CLINICAL LAB SCIENEC

CHAPTER 11: PHLEBOTOMY 283
Evaluating Phlebotomy Practical Performance
Two forms are presented in Tables 11-4 and 11-5 for evaluating a student’s
performance in collecting blood. These forms are flexible by nature and can
be modified to ascribe points for proper performance and to record a grade if
desired. All of the essential steps in sequence are provided on these forms.
The students should review the entire pictorial presentation of Figure 11-17
before attempting a venipuncture, or use the photographs to assess any prior
attempt and to troubleshoot any problems encountered.
Table 11-4 Evaluation Chart for Clinical Performance of a Phlebotomy
Procedure
Phlebotomy Clinical Practicum Progress Chart
Student ______________________________
Facility _______________________________ Clinical Instructor _______________________
For each of the following tasks, the student will demonstrate an understanding of background theory
and perform each task accordingly. Place a check in the column marked “C” for complete, “I” for
incomplete, or “N” for not performed in your facility. Space is provided for additional tasks you may
add at your facility. A student evaluation form will be completed at the end of this rotation.
Assigned Tasks C I N Date
Collection of Blood Specimens
1. identifi ed patient
2. established rapport with patient
3. selected correct tubes according to prescribed tests
4. labeled tubes correctly
5. used correct technique for assembling supplies
6. used aseptic technique
7. disposed of used equipment properly
8. performed 6–10 complete procedures per hour
Processing of Samples
1. logged specimens correctly
2. handled specimens carefully
3. centrifuged specimens as needed
4. diluted samples properly
5. delivered specimens to correct department in a
timely manner
Collection of Blood Cultures
1. used sterile technique
2. cleaned area adequately with iodine
3. followed procedure as demonstrated
Additional Tasks (list below)
Instructor’s Signature ___________________________________
Evaluation _____________
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