AMCA Phlebotomy Practice Exam 2025 – 400 Free Practice Questions to Pass the Exam

The bevel of the needle should be positioned facing up during a venipuncture procedure. This orientation allows for smoother insertion into the vein and minimizes trauma to the vessel. When the bevel is up, it helps create a smaller entry point and facilitates a more precise puncture, reducing the chance of damaging the vein walls. This position also helps in preventing hematoma formation by allowing an easier entry for blood to flow into the lumen of the needle and into the collection tube.

Positioning the bevel in other directions can lead to complications. For instance, if the bevel is facing down, it might cause the needle to drag against the vein walls, increasing the risk of bruising and pain for the patient. Similarly, facing the bevel sideways or outward can complicate the insertion process, making it more difficult to access the vein and increasing the likelihood of failure to draw blood. Thus, having the bevel facing up is best practice for safe and effective venipuncture.