LTD: Post Phlebotomy Procedures Version 6
POST-PHLEBOTOMY
Assessment of site: After completion of the draw, always examine site to be sure
it has stopped bleeding, that no unusually large Hematoma is present, and that
no significant painful sensations are occurring. Then place band-aid or other
appropriate covering on the site.
Use of band-aids: Because they are a choking hazard, band-aids are not
recommended for use on children under the age of three years. If an adult is
present to watch the child and ensure that he/she does not choke on or swallow
the band-aid, one may be used if requested. In this situation, advise the adult to
keep a close eye on the child and ask them to remove the band-aid in 15-20
minutes. For heel punctures on an infant, try to avoid using a band-aid by
applying slight pressure with gauze. If a band-aid is necessary, place gauze on
the wound and hold in place with a band-aid. Band-aids should be avoided on
the heel of a neonate as they cause irritation and remove tissue around the ankle
area. 3x3 gauze should be wrapped around the heel and tied loosely on the top
of the ankle to prevent excessive bleeding. CoFlex may be used in place of
band-aids when appropriate. Wrap carefully so it remains in place, but does not
constrict blood flow.
Specimen labeling – Always label at the bedside with two appropriate patient
identifiers. Follow hospital procedure on Specimen Labeling/Requisition
Completion
Transportation – When appropriate and/or available, use the pneumatic tube
system to send the specimen to the lab. If not, arrange for transportation
according to specimen stability/transportation needs listed in the Laboratory Test
Directory. If required to transport on ice always put ice in a separate bag so as to
not ruin the labels or paperwork.
References:
Specimen Labeling/Request Completion - Akron Children’s Hospital Policy
Pneumatic Tube System Policy – Akron Children’s Hospital Policy
Medical Care Concerns – Akron Children’s Hospital Pathology Department Policy
