Austin Community College
Phlebotomy Technician Program
PLAB 1166/1066 Phlebotomy Clinical Practicum
Course Syllabus
Fall 2015
Course Web Site: http://www.austincc.edu/mlt/phb/phb_clinical.htm
Course Outline and Schedule: The practicum component of this course is completed off site, there are
no scheduled on campus activities. Students are assigned to clinical sites by the program faculty and
schedules will vary as to site location and hours. The clinical schedule will be posted in BlackBoard.
Course Number and Name
PLAB 1166 Practicum
PLAB 1166 Practicum
Instructor
Campus/Office
Office Hours
Phone
Email
Instructor
Campus/Office
Office Hours
Phone
Email
Instructor
Campus/Office
Office Hours
Phone
Email
Section
001
002
Synonym
38865
38866
Faculty Information
Carolyn Ragland, MSHP, MT(ASCP)
Eastview - 9316
http://www6.austincc.edu/directory/info.php?id=cragland
Office 512- 223-5931, Cell 512-484-4018
cragland@austincc.edu
Lois Wagoner, BS, MT (ASCP)
Cypress - 1136
http://www6.austincc.edu/directory/info.php?id=lwagoner
Cell (512) 627-5550
lwagoner@austincc.edu
Debbi Burns
Eastview- 9311
http://www6.austincc.edu/directory/info.php?id=deborah.burns
512-632-8352
Deborah.burns@austincc.edu
EMERGENCY ONLY if primary instructors cannot be reached
Keri Brophy-Martinez, Dept. Chair
Office (512) 223-5877
kbrophym@austincc.edu
Cell (512) 536-0032
Length of Course
Dates
COURSE INFORMATION
8 Weeks
October 19- December 13, 2015
COURSE RATIONALE
An intermediate or advanced type of health professions work-based instruction that helps students gain
practical experience in the discipline, enhances skills, and integrates knowledge. The emphasis is on
practical work experience for which the student has already acquired the necessary theoretical
knowledge and basic skills. The clinical rotation experience is a privilege. Training students slows the
work process during the initial time frame that a student is on-site. Direct supervision is provided by the
clinical professional, generally a clinical preceptor. Students will be held to the highest level of work ethics
including attendance, reviewing notes, and interacting appropriately with both patients and clinical staff
with an eagerness and willingness to apply their knowledge to the tasks at hand. The ultimate goal of the
rotation is that the student is able to accurately and competently perform basic phlebotomy with minimum
supervision. The practicum is an unpaid learning experience.
There are very few ways to adequately express our appreciation for the efforts of the clinical faculty, but
upon completion of the rotation students are encouraged to do something to express their appreciation for
the training they have received. The clinical faculty do not receive compensation for training a student, but
PLAB 1166
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a genuine ‘thank-you’ from a student would be valued and appreciated. On the last day of the rotation, a
thank you card, home-baked or store-bought treat, or flowers would be an extra treat, but a heart-felt
thank you is at least deserved and encouraged.
COURSE DESCRIPTION
The student will demonstrate skill development in the performance of a variety of blood collection
methods using proper techniques and standard precautions which includes: vacuum collection devices,
butterfly needles, capillary skin puncture, syringes and blood culture, and specimen collection on adults,
children and infants. Emphasis is placed on infection control and prevention, proper patient identification,
labeling of specimens, quality assurance, specimen handling, processing and accessioning.
The course is designed to allow students to develop the skills, knowledge, and attitude required to
function in a professional manner in the health care setting. Laboratory information services, client
services and quality assurance may be covered. Students must perform a minimum of 100 successful
venipunctures and 8 successful skin punctures. Students will be scheduled for a minimum of 112 up to a
maximum of 120 hours of clinical, Monday through Friday during the day shift. Students who successfully
complete PLAB 1323/1023 and PLAB 1166/1066 will be awarded a certificate of completion and be
eligible to take a national certification exam.
PREREQUISITES

Successful completion of PLAB 1323 with a grade of “C” or better.

Successful completion of PLAB 1023 with a grade of “C” or better, taught by ACC MLT faculty.

Submission of all pre-clinical paperwork, documentation of negative TB test and flu shot (if
required).

Compliance with ACC’s Urine Drug Screening Policy.

Compliance with ACC’s Criminal Background Policy.

Compliance with ACC’s Health Insurance Policy.
COURSE GOALS

Performs phlebotomy procedures and tasks in an accurate, timely and professional manner.

Demonstrates communication skills necessary for working in the health care setting.

Demonstrates safe and skillful use of phlebotomy equipment.

Demonstrates basic understanding of quality assurance.

Demonstrates critical thinking skills and ability to solve problems.

Emphasizes professionalism, including initiative, positive interpersonal skills, teamwork, respect
and caring.
COURSE OBJECTIVES
Psychomotor and Cognitive Objectives
1.
With 100% accuracy, properly identify patients prior to performing any procedure.
2.
Properly identify him/herself to the patient as an ACC student and by stating his/her first name.
3.
Properly inform the patient of any procedures and get verbal consent to proceed.
4.
Select the appropriate equipment needed to perform a venipuncture including needle, syringe or
vacuum collection system, blood tubes, alcohol wipe, sterile gauze, tourniquet and band aid.
5.
Select the appropriate blood collection tubes considering the tests requested, minimum sample
requirements and the needs of the patient.
6.
Identify and select a suitable venipuncture or capillary site.
7.
Properly prepare a venipuncture or capillary site.
8.
Apply a tourniquet correctly.
9.
Perform a venipuncture correctly using appropriate technique and order of draw, observing the
recommended safety precautions.
10.
Perform the necessary follow-up care on patients following a venipuncture or capillary procedure.
11.
