review and accession test request , step 1, Approach, Identify, & Prepare Patient, step 2, verify diet restriction & latex , step 3, sanitize hands , step 4 , position patient apply tourniquet, ask patient to make fist, step 5 , select vein, release tourniquet & ask patient to open fist, step 6 , clean & air dry site , step 7, prepare equipment and put on gloves , step 8, reapply the tourniquet uncap and inspect needle , step 9, ask patient to remake fist,anchor vein & and insert needle, step 10, establish blood flow, release tourniquet and ask patient to open fist , step 11, fill remove and mix tubes , step 12, place gauze, remove needle, activate safety feature, and apply pressure, step 13, discard collection unit , step 14, label tubes , step 15, observe special handling instructions , step 16, check patients arm & apply bandage , step 17, dispose of contaminated materials , step 18, thank patient, remove gloves & sanitize hands  , Step 19 , transport specimen , step 20.

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