Obtain venous blood samples
URN: SFHCHS132
Business Sectors (Suites): Clinical Health Skills
Developed by: Skills for Health
Approved on:
2021
Overview
This standard covers the use of venepuncture/phlebotomy techniques and procedures to obtain venous blood samples from individuals for investigations.
Performance criteria
You must be able to:
- access and accurately interpret all relevant work instructions and information
- work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
- deal promptly and effectively with any problems within your control and report those which cannot be solved
- identify and minimise hazards and risk in the workplace
- confirm identity of the individual in accordance with organisational procedures
- communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
- respect the individual's rights and wishes relating to their privacy, beliefs, and dignity
- gain valid, informed consent from the individual in accordance with specific procedures
- apply standard precautions for infection prevention and control any other relevant health and safety measures
- give the individual relevant information, support and reassurance in a manner which is sensitive to their needs and concerns
select and prepare:
- an appropriate site
- appropriate equipment for obtaining the venous blood
apply, use and release a tourniquet at appropriate stages of the procedure
- gain venous access using the selected blood collection system, in a manner which will cause minimum discomfort to the individual
obtain the blood from the selected site:
- in the correct container according to investigation required
- in the correct volume
- in the correct order when taking multiple samples
take appropriate action to stimulate the flow of blood if there is a problem obtaining blood from the selected site, or choose an alternative site
- mix the blood and anti-coagulant thoroughly when anti-coagulated blood is needed
- promptly identify any indication that the individual may be suffering any adverse reaction and take appropriate action
- remove blood collection equipment and stop blood flow with sufficient pressure at the correct point and for the sufficient length of time to ensure bleeding has stopped
- apply a suitable dressing to the puncture site according to guidelines and/or protocols, and advise the individual about how to care for the site
- label blood samples in accordance with organisational procedures
- place samples in the appropriate packaging with relevant documentation
- place samples in the nominated place for collection and transportation, ensuring the blood is kept at the required temperature to maintain its integrity
- ensure immediate transport of the blood to the relevant department when blood sampling and investigations are urgent
- dispose of waste in accordance with organisational procedures
- complete and store all relevant documentation in accordance with organisational requirements
Knowledge and Understanding
You need to know and understand:
- the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
- the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
- how to access and interpret all relevant work instructions and information
- specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
- the duty to report any acts or omissions that could be unsafe/detrimental to you or others
- the hazards and risks which may arise during the execution of your work role and how you can minimise these
- how to adapt communication styles in ways which are appropriate to the needs of the individual
- the correct use of any equipment and PPE to protect the health and safety of you and others
- the principles, practice and procedures associated with informed consent
- the needs of individuals including issues relating to dignity, confidentiality, and privacy
- organisational management structures, roles, and responsibilities
- how to obtain positive confirmation of an individual's identity before starting the procedure
- the importance of applying standard precautions to obtaining venous blood samples and the potential consequences of poor practice
- how infection is spread and how its spread may be limited - including how to use or apply the particular infection control measures needed when working with blood
- the structure of blood vessels
- the position of accessible veins for venous access in relation to arteries, nerves and other anatomical structures
- blood clotting processes and factors influencing blood clotting
- the contra-indications and changes in behaviour and condition, which indicate that the procedure should be stopped, and advice sought
- the concerns which individuals may have in relation to you obtaining venous blood
- how to prepare individuals for obtaining venous blood, including how their personal beliefs and preferences may affect their preparation
- what is likely to cause discomfort to individuals during and after obtaining venous blood, and how such discomfort can be minimised
- common adverse reactions to blood sampling, how to recognise them and the action(s) to take
- the type and function of different blood collection systems
- what dressings are needed for different types of puncture sites, how to apply and what advice to give individuals on caring for the site
- the factors to consider in selecting the best site to use for venous access
- the equipment and materials needed for venepuncture/phlebotomy and how to check and prepare blood collection systems
- the importance of ensuring venous access sites are cleaned effectively, and how and when this should be done
- the correct use of tourniquets
- the importance of correctly and safely inserting and removing needles
- how to recognise an arterial puncture, and the action to take if this occurs
- the factors involved in the procedure which could affect the quality of the blood
- the remedial action you can take if there are problems in obtaining blood
- when and how to dress venous puncture sites
- the information that needs to be recorded on labels and other documentation
- the importance of completing labels and documentation clearly, legibly and accurately
- how to dispose of waste in accordance with organisational procedures
- how to complete and safely store all relevant documentation in accordance with organisational requirements
Scope/range
Scope Performance
Scope Knowledge
Values
Behaviours
Skills
Glossary
Links To Other NOS
External Links
Version Number
3
Indicative Review Date
2026
Validity
Current
Status
Original
Originating Organisation
Skills for Health
Original URN
SFHCHS132
Relevant Occupations
Health and Social Care, Health and Social Services Officers, Health Associate Professionals, Health Professionals, Health, Public Services and Care, Healthcare and Related Personal Services
SOC Code
2259
Keywords
Blood specimens, venepuncture, phlebotomy, take blood