Identify appropriate sites for capillary puncture in infants, children and adults.
12.
Perform a capillary puncture using acceptable technique and order of collection, observing
appropriate safety precautions.
13.
Collect a suitable blood specimen following capillary puncture.
14.
Observe appropriate precautions and procedures when collecting specimens under isolation
conditions.
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15.
16.
17.
18.
19.
20.
When appropriate, notify appropriate clinical personnel and ACC professor of specimen collection
irregularities or potential problems.
Observe appropriate specimen perseveration and handling procedures.
Identify situations where special precautions may be necessary including Nursery, Pediatrics,
ICU/CCU, Emergency Room, surgery and other special areas of the hospital and take action as
necessary.
Label all specimens correctly with the necessary information in the presence of the patient.
Properly dispose of all used equipment.
Collects 80% of assigned patients using acceptable technique and following appropriate safety
procedures.
Affective Objectives
1.
The Student performs assigned tasks with interest and enthusiasm.
2.
The student demonstrates dependability by always being on time or early, and by notifying
professor and clinical supervisor of tardiness and/or absences.
3.
The student maintains a rigid attendance policy in which there are only excused absences or
tardiness.
4.
The student maintains a clean and orderly work area.
5.
The student accepts constructive criticism as a learning process.
6.
The student demonstrates inquisitiveness by asking necessary questions concerning practical
performance or theoretical application of laboratory procedures.
7.
The student acquires competence and independence in the correct performance of laboratory
procedures.
8.
The student understands what s/he is to do when given oral or written directions.
9.
The student demonstrates excellent interpersonal skills by interacting with patients, peers, and
other healthcare workers in a highly ethical and professional manner as to not offend or cause
problems by inappropriate comments.
10.
The student will maintain confidentiality of patient information by not sharing patient names or
results of procedures with any individual who does not have an absolute need to know.
11.
The student performs work at pace of peer groups with minimum procedural errors.
12.
Students follow all safety policies and adhere to the department’s Exposure Control Plan (EPC)
and Chemical Hygiene Plan. (CHP).
Upon completion of the Certificate in Phlebotomy, the student will:
1. Demonstrate knowledge of the health care delivery system and medical terminology.
2. Demonstrate knowledge of infection control and safety.
3. 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.
4. Demonstrate understanding of the importance of specimen collection and specimen integrity in the
delivery of patient care.
5. Demonstrate knowledge of collection equipment, various types of additives used, special
precautions necessary and substances that can interfere in clinical analysis of blood constituents.
6. Follow standard operating procedures to collect specimens.
7. Demonstrate understanding of requisitioning, specimen transport and specimen process.
8. Demonstrate understanding of quality assurance and quality control in phlebotomy.
9. Communicate (verbally and nonverbally) effectively and appropriately in the workplace.
Upon completion of the Associate of Applied Science degree in Medical Laboratory Technology, the
student will be able to:
1. Collect and process biological specimens for analysis.
2. Perform analytical tests on body fluids, cells, and products.
3. Recognize factors that affect procedures and results, and take appropriate actions within
predetermined limits when corrections are indicated.
4. Monitor quality control within predetermined limits.
5. Perform preventive and corrective maintenance of equipment and instruments or refer to
appropriate source for repairs.
PLAB 1166
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6. Demonstrate professional conduct and interpersonal communication skills with patients,
laboratory personnel, other health care professionals, and with the public.
7. Recognize the responsibilities of other laboratory and health care personnel and interact with
them with respect for their jobs and patient care.
8. Apply basic scientific principles in learning new techniques and procedures.
9. Relate laboratory findings to common disease processes.
SCANS Competencies
Recently the U.S. Department of Labor established the Secretary’s Commission on Achieving Necessary
Skills (SCANS) to examine the demands of the workplace and whether the nation’s students are capable
of meeting those demands. The Commission determined that today’s jobs generally require
competencies in the following areas.
1.
Resources: Identifies, organizes, plans and allocates resources
2.
Interpersonal: Works with others
3.
Information: Acquires and uses information
4.
Systems: Understands complex interrelationships
5.
Technology: Works with a variety of technologies
The Texas Higher Education Coordinating Board now requires degree plans in institutions of higher
education incorporate these competencies and identify to the student how these competencies are
achieved in course objectives. Examples of SCANS competencies being incorporated into this course are
as follows:
COMPETENCY
EXAMPLE
Resources
Following Standard Precautions, performs vein and capillary puncture procedures
using only appropriate and necessary supplies within a predetermined reasonable
amount of time.
Interpersonal
Demonstrates an understanding of the profession of Phlebotomy through ethical
behavior when dealing with patients and other members of the health care team,
including maintaining a professional appearance to relieve patient anxiety and
maintaining patient confidentiality.
Information
Record quality control results for basic CLIA waived laboratory tests performed and
point out unexpected results to a supervisor.
Systems
Use problem-solving skills to troubleshoot basic equipment or procedures that do
not fall within standards, take corrective actions or inform an appropriate
supervisor.
Technology
Perform vein and capillary puncture procedures using a variety of methods and
equipment including Vacuum collection system, microcollection devices, Winged
Infusion Set, and Syringe and needle.
Basic Skills
Locates, understands, and interprets written information in laboratory procedures
to perform tasks. Receives, attends to, interprets and responds to both verbal and
written messages and other cues such as body language from patients and other
health care staff. Speaks clearly and communicates a message, understands and
responds to listener feedback and asks questions when needed.
Thinking Skills
Recognizes and adapts new knowledge and skills in both familiar and changing
situations. Assess each patients unique attributes in order to select the best and
most appropriate collection equipment and method. Participates in continuing
education in order to maintain and expand knowledge and skills.
