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Click ‘Get Form’ to open the competency phlebotomist assessment in the editor.
Begin by entering the phlebotomist's name in the designated field. This ensures proper identification for evaluation.
Fill in the 'Date of Employment' and 'Date of Evaluation' fields to document the timeline of assessment.
Evaluate the phlebotomist's performance by checking either 'S' for Satisfactory or 'U' for Unsatisfactory next to each function observed. Be thorough in your observations.
If any category receives an Unsatisfactory rating, mark a 'U' next to specific functions needing improvement. This is crucial for follow-up training.
Once completed, ensure that both the evaluator and lab director sign and date the form at the bottom to validate the assessment.
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