For all matters on this page, please contact Natalie Burrows at email@example.com.
Venepuncture is the procedure of entering a vein with a needle. The circulation is a closed sterile system and any venepuncture, however quickly and carefully completed, is a breach of this system, providing a means of entry for bacteria and potential infection, and there is potential to cause harm to the patient unless the procedure is undertaken in accordance with this policy.
Venepuncture should be carried out in a confident and unhurried manner by a suitably trained phlebotomist from the antecubital fossa area and care must be taken at all times to ensure the wellbeing of the patient, the safety of the phlebotomist, and the integrity of the sample.
Venepuncture must only be undertaken using the equipment provided for that purpose and under no circumstances should non-standard equipment be used when undertaking a collection.
Staff undertaking venepuncture must hold a relevant accredited certificate and must hold valid insurance cover to undertake the procedure and have had the appropriate immunisations (primarily Hepatitis B).
Staff carrying out venepuncture are expected to have the knowledge and skills to undertake the procedure safely and to undertake the procedure in accordance with this policy
Staff must be appropriately dressed at all times, including closed-toe shoes and must use all PPE supplied in an appropriate fashion.
Staff must comply with any and all Health and Safety regulations in force at the point of collection and must be supplied with equipment that includes a safety device. In particular, all staff must comply with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013, and must be familiar with and comply with any and all stipulations set out in Health Service Information Sheet 7 and successor documents.
Prior to any procedures being carried out the phlebotomist should verify the patient’s identity and obtain and record the patient’s informed consent to the procedure being undertaken. If a patient lacks the mental capacity to consent to care and treatment, a best interests process must be followed in accordance with the Mental Capacity Act 2005, and other forms of authority such as advance decisions must also be taken into account.
Difficulties in obtaining blood :
No more than 2 attempts at venepuncture be undertaken on any patient by a single phlebotomist but, with the patient’s consent, a second phlebotomist may make 2 further attempts.
The needle must not be readjusted after insertion. If the vein is not punctured in the first instance the needle must be withdrawn and disposed of and a second attempt made using a new needle and holder.
If after 2 attempts, the required blood samples have not been successfully obtained, the phlebotomist must make a new appointment to collect the sample or arrange for the patient’s own GP to collect the sample.
Under no circumstances should a needle ever be resheathed.
Do not re-palpate the selected site
Natalie Burrows is committed to maintaining a safe and healthy environment for our staff, patients, and visitors. This infection prevention and control policy for phlebotomy outlines the guidelines and procedures to minimize the risk of infections associated with phlebotomy procedures. All phlebotomists are expected to adhere to these guidelines to ensure the highest standard of infection prevention and control.
1.1. Phlebotomists must perform hand hygiene before and after every patient contact, using soap and water.
1.2. Hands should be washed thoroughly with soap and water for at least 20 seconds, paying particular attention to the areas between fingers, under nails, and the wrists.
1.3. If hands are visibly soiled, handwashing with soap and water is mandatory.
1.4. Hand hygiene should also be performed after removing gloves, handling contaminated items, and before leaving the patient’s area.
2.1. Phlebotomists must use appropriate PPE based on the anticipated exposure risk and procedure being performed.
2.2. Gloves should be worn during all phlebotomy procedures and changed after each patient.
2.3. Phlebotomists should wear a disposable gown or apron when there is a risk of splashes or contamination.
2.4. Face masks or respirators should be worn when there is a risk of respiratory droplets or aerosols.
2.5. Eye protection (goggles or face shield) must be used when there is a risk of splashes or sprays.
3.1. Phlebotomists must follow safe needlestick and sharps disposal practices.
3.2. Sharps containers must be easily accessible, closable, and puncture-resistant.
3.3. Needles and other sharp instruments should never be recapped, bent, or broken by hand.
3.4. Phlebotomists should use needlestick prevention devices whenever available and appropriate.
4.1. Phlebotomists must correctly identify patients using at least two patient identifiers (e.g., name, date of birth) before performing any phlebotomy procedure.
4.2. The phlebotomist should explain the procedure to the patient, ensuring informed consent and addressing any questions or concerns.
4.3. Proper site preparation should be performed using approved antiseptics (e.g., isopropyl alcohol, povidone-iodine) to disinfect the puncture site before venipuncture.
5.1. Phlebotomists should handle all specimens with care and ensure proper labelling, documentation, and transportation according to established protocols.