Personal Qualities
Demonstrates knowledge of phlebotomy skills and abilities. Pays attention to
details, displays high standards of ethical behavior, attendance, punctuality,
enthusiasm, and optimism when dealing with patients. Always maintains patient
confidentiality.
PLAB 1166
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MATERIALS REQUIRED
1. Scrubs – must adhere to College policy.
2. ACC Student Identification Badge
3. Pen and/or sharpie
4. One (1) inch binder with dividers
5. Small (pocket size) note pad for taking notes during clinical.
6. Clinical paperwork: Weekly Evaluations, Training Log Sheets, Check Off Forms, Orientation to
Clinical Site Form, Competency Assessment Form and Final Clinical Evaluation
7. Exposure procedure
8. Textbook, lecture guide and laboratory notebooks from PLAB 1323/1023 class.
INSTRUCTIONAL METHODOLOGY
1.
Discussion of policies and procedures.
2.
Observation of clinical staff
3.
Performance of procedures under supervision of clinical staff
4.
Completion of BlackBoard postings
5.
Medtraining Module tutorials and exams
6.
Verbal and written feedback and constructive criticism of technique and progress
ACC EMAIL
All College e-mail communication to students will be sent solely to the student’s ACCmail account, with
the expectation that such communications will be read in a timely fashion. ACC will send important
information and will notify you of any college related emergencies using this account. Students should
only expect to receive email communication from their instructor using this account. Likewise, students
should use their ACC email account when communicating with instructors and staff. Instructions for
activating an ACC email account can be found at at http://www.austincc.edu/accmail/activation-and-loginassistance.
COURSE POLICIES
1.
You must have reviewed the Phlebotomy Student Handbook. This may be done online or you
may print out the entire document. You must sign and turn in all forms found at the end of the
document if this has not been done so already.
http://www.austincc.edu/mlt/phb/phb_student_handbook.htm
2.
Pre-Clinical Requirements
a.
All pre-clinical assignments required by ACC, St. David’s, Austin Regional Clinic, and
Seton must be completed and appropriate documentation submitted. Students who do
not complete all pre-clinical assignments will not be allowed to attend clinical. The Austin
Regional Clinic documents will be provided to the students by the faculty. All other
modules and tests may be accessed at: http://www.austincc.edu/health/dmt.php
b.
A health data form, completed by your healthcare provider, must be submitted before
going into clinical. The demographic and emergency contact information is to be
completed by the student. Failure to submit the completed form will prevent the student
from attending clinical. The physical (Health Data Form) is located at:
http://www.austincc.edu/health/dmt.php
c.
Documentation of a two step Tuberculosis Skin Test (TST) or a TB Blood Test performed
within 90 days of the start of the program is required. If the two step Tuberculosis Skin
Test is positive, a TB Blood test must be performed. If the TB Blood test is positive,
physician documentation by chest x-ray within the last 2 years must be submitted, along
with the TB questionnaire.
d.
Phlebotomy students must carry liability insurance which will be automatically purchased
as part of the payment of the registration fees.
e.
Phlebotomy students must submit for a criminal background check and have a “clear”
status.
f.
Phlebotomy students must be in compliance with ACC’s Urine Drug Screening Policy.
g.
All Health Sciences students are required to carry some type of personal health
insurance. Phlebotomy students must show proof of Health Insurance Coverage as
required by ACC Health Sciences.
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3.
Dress Code – key word “conservative”
Students not conforming to the dress code while at clinical may be sent home at the instructor’s
discretion, and will be required to make up the time. Repeat violations will result in the student
being placed on probation.
a. Clothing: Properly fitting, clean scrubs must be worn during all clinical activities. Students
must avoid wearing overly revealing scrubs. All students assigned to hospital locations must
abide by College policy by wearing teal colored scrubs.
b. Shoes: Shoes must be closed-toed and soft-soled, non-marking. Leather-type tennis or similar
shoes are strongly recommended. Shoes with canvas or porous mesh material, clogs, crocs or
other types of shoes with no back or holes in the top are not allowed.
c. Hair: Hair must be clean, neat and of a normal hair color. If the hair’s length is at or below the
shoulder, or has a tendency to hang in the face, it must be drawn back; such as in a clip or band.
d. Head coverings: Nothing shall be worn on the head (baseball caps, scarves, hats, etc.) unless
it is of a required religious nature. If the head covering falls below the shoulders it must be tucked
securely inside the scrub top or lab coat to prevent contamination by blood and/or body fluids.
e. Beards: Male students must either shave regularly or if they choose to wear a mustache
and/or beard, must keep them clean and well groomed.
f. Hygiene: During clinical rotation, students must bathe regularly (i.e. daily) and use deodorant
to avoid offensive odor. Students must maintain good oral hygiene. Conservatively applied
makeup is permitted.
g. Fragrances: DO NOT use perfume, body spray, cologne or after shave. Some patients may
have allergies to fragrances or the odor may make ill patients nauseous.
h. Body Piercing/Tattoos: No visible body piercings are allowed. Tattoos will be covered at all
times in the clinical setting.
i. Fingernails: Fingernails must be kept clean and at a reasonable length. Reasonable length is
defined as 1/8" above the fingertips. Artificial nails and nail jewelry are not to be worn. Clear or
light pink nail polish may be worn. Chipped nail polish is not permitted.
j. Jewelry: Jewelry should be limited to wedding rings and a wrist watch. A conservative necklace
that is kept close to the skin (not dangling) and conservative earlobe earrings (no more than one
pair) that do not extend more than ½ inch below the earlobe are acceptable.
k. Identification: During clinical assignments students must wear their ACC photo ID badge
identifying them as Austin Community College student. The badge must be visible at all times
by clipping the badge onto the top of the scrub top or the lab coat. Badges CANNOT be
worn at or below waist level. Wearing the badge clipped to a lanyard is acceptable as long as it
does not create a safety hazard or dangle into the workspace.
