Two nurses were responsible for the phlebotomy session; one nurse wore gloves throughout the session, the more experienced nurse did not wear gloves. The use of gloves during phlebotomy has shown a reduction in the transmission of BBV following an injury with a contaminated sharp device by decreasing the inoculum of blood introduced by injury ; numerous phlebotomy guidelines have been produced emphasising the importance of glove usage
World Health Organization (WHO),
. These guidelines were utilized to produce the local policy which was disregarded by the more experienced nurse; warranting the generation of a significant event report and further investigation. Guideline compliance is argued to be inconsistent among HCWs on an international scale .