5.2. Specimens must be placed in appropriate leak-proof and labelled containers.
5.3. Phlebotomists should follow laboratory’s guidelines for transporting specimens to the laboratory, ensuring timely delivery to maintain sample integrity.
Phlebotomists should adhere to routine cleaning and disinfection protocols for equipment, work surfaces, and patient care areas as detailed in the cleaning policy.
6.2. All reusable phlebotomy equipment must be properly cleaned and disinfected after each use.
6.3. Single-use items must be discarded appropriately after use and not reused.
7.1. Phlebotomists should maintain up-to-date immunizations as recommended by local health authorities, including vaccinations for Hepatitis B and other relevant vaccines.
8.1. All phlebotomists must receive initial and ongoing training in infection prevention and control practices.
8.2. Training should cover hand hygiene, proper use of PPE, needlestick injury prevention, patient identification, site preparation, specimen handling, cleaning and disinfection procedures, and relevant updates in infection prevention guidelines.
9.1. Compliance with this infection prevention and control policy will be regularly monitored through audits, observation, and feedback mechanisms.
9.2. Non-compliance will be addressed through appropriate corrective actions, which may include retraining, counselling, or disciplinary measures.
10.1. This policy will be reviewed annually or as needed to ensure compliance with current best practices and guidelines.
10.2. Any updates or changes to the policy will be communicated to all phlebotomists in a timely manner.
Natalie Burrows is committed to providing a safe and infection-free environment for all individuals. It is the responsibility of each phlebotomist to adhere to this policy and actively participate in the prevention and control of infections during phlebotomy procedures.
Needle stick and Sharpes Policy
This policy provides a clear, evidence-based framework to ensure safe practice when sharps are used, thereby minimising injuries caused by contaminated sharps. It provides guidance to ensure that when inoculation or contamination incidents do occur; the incident is promptly risk assessed and the healthcare worker is offered appropriate treatment to reduce the risk of infection and counselling support to reduce distress.
For quick reference, the guide below is a summary of actions required. This does not negate the need for the people involved in the process to be aware of and to follow the detail of this policy.
This accident reporting policy is designed to outline the purpose and procedure for reporting any on-the-job accidents. The company is committed to enforcing all health and safety guidelines to avoid such occurrences and expects employees to comply. However, accidents are sometimes inevitable. Our provision in this case is to ensure all accidents are reported timely so they can be investigated properly, and preventative measures can be reviewed and reinforced.
This accident report policy affects all employees of, sub-contractors of, and visitors to, Natalie Burrows, as well as independent contractors.
On-the-job accidents that must be reported include any incidents that may cause minor or severe injuries or incidents that are results of negligence or inadequate safety precautions. The victims may be employees who were injured while performing their duties or other people who were on company premises or vehicles.
Accidents must be reported as soon as possible to expedite the investigation and increase the likelihood of important findings. The sooner the cause or details of the accident are identified, the sooner the company can establish preventative measures for the future.
What should be reported under the Accident Reporting Policy?
The company encourages employees to report all accidents no matter how minor. Accidents that involve very minor injuries like small cuts, non-extensive bruises etc. and would not normally require any action on behalf of the company (e.g. the breaking of a drinking glass) do not have to be reported (although employees could report them if they want). On the other hand, accidents that involve (or could have involved) more severe injuries and require investigation and action from the company must be dutifully reported.
Employees are obliged to report any of the following:
Especially when an employee needs medical coverage, the accident must be reported immediately since insurance benefits may have to be approved after the investigation.
Employees are also required to report occurrences that may not have involved injuries or victims but could be potentially dangerous in that respect if repeated. These include but are not limited to:
When an employee witnesses or is involved in an incident they must record it, in writing, within one week of occurrence. If the employee anticipates an accident due to perceived negligence or inadequate safety, they must record it in writing and take appropriate action as soon as possible so the accident can be prevented.
Depending on the incident, official forms may have to be completed and submitted.
The accident and any sustained injuries must be recorded to the accident file located in the cleaning cupboard in the clinic room.
The officials responsible must initiate an investigation or request an investigation from authorities if appropriate.
The employee who reported the accident has to cooperate if called in for questioning to provide the details needed. As a general rule, the employee must provide information in the incident report as accurately as possible on the following:
The company places great importance on this policy. All employees are obliged to comply. Any employee who is discovered to have been aware of a serious accident and failed to report it will face appropriate disciplinary consequences. When employees are the cause of an accident they must report it immediately to minimize legal repercussions.