Evaluation on Evacuated Tube System CHECKLIST

• Examines requisition form
• Greets patient and states procedure to be done
• Identifies patient verbally
• Examines patient's ID band
• Compares requisition information to ID band
• Selects correct tubes and equipment for procedure
• Washes hands
• Puts on gloves
• Positions patient's arm
• Applies tourniquet
• Identifies vein by palpation
• Releases tourniquet
• Cleanses site and allows it to air dry
• Assembles equipment
• Reapplies tourniquet
• Does not touch puncture site with unclean finger
• Removes needle cap and examines the needle
• Anchors vein below puncture site
• Smoothly enters appropriate vein at an angle with bevel up
• Does not move needle when changing tubes
• Collects tubes in correct order
• Mixes tubes promptly
• Fills tubes completely
• Releases tourniquet within 1 minute
• Removes last tube collected from holder
• Covers puncture site with gauze
• Removes the needle smoothly and applies pressure
• Activates any safety feature
• Disposes needle in the sharps container with the safety device activated and attached to the holder
• Labels tubes
• Confirms labeled tube to the patient ID band or has patient verified that the information is correct
• Examines puncture site
• Applies bandage
• Disposes used supplies
• Removes gloves and washes hands
• Thanks patient
• Converses appropriately with patient during the procedure