4.
Manner - key words “professional, pleasant, confident”
a.
On the first day or two the staff may require a period of observation. Make notes of the
clinical staff member’s organization of lab requisitions, how the staff interacts with the
patients, the proper way to greet and identify the patient, techniques used which may
differ from what you are currently doing.
b.
When allowed to perform blood collections, use all of the skills practiced in student lab.
Greet the patient, identify yourself and the patient, explain the procedure, and assemble
equipment. Be confident and courteous.
c.
RECOGNIZE YOUR LIMITATIONS. There may be times when a patient does not have
good veins or the veins are not readily apparent. Ask for guidance from your clinical
instructors. Observe how they palpate the arm and allow them to show you where the
vein is located. Then perform the venipuncture yourself if you feel confident. The greatest
confidence builder is when you successfully draw blood on a patient whose veins are
difficult.
d.
Most facilities require that a student perform a venipuncture ONE time. If you are
unsuccessful DO NOT attempt a second draw, get your clinical instructor immediately.
e.
Note on your log sheet each successful and unsuccessful blood collection and the
equipment used.
f.
Each one of you will occasionally have a “bad day”. You will miss two or more patients in
a row and may start to question your ability for the moment. This is NORMAL. When this
does occur it may devastate your self confidence for the moment. Take a break, go out
and take a walk, do whatever you need to do to help you get over it. It is critically
important for you to know that this happens to EVERYONE involved in phlebotomy on a
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g.
h.
i.
j.
5.
routine basis. Do not let it defeat you. This will not have a negative effect on your
evaluation. Remember, your evaluation is based on your overall performance, not on an
isolated incident.
On your first few days keep your check off forms handy for your clinical instructor to
complete. The first 5 blood collection procedures of each type must be performed
under direct supervision of the clinical instructor.
While you are performing you clinical time you may see clinical personnel who are not
following Standard Precautions. No matter what other individuals are doing, you must
always adhere to Standard Precautions as taught in this course. The penalty for
noncompliance is immediate dismissal from the Program.
Limit personal phone calls to breaks or lunch unless it is an emergency. Ask for
permission to use the phone. Cell phones MUST NOT be used in the clinical area. Leave
them in a secure area with your other belongings.
During the day restock and disinfect your work area as necessary. This must also be
done at the end of your shift, prior to leaving. This is not optional. It is a privilege for you
to be at the clinical site. The clinical personnel are taking time out of their busy day to
allow you to obtain the skills necessary to be a great phlebotomist. This simple courtesy
is a very big way to thank them for their time and effort.
Smoking - Students are expected to abide by the clinical facility’s smoking policy during clinical
rotations. Both Seton Family of Hospitals and St. David’s Healthcare Partnership are nonsmoking facilities. Smoking is prohibited on the property. Students who are reported to be in
violation of a clinical facility’s smoking policy will be placed on immediate probation.
ATTENDANCE POLICY
You MAY NOT make changes to your clinical schedule without the approval of your ACC
professor.
ALWAYS be on time! Arrive at the clinical site a few minutes prior to your scheduled time to give yourself
some “breathing space” for getting lost. Regular and punctual attendance on all clinical days is required.
Absences or tardies from clinical for reasons other than health or emergencies will not be tolerated, and
the student may be subject to withdrawal from the program if more than two absences or tardies are
recorded. All absences, regardless of excuse, must be made up by the student. The student must
coordinate the make-up day with the ACC professor and the clinical site. The student must notify the
clinical site and the professor of all absences or tardies as far in advance as possible or at least within the
first hour they are scheduled. A student who is late by 10 minutes or more will be considered officially
tardy. The clinical site reserves the right to hold the student to the same attendance policy as employees
and may ask that a student be removed from their site for violating their attendance policy.
This syllabus serves as the verbal warning for any absence or tardy. A second absence and/or tardy will
result in a formal conference. A third absence and/or tardy will result in probation. Illnesses of several
days’ duration or emergency situations resulting in several consecutive days of absence will be
considered one absence event. The time must be made up regardless of reason for absence.
TARDY - If you are going to be late CALL THE SITE. They will be waiting for you before leaving to go on
their rounds or will arrange the work at hand with you in mind. A courtesy call will allow them to get
started on time.
ABSENCE - If you must be absent CALL THE CLINICAL SITE AND YOUR ACC Professor. The clinical
instructor will know you are not coming and will redistribute the collections set aside for you. ACC
Professor’s routinely visit students at the clinical site during the rotation. The professor will rearrange the
site visit schedule when they know you are there.
Penalties for No Call/No Show
Failure to notify clinical faculty and MLT faculty of an absence one hour prior to the scheduled
arrival time, or as soon as the clinical site is open for the day (no call/no show) will result in immediate
probation and a 10 point deduction from the rotation grade. A second “no call no show” will result in an
PLAB 1166
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additional 20 point deduction from the rotation grade, and withdrawal from the course. If the deadline for
withdrawal has passed the student will receive a grade of “D”.
SERVICE WORK POLICY
Students will not be placed in a rotation at a clinical site where the student is currently employed by the
Facility in the same department and/or under the same supervisor and where the ACC faculty is not
continually onsite with the student.
Phlebotomy Technician students are not expected to perform service work and are not allowed to be
scheduled in place of qualified staff during the clinical rotation. Students may be assigned a draw chair in
a draw station or a floor in a hospital, but only after demonstrating competence and always under
supervision of the clinical site faculty so that if problems occur the student can get immediate assistance.
STUDENT EVALUATION AND GRADING
1.
