College of Lake County Phlebotomy Program Handbook

Transcription

1 College of Lake County Phlebotomy Program Handbook Angela M. Norwood BS, PBT(ASCP) Phlebotomy Department Chairperson College of Lake County-Lakeshore

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3 GETTING STARTED BE AT LEAST 18 YEARS OLD HAVE A HIGH SCHOOL DIPLOMA OR EQUIVALENT OBTAIN A CLC STUDENT ID# By applying to CLC in person or on-line at SEE ACADEMIC ADVISOR To determine College Reading & Writing Readiness and Basic Algebra Readiness ATTEND INFO SESSION If you do not have CLC student ID# at time of info session, please submit it with the date of attendance to: Jorge Nieto at jnieto@clcillinois.edu REGISTER FOR PBT 110 & 115 COMPLETE IMMUNIZATION SCREENING (Health Career Passport) HEALTHCARE PROVIDER CPR 3 PBT Student Informational Handbook_v5_Fa 2016

4 TABLE OF CONTENTS Program Overview 6 Course Descriptions 12 National Certification Exam 14 Program Objectives 16 Program Code of Ethics 20 Phlebotomy Entrance Requirements 22 Health Requirements 26 Program Policies 31 Student Rights & Responsibilities 36 CLC Policies and Information 39 Phlebotomy Program Documents 42 4 PBT Student Informational Handbook_v5_Fa 2016

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6 Program Overview 6 Phlebotomy Program Handbook_v5_Fa 2016

7 PHLEBOTOMY PROGRAM OVERVIEW Program Vison Contribute to the general well-being of the community by providing exemplary healthcare professionals. Program Mission Produce quality phlebotomist who will maintain standards of excellence and advance as healthcare professionals. Program Goal Provide future healthcare professionals with a rigorous foundation in the theory and art of phlebotomy, as well as, enhance their critical thinking and their interpersonal skills. Prepare students as entry level phlebotomists in hospitals, clinics, blood donor centers, and other health care settings. Develop students with skills in performing phlebotomy procedures, specimen collection and processing in various health care settings. The CLC Phlebotomy Program is approved by the National Accrediting Agency for Clinical Laboratory Science: NAACLS 5600 N. River Road Suite 720 Rosemont, IL Phone: or info@naacls.org CLC s Phlebotomy Certificate Program has been supplying the Lake County area with quality graduates since The demand for entry into the Phlebotomy program is so high that there are three sections offered in the Fall and Spring semesters and the one section offered in the Summer. The program is designed to assist students to enhance critical thinking abilities and their interpersonal skills. The courses and activities include: 96 hours of theory and laboratory practical at the College s well-equipped lab on campus, with practice arms, on-line activities and CD tutorials. Didactic instructions that uses computer aided technology. In addition, the College has a variety of computers available for use in the learning resource center, computer laboratory in the Bio-Health science division and other computer labs. Clinical practicum which allow students to work in real clinical settings as full-time student-trainees under the supervision of professional Medical Technologists and/or Phlebotomists. The students spend eight (8) hours a day, five (5) days per week for three weeks at clinical sites for practical, hands-on experience with a variety of patient types (in-patient, out-patient, geriatric, adults and pediatric). Students are required to complete 7 Phlebotomy Program Handbook_v5_Fa 2016

8 a minimum of 100 hours and 100 successful unaided sticks. The clinical practicum is only offered during week days. Evening or weekend practicums are not available. The Phlebotomy Certificate Program daytime intensive cohort can be completed in 11 weeks. The didactic portion meets Monday through Thursday for 3 hours per day. The evening cohort, meets 2 evenings per week for 3 hours each evening, allows students complete the program in 19 weeks. Students may be awarded a Phlebotomy Certificate of completion once all program requirements are met. Granting of the Phlebotomy Certificate is not contingent upon the student passing an external certification or licensure exam. Phlebotomy Certificate Course Credit Hours and total hours Lab. Hours Contact per week Hrs. COURSE Credit Hrs Lect. Hours per week # Weeks Total Hours PBT PBT PBT TOTAL Graduates of this program are eligible for certification by nationally recognized certifying agencies. PBT Program Graduation Rates: Academic Year % PBT Program Attrition Rates: Academic Year % PBT Program Placement Rates: Academic Year % Phlebotomy Program Handbook_v5_Fa 2016

