Phlebotomy Technician Program. Phlebotomy Technician Program Application Packet
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1 Phlebotomy Technician Program Abrams Road Dallas, Texas or Mathematics/Science/Health Professions Sabine Hall 205 Phlebotomy Technician Program Application Packet Equal Opportunity Institution. IT ALL BEGINS HERE.
2 JOB DESCRIPTION A Phlebotomy Technician is an integral member of the medical laboratory team whose primary function is the collection of blood samples from patients by venipuncture or micro techniques. The phlebotomy technician facilitates the collection and transportation of laboratory specimens and is often the patients only contact with the medical laboratory. The need to assure quality and patient safety mandates strict professional behavior and standards of practice for these practitioners. Specific Duties Include: correct identification of patients prior to sample collection collection of appropriate amounts of blood by venipuncture or dermal puncture selection of appropriate specimen containers for specified tests correct labeling of specimens with required information appropriate transportation of specimens in a timely manner professional interaction with patients and clinic personnel processing of specimens for delivery to appropriate laboratory departments maintenance of records manually and electronically compliance with all safety regulations/clia waived tests/osha maintenance of professional updates professionalism in appearance and conduct ECG training option available for additional skill set Workplace Phlebotomists work under the supervision of a medical laboratory technician, medical technologist, physician, or other individual with an advanced degree in biomedical or related sciences. Employment tends to be in hospital laboratories, veterinary laboratories, multi- physician clinics, doctors offices, health department laboratories, reference laboratories, insurance companies, and specialized clinics. Skill Requirements Phlebotomists must have fine motor coordination, clear speech, normal hearing, and good visual acuity to distinguish colors. They must be able to use both hands and have legible handwriting. Occasional light lifting, stooping and bending is necessary. The phlebotomist must be able to move readily from one location to another in the workplace. The phlebotomist must have good communication skills. Program Goals The goals of this program are to provide qualified students with the knowledge, skills and attitudes required for them to demonstrate entry level competence in the multiple tasks and duties of a Phlebotomy Technician as defined by the American Medical Technology Council. These goals include to: 1) Serve the profession by providing skilled, professional phlebotomists 2) Serve the patient by providing excellence in care 3) Serve the student by providing quality training in a satisfying career 4) Serve the college by providing a program that contributes to its mission Page -2- Phlebotomy Technician Certificate Program January 10, 2014
3 Program Competencies The following competencies are defined as critical for students to master in order to successfully complete an approved Phlebotomy program. Students will be provided multiple opportunities in the classroom, lab, and externship to master these skills: 1. Basic laboratory skills 2. A working knowledge of human anatomy and physiology 3. Composition of blood 4. Venipuncture procedures including: a. Vacutainer b. Syringe c. Butterfly 5. Blood culture collection 6. Blood smears 7. Skin punctures 8. Responsibilities of the Phlebotomist 9. Professionalism and ethics 10. Legal issues associated with Phlebotomy 11. Health and safety in the laboratory 12. Infection control 13. Isolation procedures 14. Quality control 15. Timed laboratory procedures 16. Indwelling lines 17. Hospital/laboratory departments 18. Processing laboratory specimens 19. Significance of laboratory tests 20. Physical problems that occur in the field 21. Patient problems and complications 22. Diseases that could effect laboratory personnel; i.e. AIDS, Hepatitis 23. CPR certification 24. Computer skills Workplace Competencies In addition to professional competencies, students are required to demonstrate a working knowledge of the workplace (SCANS) competencies listed below: 1. Basic skills in reading, writing, mathematics and communications 2. Critical thinking 3. Personal qualities 4. Resource management 5. Interpersonal skills 6. Information acquisition and application 7. Systems 8. Technology Page -3- Phlebotomy Technician Certificate Program January 10, 2014