A student who passes PLAB 1323/1023 but fails PLAB 1166/1066 (grade less than 70%) will
NOT receive a certificate of completion and will NOT be eligible to take the national certification
examination
2.
The successful completion of the Clinical Practicum course is based on the following criteria:
a.
Graded Final Clinical Evaluation signed and dated by the clinical faculty and student.
b.
Average of grades obtained on the exams of the 4 assigned MedTraining modules.
c.
Average of grades on weekly posting to BlackBoard.
d.
Perform a minimum of 112 clinical hours – LUNCH DOES NOT COUNT.
e.
Receive passing marks on all shaded areas on the Competency Assessment form.
f.
Submission of all required clinical documents.
g.
Perform a minimum of 100 successful venipunctures.
h.
Collects a minimum of 80% of assigned patients successfully.
i.
Perform 8 capillary punctures. (This requirement will be met during on-campus activities,
either PLAB 1323 or on-site clinical, as applicable, and will be documented on the
Training Log Sheet.)
3.
Orientation to Clinical Site Form
a.
The Orientation to Clinical Site Form is to be completed on the first day of the rotation.
b.
The clinical mentor(s) must document the student's orientation to the department by
placing the date and initials of the individual responsible in the appropriate column.
4.
Training Log Sheets
a.
Your time in and out must be initialed by a staff member WHEN YOU LEAVE. Lunch
does NOT count as clinical time and you must document your lunch break.
b.
Each type of blood collection must be recorded on the training log sheet.
c.
Each type of needle (vacuum collection, syringe and butterfly) has a different type of cap.
When you uncap the needle drop the cap in your pocket. If you are successful, leave it
there. If you are unsuccessful transfer that type of cap to your other pocket. At the end of
the day count the different type of caps and record the totals for the day on your training
log sheet. Your instructor must verify the number of collections.
d.
You must have a MINIMUM of 112 clinical hours and 100 successful blood collections.
NOTE: 100 successful collections is MINIMUM, most students get 300-500 collections.
5.
Check Off Forms
a.
The first five blood collections of any type must be performed under direct
supervision. There are specific check off forms for venipuncture, butterfly collection,
capillary finger sticks, and capillary heel sticks.
b.
In some cases one clinical staff member may observe all blood collections; in other cases
different individuals may observe the first five collections. Each individual performing an
observation must complete and initial the form.
6.
Weekly Evaluations - “feedback is meant to help you do your best”
a.
During each week (except the last week) you are to give the clinical instructor a copy of
PLAB 1166
Page 8
b.
c.
d.
e.
f.
g.
h.
i.
7.
the Weekly Evaluation. The clinical instructor will fill it out and share the
information with you at the end of each week to give you feed back on your progress,
suggestions for improvement and correct any problems which may be occurring
Any critique written on the form needs to be looked at in a positive manner. The clinical
instructors are encouraged to share with you ways to improve your performance. The
purpose of performing clinical rotations is to improve your phlebotomy skills. Do not take
criticisms personally, they are meant to assist you in improving your skills.
If specific problems are identified the ACC professor will meet with the student and the
clinical instructor to develop an action plan.
The student will show improvement based on the action plan.
Failure to show improvement will result in the student being placed on probation.
A third failure to progress will result in dismissal from the program.
If this occurs before the stated drop date of the college the student will be withdrawn from
the course.
If this occurs after the drop date of the college the student will receive a grade of “D”.
Weekly Evaluations are required and evaluated as “pass” or “fail”.
Competency Assessment Form
Competency assessment is used to determine that the student has the necessary knowledge and
skills to perform a basic laboratory test or procedure accurately. Each competency assessment
has a written set of specific criteria which must be performed without error to demonstrate that
competency has been achieved. The student will be provided with the assessment criteria.
a.
b.
PLAB 1166
Competencies are “Pass” or “Fail” and must be completed successfully to pass the
course.
All competencies with a shaded box under the “fail” column must be achieved
successfully.
1) If a student is initially unsuccessful, the student will meet with the instructor for a
documented verbal warning to review the procedure for performing the specific skill.
During the conference, remediation and an action plan for improvement will be
developed. The student will provide input as what they will do to be successful.
This will be documented on the Progressive Discipline form.
2) The student will be allowed to repeat the competency assessment at a specified
time.
3) If the student is unsuccessful after the second attempt, the student will meet with the
instructor for a written conference to review the procedure for performing the
specific skill. During the conference, remediation and an action plan for
improvement will be developed. The student will provide input as what they will do
to be successful. This will be documented on the Progressive Discipline form.
4) The student will be allowed to repeat the competency assessment at a specified
time.
5) If the student is unsuccessful after the third attempt, the student will be placed on
“Probation” and will meet with the instructor for additional remediation and to review
and modify the original action plan for improvement as needed. The student will
provide input as what they will do to be successful. This will be documented on the
Progressive Discipline form.
6) The student will be allowed a final opportunity to repeat the competency
assessment.
7) If the student is unsuccessful on the final attempt, the student will meet with the
department chair for an exit interview.
8) If this occurs before the stated drop date of the college the student will be
withdrawn from the course.
9) If the date for withdrawal has passed a grade of “D” will be awarded for the course
regardless of the course average.
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8.
Final Clinical Evaluation -60%
a.
The Final Evaluation is the graded portion of your performance and is worth 60% of the
clinical grade.
b.
The student must achieve 70% or better in 13 of the 15 areas and an overall average
score of 70% of the clinical grade.
c.
Students who do not meet the stated criteria will receive a “D” for the course.
9.
BlackBoard -20% - http://acconline.austincc.edu
a.
You MUST post a summary of EACH WEEKS clinical experience by Sunday night at
midnight to BlackBoard which MUST include:
1)
Numbers AND types of procedures (i.e., equipment used) performed.
