location (e.g., in the 8/31/16 progress note) and list the date of venipuncture, time, site, and patient tolerance of the procedure.
1. Drawing Blood From the Wrong Patient. This is one of the rarest but arguably most costly mistakes a phlebotomy technician can make. Drawing blood from the wrong patient can cause a domino effect that leads to misdiagnosis and improper treatment.
Phlebotomists must comply with all aspects of OSHA BBP regulations. 2. Anyone working in an area where phlebotomy will be conducted must have awareness training of the risks from blood exposure and the consequences of poor infection prevention.

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