Phlebotomist | Ikajuq Care

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Email us: info@ikajuq.ca

Call us: 1-888-272-9977

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Phlebotomist Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

GENERAL SKILLS

Standard Precautions

1

2

3

Isolation Precautions

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of "Do Not Use Abbreviations"

1

2

3

Knowledge of current Joint Commission National Patient Safety Goals

1

2

3

Knowledge/familiarity with HCAHPS scores

1

2

3

IV Pumps

Alaris

Baxter

IVAC

Alibaba

Braun

Zynomed

Bard

CADD

N/A

Other IV Pumps:

EXPERIENCE

Hospital Laboratory

1

2

3

Clinic Experience

1

2

3

Gastrectomy

1

2

3

Blood Bank

1

2

3

PATIENT IDENTIFICATION

Inpatient Identification

1

2

3

Emergency Department Identification

1

2

3

Ambulatory patient Identification

1

2

3

EQUIPMENT

Alcohol Swabs

1

2

3

Arterial Blood Gas Kits

1

2

3

Cotton Swabs

1

2

3

Occult Blood Packets

1

2

3

Heel Warmers

1

2

3

Infant Restraints

1

2

3

Laboratory Requisitions

1

2

3

Serum Separators

1

2

3

Vacutainer holder

1

2

3

Vacutainer Tubes

1

2

3

Order of Tubes

1

2

3

Blood Culture Bottles

1

2

3

Blood Culture Preparation Kits

1

2

3

Centrifuge

1

2

3

24 Hour Urine Containers

1

2

3

Capillary Blood Kits

1

2

3

Bacteria Media

1

2

3

Drug Screen Kits

1

2

3

Ova parasite Containers

1

2

3

Legal Blood Draw Kits

1

2

3

Paternity Blood Draw Kits

1

2

3

RSV Kits

1

2

3

Glucola

1

2

3

COMPLICATIONS/TROUBLESHOOTING

Fainting

1

2

3

Hematoma

1

2

3

Failure to Draw Blood

1

2

3

Petechiae

1

2

3

Excessive Bleeding

1

2

3

Mastectomy

1

2

3

Edema

1

2

3

Collapsed Veins

1

2

3

Hemolysis

1

2

3

Burned or Scarred Areas

1

2

3

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