2)
Varieties of patients seen. DO NOT violate HIPAA by stating patient name, use
generic descriptors such as “elderly female”.
3)
Interesting occurrences at your site, especially those which would add to the
knowledge of all.
b.
Reply to at least one of your fellow student’s posting.
c.
The post must be AT LEAST 150 words. HINT: Create your post in a word processing
program (Word) and save it. Each program has a method of doing a word count; make
sure it is 150 words. Copy/Paste the post into BlackBoard. If for some reason your post is
unsuccessful you will have your saved copy as a back-up.
d.
Failure to post by the deadline will result in a reduction of points awarded.
e.
BlackBoard posts and assignments are worth 20% of your grade.
10.
Medtraining (MTS) Modules – 20% - http://acconline.austincc.edu
a.
The instructor will assign and list the specific MTS modules in the Med Training section of
Blackboard. After reviewing the module, take its test.
b.
Students are encouraged to repeat modules until they get a score of 80%. The modules
and corresponding exams may be repeated until an 80% score is achieved.
c.
Scores obtained from the module tests are averaged and account for 20% of the course
grade. THIS IS NOT AN OPTIONAL ASSIGNMENT.
d.
Due dates: Students must have viewed and completed two modules by Sunday night
following the first week of clinical, and the remaining modules by Sunday night following
the second week of clinical. Late assignments will be subjected to a 20% late penalty.
e.
Log-In: Students may access Medtraining by clicking on the appropriate button in the
course Blackboard OR directly enter the site through www.medtraining.org . Your user
name AND password is your first and last name, all together, with the first initial of your
first name and the last name capitalized. EXAMPLE: Suzie Smith would be “SuzieSmith”.
Problems with accessing Medtraining assignments should be brought to the course
instructor’s attention ASAP.
GRADING
1.
2.
3.
SUMMARY OF GRADE CALCULATION
Final Clinical Evaluation
BlackBoard Discussion Posts
MedTraining Modules Exam Grade Average
60%
20%
20%
An overall grade of 70% or better is required to be awarded a certificate of completion
A =90-100%
B= 80-89%
C=70-79%
D=60-69%
F= 59% or below
I = Incomplete, may be awarded if the student has completed the majority of the course work with a
passing grade and experiences highly unusual circumstances that prevent course completion.
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Withdrawing from the course may be a more appropriate action. The course work must be completed by
the final withdrawal deadline of the following semester.
WITHDRAWAL POLICY
It is the responsibility of each student to ensure that their name is removed from the roll should they
decide to withdraw from the class. The instructor does, however, reserve the right to drop a student
should he or she feel it is necessary. If a student decides to withdraw, he or she should also verify that
the withdrawal is submitted before the Final Withdrawal Date. The student is also strongly encouraged to
retain their copy of the withdrawal form for their records.
CLINICAL PAPER WORK
1.
It is YOUR responsibility to submit all required forms to document your clinical experience.
2.
Week One – Orientation to Clinical Site Form, Check Off Forms, Training Log Sheet and Weekly
Evaluation Form. You will need to track your blood draws on the log sheet, as well as your time
in and time out and lunch break every day of clinical.
3.
Week Two and additional weeks - Weekly Evaluation and Training Log Sheet
4.
Last week – Final Clinical Evaluation, Venipuncture Competency Assessment Form, and
Training Log Sheet. Complete the Clinical Site Survey online by clicking on the link provided in
the announcement in BlackBoard.
5.
Failure to submit any of the clinical paperwork will result in failure to complete the course.
1st Week
Clinical Site Orientation Form
Training Log Sheet
Weekly Evaluation Form
Venipuncture Check Off Form
Other check off forms as needed
Clinical Paperwork Summary
2nd Week and Additional Weeks
Training Log Sheet
Weekly Evaluation Form
Butterfly Check Off Form
As needed – capillary check off forms
(Finger Stick, Heel Stick)
Final Week
Training Log Sheet
Competency Assessment
Final Clinical Evaluation
Site Survey - ONLINE
SITE EVALUATION
After completion of your clinical rotation, complete the site evaluation. This is completed electronically and
a link will be provided in BlackBoard. The information gathered from this form is utilized to make decision
as to the quality of training at the site. Be as open and objective as possible. All student responses are
combined into one document and any persons named are de-identified before results are shared with the
clinical sites. Students must complete the site evaluation prior to submitting clinical paperwork.
SUBMISSION OF CLINICAL PAPERWORK
Students must meet with one of the clinical instructors on campus after completion of the clinical rotation
to submit clinical paperwork. A specific date and time for the submission of clinical paperwork will be
finalized during the last week of PLAB 1323 for Traditional students or during on Campus week for Tech
Prep students. Students are expected to submit their paperwork as soon as possible after completion of
their clinical rotation and no later than 5 working days after the completion of clinical. Students will meet
with ACC faculty during posted office hours, or arrange a time that is convenient to both. If any of the
clinical paperwork is missing or is incomplete (missing a signature, initials, dates, etc), none of the
paperwork will be accepted by the instructor. The student will need to return to the clinical site to have the
appropriate paperwork completed before meeting with the clinical instructor a second time.
PROMOTION, FAILURE OR DISMISSAL FROM THE PROGRAM
1.
A minimum grade of “C” (70%) is required in BOTH PLAB 1223/1023 AND PLAB 1166/1066 to be
eligible to receive the certificate of completion and be eligible to take the national certification
examinations.
2.
Students must complete the required number of hours, required number of procedures, and
successfully complete all objectives required in the clinical component to receive the certificate of
completion.
3.