9 The Phlebotomy Program at CLC provides learning experiences through classroom lecture, lab, class discussion, critical thinking/case studies and other activities that enable students to achieve the following NAACLS Entry Level Competencies: 1.00 Demonstrate knowledge of the health care delivery system and medical terminology. 1.1 Identify the health care providers in hospitals and clinics and the phlebotomist's role as a member of this health care team. 1.2 Describe the various hospital departments and their major functions in which the phlebotomist may interact in his/her role. 1.3 Describe the organizational structure of the clinical laboratory department. 1.4 Discuss the roles of the clinical laboratory personnel and their qualifications for these professional positions. 1.5 List the types of laboratory procedures performed in the various disciplines of the clinical laboratory department. 1.6 Describe how laboratory testing is used to assess body functions and disease. 1.7 Use common medical terminology Demonstrate knowledge of infection control and safety. 2.1 Identify policies and procedures for maintaining laboratory safety. 2.2 Demonstrate accepted practices for infection control, isolation techniques, aseptic techniques and methods for disease prevention Identify and discuss the modes of transmission of infection and methods for prevention Identify and properly label biohazardous specimens Discuss in detail and perform proper infection control techniques, such as hand hygiene, gowning, gloving, masking, and double-bagging Define and discuss the term healthcare-acquired infection. 2.3 Comply with federal, state and locally mandated regulations regarding safety practices Observe the OSHA Blood borne Pathogens Standard and Needle Safety Precaution Act Use prescribed procedures to handle electrical, radiation, biological and fire hazards Use appropriate practices, as outlined in the OSHA Hazard Communications Standard, including the correct use of the Material Safety Data Sheet as directed. 2.4 Describe measures used to insure patient safety in various patient settings, i.e., inpatient, outpatient, pediatrics, etc Demonstrate basic understanding of the anatomy and physiology of body systems and anatomic terminology in order to relate major areas of the clinical laboratory to general pathologic conditions associated with the body systems. 3.1 Describe the basic functions of each of the main body systems, and demonstrate basic knowledge of the circulatory, urinary, and other body systems necessary to perform assigned specimen collection tasks. 3.2 Identify the veins of the arms and hands on which phlebotomy is performed. 9 PBT Student Informational Handbook_v5_Fa 2016

10 3.3 Explain the functions of the major constituents of blood, and differentiate between whole blood, serum and plasma. 3.4 Define hemostasis. 3.5 Describe the stages of coagulation. 3.6 Discuss the properties of arterial blood, venous blood, and capillary blood Demonstrate understanding of the importance of specimen collection and specimen integrity in the delivery of patient care. 4.1 Describe the legal and ethical importance of proper patient/sample identification. 4.2 Describe the types of patient specimens that are analyzed in the clinical laboratory. 4.3 Define the phlebotomist's role in collecting and/or transporting these specimens to the laboratory. 4.4 List the general criteria for suitability of a specimen for analysis, and reasons for specimen rejection or recollection. 4.5 Explain the importance of timed, fasting and stat specimens, as related to specimen integrity and patient care Demonstrate knowledge of collection equipment, various types of additives used, special precautions necessary and substances that can interfere in clinical analysis of blood constituents. 5.1 Identify the various types of additives used in blood collection, and explain the reasons for their use. 5.2 Identify the evacuated tube color codes associated with the additives. 5.3 Describe the proper order of draw for specimen collections. 5.4 Describe substances that can interfere in clinical analysis of blood constituents and ways in which the phlebotomist can help to avoid these occurrences. 5.5 List and select the types of equipment needed to collect blood by venipuncture and capillary (dermal) puncture. 5.6 Identify special precautions necessary during blood collections by venipuncture and capillary (dermal) puncture Follow standard operating procedures to collect specimens. 6.1 Identify potential sites for venipuncture and capillary (dermal) puncture. 6.2 Differentiate between sterile and antiseptic techniques. 6.3 Describe and demonstrate the steps in the preparation of a puncture site. 6.4 List the effects of tourniquet, hand squeezing and heating pads on specimens collected by venipuncture and capillary (dermal) puncture. 6.5 Recognize proper needle insertion and withdrawal techniques, including direction, angle, depth and aspiration, for venipuncture. 6.6 Describe and perform correct procedure for capillary (dermal) collection methods. 6.7 Describe the limitations and precautions of alternate collection sites for venipuncture and capillary (dermal) puncture. 6.8 Explain the causes of phlebotomy complications. 6.9 Describe signs and symptoms of physical problems that may occur during blood collection List the steps necessary to perform a venipuncture and a capillary (dermal) puncture in order. 10 Phlebotomy Program Handbook_v5_Fa 2016

11 6.11 Demonstrate a successful venipuncture following standard operating procedures Demonstrate a successful capillary (dermal) puncture following standard operating procedures Demonstrate understanding of requisitioning, specimen transport and specimen processing. 7.1 Describe the process by which a request for a laboratory test is generated. 7.2 Instruct patients in the proper collection and preservation for non-blood specimens. 7.3 Explain methods for transporting and processing specimens for routine and special testing. 7.4 Explain methods for processing and transporting specimens for testing at reference laboratories. 7.5 Identify and report potential pre-analytical errors that may occur during specimen collection, labeling, transporting, and processing. 7.6 Describe and follow the criteria for collection and processing of specimens that will be used as legal evidence, i.e. paternity testing, chain of custody, blood alcohol levels, etc Demonstrate understanding of quality assurance and quality control in phlebotomy. 8.1 Describe quality assurance in the collection of blood specimens. 8.2 Identify policies and procedures used in the clinical laboratory to assure quality in the obtaining of blood specimens Perform quality control procedures Record quality control results Identify and report control results that do not meet pre-determined criteria Communicate (verbally and nonverbally) effectively and appropriately in the workplace. 9.1 Maintain confidentiality of privileged information on individuals, according to federal regulations (e.g. HIPAA). 9.2 Demonstrate respect for diversity in the workplace. 9.3 Interact appropriately and professionally. 9.4 Demonstrate an understanding of the major points of the American Hospital Associations Patient s Bill of Rights and the Patient s Bill of Rights from the workplace. 9.5 Comply with the American Hospital Associations Patient s Bill of Rights and the Patient s Bill of Rights from the workplace. 9.6 Model professional appearance and appropriate behavior. 9.7 Follow written and verbal instructions. 9.8 Define and use medico legal terms and discuss policies and protocol designed to avoid medico legal problems. 9.9 List the causes of stress in the work environment and discuss the coping skills used to deal with stress in the work environment. 11 Phlebotomy Program Handbook_v5_Fa 2016

