OSCE Checklist Venepuncture
OSCE Checklist Venepuncture
OSCE Checklist Venepuncture
Introduction
1 Gather equipment
2 Wash your hands using alcohol gel. If your hands are visibly soiled, wash them with soap and
water. Don PPE if appropriate.
3 Introduce yourself to the patient including your name and role
5 Briefly explain what the procedure will involve using patient-friendly language
10 Ask the patient if they have any pain before continuing with the clinical procedure
Preparation
11 Choose an arm you to perform venepuncture on and place a pillow under it
Choosing a vein
12 Inspect the patient’s arm for an appropriate venepuncture site
13 Apply the tourniquet approximately 4-5 finger-widths above the planned venepuncture site
15 Once you have identified a suitable vein you may need to temporarily release the tourniquet
17 Don gloves
18 Clean the site with an alcohol swab for 30 seconds and then allow to dry completely for 30
seconds
21 Anchor the vein from below with your non-dominant hand by gently pulling on the skin distal
to the insertion site
22 Warn the patient that they will experience a sharp scratch
23 Insert the needle through the skin at a 30-degree angle or less, with the bevel facing
upwards
24 Advance the needle a further 1-2 mm into the vein after flashback is noted to ensure you are
within the lumen
25 Lower and anchor the needle to the patient’s skin using the wings of the butterfly needle
26 Attach each blood bottle, in the correct order of draw, to the barrel and allow them to fill to
the appropriate level
27 Release the tourniquet
28 Withdraw the needle and then apply gentle pressure to the site with some gauze or cotton
wool
29 Ask the patient to hold the gauze or cotton wool in place whilst you dispose of the needle
into a sharps container
30 Apply a dressing to the patient’s arm
31 Invert each of the blood bottles the suggested number of times based on its colour
32 Discard the used equipment into the appropriate clinical waste bin
35 Document the patient’s details on the blood sample bottles at the bedside (either pre-
printed labels or handwritten)
36 Dispose of PPE appropriately and wash your hands
37 Send the blood samples to the lab for analysis in an appropriate plastic leak-proof bag with
the completed laboratory request form