Any student may be withdrawn from the program for excessive absences or tardies (see
Attendance Policy), consistently failing to meet class assignments, disruptive conduct during the
clinical rotation or for displaying conduct detrimental to the ethics of phlebotomy, and/or failure to
PLAB 1166
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4.
5.
meet minimum competency levels in the clinical component. The professor may initiate the
“Progressive Discipline Policy” for infractions of program policies and/or regulations.
Students are required to act in a courteous, professional manner at all times during the clinical
rotation. Any display of unprofessional, or unethical conduct by the student may result in
immediate dismissal from the Program without initiation of the Progressive Discipline Policy.
The student may utilize the student “Complaints and Grade Disputes” process in the disposition
of a complaint without fear of recrimination or retaliation. This is at the ACC “Need to Know” web
site http://www.austincc.edu/handbook .
SAFETY
Austin Community College is committed to providing a safe and healthy environment for study and work.
You are expected to learn and comply with ACC environmental, health and safety procedures and agree
to follow ACC safety policies. Additional information on these can be found at
http://www.austincc.edu/ehs.
Because some health and safety circumstances are beyond our control, we ask that you become familiar
with the Emergency Procedures poster and Campus Safety Plan map in each classroom when on
campus and at the clinical site when you are at clinical. Additional information about emergency
procedures and how to sign up for ACC Emergency Alerts to be notified in the event of a serious
emergency can be found at http://www.austincc.edu/emergency/.
You are expected to conduct yourself professionally with respect and courtesy to all. Anyone who
thoughtlessly or intentionally jeopardizes the health or safety of another individual will be immediately
dismissed from the day’s activity, may be withdrawn from the class, and/or barred from attending future
activities.
ADDITIONAL SAFETY PRECAUTIONS FOR CLINICAL
1.
Standard Precautions which requires that all body fluids be handled with the same precautions as
blood. Blood, urine, and other biological specimens possibly containing pathogenic organisms will
be used in this course; therefore, CDC guidelines will be followed as they apply.
2.
Use barrier protection routinely to prevent skin and mucous membrane contamination with blood
or other body fluids.
3.
Gloves must be worn when:
a. Cuts, scratches, or other breaks in skin are present.
b. Performing any type of blood collection
c. Blood and body fluid specimens are handled.
d. Anytime it appears that contamination of the hands may occur.
4.
Change gloves after each patient contact or when visibly contaminated with blood.
5.
Wear a mask, eye glasses or goggles, or face shield during procedures that are likely to generate
droplets of blood or other body fluids to prevent exposure of the mucous membranes of the
mouth, nose, and eyes.
6.
Wear a fluid-resistant gown, apron, or other covering when there is a potential for splashing or
spraying of blood or body fluids onto the body.
7.
Wash hands or other skin surfaces thoroughly and immediately if contaminated with blood or
other body fluids.
8.
Use liquid hand sanitizer or wash hands immediately after glove removal even when no external
contamination has occurred. Organisms on the hands multiply rapidly in the warm moist
environment within the glove.
9.
Handle sharps, especially needles, with extreme caution.
10.
Place used needles, disposable syringes, skin lancets, scalpel blades, and other sharp items into
a puncture resistant biohazard container for disposal.
a.
The container should be located as close as possible to the work area.
b.
NEVER ATTEMPT TO SHOVE USED BLOOD COLLECTION DEVICES INTO A FULL
CONTAINER. There have been several needle stick incidents due to this unsafe practice.
c.
If the container is full set the blood collection device in a safe location and, when finished
with the patient, change out the full container or find another sharps container to place
the device in.
d.
Phlebotomists should carry puncture-resistant containers with them on their phlebotomy
tray.
PLAB 1166
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11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Needle safety devices must be activated IMMEDIATELY after removing needle. Use one hand to
apply pressure to puncture site, immediately use other hand to activate needle safety device
ACCORDING TO MANUFACTURER’S INSTRUCTIONS.
Exudative lesions or weeping dermatitis should be covered with an occlusive dressing to prevent
contamination or exposure to blood or body fluids.
All specimens of blood and body fluids should be put in well-constructed containers with secure
lids to prevent leaking during transport. Care should be taken when collecting each specimen to
avoid contaminating the outside of the container and the laboratory requisition accompanying the
specimen.
Fill evacuation tubes, vials, and bottles by using their internal vacuum only. If a syringe is used,
the fluid should be transferred to an evacuation tube by attaching the safety transfer device to the
syringe and allowing the correct amount of fluid to flow slowly into the tube along the wall. Never
force fluid into an evacuation tube by exerting pressure on the syringe plunger.
Use mechanical or disposable pipettes for manipulating all liquids (including body fluids,
chemicals, or reagents) in the laboratory.
Decontaminate all laboratory work areas with an appropriate chemical germicide after a spill of
blood or other body fluids and when work activities are completed. Laboratory counter tops
should be disinfected at least once per shirt.
Rinse off all body fluids from reusable contaminated equipment prior to reprocessing according to
your institution policies.
Pregnant laboratory workers are not thought to be at greater risk of infection than others in the
laboratory. However, if an infection does develop during pregnancy or the mother is a carrier prior
to the pregnancy, the infant is at risk of infection by perinatal transmission. Therefore, pregnant
laboratory workers should be especially aware of universal precautions.
All accidents are to be reported immediately to the laboratory supervisor AND ACC
professor. This MUST be done within one hour of the accident, NO EXCEPTIONS. In the
case of a needle stick injury the ACC faculty member will meet the student at the healthcare
facility where the post-exposure evaluation will be performed.
You must report all incidents involving a patient or a patient’s dissatisfaction to the clinical mentor
and your ACC instructor as soon as possible or as soon as the issue is brought to your attention.
‘An incident’ includes, but is not limited to, any situation where a patient is, or may seem to be,
upset or dissatisfied with your performance, or any situation that seems to be out of the ordinary.
