Tabal NR Phlebotomy

SILLIMAN UNIVERSITY
INSTITUTE OF CLINICAL LABORATORY SCIENCES
MT 51 – FIRST SEMESTER CLINICAL INTERNSHIP
SILLIMAN UNIVERSITY MEDICAL CENTER FOUNDATION, INC.
PHLEBOTOMY SECTION
OCTOBER 2-6, 2023
A NARRATIVE REPORT
SUBMITTED TO: SIR JAN EMMANUEL G. KADUSALE
SUBMITTED BY: JIA ROSE C. TABAL

I couldn't help but feel nervous as I started my internship in the phlebotomy area. My
feared lab rotation, phlebotomy, was almost around the corner. I felt scared just thinking about
taking blood from folks with different veins. Given my minimal phlebotomy experience from our
laboratory classes, it was a challenge that at first seemed challenging. During my third year, we
we’re always extracting blood from our lab partners. Even during that time I always overthink if
ever I can get some blood or not. During my phlebotomy rotation, I spent the first half of my
time in the main lab and the second half of my time at the MAB Building's SUMCFI satellite lab.
I decided to start in the main laboratory because I thought that working with many of patients
would improve my phlebotomy abilities.
My first day in the phlebotomy section began with a quick tour of the waiting room,
where we would greet patients and take blood samples. Ma'am Blenda gave me an overview of
all the essential duties I have as an intern. I extend a kind welcome to the patient and request
their full name. The medtech checks again to see if the barcode matches the requisition form
after the patient gives their name. The name and necessary tests must be identical. The patient is
then asked to extend their arm so that blood can be taken. The preferred vein site is examined in
both arms. 3 to 4 inches above the chosen vein site, a tourniquet is applied. After selecting the
location, the tourniquet is opened and alcohol is applied in broad, concentric rings, working from
the center outward. The medtech prepares the appropriate items after drying the alcohol while
making sure to use gloves. One more tourniquet is put on. The ETS (Evacuated Tube System)
technique is used by phlebotomists since many patients need numerous tests. The needle holder
is inserted with the bevel of a multi-sample needle facing upward and toward the vein. As the
needle is being placed, the patient is instructed to maintain composure. The tubes are positioned
appropriately after being inserted, and they are then removed and inverted the specified number
of times. The tourniquet is released when the requisite blood samples have been drawn, then the
tubes. After the needle is taken out, a cotton ball is placed on the wound. The patient is thanked
and told how long it will take to receive the findings.
The days that followed were much simpler for me. I vowed to better and make up for the
mistakes I had made after the demanding and long Monday. I anticipated a quieter atmosphere
because there weren't as many patients as there were on Monday. My abilities grew with each
patient I interacted with. Even though I was only an intern, one patient complemented me and
said I was doing a terrific job. Her compliments made me feel honored, especially considering
that she was pain-free during the blood draw. There was one instance, though, that I will never
forget. I miscalculated when choosing the tube to use for a patient's tests. I utilized a gold top
tube for the coagulation test instead of the light blue top tube that was specified in the order. The
patient's second arm was promptly used to draw blood for the light blue top tube by Ma'am
Blenda, who was standing directly behind me. The bright blue top tube must be taken out first
since other additives in other tubes may interfere with the coagulation test.
There was a section switch in the middle of the week, and I was moved to the MAB,
which is on the opposite side of the building's second level. The MAB had a more casual
atmosphere and more time for preparation than the main facility. The majority of the patients in
this facility were either students or those who had been told by their doctors to undertake testing
right away in order to be examined further. As a result, there weren't many individuals inside the
laboratory. The MAB was smaller than the main lab and acted as a satellite facility. I
collaborated with Ma'am Ricelle, the attending medtech, and the receptionist during my time in
the MAB. She also taught me a lot of things. I was able to concentrate on honing the abilities I
had received from Ma'am Blenda while also getting advice from Ma'am Ricelle because I had
less patients to take care of. She was very careful to follow the instructions exactly, and her
advice helped me hone my techniques at each stage of the procedure. There was one difference
in how the gathered samples were processed in the MAB compared to the main facility, but
otherwise the process was the same. They were loaded into a pneumatic tube system and flown
to the main laboratory by pneumatic.
Overall my experience, it was a rewarding trip working in the phlebotomy section of my
internship. I improved my technical abilities and discovered the value of accuracy, compassion,
and teamwork. I overcame my initial worries and insecurities to complete my internship with a
renewed sense of confidence and phlebotomy proficiency.

Tabal NR Phlebotomy

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SILLIMAN UNIVERSITY

INSTITUTE OF CLINICAL LABORATORY SCIENCES

MT 51 – FIRST SEMESTER CLINICAL INTERNSHIP

SILLIMAN UNIVERSITY MEDICAL CENTER FOUNDATION, INC.

OCTOBER 2-6, 2023

SUBMITTED TO: SIR JAN EMMANUEL G. KADUSALE

SUBMITTED BY: JIA ROSE C. TABAL

would improve my phlebotomy abilities.

and told how long it will take to receive the findings.

to the main laboratory by pneumatic.

Overall my experience, it was a rewarding trip working in the phlebotomy section of my

renewed sense of confidence and phlebotomy proficiency.

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