Free Phlebotomy Log Template

Phlebotomy Log

A dedicated record to track assorted blood sample collection operations in healthcare settings. The log aids in systematic recording and future references for diagnostic investigations and medical procedures.

Prepared by: [YOUR NAME]
Date: [DATE]
[YOUR COMPANY NAME]

Log Overview

Date: [DATE]

  • Ensuring systematic collection, documentation, and tracking of patient's blood samples.

Date

Patient Name

Specimen Type

Comments

February 08, 2050

[Patient's Name]

Blood

Fasting

February 08, 2050

[Patient's Name]

Serum

Routine check-up

February 08, 2050

[Patient's Name]

Plasma

Post-meal

February 08, 2050

[Patient's Name]

Whole Blood

Pediatric patient

February 08, 2050

[Patient's Name]

Blood

Glucose tolerance test

Reminders

  • Ensure the correct labeling of blood samples with the patient's identification details.

  • Follow the order of draw to avoid cross-contamination of additives between tubes.

  • Adhere strictly to privacy and data security guidelines.

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