12 Course Descriptions 12 Phlebotomy Program Handbook_v5_Fa 2016

13 REQUIRED COURSEWORK Course Credit Hours PBT 110 Introduction to Medical Lab 2 Technology PBT 115 Phlebotomy Techniques 2 PBT 116 Phlebotomy Practicum + 2 Total Hours for Certificate 6 + To be eligible to enroll in PBT 116 Phlebotomy Clinical, students must: Earn a grade of C or better in PBT 110 and PBT 115 Have an overall CLC GPA of 2.0 or higher Provide documented completion of immunizations and health requirements Have current Healthcare Provider CPR certification Drug testing and criminal background check may be required by the clinical site Have permission of the department chair COURSE DESCRIPTIONS A minimum grade of C in each course is required to graduate from the program. PBT 110 Introduction to Medical Lab Technology (1-2) 2 Hours This course introduces students interested in phlebotomy to the roles of the medical laboratory personnel in the health care system. Topics include professionalism, communication, basic laboratory math, medical ethics, CLIA-waived testing, and legal implications of laboratory testing, and educational preparation and certification of laboratory personnel. Prerequisites: Language Proficiency, Basic Algebra Readiness, GPA of 2.0 or above (for any credit classes completed at CLC), and attendance of Phlebotomy Information Session (within 2 years). PBT 115 Phlebotomy Techniques (1-2) 2 Hours This course focuses on the development of skills in performing phlebotomy procedures. Topics include proper use of equipment, current safety standards, medical and legal policies and regulations, interpersonal and communication skills, and correct specimen collection, transport, and preparation for laboratory testing. Prerequisite: PBT 110 (C or better), and attendance of Phlebotomy Information Session (within 2 years). PBT 116 Clinical Phlebotomy (0-7) 2 Hours This course provides the student with supervised clinical practice of current phlebotomy techniques. Students will develop skill in performing phlebotomy procedures in various health care settings. Includes proper use of equipment, current safety standards, medical and legal policies and regulations, interpersonal skills, and correct transport, collection, and preparation for laboratory testing. Students will complete on-line skills assessment, prepare a resume, and take an exit exam. Students must pass the exit exam with an 80% or better to be eligible for the ASCP Certification exam. It is recommended that PBT 116 is taken within 6 months of completion of PBT 115. Prerequisite: PBT 110, PBT 115 (both with C or better) and attendance of Phlebotomy Information Session (within 2 years). 13 Phlebotomy Program Handbook_v5_Fa 2016

14 National Certification Exam 14 Phlebotomy Program Handbook_v5_Fa 2016

15 NATIONAL CERTIFICATION EXAMINATION Students are required to take an exit exam in PBT 115. The exit exam is a simulated certification exam. Students must pass the exit exam with a minimum of 80% to be eligible to take the national certification exams such as the PBT-ASCP. Granting of the Phlebotomy Certificate is not contingent upon the student passing an external certification or licensure exam. Industry certification exams are required by most medical laboratory employers, and allows a graduate to work in most states that do not have a licensure requirement. The ASCP Phlebotomy certification is highly recommended. It is the student's responsibility to contact the national certification offices to obtain application forms and to submit the forms with the required fees. If the application form is submitted without the fee, the form will be returned. Transcripts also must be sent; this should not be done only after it has been noted on your transcript that you have completed the program. Examination Fees: $ ASCP BOC CERTIFICATION PASS RATES (for students who sat for the exam within the first year of graduation) Academic Year CLC 94% 100% 100% AMERICAN SOCIETY FOR CLINICAL PATHOLOGY Board of Registry 3335 Eagle Way Chicago, IL Phlebotomy Program Handbook_v5_Fa 2016

