For the trained phlebotomist, using the appropriate phlebotomy equipment is an essential part of a successful venipuncture. A seasoned phlebotomist can assemble materials in such a way their hands glide efficiently from one part of the procedure to the next with speed and precision. Not only does this level of preparation help to ensure a correct blood withdrawal procedure, but it also helps inspire confidence in nervous patients. Let’s go over the most commonly used phlebotomy equipment.

The Most Commonly Used Equipment in Phlebotomy:

Scrubs

A phlebotomist is similar to other healthcare workers in that they are often required to dress in scrubs at the workplace. Depending on the employer, a phlebotomist and other laboratory personnel may be required to wear a certain color of scrubs for easier identification purposes. For practical reasons, phlebotomists rely on the various pockets in scrubs and lab coats to keep a supply of materials like extra alcohol wipes, gloves, and tourniquets.

Non-sterile Gloves

Before each procedure, the phlebotomist will don a pair of latex gloves. Like all healthcare professionals, phlebotomists wear gloves to protect themselves and the patient. While the first step in any procedure is a thorough hand-washing, gloves help prevent the passage of pathogens from the phlebotomist’s hands to the patient. Gloves are necessary to help prevent the transfer of blood pathogens from the patient to the phlebotomist. Gloves should fit neither too loosely or too tight. Snug-fitting gloves ensure ease handling phlebotomy materials. Gloves should be discarded immediately after the procedure.

Alcohol pad

Before the insertion of the needle, the site should be cleansed with an alcohol wipe. Once the site is chosen the phlebotomist will open the alcohol wipe and apply it to the site to prevent potential contamination. The phlebotomist and the patient must not touch the site after it is cleaned or the phlebotomist will have to repeat the procedure before the needle is inserted.

Tourniquet

A tourniquet compresses the veins and restricts the flow of blood back to the heart. This allows the phlebotomist to see the veins more clearly to make a successful venipuncture. After the phlebotomist selects the vein, the tourniquet is tied three to four inches above the intended site. The tourniquet should be removed at the end of the procedure.

Needles

Needle selection depends on the procedure and personal choice. Some experienced phlebotomists prefer the butterfly needle for every procedure, while others use the butterfly needle for smaller veins or pediatric procedures. Also known as winged infusion sets, butterfly needles are characterized by a pair of plastic wings that the phlebotomist can grip to more easily guide the needle into the vein. A tube extends from the needle down to a tube holder where the phlebotomist connects the collection tube. Straight needles vary in size and are often connected to a plastic tube holder. After insertion in the vein, the needle will be held still by the phlebotomist while the collection tubes are switched in and out in the tube holder.

Blood Collection Tubes

Collection tubes come in a rainbow of colors. Each stopper color denotes a particular function and test. Colored stoppers are essential for the correct order of the draw. A phlebotomist will select the tube depending on the type of test that is ordered for the patient. Additives in the tubes are essential for the type of test for which the blood is collected. For example, lavender tubes contain an additive that helps the blood coagulate and is used for specimen collection specific for hematology procedures. Collection tubes are manufactured so that they are evacuated tubes and then seal. When the phlebotomist inserts a needle in the tube the vacuum pulls the blood from the vein into the tube. At times, a tube will malfunction requiring the phlebotomist to reach for another one to complete the blood collection. For this reason, the phlebotomist should keep extra tubes within reach so that the procedure can continue.

Labels

Blood collection tube labels are necessary for the correct transfer of patient samples to the lab for testing and diagnosis. Like other phlebotomy equipment, labels should be secured before the start of the venipuncture. Labels should include the patient’s name, date, and other identifying information. The process for labeling blood collection tubes depends upon the laboratory. Labels may be computer-generated and printed or blank for hand-written labeling. Either way, the phlebotomist will double-check the patient’s identity to make sure the blood sample reaches the lab under the right name.

Gauze or Bandages

At the end of the venipuncture procedure, the phlebotomist will remove the needle from the blood draw site and check for bleeding. A piece of gauze or a cotton ball will be placed over the injection site and a slight bit of pressure applied to prevent excessive bleeding and to encourage clotting. Afterward, the phlebotomist will affix a bandage or a piece of gauze secured by tape. The bandage should remain in place for the length of time specified by the phlebotomist.

Learn More About a Career in Phlebotomy

Are you interested in pursuing a rewarding career in a demanding field? Contact us and learn more about how phlebotomy training at PhlebotomyU will put you on the path to success.

