PCT 1040 - Phlebotomy

1. Discuss the healthcare environment
   1. Describe types of healthcare facilities
   2. Describe client levels of care
   3. List reasons for changes in healthcare delivery
   4. Discuss the multi-skilled worker
2. Identify the roles of laboratory personnel
   1. Discuss licensure and certificate levels
   2. Describe the chain of command
   3. Identify regulatory agencies
   4. Discuss quality assurance and risk management
   5. Describe the role of the phlebotomist
3. Discuss practices for para professional healthcare employment
   1. Discuss agencies that employ phlebotomists
   2. List marketing strategies
   3. List ways to look for a job
   4. Prepare a resume and cover letter
   5. Discuss the interview process
   6. Discuss personal hygiene
   7. Discuss professional conduct
   8. Discuss work ethic
4. Discuss client rights and legal issues
   1. List ways to provide privacy and maintain confidentiality
   2. Explain importance and need for consent
   3. Discuss promotion of the clients right to be free from abuse, mistreatment, neglect, and the need to report instances to the appropriate staff
   4. Identify professional standards regarding restraint usage
   5. Define abuse, neglect, and malpractice
   6. Define assault and battery
5. Discuss communication and interpersonal skills
   1. Describe rules for effective communication with healthcare team and client
   2. Discuss communication with sensory impaired client
   3. Discuss ways to communicate with cognitively impaired client
6. Discuss safety and emergency procedures and issues
   1. Discuss SDS hazardous substances
   2. Discuss fire safety
   3. Identify infection control measures
   4. Discuss body mechanics
   5. Discuss workplace violence
7. Discuss the importance of laboratory testing in patient care
   1. Discuss the history of phlebotomy
   2. Explain present uses of phlebotomy
      1. Diagnostic testing
      2. Drug monitoring
      3. Toxicology testing
      4. Therapeutic phlebotomy
      5. Point of care testing
      6. Blood donation
8. Discuss blood function and composition
   1. Describe the vascular system
   2. Identify blood components
   3. Discuss hemostasis
   4. Discuss ABO and Rh blood types
9. Discuss equipment and uses
   1. Identify tubes and anticoagulants
   2. Identify needle types and sizes
   3. Discuss vacutainer vs. syringe / butterfly
   4. Discuss dermal puncture equipment
10. Discuss venipuncture and dermal puncture procedures
    1. Discuss site and proper equipment use
    2. Explain order of draw
    3. Discuss post care
    4. Discuss equipment disposal
    5. Discuss collection schedule
11. Discuss special collection procedures and processing
    1. Discuss glucose tolerance testing and bleeding time
    2. Discuss point of care testing
    3. Discuss arterial blood gases
    4. Identify special tubes, handling, and tests
12. Discuss complications
    1. Discuss the uncooperative client
    2. Discuss medical and psychological complications
    3. Discuss mastectomy and hemodialysis client
    4. Identify technical problems
    5. Identify contraindicated sites

Lab Competencies: The student must successfully perform a return demonstration of skills, receiving a satisfactory evaluation for progression.

Suggested Competencies:

1. Identify the patient
2. Confirm doctor’s order
3. Site selection
4. Tourniquet application
5. Equipment selection
6. Cleansing technique
7. Demonstrate proper use of:
   1. Syringe
   2. Butterfly
   3. Evacuated collection system (i.e. vacutainer)
   4. Microtainer
   5. Lancet
   6. Simplate
8. Demonstrate proper steps of bleeding time procedure
9. Demonstrate proper steps of blood culture collection
10. Demonstrate venipuncture
11. Demonstrate finger stick
12. Demonstrate proper steps of heel stick
13. Demonstrate appropriate post care
14. Proper labeling of collection container