16 Program Objectives 16 Phlebotomy Program Handbook_v5_Fa 2016

17 PROGRAM OBJECTIVES The program's direction and methods are guided by community needs and CLC's resources. Consistent with this philosophy, the following objectives have been established for the Phlebotomy Certificate Program. The program is open to all whom: Are academically and technically capable of profiting from the curriculum. Meet the essential requirements developed in compliance with American with Disabilities Act (pl ), and the National Accrediting Agency for Clinical laboratory Sciences (NAACLS). Demonstrate professional behaviors, cognitive and technical abilities in the field. Meet the expectations of area employers. Program Objectives: 1. Provide the community with entry level phlebotomists by: Maintaining State, Federal and professional accreditation status by meeting or exceeding specified requirements. Providing a framework of education that reflects the mission and goals of CLC. Providing a well-rounded curriculum by continually recognizing the current needs of the community in the design of the curriculum. Offering educational activities by using all possible educational resources and expertise. Keeping instruction in phlebotomy up-to-date by continually participating in continuing education and by continually incorporating the latest educational and technological innovations. 2. Assist students in developing professional attitudes and ethics (which are expected of phlebotomists) by helping students to: Develop positive attitudes, assurance and confidence in performing laboratory tasks. Recognize their role in the health care system and function as effective team members. Enhance their interpersonal skills to: o Act responsibly and professionally by respecting others. o Develop rapport and cooperation by communicating and interacting with others. o Recognize and accept responsibility as productive members of our society. 3. Prepare students for professional mobility consistent with recognized standards of medical and professional ethics by: Assisting students to develop strategies to enhance their critical thinking abilities, to take charge of their own learning and to learn the merits of continuing professional development. Promoting satisfactory completion of transferable general education and science courses. Providing a climate conducive to stimulating interest in PBT education and participating in professional organizations. and encouraging awareness in changing trends in medical laboratory technology Promoting successful participation in national professional certification processes and examinations. Exploring and developing articulation with other institutions. 17 Phlebotomy Program Handbook_v5_Fa 2016

18 Successful completion of the program requires developing the following skills: 1. Communication Skills sufficient to: Effectively and productively interact independently with peers, instructors, supervisors, patients, other members of the health care system, and the community. Recognize and respect the responsibilities of other laboratory and health care personnel when interacting. Effectively elicit patient information, describe changes in mood, activity, posture, and assess non-verbal communication. Effectively transmit information to patient, peers, faculty and staff in addition to all members of the health care team. 2. Knowledge of basic science concepts applicable to medical laboratory procedures sufficient to: Collect and process laboratory specimens efficiently and appropriately. Recognize the importance of specimen collection in the overall patient care system. List and explain the effects of various factors affecting test results and identify ways to minimize or avoid them. Relate the anatomy and physiology of body systems and anatomic terminology to the major areas of the clinical laboratory, and to general pathologic conditions associated with body systems. Identify and select appropriate equipment used in blood and specimen collection. Explain the significance of quality control and practice basic quality control methods in routine laboratory procedures. Practice and adhere to established safety protocol arid policies. 3. Critical thinking and psychomotor skills sufficient to perform phlebotomy techniques and procedures such as specimen collecting, processing, handling and transporting procedures efficiently and accurately with minimum supervision in order to: Organize and prioritize work accordingly. Utilize the scientific method and own academic background in making judgments at the appropriate level of competence. Apply basic principles in learning new techniques and procedures. Develop critical judgment in evaluation of own work. 4. Knowledge of basic phlebotomy equipment and computer applications sufficient to: Utilize the keyboard to interact with computerized instruments and Laboratory Information Systems. Follow instructions associated with basic laboratory information system. Demonstrate proper care and use of phlebotomy equipment. Recognize, identify and respond to instrument malfunctions or specimen acceptability. Operate and maintain commonly used phlebotomy equipment and their associated test methods. Keep equipment and working area clean and in good order. Ask instructor for assistance when repairs and/or maintenance are needed. 18 Phlebotomy Program Handbook_v5_Fa 2016

19 5. Awareness of potential laboratory hazards and safety concerns sufficient to: Maintain a clean, safe and organized work area. Adhere to all safety guidelines in the collection, processing, testing, and disposal of all bio-hazardous materials. Practice Standard Universal Precautions. 6. Professional attitude and demeanor sufficient to: Maintain acceptable attitude toward instruction and the instructors. Demonstrate readiness for class activities by following directions and completing tasks assigned within allotted time frames. Develop confidence in abilities to perform commensurate with experience. Demonstrate integrity by recognizing and repeating questionable tests. Identify the roles and functions of various laboratory personnel in health care system. Show respect for others. Comply with institutional rules and regulations. Practice punctuality and regular attendance. Develop responsibility and accountability for work and action. Adhere to recognized standards of medical and professional ethics Present a personal appearance, which is appropriate for a professional who has patient contact. 19 Phlebotomy Program Handbook_v5_Fa 2016

20 Program Code of Ethics 20 Phlebotomy Program Handbook_v5_Fa 2016

21 CODE OF ETHICS The public and health care professions rely on the knowledge, skills, honesty, and integrity of trained competent professionals. The Medical Laboratory Profession demands careful attention to detail, accuracy and precision. Medical Laboratory professionals must assume responsibility for the quality of laboratory test results and employers rely on educators to produce ethical health care graduates. Therefore, professional ethics and attitudes are emphasized throughout the Phlebotomy program. Unethical behavior can result in legal action and/or loss of life. Any form of dishonest, unsafe or unethical behavior will not be tolerated in the classroom or clinical laboratory and is grounds for dismissal from the program. This includes any deliberate act of omission or commission regardless of actual injury such as plagiarism, falsification of lab results, destruction of misuse of equipment, or failure to adhere to safety policies. The College of Lake County s Phlebotomy Certificate Program adheres to The Code of Ethics of the American Society for Clinical Pathologist (ASCP) that sets forth the principles and standards by which clinical laboratory professionals practice their profession. Recognizing that my integrity and that of my profession must be pledged to the best possible care of patients based on the responsibility of my work, I will: Treat patients and colleagues with respect, care and thoughtfulness; Perform my duties in an accurate, precise, timely and responsible manner; Prudently use laboratory resources; Advocate the delivery of quality laboratory services in a cost-effective manner; Work within the boundaries of laws and regulations and strive to disclose illegal or improper behavior to the appropriate authorities; Continue to study, apply and advance medical laboratory knowledge and skills and share this knowledge with my colleagues, other members of the health community and the public. 21 Phlebotomy Program Handbook_v5_Fa 2016