4 Program Mission PROGRAM OVERVIEW Richland College Health Professions Programs provide students with quality, affordable and accessible healthcare education and training to produce job- ready individuals who fulfill the needs of healthcare employers and the community. Program Description The program is based on the guidelines, models and requirements of the approving agency. It consists of 247 contact hours: 127 hours of classroom work (lecture and lab) and 120 hours of practical experience at an approved site. Students completing the program have several avenues leading to certification. The program consists of three courses. The Phlebotomy Technician Program requires that admitted students complete the CPR for Healthcare Professionals either before beginning the program, or during the Phlebotomy I course. Medical Terminology and Human Disease/Pathophysiology are covered, as well as a focus on the skills and knowledge specific to the actual duties performed by a phlebotomist. The capstone course is an externship in a medical clinic or hospital. In the externship, participants will practice and master the duties of a phlebotomist under the supervision of a certified professional. COURSES CONTACT HOURS TUITION ALL required immunization records must be submitted prior to enrollment Semester I CPR for Healthcare Professionals 7 hours $60 Phlebotomy I (with Liability Insurance added to tuition) 56 hours $336 + Liability Insurance Phlebotomy II 56 hours $336 ECG (optional) 8 hours $75 Semester II Phlebotomy Clinical Externship 120 hours $315 Liability Insurance In order to provide liability protection for the student and the externship site, Richland College has entered into a contract with a company to provide a cost effective student liability insurance for clinical classes and externships. The cost (though subject to change) is pro- rated at $18.13 for Fall semester classes, $11 for Spring semester and $5 for Summer semester courses. Liability insurance is paid once an academic year. Coverage stays in effect until August 31 st of each year. Externships This program requires the student to complete a 120- hour unpaid externship in an accredited lab and under the supervision of a Certified Phlebotomy Technician or Medical Technologist. Students must have successfully completed all program course work with a passing grade of A, B, or C and a 90% attendance in each course (as required by the State of Texas) immunization requirements, drug screen, criminal background check, and purchased liability insurance in order to be eligible for the externship. Students must be available Monday through Friday from 8 am- 5 pm, some sites do offer 12 hour shifts. The student must make every attempt to be available during these hours. Students register and pay tuition (or have tuition deducted from TPEG award, if applicable) for the externship, just as any other class. Students must obtain a signed registration form for the externship from either the Medical Programs Director or the Externship Coordinator only and take it to the Continuing Education Department to register. Page -4- Phlebotomy Technician Certificate Program January 10, 2014
5 Completion Criteria Successful completion of the program requires that the student meet the following criteria: A. Attendance: Students must attend a minimum of 90% of all scheduled classroom time. B. Demonstrate mastery in the program competencies. Students will receive a syllabus with these course competencies at the beginning of each course. Instruction will be developed to train students to achieve the course competencies. Students will be evaluated on their achievement of these competencies. C. Achieve additional requirements defined by the instructor. D. Successfully complete the required courses and unpaid externship. A Certificate of Completion will be issued upon successful completion of this program. Transcripts may be requested as proof of individual course completions. National Certification Certification means that a person has passed a national examination based on national standards for a profession; in this case, Phlebotomy Technicians. Certification is an indication to the employer that the candidates have mastered nationally approved skills. Certified Phlebotomists tend to have greater job opportunities and wages. To become a Certified Phlebotomy Technician, the candidate must pass a national examination. The Health Professions Phlebotomy Technician Program at Richland College will train participants to nationally approved curriculum standards. Completers of the program may sit for national certification exams upon completion of this program. The following organizations all provide national certification examinations for phlebotomists. Requirements to sit for the examinations vary among organizations, as do the schedules for administration and the cost. Specific information should be requested by contacting the organization directly: American Society of Clinical Pathologists ASCP) Board Registry P.O. Box Chicago, Illinois American Society of Phlebotomy Technicians (ASPT) P.O. Box 1831 Hickory, North Carolina National Phlebotomy Association (NPA) 5616 Landover Road Hiattsville, Maryland National Certification Agency for Medical Laboratory Personnel (NCA) 7910 Woodmont Avenue, Suite 1301 Bethesda, Maryland American Medical Technologists (AMT) 710 Higgins Road Park Ridge, Illinois Page -5- Phlebotomy Technician Certificate Program January 10, 2014
6 Admission Assessments* ADMISSIONS PROCESS: STEP BY STEP Academic assessment tools assist applicants in determining if they have the skills to achieve program goals, objectives and competencies. With the information gained from the assessments, the Health Professions Admissions Coordinator can assist each applicant in developing an appropriate study plan. 1. Candidates must select one of the following two assessment tools: A. Documentation of a C average or above in previous credit college course work, or approved scores on The New TSI Assessment. Minimum scores for each academic area: Reading Comprehension 351+, Sentence Skills 363+ Arithmetic 335+ Applicants who learned English as a second language and have never taken credit college- level course work in the United States will be referred to the Richland College Multicultural Center for assessment. Because the purpose of the admissions criteria is to provide increased assurance of academic success, the Program Administrator has the authority to permit applicants with scores close to the above criteria to enroll in a maximum of two courses. If the applicant performs successfully in the course work, the admissions criteria may be waived. 2. Applicants must demonstrate entry level computer skills to enroll in the computer- related courses. 3. Applicants must demonstrate basic skills in word processing (Microsoft Word). Admission Prerequisites * These are minimal requirements for admission. Individual courses have prerequisite requirements. The purpose of prerequisites is to ensure that participants have the entry- level skills necessary to succeed in the Phlebotomy Technician Program. Developmental studies or English for Speakers of Other Languages classes are available for candidates who have deficits in meeting the academic prerequisites. Richland College will assist candidates by planning a recommended course of study to acquire necessary educational prerequisites. The Program Administrator has the authority to waive an educational prerequisite based on criteria that indicates that the applicant will be successful in the program. All Admission Prerequisites follow the Richland College Strategic Priority of Student Success. Page -6- Phlebotomy Technician Certificate Program January 10, 2014
7 Admission Process: Step- By- Step All prospective students for the Medical Assisting Program will need to complete the following steps to begin the application for admission process: A. Prospective students should attend the Health Professions Information Session, or view it online at Additional documents; financial aid directions, program document checklist are available online and at the live Information Sessions. Once a determination of academic readiness by unofficial transcripts or assessment, the applicant then gathers and submits the following required documentation to the Health Professions Admissions Coordinator (WH244) or the Medical Programs Coordinator (WH240) to begin the application process: Students will need to submit the following: 1. Completed, signed and dated application page (from the Program Application Packet) 2. Completed Student Document of Understanding (from the Program Application Packet) 3. Proof of age (Driver s license, State ID, or Passport) we will make a copy 4. Proof of high school graduation or high school senior or GED or unofficial college transcripts showing credit college course work completed within the United States. (For those who have submitted their high school transcript or GED and/or transferred transcripts from outside of the DCCCD to any of the DCCCD colleges, we can access your student records when we meet with you.) 5. Those applicants who have never taken credit college- level course work within the United States will be referred for appropriate academic assessment on the Richland College Campus. After completing the assessment, applicants return to meet with the Admissions Coordinator or Medical Programs Director to review assessment scores and determine program eligibility. 6. Submit required documentation to the Admissions Coordinator, plan your first class or classes and receive a signed registration form from the Admissions Coordinator. If the AC is unavailable, please see the Medical Programs Director to submit application for admissions documents. 7. Documentation of Workplace Prerequisites a. Candidate must be a minimum of 18 years of age b. Validation of a physical examination and current immunizations (School Health Exam) c. Validation of agreement to abide by the SCANS competencies B. Documentation of Workplace Prerequisites 1. Candidate must be a minimum of 18 years of age 2. Validation of a physical examination and current immunizations 3. Validation of agreement to abide by the SCANS Competencies 4. Signed and dated Student Document of Understanding confirming that a criminal background check and drug screen must be completed prior to program clinical externship and that students must register and pay for the clinical externship, just as any other course. Additional Information Please note: Applicants and students may refuse to take the vaccines by signing a waiver and claiming a religious, conscientious or medical exemption through the Department of Health Most externship sites require a drug test and/or a criminal background check. Each student is responsible for this expense (a combined cost of approximately $85) and the clinical externship Page -7- Phlebotomy Technician Certificate Program January 10, 2014
8 Transfers and Waivers Applicants may transfer equivalent course work or work experience into this program. This equivalency must be in content, contact hours and competency. Any transfers or waivers must be approved by the Medical Programs Director. The process is initiated by completing the Richland College Continuing Education Waiver Form and attaching the appropriate documentation. Documentation may include completion of a final exam as given in the Phlebotomy classes at Richland College, transcripts, and/or letters from employers and office managers where the applicant has worked. In unique circumstances, course work may be waived based on experience. In this case, the Medical Programs Director and faculty will design a tool to determine if the applicant s experiences are equivalent to the competencies required in the course. No more than 40% of the program can be waived. Waiver must be requested before enrolling in the Phlebotomy Technician Program. Financial Aid Qualifying students may be eligible for financial aid. Prospective students begin the financial aid process by completing the FAFSA application for the current or upcoming academic year. Visit the Web site and complete the application online. Once the Student Aid Report (SAR) has been processed, students should then print out the TPEG Application form from the DCCCD Web site with course information for each class that the students wishes to register for each semester. The Texas Public Education Grant (TPEG) is available to assist non- credit students. The TPEG pays for tuition only, up to $1500 per academic year (Fall, Spring & Summer.) The DCCCD Financial Aid Call Center phone number is Page -8- Phlebotomy Technician Certificate Program January 10, 2014
9 Workplace (SCANS) Competencies Five Competencies Resources: Identifies, organizes, plans, and allocates resources A. Time - selects goal- relevant activities, ranks them, and allocates time, and prepares and follows schedules B. Money - uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives C. Material and Facilities - acquires, stores, allocates, and uses materials or space efficiently D. Human Resources - assesses skills and distributes work accordingly, evaluates performance and provides feedback Interpersonal: Works with others A. Participates as Member of a Team - contributes to a group effort B. Teaches Others New Skills C. Serves Clients/Customers - works to satisfy customers expectations D. Exercises Leadership - communicates ideas to justify position, persuades and convinces others responsibly, challenges existing procedures and policies E. Negotiates - works toward agreements involving exchange of resources, resolves divergent interests F. Works with Diversity - works well with men and women from diverse backgrounds Information: Acquires and uses information A. Acquires and Evaluates Information B. Organizes and Maintains Information C. Interprets and Communicates Information D. Uses Computers to Process Information Systems: Understands complex interrelationships A. Understands Systems - knows how social, organizational, and technological systems work and operates effectively with them B. Monitors and Corrects Performance - distinguishes trends, predicts impacts on system operations, diagnoses deviations in systems' performance and corrects malfunctions C. Improves or Designs Systems - suggests modifications to existing systems and develops new or alternative systems to improve performance Technology: Works with a variety of technologies A. Selects Technology - chooses procedures, tools or equipment including computers and related technologies B. Applies Technology to Task - understands overall intent and proper procedures for setup and operation of equipment A. Maintains and Troubleshoots Equipment - prevents, identifies, or solves problems with equipment, including computers and other technologies Page -9- Phlebotomy Technician Certificate Program January 10, 2014
10 A Three- Part Foundation Basic Skills: Reads, writes, performs arithmetic and mathematical operations, listens and speaks A. Reading - locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules B. Writing - communicates thoughts, ideas, information, and messages in writing; and creates documents such as letters, directions, manuals, reports, graphs, and flow charts C. Arithmetic/Mathematics - performs basic computations and approaches practical problems by choosing appropriately from a variety of mathematical techniques D. Listening - receives, attends to, interprets, and responds to verbal messages and other cues E. Speaking - organizes ideas and communicates orally Thinking Skills: Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn, and reasons A. Creative Thinking - generates new ideas B. Decision Making - specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative C. Problem Solving - recognizes problems and devises and implements plan of action D. Seeing Things in the Mind's Eye - organizes, and processes symbols, pictures, graphs, objects and other information E. Knowing How to Learn - uses efficient learning techniques to acquire and apply new knowledge and skills F. Reasoning - discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem Personal Qualities: Displays responsibility, self- esteem, sociability, self- management, and integrity and honesty A. Responsibility - exerts a high level of effort and perseveres towards goal attainment B. Self- Esteem - believes in own self- worth and maintains a positive view of self C. Sociability - demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings D. Self- Management - assesses self accurately, sets personal goals, monitors progress, and exhibits self- control E. Integrity/Honesty - chooses ethical courses of action Page -10- Phlebotomy Technician Certificate Program January 10, 2014
11 PHLEBOTOMY APPLICATION FOR ADMISSION Last Name First Name Middle Name Student Identification Number Address City State Zip Code Home Phone Work Phone and/or Cellular Phone E- mail Address Educational History School High School College Special Training Other than English, what languages do you speak fluently? What languages do you read and write fluently? Completion Date (Please attach transcripts to this application) (explain) Employment History Position Employer Career Goals a. Explain why you are interested in the Phlebotomy Program. b. What personal attributes or skills do you bring to this program? c. What obstacles do you have in completing this program (financial, work schedule, etc.)? Attach documentation: Proof of age Assessment scores or college transcripts Student Document of Understanding HS Diploma, GED, or equivalent Health form Immunizations Applicant s Signature Date Page -11- Phlebotomy Technician Certificate Program January 10, 2014
12 Student Document of Understanding I,, have examined and understand the following: The Foundational and Workplace (SCANS) Competencies required for the Phlebotomy Technician program. I acknowledge their importance in the workplace and in college course work. I agree to pursue them as an integrated component in all of my course work. I certify that I have read this and understand its meaning. I also have been given the opportunity to ask questions regarding this statement. I understand that if I miss more than 10% of a class, I may not be able to make it up and will have to retake the class. I also understand that if I am chronically tardy to class, points may be taken off my final grade and/or it may be added to the 10% of hours missed in class. The syllabus will explain the method the instructor will use to determine the grade. He/She will determine if the absence can be excused. I certify that I have read this and understand its meaning. I also have been given the opportunity to ask questions regarding this statement. I understand that I have to complete a criminal background check and drug screen at my own expense, estimated to be $85.00 and provide proof of health insurance if requested by my clinical site. I also understand that the clinical externship must be paid for as a class. The cost of the externship is $ I also understand that I will be required to pay for liability insurance through Richland College, estimated cost $ I also understand that I must rearrange my personal schedule in order to be available to complete my externship. I also understand that typical extern sites are available from 8:00 AM- 5:00 pm and some 12 hour shifts depending on the location. I understand that prior to registration for the first Phlebotomy class that I will be required to: (1) Submit the Health Evaluation Form completed by a health care provider (2) Provide proof of immunization or serologic proof of immunity for Hepatitis B, Measles, Mumps, Rubella, Varicella (Chickenpox), Tetanus/Diptheria/Pertussis, as well as the Meningitis Vaccine 1 (if under age 30) and an annual Influenza 1 immunization at my own expense; (2) be tested for TB annually; and (3) have a current CPR for Health Professionals card. The Hepatitis B immunization series can take 4 to 6 months and must be started at the beginning of the program, if not already completed. Applicant s Signature Date Page -12- Phlebotomy Technician Certificate Program January 10, 2014
13 HEALTH SELF- EVALUATION CERTIFICATION Health Evaluation Form I understand it is my responsibility to update my health status changes (within 30 days of the occurrence of symptoms, disease, accident or infirmity) and that I may be required to submit medical clearance to return to the program. Applicant s Printed Name Applicant s Signature Date PHYSICAL HEALTH FORM Health Form to be completed by physician or healthcare provider licensed to practice medicine in the state of Texas. To do the job of a Phlebotomy Technician, abilities required include vision to read documents, dexterity to perform lab tests, collect blood by venipuncture and capillary puncture, and handle or lift equipment, hearing to respond to telephone calls and ability to walk, stand, and lift up to 30 pounds to assist patients. I certify that the student (applicant) listed above is free from communicable disease and is physically capable of performing the job of a Phlebotomy Technician. If the student has a communicable disease, the physician must disclose the type of disease. If the student wishes to be admitted or continued in the program, student must obtain consent from the external facilities expert panel as required under Chapter 85 of the Texas Health and Safety Code. Physician s Printed Name Physician s Signature Date Physicians Stamped Address: (or attached business card) Students must attach records of immunizations or results of serologic tests to confirm immunity. Varicella Vaccination Date: (2 lifetime) Vaccine 1 Vaccine 2 Influenza Vaccine 1 (annual) Tetanus/Diphtheria Booster: (every 10 years) TB Vaccine 1 Date MMR Vaccination Date: (2 lifetime) Vaccine 1 Vaccine 2 Bacterial Meningitis Vaccine 1 (1 lifetime) Hepatitis B Vaccination Dates: (3 lifetime) Vaccine 1 Vaccine 2 Vaccine 3 Page -13- Phlebotomy Technician Certificate Program January 10, 2014
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