The CPT I License is the main requirement for becoming a practicing phlebotomist. Once certified, the CA phlebotomy certificate renewal must be done every two years using the CDPH license renewal process. The initial certified phlebotomy technician (CPT I) course can range from five weeks to 9 weeks and includes analytical subjects such as anatomy, order of draw, hospital techniques, and post puncture care. You may click here for a complete list of courses and cost information. In addition to the phlebotomy training, the cost also covers class materials, lab supplies, and the National Exam and the clinical internship. Drug screenings and background checks are also paid for. Financial aid is also available with several payment options being offered.

CPT I License Renewal Process

The CPT I phlebotomy license must be renewed every two years. This ensures that the professionals in the field are taking the initiative to stay informed of any and all updates pertaining to phlebotomy. Before a license can be renewed, certain requirements must be met. Those applying for renewal must already have either a limited phlebotomist technician certificate or a certified phlebotomist technician certificate. Keep in mind that meeting deadlines for certification renewal is crucial. This is discussed in detail under Late Renewals.

Approximately seventy-five days before the expiration of the CPT I license, notices are mailed out to certified phlebotomists for license renewal. Sixty days prior to expiration the license can be renewed. However, it must be renewed thirty days before expiration to avoid suspension.

Phlebotomy License Renewal Requirements

1. Continuing Education with CPT Classes – Before applying for license renewal and two years before license expiration, six contact hours of ongoing education must be completed. This must be done at a CDPH credit approved school or agency. Copies of certificates or unofficial transcripts must accompany the application proving that the contact hours have been completed.
2. Current Phlebotomist’s Information – It is the responsibility of each applicant to make sure that all their information is updated with any changes in name and/or address. This information should be reviewed prior to applying for renewal. A license or certificate number will also be needed. Go to the Laboratory Personnel License Search in case of a lost or forgotten license or certificate number.
3. Completing the Online Application – All applications must be completed online by going to the CDPH Certificates, Licenses, Permits and Registration Portal. First-time applicants will be required to set up an account with a user ID and a password. Once this has been completed, they can begin filling out the application to renew their phlebotomy license/certificate. Remember, proof of completion of six contact hours must accompany the application.
4. Application and Renewal Fees – Whether the applicant is a limited phlebotomy technician or a certified phlebotomy technician, an introductory fee along with a renewal fee must be paid at the time of completion. The California phlebotomy license renewal fee is $100.00.

Approval and Receiving the Renewed License

Once the certification process has been completed and approved, applicants can print out their approval notice to serve as temporary proof of their certification. They can check the status of their application on a regular basis because the CDPH website updates every few days. Since hard copies of licenses are no longer mailed, applicants will need to print them out once their renewal has been approved. A PDF reader is required for printing and an applicant can print out as many copies as needed.

What Happens to Late CPT I Renewals

Getting the phlebotomy license renewed after it expires does not require the payment of a late charge for the Limited Phlebotomy Technicians or the Certified Phlebotomy Technicians. However, phlebotomists are not permitted to work while their license is expired and it may take longer to have your license reactivated. It is extremely important to get the CPT 1 renewal application done on time along with having the required contact hours of ongoing education.

Recap – The CPT License Renewal

Being a phlebotomist can be an exciting and rewarding career. You can start out with the basic beginning requirements or, if you have previous venipuncture experience, you can take the abbreviated course. There are also additional courses for those who want to advance their careers in phlebotomy. For more information on signing up for phlebotomy classes or help with renewing your license, be sure to contact PhlebotomyU. You can call, send an email and fill out a form to request course information. Don’t put it off. Your future in phlebotomy is waiting for you! 

While many fear blood or the act of getting their blood drawn, the role of the phlebotomist is extremely important in the health and treatment of individuals. Here are 8 phlebotomy facts that demonstrate its importance in medical practice over the past two thousand years.

Venipuncture is conducted by a trained phlebotomist; it is the process of collecting blood from the veins. This procedure requires certain venipuncture materials be used to be able to collect the blood from the patient. Therefore, the phlebotomist must have the tools close by while conducting the procedure of drawing blood. Once your blood is collected, it usually goes to a laboratory for medical testing purposes. We will take a closer look at the venipuncture materials needed, why these materials are important, how to use each properly, and sterilization.

Collection tubes

Collection tubes must first have their tops sterilized. Once it is properly sterilized, it is inserted into the hub of a needle before being used. After the needle is piercing the vein, the collection tube should be pushed further into the hub. By pushing the tube further into the hub, it will cause the blood to flow into the tube. Collection tubes usually are glass or plastic and have tops with different colors that represent which diagnostic testing will be performed on each.