22 Program Entrance Requirements 22 Phlebotomy Program Handbook_v5_Fa 2016

23 ENTRANCE REQUIREMENTS College of Lake County These policies pertain to all students in all programs. Policies for particular programs within CLC are more specific. Please pay attention to the differences. Anyone who can benefit from the courses and programs of study offered by the college is welcome. Admission to the college does not ensure entrance into a particular course or program of study. The college reserves the right to: Limit enrollment because of space or budget restrictions. Establish selective admission requirements. Give preference to residents of Community College District 532. Students must provide admissions and records office with required records/credentials: Official high school transcript(s) must be sent directly to CLC from the High School attended, or a copy of the applicant's High School equivalency (GED) test report must be submitted. Official transcripts from any previous college(s) must be sent directly to CLC by the college(s). Foreign transcript must be evaluated by an external educational agency and sent directly to CLC's admission office. Language proficiency Academic Program Entrance Requirements Be at least 18 years old Have a high school diploma or equivalent Demonstrate College Reading & Writing Readiness; and Basic Algebra Readiness prior to enrolling in PBT CLC GPA or higher Attend an information session Non-academic Program Entrance Requirements: Essential Skills and Functional Abilities Candidates for the phlebotomy program must have certain essential skills and functional abilities. If a candidate believes that he or she does not possess one or more of these skills or abilities without accommodations, the phlebotomy program must determine, on an individual basis, whether a reasonable accommodation can be made. Essential skills and abilities are performance requirements that refer to those physical, cognitive, and behavioral skills and abilities required for satisfactory completion of all aspects of a Phlebotomy program curriculum, and the development of personal attributes required of all students at graduation. The essential skills required by the curriculum areas are listed below. These are skills each phlebotomist must possess, and the use of a third party for the fulfillment of these attributes is not adequate. Adequate English verbal and written communication skills to safely and successfully interact with peers, supervisors and other members of the health care team. 23 Phlebotomy Program Handbook_v5_Fa 2016

24 Note: Phlebotomy students are expected to complete an "essential functions self-assessment." When necessary, consultation from a qualified expert may be necessary in the assessment of a student's possible inability to meet the following essential functions. Phlebotomy students must have: 1. normal, compensated, or corrected vision: that is sufficient for safe and successful practice of Phlebotomy. that is sufficient for observation and assessment necessary in the operation of equipment and care of patients. to participate actively in all demonstrations, laboratory exercises, classroom activities and clinical experiences in the various program. to independently perform microscopic work; read charts, graphs, manuals, and instruments; and, make color comparisons and interpretations. 2. normal, compensated, or corrected hearing: that is sufficient to monitor and assess patient needs.. to independently communicate with patients, colleagues, and other health care practitioners. 3. sufficient and appropriate psychomotor skills (hand-eye coordination and manual dexterity): to independently and safely perform phlebotomy techniques. with full range of motion of joints, ability to perform repetitive tasks and the ability to walk, stoop, bend, twist, reach, and occasionally kneel and squat. with fine motor abilities to use electronic keyboards to input and transmit data. with the ability to lift and move up to 50 pounds of weight daily. 4. physical stamina to work long periods of time (4-8 hours) at tasks that demand bending, stooping, standing, sitting and to: move freely and safely about the laboratory and the clinical setting. perform moderately taxing continuous physical activity. reach laboratory counters, shelves, patients lying in hospital beds or patients seated in blood collection furniture. 5. communication skills to effectively communicate: with patients, including gathering information appropriately, explaining medical information in a patient-centered manner, listening effectively, recognizing, acknowledging, and responding to emotions, and exhibiting sensitivity to social and cultural differences. in English with accuracy, clarity, and efficiency with patients, their families, and other members of the healthcare team (including spoken and non-verbal communication, such as interpretation of facial expressions and other body language) and work cooperatively with supervisors, other students, and all other healthcare team members, and they must be able to accurately identify patients. 24 Phlebotomy Program Handbook_v5_Fa 2016

