College of Medical Technology/Medical Laboratory Science
Activity # 8
VENIPUNCTURE THROUGH EVACUATED TUBE SYSTEM
I- Objective(s):
To learn the proper steps and techniques for performing venipuncture using the
evacuated tube system.
To safely collect blood samples while minimizing patient discomfort and preventing
complications.
To correctly handle the blood specimens for laboratory analysis.
II- Materials:
Alcohol prep pads, gauze pads/cotton balls, adhesive bandages, gloves, tourniquet,
blood collection evacuated tubes, multisample needles, standard tube holder, sharps
container, pen
III- Procedures:
1. Greets patient and states procedure to be done.
2. Identifies patient verbally.
3. Select correct tubes and equipment for procedure.
4. Washes hands.
5. Put on gloves.
6. Positions patient's arm.
7. Applies tourniquet.
8. Identifies vein by palpation.
9. Releases tourniquet.
10. Cleanses site and allows it to air dry.
11. Assembles equipment.
12. Reapplies tourniquet.
13. Does not touch the puncture site with unclean finger.
14. Anchors vein below puncture site.
15. Smoothly enters vein at appropriate angle with bevel up.
16. Does not move needle when changing tubes.
17. Collects tubes in correct order.
18. Mixes tubes promptly.
19. Fills tubes completely.
20. Releases tourniquet within 1 minute.
21. Removes last tube collected from holder.
22. Covers puncture site with gauze/cotton balls.
23. Removes the needle smoothly and applies pressure.
24. Disposes of the needle in sharps container with the safety device activated and attached to
the holder.
25. Labels tubes.
26. Confirms labelled tube or has patient verify that the information is correct.
27. Examines puncture site.
28. Applies bandage.
29. Removes gloves and washes hands.
30. Thanks patient.
V- Observation/Illustration/Documentation:
Review questions:
1. Where you able to perform a successful draw? Explain why you were able to do or
not.
Yes, I was able to perform a successful draw during the activity because I followed all
the steps properly, especially in identifying the vein and inserting the needle at the
correct angle. I also remained calm and confident throughout the procedure.
2. Discuss the proper way of inserting the needle into the vein.
The proper way is the needle should be inserted into the vein with the bevel facing
up, at a 15 to 30-degree angle. The insertion should be smooth and quick, and the
vein should also be anchored with the other hand to prevent movement of vein.
3. Discuss what causes hematoma.
A hematoma can happen if the needle goes through the vein, if the needle moves too
much inside the vein, or if not enough pressure is placed on the site after removing
the needle. It can also happen if the tourniquet is not removed before the needle is
taken out and by using the wrong angle or technique in inserting the needle.
VI- Conclusion:
This activity helped me to understand and perform venipuncture using the evacuated
tube system in a proper and safe way. I learned the importance of following the correct
procedure, identifying veins, inserting the needle correctly, and handling specimens with
care. It also showed me how important it is to prevent complications like hematoma and to
keep the patient safe and comfortable during the procedure.
Absolutely! Here’s your updated V - Conclusion with a reflection on what
you’ve learned:
