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Catalog Description Hours: 91 (43 lecture, 48 laboratory) Description: Introduction to the principles of Phlebotomy. Emphasis on phlebotomy techniques, infection control, safety, specimen collection and handling, medical and legal considerations, patient care and preparation and performance in venipunctures, capillary punctures, and basic laboratory tests expected of the entry level phlebotomy position (CPT 1). Upon successful completion of ALH 10 and ALH 11, students will be eligible to sit for the phlebotomy exam to become a Certified Phlebotomy Technician I (CPT 1) with the state of California. (letter grade only) (CSU) Course Student Learning Outcomes CSLO #1: Employ basic infection control, universal precautions and safety techniques, and dispose of sharps, needles and waste using the appropriate disposal techniques. CSLO #2: Apply principles of anatomy, physiology and medical terminology of the circulatory system in the practice of phlebotomy. CSLO #3: Perform venipuncture procedures safely and professionally on patients of a variety of ages and health conditions within the scope of practice of a phlebotomist. CSLO #4: Perform proper identification of patient and specimens, and explain the importance of accuracy in overall patient care. CSLO #5: Perform proper site selection and preparation of skin. CSLO #6: Identify and utilize blood collection equipment, types of tubes and additives, draw in proper order of draw when additives are required and identify special precautions. CSLO #7: Perform proper post-puncture care. Effective Term Fall 2020 Course Type Credit - Degree-applicable Contact Hours 91 Outside of Class Hours 86 Total Student Learning Hours 177 Course Objectives Lecture Objectives: 1. Explain what Phlebotomy Technicians job requirements are. 2. List and describe the various components of blood. 3. Distinguish between various types of blood vessels. 4. Identify and apply knowledge of rules and regulations in regards to blood collection and patient care. 5. Demonstrate ability to properly follow and understand infection control procedures and use of Personal Protective Equipment properly. 6. Demonstrate ability to identify and collect various blood tests. 7. Identify anatomical and physiological landmarks in relation to phlebotomy procedures. 8. Apply the fundamentals of anatomy and physiology to perform phlebotomy. 9. Analyze and apply the appropriate OSHA regulations, standard precautions and safety techniques in obtaining and handling blood specimens. Lab Objectives: 1. Demonstrate and list the principles of basic clinical lab techniques. 2. Demonstrate and apply proper technique in specimen collection and handling. 3. Demonstrate and describe the professional behavior necessary to perform phlebotomy procedures. 4. Demonstrate safe and correct phlebotomy techniques and procedures in order to perform venipunctures and capillary punctures on a patient. 5. Maintain patient confidentiality at all times. General Education Information Approved College Associate Degree GE Applicability CSU GE Applicability (Recommended-requires CSU approval) Cal-GETC Applicability (Recommended - Requires External Approval) IGETC Applicability (Recommended-requires CSU/UC approval) Articulation Information CSU Transferable Methods of Evaluation Classroom Discussions Example: After completion of specific chapter and instructor lecture, students will be required to discuss and respond to critical thinking exercises. Standard Grading. Example question: Char, the hematology supervisor, notices that many of the blood specimens collected by dermal puncture are hemolyzed. Char schedules a continuing education in-service session for the Phlebotomy team. a. Why should preparation of the collection site be stressed? b. Why is it important for the phlebotomist to obtain rounded drops of blood to prevent hemolysis? Explain your answer. Objective Examinations Example: After completion of specific chapter, students will be required to take weekly quizzes and submit via LMS for grade. The students will then take Unit Tests in class. These quizzes and tests will be designed to prepare students for the certification exam. Standard Grading. Example: Point of Care Testing 1. What is the recommended specimen for urine pregnancy testing? Reports Example: Students will be required to complete a disease project based on the various purposes of chemistry, plasma, serum, microbiology, hematology and medication lab testing. Portfolio: Completion of Phlebotomy course Clinical Handbook including: 1. Signed statement of confidentiality 2. Acknowledgment of student responsibilities 3. Record of each successful venipuncture with preceptor verification 4. Evaluation of Behavioral Objectives on the California Phlebotomy Practical Training Form (required by California Department of Public Health Note: This provides proof of completion of the Practical Training completed by the student and is mailed to California Department of Public Health). Skill Demonstrations Example: 1. Students will demonstrate correct selection of equipment for selected phlebotomy procedure. 2. Students will demonstrate proper site selection and mode of blood collection for test requested. 3. Students will demonstrate compliance with OSHA and HIPPA regulations during performance of clinical procedure. Standard Grading. Repeatable No Methods of Instruction Laboratory Lecture/Discussion Lab: Following lecture and discussion, instructor will demonstrate how to properly place fingers along radial artery. Students will then work with lab partners to complete discovery activity on taking and recording radial pulse and locating carotid artery, femoral artery. Following lecture and discussion, instructor will instruct student to draw with different color highlighters the various vessels of the arm identifying the Brachial artery, Basilic Vein, Cephalic Vein, Median Cubital Vein and Median Cephalic Vein as well as identifying the lateral antebrachial cutaneous nerve. Students will then refer to figure 8-10 and 8-11 before they are prompted to apply tourniquet to assess correct locations and blindly feel possible venipuncture sites. Lecture: Instructor PowerPoint presentation on Circulatory System. This will be followed by discussion distinguishing various types of blood vessels. Students will then be able to break down the various components of the blood utilizing Figure 6-1 Instructor PowerPoint presentation on Routine Venipuncture. This will be followed by discussion on how to apply and demonstrate proper phlebotomy techniques in order to perform venipunctures and capillary punctures on a patient. Typical Out of Class Assignments Reading Assignments 1. Read section from textbook on venipuncture procedures. Be prepared to summarize and discuss procedure for tourniquet application and vein selection. 2. Read section from textbook on infectious disease exposure. Be prepared to discuss both prevention and management and demonstrate proper PPE. Writing, Problem Solving or Performance 1. Read section on Variables and Venipuncture Complications and respond to a critical thinking clinical application question. For example: Tania, an outpatient, enters the blood drawing station, properly identifies herself, and states that she had a mastectomy 3 months ago. She holds her left hand out for Trevor,the phlebotomist. a. What should Trevor Ask Tania? b. If blood is drawn from the incorrect arm, state two possible dangers to Tania. c. If blood is drawn from the incorrect arm, state two possible effects on laboratory tests. 2. Read section on The Clinical Laboratory and answer critical thinking exercises for section in the textbook. For example: A phlebotomist delivering a specimen to the UA section is instructed to place the specimen in the refrigerator. Is this an acceptable procedure? Please explain and support with information from the text. Other (Term projects, research papers, portfolios, etc.) 1. Write short research paper utilizing online resources on general lab safety and OSHA regulations. Required Materials The Phlebotomy Textbook Author: Susan King Strasinger and Marjorie Schaub Di Lorenzo Publisher: FA Davis Publication Date: 2019 Text Edition: 4th Classic Textbook?: OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course.

Catalog Description Prerequisite: Completion with grade of "C" or better or concurrent enrollment in ALH 10 Hours: 40 laboratory Description: Students will acquire Phlebotomy experience in the work setting under the supervision of a certified phlebotomist. The clinical practicum is conducted as a non-paid clinical laboratory experience. Students will perform at least 50 venipuncture procedures on patients that represent a variety of age groups and medical conditions. Emphasis on phlebotomy techniques, infection control, safety, specimen collection and handling, medical and legal considerations, patient care and preparation and performance in venipunctures, capillary punctures, and basic laboratory tests expected of the entry level phlebotomy position (CPT 1). (letter grade only) (CSU) Course Student Learning Outcomes CSLO #1: Employ all safety and infection control guidelines. CSLO #2: Comply with legal, ethical and HIPAA standards. CSLO #3: Perform competencies of learned phlebotomy clinical skills under the supervision of a certified phlebotomist. CSLO #4: Perform venipuncture and capillary puncture techniques to obtain blood specimens from a patient by using the accepted phlebotomy methods with a minimum of 50 venipunctures and 10 skin punctures; in order to meet the requirements to sit for the Certified Phlebotomist Technician with the state of California. CSLO #5: Effectively communicate with patients, families and healthcare providers within the expectations of the phlebotomy profession. Effective Term Fall 2020 Course Type Credit - Degree-applicable Contact Hours 40 Outside of Class Hours 0 Total Student Learning Hours 40 Course Objectives 1. Employ appropriate specimen processing and handling procedures, describe criteria for rejection, and recognize tests needing special handling or confirmatory testing. 2. Apply departmental safety procedures, including the safe use and disposal of biohazardous material. 3. Demonstrate correct techniques when performing a minimum of 50 venipunctures on patients from a variety of age groups and medical conditions, using appropriate infection control and safety precautions for required completion of 40 hours. 4. Practice the correct administrative skills of a phlebotomist such as answering phones, specimen labeling, test ordering, accessioning, and specimen processing. 5. Values and embraces diversity in the workplace including gender, sexual orientation, ethnicity, and age. 6. Demonstrates an understanding of the ethical and legal issues related to information technology. Observes HIPAA regulations by respecting the patients’ right to privacy. 7. Complete all required practicum paperwork correctly and submit by deadline to instructor. General Education Information Approved College Associate Degree GE Applicability CSU GE Applicability (Recommended-requires CSU approval) Cal-GETC Applicability (Recommended - Requires External Approval) IGETC Applicability (Recommended-requires CSU/UC approval) Articulation Information CSU Transferable Methods of Evaluation Projects Example: Students will do an oral and written presentation reflecting on their practicum site experience. The instructor will provide students with a list questions to be addressed in their reflection presentations. This reflection presentation will be graded with a scoring rubric. Sample Question: If there was any conflict during your practicum how did you handle this conflict? Was there a resolution? Skill Demonstrations Example: Evaluation of skills performed by the student will be through competency checklists as demonstrated to the preceptor at the clinical site. Some examples include: proper equipment selection, patient and specimen identification, performing venipunctures, specimen labeling, and specimen processing, all while maintaining professional and ethical standards. Students will be required to have their site practicum supervisor fill out a clinical evaluation of skills covered. The student will be required to maintain a daily log sheet of the skills performed, provide weekly journal articles, review online materials. At the end of the course, the preceptor will also complete an evaluation of the student's skills and abilities, which will be reviewed by the course instructor. Other Example: 1. Completion of weekly journal entries for Instructor. Graded with a scoring rubric. 2. Time-sheet and student skill evaluation signed off by supervisor showing successful completion of 40 hours, and student achievement of objectives. Repeatable No Methods of Instruction Laboratory Lab: Evaluation of skills performed by the student will be through competency checklists as demonstrated to the preceptor at the clinical site. Some examples include: proper equipment selection, patient and specimen identification, performing venipunctures, specimen labeling, and specimen processing, all while maintaining professional and ethical standards. The student will be required to maintain a daily log sheet of the skills performed, provide weekly journal articles, review online materials, and take a final examination. At the end of the course, the preceptor will also complete an evaluation of the student's skills and abilities, which will be reviewed by the course instructor. Instructor will monitor student progress through contact with preceptor via email, phone and site visit. The students will perform 40 lab hours in licensed phlebotomy facility with daily time-sheet and supervisor evaluation filled out correctly. (Objective 3) Students will perform at least 50 venipuncture procedures on patients that represent a variety of ages and medical conditions. (Objective 3) The students will turn in required forms and documents to instructor and complete an oral presentation on their externship. (Objective 7) The student will demonstrate to their preceptor the appropriate specimen processing and handling procedures, describe criteria for rejection, and recognize tests needing special handling or confirmatory testing. Typical Out of Class Assignments Reading Assignments 1. Read orientation packet prior to clinical placement and be prepared to discuss. 2. Read and review examples of Phlebotomy resumes to create and submit personal resume to instructor prior to placement. Writing, Problem Solving or Performance 1. Write weekly journal entries. Example: Summary for the week worked: Externship Journal Observation Log Outline Enter Data: Date and Time Preceptor’s Name (Names) Overview of What You Observed/Performed o Patient interaction o Physical Environment o Patient o Health Care Team Members o Tasks (Behind the Scenes) o Communication Reflection Guidelines: o Be Specific o Put Yourself in Your Reflection! What went well and/or needed improvement? o Examine Your Feelings o Remember…Not all experiences are good! We learn from them and many times learn even more from the negative experiences! 2. Write and present final presentation on reflection of practicum. Other (Term projects, research papers, portfolios, etc.) Required Materials The Phlebotomy Textbook Author: Susan King Strasinger and Marjorie Schaub Di Lorenzo Publisher: FA Davis Publication Date: 2019 Text Edition: 4th Classic Textbook?: OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course. Purchase of Personal Protective Equipment, including lab coat and safety goggles.