25 6. intellectual abilities: to comprehend and learn factual knowledge from readings and didactic presentations. to gather information independently, analyze and synthesize learned material, and apply information to clinical situations. to develop sound clinical judgment and exhibit well-integrated knowledge about the phlebotomy process of care, to include: assessment, planning, implementation, and evaluation of phlebotomy services. and be comfortable with uncertainty and ambiguity in clinical situations, and seek the advice of others when appropriate. 5. behavioral, social and professional abilities: and possess the emotional maturity and stability to function effectively under the types of stress that are inherent in healthcare professions. to adapt to circumstances that are unpredictable or that change rapidly. to interact productively, cooperatively, and in a collegial manner with individuals of differing personalities and backgrounds, and be an active contributor to the process of providing health care by demonstrating the ability to engage in teamwork and team building. to identify and set priorities in patient management and in all aspects of their professional work. to be punctual and to perform work under strict time frames. and be capable of empathetic response to individuals in many circumstances and be sensitive to social and cultural differences. and exhibit an ethic of professionalism, including the ability to place others needs ahead of their own. And exhibit compassion, empathy, altruism, integrity, responsibility, and tolerance, as well as demonstrate the ability to exercise the requisite judgment required in the practice of phlebotomy. 6. mental, psychological, and emotional health: to independently perform with speed and accuracy in potentially and occasionally stressful situations. and demonstrate rational and appropriate behavior. to tolerate taxing workloads, function effectively under stress, adapt to changing environments, display flexibility and learn to function in the face of uncertainties inherent to the clinical problems of many patients. to recognize own stress level and communicate need for assistance appropriately. to perform multiple tasks and establish priorities. and calmly react to urgent situations. in order to exercise good judgment in addition to the development of mature and sensitive relationships with patients. to demonstrate compassion, integrity, concern for others, interest and motivation. The aforementioned are personal qualities which each applicant should possess. Individuals should give careful consideration to the mental and physical demands of the program prior to making application. 25 Phlebotomy Program Handbook_v5_Fa 2016

26 Health Requirements 26 Phlebotomy Program Handbook_v5_Fa 2016

27 Memorandum Date: January 1, 2015 To: Phlebotomy Students From: Director, Health Services Subj.: Health Requirements Congratulations on your acceptance into the Phlebotomy Certificate program! Now that you re in the program, your first assignment concerns your health and you have a number of activities to finish as soon as possible. In order to comply with Illinois State and local health regulations, you must complete certain health requirements BEFORE starting your clinical experience. It is up to you to keep in touch with the Health Center and complete your requirements in time. Your instructor will receive a message from the Health Center after you are cleared to go to the clinical area. The health requirements are explained below. Tuberculosis (TB) Once considered to be a disease of the past, tuberculosis is making an unwelcome comeback. This communicable and potential deadly respiratory disease has no acceptable vaccine to date. However, we are able to test your immune system to see if you have been exposed to the disease in the past. Many people are exposed to the disease without knowing it; for example, being in a theater or restaurant near someone who is infected and coughing or sneezing. Current research shows that initial testing may not reveal a subacute case or carrier of the disease. So, we do a two step skin test to see if you have been exposed to the disease and don t know it. If the initial skin test result is negative, we will repeat the test one-week later to see if your immune system has been triggered or sensitized. Thirty percent of the tests are falsely negative, hence with the first round of testing, we have a need to make sure your immune system isn t hiding something. If the second test is negative, then you will be tested annually using the onestep method by the health care institution for which you work. If either test is positive, you will be sent to the Lake County Tuberculosis Clinic in Waukegan and have a chest x-ray and be checked for the presence of active disease. If necessary, they will give you medication, for you to take up to 6 months on a daily basis. When you finish that course of treatment, you should be protected against the disease becoming active. Since your immune system will always show a positive result, follow-up tests will consist of periodic annual x-rays and/or a screening questionnaire done on an annual basis or as needed. Contact the T B Clinic for prices at Please note many physicians do not understand the two-step system but it is a legal requirement. So, PLEASE have your two-step skin test done at the Health Center, unless you already have had one done at a health care institution. If so, bring us a copy of that test. The two-step skin test is $8.00 done here. You can have the test done at the Lake County Tuberculosis Clinic (contact clinic for price). They are open Monday, Wednesday and Friday 8am-5pm and until 6:30 pm Tuesday and Thursdays on a walk-in basis only. But if you do not get the 2-step done in time, you may not attend clinical sessions. 27 Phlebotomy Program Handbook_v5_Fa 2016

