Phlebotomy is a Profession


Scope of Practice

A Phlebotomist scope of practice entails requisite knowledge of the professional practice of phlebotomy including but not limited to the following;

Obtain the optimal specimen using correct medical asepsis and sterile technique,

Practice the 5 rights of phlebotomy

1. Identify patient; asking patient to spell name first and last, date of birth

2. Correct time

3. Correct needle gauge

4. Correct needle, i.e. butterfly

5. Correct order of draw

6. Correct processing of specimens with attention of preanalytical variables

7. Knowledge of HIPAA rights

8. Infection control

9. Isolation protocol

10. Rules regarding Physician orders

11. Sites where never to draw blood

  • a. Same side of mastectomy
  • b. New tattoos
  • c. Cold bruised areas
  • d. Hand, foot neck  (except for heel sticks on infants and capillary sticks on adults)
  • e. Through an IV access port/site/PICC line, central line
  • f. While an IV is running
  • g. Without another health care professional present when drawing from a comatose patient or confused patient.
  • h.From someone who says, "No" or states, NO and is on a psychiatric floor
  • i. From an infected area
  • k.From or around a fistula site
  • l. Processing / centrifugation
  • m.Point of care testing
  • n. CPR
  • o. Mental health crises/suicide intervention techniques
  • p. Respecting peers

12.  Engaging in peer evaluations

13. Self reflection

14. Continuing education competency

15. Contributing to the field of phlebotomy

16. Communication such as both written and verbal

17. Cleanliness

18. Veracity

19. Non-maleficence 

20. Beneficence 

Change in test questions coming soon

Testers can now look forward to a new selection of exam questions.