Phlebotomy ASCP

American Society for Clinical Pathology phlebotomy certification.

Introduction to PhlebotomySafety and Infection ControlSpecimen Collection Techniques
Complications and Problem-SolvingSpecial Collections and Patient PopulationsQuality Assurance and Legal Responsibilities
Patient Communication and ComfortProper Documentation and Specimen HandlingDealing with Emergencies
Mastering Phlebotomy Exam TechniquesTest Day Confidence and Stress Management
Introduction to Phle...Safety and Infection...Specimen Collection ...Complications and Pr...Special Collections ...Quality Assurance an...Patient Communicatio...Proper Documentation...Dealing with Emergen...Mastering Phlebotomy...Test Day Confidence ...
Advanced Topics

Complications and Problem-Solving

Troubleshooting in Phlebotomy

Even with careful technique, complications can happen. Recognizing and responding to problems quickly is an advanced skill every phlebotomist needs.

Common Complications

  • Hematoma: Blood leaks under the skin, causing a bruise.
  • Fainting: Patients may become dizzy or unconscious.
  • Hemolysis: Red blood cells break, affecting test results.
  • Difficult veins: Some patients are harder to draw from due to small or hidden veins.

Solutions and Prevention

  • Apply pressure after needle removal to prevent hematomas.
  • Use smaller needles for fragile veins.
  • Calm and reassure anxious patients to reduce fainting risk.

When to Seek Help

If unable to obtain a specimen after two attempts, ask for assistance from a supervisor or more experienced colleague.

Examples

  • Switching to a butterfly needle after two failed attempts on a small child.

  • Recognizing a hematoma and stopping the draw to prevent further injury.

In a Nutshell

Advanced phlebotomists solve problems and handle complications with confidence.

Key Terms

Hematoma
A localized collection of blood outside the blood vessels, often resulting in a bruise.
Hemolysis
The destruction of red blood cells, which can interfere with laboratory results.
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Special Collections and Patient Populations