28 Measles (Rubeola) You must show evidence of immunity to Rubeola by having a blood test showing the immunity. This blood test costs $30. There is a cost of $70 for the vaccinations done here at CLC, if you need a booster dose to achieve immunity. If you need the 2 recommended doses, the immunizations are spaced one month apart. If your physician does the lab test, bring a copy of those results to the Health Center for your record. Mumps You are required to show evidence of immunity to mumps by having the titre drawn. If so, it can be drawn at the same time as other blood tests. The cost is $45. If you need a booster dose, it can be given at the Health Center for a cost of $70. Rubella (German Measles) You must show evidence of immunity to rubella with a positive blood titre. The cost of the blood test is $15. Many women had the test done if they were pregnant and can get a copy of the results from their obstetrician. There is a charge of $70 for the immunization if a booster dose is done at CLC. Hepatitis A You must have a Hepatitis A Ab IgM blood titre. The cost is $20 if done at CLC. You are not required to have the 2 shot Hepatitis A series.. Hepatitis B You must have evidence of a series of 3 vaccinations against Hepatitis B or quantitative surface antibody titre showing immunity. If you need to have the Hepatitis B series, you will need a titre drawn 1-2 months after the 3 rd vaccination. If the titre comes back showing no immune system response, the series will be repeated and the titre redrawn. Hepatitis B vaccinations cost are $40 each. The cost of the titre is $30 at CLC. Hepatitis C You must have a Hepatitis C Antibody blood titre. Hepatitis C is a major cause of this infection and currently there is no vaccine available. This will document your status upon entering the program. If done at CLC the cost of the lab test is $20. Influenza You must show evidence of having a vaccination to the current influenza virus during the fall semester because many of the clinical rotation sites require it. Contrary to most rumors, the vaccination is made of noninfectious viral protein particles and can NO longer give you the flu. CLC offers the flu shot at a very low cost (usually almost half the price offered at public locations). It is a real bargain and a SMART investment for the flu season for any year! Tetanus/Diphtheria/Acellular Pertussis (TDaP) You must have evidence of an immunization to TdaP within the past 10 years. Please bring a copy of the record to attach to your CLC health record. There is a cost of $40 for this vaccine at CLC. Varicella titre This is a blood test to show immunity to varicella (chicken pox). If you are not immune, then you should consider the vaccination only between semesters and out of the patient care/clinical arena. For adults, it is a 2 shot series. The second vaccination is given 4 8 weeks after the first. If you consider the vaccination, you should plan the dates so it is completed in time to attend clinical. Remember, you 28 Phlebotomy Program Handbook_v5_Fa 2016

29 CANNOT go to your clinical experience if you develop a rash after either vaccination! The vaccination can result in infection in people with compromised immune systems. A written report that you had the disease does NOT excuse you from getting the blood test. If done here at the CLC Health Center, the cost is $40. After payment for the test, if necessary we can print a letter for your insurance company so that you can obtain reimbursement. Urine Drug Screen Dependent on clinical site. You will be notified by your instructor if screening is required. Some hospitals are requiring a urine drug screen prior to your clinical experience. (The screenings may now be conducted at three Advocate Condell locations: Gurnee, Vernon Hills and Lake Zurich. You will pay at the CLC Cashier and bring your receipt with you to Cathy Bianchi, Room B136 to receive an authorization form to take to Condell Acute Care. The cost for the screen is $45.) We will keep a copy of your health record here. If you ever need a copy of your immunizations or lab work, you can get one by completing, sending or faxing a signed written request to us. We need to know it is YOU making that request because ALL records, visits, or information are considered confidential. Because you may go to several different institutions for your clinical experience, we would like you to sign a Universal Request for Copies form at this time. This will allow us to copy the parts of your health record for those institutions in which you have clinical experience that will verify your TB skin testing, your immunizations and associated titres. If you need copies for other reasons, then you will be asked to fill out that separate request. Costs of tests can be added to your student bill or you can pre-pay and bring the receipt from the cashiers window with you to the Health Center Please remember that the Health Center is here to serve you, whether the need is for immunizations, minor cures for headaches, heartaches or head colds, or information about a condition for a class presentation or assignment. We have a lot of brochures, pamphlets and teaching aids that may be of assistance for your classroom needs. We will be happy to answer any questions you may have. Hours of operation are Monday, Thursday and Friday from 8:00 am - 4:30 pm, and Tuesday and Wednesday from 8:00 am - 7:00 pm. The telephone numbers are (847) /2274. The fax number is (847) and we look forward to seeing you in the Health Center! Have a great semester!!! 29 Phlebotomy Program Handbook_v5_Fa 2016

30 30 Phlebotomy Program Handbook_v5_Fa 2016

31 Program Policies 31 Phlebotomy Program Handbook_v5_Fa 2016

32 APPEARANCE, ATTITUDE, AND DEMEANOR At the clinical sites, the PBT student trainee is a member of a health care team, and is responsible for staying physically and mentally alert, healthy, and productive. Appearance: Appropriate personal hygiene and grooming is required. o Natural colored hair o Long hair pulled up o Clipped nails with clear polish only o Tattoos and piercings covered o Adhere to dress code. Students are required to wear: Pewter colored scrubs Leather or vinyl closed toe shoes Attitude: Respect for the people you serve and work with is required. Candid and professional discussion of concerns, uncertainties and/or questions with the phlebotomy instructor, supervisor, or coordinator is expected. Adherence to institutional guidelines concerning confidentiality regarding student and/or patient and laboratory information is required. Demeanor: o Poise and self-confidence are expected (poise comes from being prepared for the work). o Competence is expected; perform all procedures to the best of your ability (being competent includes knowing when to ask for help). o Integrity is required (patients, doctor, and co-workers depend on it). CELL PHONE / PAGER POLICY Cell phone/pager must be set to vibrate mode (inaudible) so as not to disturb the learning environment. ATTENDANCE AND PUNCTUALITY Attendance and punctuality is required to successfully complete the program. Class activities, laboratory exercises, clinical experience and training are arranged sequentially to build up the necessary skills and competence. Perfect attendance and punctuality is expected. Class activities at the college and clinical sites start promptly. Missing class activities undermines skill development, and missing lectures leads to confusion, thereby undermining the learning process. Attendance and punctuality affect overall performance and, therefore, will affect overall grade. CLASSROOM ATTENDANCE o Students are expected to notify the instructor prior to starting time if unable to report or report on time so reagents and specimens are not wasted. o Students will be permitted to make up a maximum of two missed exercises during regular lab times (specified by the instructor) if the students notify the instructor prior to missing a class. o A student who misses 3 days of classes for PBT 110 or 2 days of PBT 115 may be advised to drop the course, and if the student wishes, to repeat the course. 32 Phlebotomy Program Handbook_v5_Fa 2016