Needle

Needles are the most common object people think of when going to get blood drawn from a phlebotomist. The objective of using a needle is to pierce a vein to gather blood for medical testing. The most common needle used is a butterfly needle. However, there is a new blood drawing needle beginning to be used that leaves the patient with less pain and reduces speed during the venipuncture procedure; it is called the Vacutainer UltraTouch Push Button Blood Collector.

For now, we will focus on the butterfly needle. Before using a butterfly needle, you should be sure to wash and dry your hands prior to putting on gloves. After completing sterilization, take the cap off the needle and handle it by the wings. Then, insert the collection tube into the hub. Hold the needle with your dominant hand with the bevel facing upward. Use your other hand to hold the vein in place and insert the needle at a 15 to 30-degree angle. Blood should begin flowing into the needle, and the collection tube should be pushed further into the hub, as mentioned before. Release your collection tube and tourniquet first and withdraw the needle from the site. Be sure the properly discard the needle afterwards into a disposal unit.

Lancet

A lancet is an important object to know if you are drawing blood from a child or infant. The lancet is usually used on the finger or heel during the venipuncture procedure. This tool is easier to use on a child or infant because it quickly punctures the area and is able to be immediately removed. This helps with the child experiencing less pain and discomfort. Even with a lancet, you need to be sure to sterilize the area you plan to puncture beforehand. A lancet must be immediately discarded into a proper disposal unit as well.

Tourniquet

A tourniquet is a neat tool used to squeeze your arm, which compresses your veins. It prevents your blood from returning to your heart. This causes your veins under the tourniquet to swell and fill with blood. This object has become a common tool used to help phlebotomists see the vein needed to be pierced, and it aids in making the venipuncture process easier.

To properly use this item, place it three to four inches above the area you plan to inject, which is usually the forearm. Once your patient’s arm is in the correct position, place the tourniquet under the forearm. Complete a partial tie by crossing the ends of the tourniquet once and partially tucking one loose end.

Alcohol or Iodine Wipes/Swabs

One of the most used and needed products by phlebotomists are wipes or swabs. Wipes and swabs disinfect the area before it is punctured for blood collection. You must always remember to open the wipes with the use of gloves before beginning the venipuncture process. The wipe or swab must remain in the covered pack until it is ready to be used. Then, the phlebotomist will use it to disinfect the area with wiping in a circular motion. Also, be sure to throw away the wipe or swab immediately after use.

Gauze

Immediately after the needle is removed from the area, a gauze pad is used. The gauze pad is usually used by the phlebotomist to apply pressure to the punctured site, and it maintains sterilization. It is important to use pressure on the area because it helps the bleeding to stop and begins the blood clotting process. This also helps prevent any future bruising that could occur to the punctured area.

Gloves

Gloves are an extremely important item of the venipuncture materials. Non-sterile examination gloves are the best to use. Your safety and health must always come first, which is why gloves are a crucial necessity. By wearing gloves, you will remain protected from any contamination that could come from blood related pathogens that the patient may have. The gloves protect the patient as well, so that he is not exposed to any pathogens that could be on your hands. This is critical to remember because these contaminations can easily enter the patient’s body through a punctured area during the venipuncture process.

Before putting on gloves, you should always wash and dry your hands to help reduce the chances of cross contamination from the phlebotomist to the patient. Also, make sure you use the right size gloves to make it easier to handle the phlebotomy materials.

After you finish collecting the patient’s blood, you should carefully throw away the gloves without touching the outside with bare hands. Turn the glove inside out for protection from exposed pathogens. Washing your hands again is also a good idea.

Disposal Unit

Disposal units, such as a sharp container, are a required object of the venipuncture materials. Disposal units aid in controlling exposure to pathogens. Disposal units offer the phlebotomist, patients, and other healthcare workers the proper and safe disposal of used needles or any other tool that was used to puncture during the venipuncture process. Sharp containers are usually bright red and have a biohazard sign printed on them.

Safe Venipuncture with PhlebotomyU

PhlebotomyU currently offers a Safe Venipuncture course to help radiologic professionals learn how to safely perform the venipuncture procedure with these tools. If you are interested in phlebotomy school or curious to learn more about venipuncture, feel free to contact us today! We would love to hear from you. Since 1986, PhlebotomyU has been dedicated to providing the knowledge and skills to prospective and current healthcare professionals through our phlebotomy training. We aim to educate you on the most recent trends in blood analysis and clinical laboratory medicine, and we would be glad to have you join us.