Performance of Invasive Procedures
Although you receive hands-on instruction in phlebotomy from physicians and phlebotomists during the Preclinical Clerkship and Transition, the clinical departments have been asked to ensure that you are competent to perform certain invasive procedures (such as phlebotomy, lumbar puncture, arterial blood draw, etc.) before you are asked to do these by yourself. All departments have agreed that you should not perform invasive procedures or be scrubbed in to assist on surgical cases on patients known to be HIV-positive or HCV positive until you have done at least six months of clinical work and have had adequate practice on patients who are not known to have HIV or HCV. Obviously the serological status of most patients is not known, so all procedures must be done utilizing the highest standard of precautions. During the ﬁrst six months of your clinical clerkships, you should practice your blood drawing and other invasive procedures under supervision. You should never feel compelled to perform any procedure for which you do not feel competent.
If you are accidentally exposed to a patient's body fluids through a needle or scalpel wound, please refer to the card you received during Transition explaining the exposure protocol. Additional information can also be found here.