33 PRACTICUM ATTENDANCE: o Missing work and being tardy or leaving early are not easily tolerated. o Students are expected to notify the clinical instructor, PBT supervisor, or coordinator at the clinical site prior to starting time if unable to report or to be on time. o Absences and tardiness are documented and incorporated in the performance evaluations. Make-up times are allowed for absences not to exceed 2 occurrences. To schedule the extra burden involved with making up missed work, the make-up days will be specified by the clinical site coordinator. LABORATORY SAFETY Students working in a clinical laboratory are responsible for their own safety and the safety of others. Strict adherence to basic rule of safety must be continually observed and practiced in order to eliminate/minimize risks related to the various potential hazards in a laboratory. Acquaint yourself with the safety guidelines, procedures, MSD's and the location of the various safety devices and exits. Observe and practice Standard Precaution continually, i.e. treat all specimens as infectious. o Wear laboratory coats, gloves, and /or face shields when processing/ handling specimens and when performing dermal punctures or venipunctures. o Change gloves after each patient contact or if the gloves develop holes. o Wash hands frequently and appropriately with antiseptic detergent after: Removal of gloves. Removal of lab coats. Contact with specimens. o Wash hands appropriately with antiseptic detergent prior to: Leaving the laboratory. Eating. Touching your face. Touching your contact lenses or eyeglasses. Adhere to guidelines relative to spills and disposal of waste materials (i.e. sharps, needles, bio-hazardous specimens, etc.) No eating or drinking is allowed while performing laboratory procedures. Notify classroom instructor immediately of accidental exposure or needle stick. SERVICE WORK AND EMPLOYMENT Program affiliation agreements specify that students will not replace the regular laboratory staff or perform services without supervision by a qualified personnel during the clinical practicum. Service work by students during clinical practicum and outside of academic hours is noncompulsory. Students may be employed at the practicum site, but cannot work during the designated practicum hours. The program director will try to place the student at a practicum site other than one where the student is not employed to prevent conflict. Employment should not interfere with or replace the clinical practicum. The arrangement is between the hospital and the student and is separate from the program practicum requirements. 33 Phlebotomy Program Handbook_v5_Fa 2016

34 CLINICAL PRACTICUM POLICIES The program director will place all students in a clinical practicum immediately after completing PBT 115 with a C or better and all required clinical practicum prerequisites. In the event that immediate placement is not possible, the program director will place the student in a clinical setting no later than 6 months after successfully completing PBT 115 with a C or better and all required clinical practicum prerequisites. Students are required to be complete/submit the following prior to clinical phlebotomy practicum placement: Completed Acknowledgement Form, Universal Release of Medical Records, Student Confidentiality Agreement, Emergency Medical Form Statement Form, Informed Consent and Professional Release. Documentation of meeting health requirement as evidenced by the Health Passport signed by CLC s Health Center nurse indicating all requirements are met. Submit a Health Passport of this information prior to the last day of PBT 115. Current Health Care Provider CPR or BSL certification. Proof of Healthcare Insurance NOTE: Delay in submission of required documents may delay assignment of clinical practicum. Failure to submit required documents will prevent assignment of clinical practicum. Students must comply with all policies and procedures of the clinical affiliate. It is the responsibility of the student to become familiar with the policies and procedures of the clinical affiliate. It is the responsibility of the clinical affiliate to orient the students to all applicable procedures and policies, including Incident Exposure Plan. During clinical rotations the preceptor, phlebotomy supervisor, should be notified immediately of accidental exposure or needle stick. CLC PBT Program chairperson must be notified the day of the incident. Students are required to complete and submit the following during the course of their clinical practicum: Time sheets and venipuncture logs must be signed by clinical site coordinator and submitted to CLC Phlebotomy Department Chairperson weekly. All written and on-line assignments. TEACH OUT POLICY If there is an administrative decision to suspend or terminate the Phlebotomy Program, NAACLS will be notified within 30 days or the official announcement. New students will not be admitted to the program. Students enrolled, at the time of announcement, will be allowed to follow their academic plan to complete the program requirements. DISMISSAL POLICY Failure to comply with the policies and procedures of the program and/or facility or failure to respect the safety, authority and responsibility of the facility and staff may result in removal of a student from a facility and/or dismissal from the Phlebotomy Program. This will result in an unsatisfactory grade for the course. TRANSPORTATION The student is responsible for providing their own transportation to and from the clinical 34 Phlebotomy Program Handbook_v5_Fa 2016