1. Name: Date:
Performance Criteria Venepuncture
Performance criteria Not yet Date procedure Is there a gap in Learning activity planned to Date learning activity Date preformed
Encountered preformed the knowledge meet the gaps completed independently
Yes/No Under and skills Yes/No
supervision
You need to
1 Apply standard
precautions for infection
control and any other
relevant health and safety
measures
2 Select and prepare an
appropriate site for
obtaining the venous blood
is obtained
3 Apply use and release a
tourniquet at the
appropriate stages of the
procedure
4 Gain venous access using
the selected blood
collection system in a
manner that will cause
minimal discomfort to the
client
© Trust Interventions Limited 2012-13
www.trustinterventions.co.uk

2. Name: Date:
5 Obtain the blood from the
collection site
a) in the correct bottle
according to the
investigation required
b) the correct amount
c) in the correct order
6 Take appropriate action to
stimulate the blood flow if
there is a problem
obtaining a sample or
choose an alternative
site/method
7 Mix the blood and
anticoagulant when
anticoagulant blood is
needed
8 Promptly identify any
indication that the client
maybe suffering any
adverse/event to the
procedure and act
accordingly
© Trust Interventions Limited 2012-13
www.trustinterventions.co.uk

3. Name: Date:
9 Remove blood collection
equipment and stop blood
flow with sufficient
pressure at the correct
point and for a sufficient
time to ensure bleeding
has stopped
10 Apply a suitable dressing
to the site
11 Place samples in the
appropriate packaging and
ensure the correct request
is in place
12 Place samples for
collection ensuring the
blood is kept at the correct
temperature to ensure their
integrity
13 Document any relevant
information clearly
accurately and correctly in
the appropriate records
© Trust Interventions Limited 2012-13
www.trustinterventions.co.uk

4. Name: Date:
14 Ensure immediate
transportation of blood to
the lab when the sampling
is urgent
© Trust Interventions Limited 2012-13
www.trustinterventions.co.uk