If your primary clinical mentor is not on duty at the time of the incident, you must report the
problem to the clinical site supervisor on duty. Depending on the nature of the problem, your
ACC instructor and/or the clinical site supervisor may require your assistance in filling out an
incident report form to outline the events leading up to the incident and your description of what
happened. You must carry a small, pocket size notebook in which you routinely make notes
regarding your phlebotomy experiences each day. The notes may be helpful if you need to recall
the events of a particular phlebotomy. As you write these notes, remember – NEVER record any
information that would compromise a patient’s confidentially or would be in violation of ACC’s
HIPAA policy.
EXPOSURE AND ACCIDENT POLICY
1.
Keep the accident report forms at the front of your clinical notebook.
2.
The clinical notebook must be taken with you each day you attend clinical
3.
If an exposure occurs immediately notify your clinical instructor AND your ACC instructor. This
must be done within 1 hour of the exposure. Keep your ACC professor’s contact information in
your wallet, purse or cell phone.
PHYSICAL RISK STATEMENT
Students with a temporary physical problem/limitation (i.e., broken bones, back injuries, recent surgery,
etc.) may be admitted to or choose to continue in the Phlebotomy Program. If a student chooses to stay in
the Program, he/she understands and agrees that excessive absenteeism or inability to perform
necessary duties related to the learning objectives and health care delivery can result in the necessity to
discontinue the Program. It is the student’s responsibility to obtain, and provide to the professor, written
permission to take part in all course functions from a physician during the period any physical problems or
limitations are present. The college is not responsible for an exacerbation of this problem which occurs as
a result of the student’s continued participation in the Program.
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Interactions with clients in the health care system carry inherent risks to both the client and care giver,
including but not limited to, communicable diseases. In this document, as well as in the curriculum,
students will be given information regarding known risks for various diseases and provided skills to
implement precautions appropriate to these risks. All students are expected to provide appropriate care to
all clients assigned to them in any health care setting as a learning experience. These assignments may
include clients with medical diagnoses of tuberculosis, hepatitis, AIDS, or other infectious diseases.
The student understands that participation in this Program exposes the student to certain risks of illness,
injury or infectious contact. The College will not be held responsible for any illness or injury, or infectious
contact which occurs during the participation in the Program. The student’s signature on the “Statement
of Understanding” page is an acknowledgement of this policy.
SCHOLASTIC DISHONESTY
A student attending ACC assumes responsibility for conduct compatible with the mission of the college as
an educational institution. Students have the responsibility to submit coursework that is the result of their
own thought, research, or self-expression. Students must follow all instructions given by faculty or
designated college representatives when taking examinations, placement assessments, tests, quizzes,
and evaluations.
Actions constituting scholastic dishonesty include, but are not limited to, plagiarism, cheating, fabrication,
collusion, and falsifying documents. Penalties for scholastic dishonesty will depend upon the nature of the
violation and may range from lowering a grade on one assignment to an “F” in the course and/or
expulsion from the college. See the Student Standards of Conduct and Disciplinary Process and other
policies at http://www.austincc.edu/handbook .
ACADEMIC FREEDOM
Each student is strongly encouraged to participate in class. In any classroom situation that includes
discussion and critical thinking, there are bound to be many differing viewpoints. These differences
enhance the learning experience and create an atmosphere where students and instructors alike will be
encouraged to think and learn. On sensitive and volatile topics, students may sometimes disagree not
only with each other but also with the instructor. It is expected that faculty and students will respect the
views of others when expressed in classroom discussions.
STUDENTS WITH DISABILITIES
Each ACC campus offers support services for students with documented disabilities. Students with
disabilities who need classroom, academic or other accommodations must request them through the
Student Accessibility Office (SAS). Students are encouraged to request accommodations when they
register for courses or at least three weeks before the start of the semester, otherwise the provision of
accommodations may be delayed.
Students who have received approval for accommodations from SAS for this course must provide the
instructor with the ‘Notice of Approved Accommodations’ from SAS before accommodations will be
provided. Arrangements for academic accommodations can only be made after the instructor receives the
‘Notice of Approved Accommodations’ from the student. Students with approved accommodations are
encouraged to submit the ‘Notice of Approved Accommodations’ to the instructor at the beginning of the
semester because a reasonable amount of time may be needed to prepare and arrange for the
accommodations.
Additional information about Student Accessibility Services is available at:
http://www.austincc.edu/support-and-services/services-for-students/disability-services-and-assistivetechnology
STUDENTS RIGHTS AND RESPONSIBILITIES
Students at the college have the rights accorded by the U.S. Constitution to freedom of speech, peaceful
assembly, petition, and association. These rights carry with them the responsibility to accord the same
rights to others in the college community and not to interfere with or disrupt the educational process.
PLAB 1166
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Opportunity for students to examine and question pertinent data and assumptions of a given discipline,
guided by the evidence of scholarly research, is appropriate in a learning environment. This concept is
accompanied by an equally demanding concept of responsibility on the part of the student. As willing
partners in learning, students must comply with college rules and procedures.
CONCLUDING COMMENTS
Remember, your appearance, conduct, professional abilities and attendance are under scrutiny at every
clinical by the very people to whom you may one day make application for employment. Consider this an
“on the job” interview, the most important interview of your professional career. There is no better way
to increase your chances for employment in a particular laboratory than to prove you are the best, each
and every day of the clinical rotation!
PLAB 1166
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PLAB 1166/1066 Phlebotomy Practicum
Statement of Understanding
My initials beside each statement below indicate that I have read and understand the PLAB
1166/PLAB 1066 Course Syllabus and that I have had an opportunity to ask questions about
any and all items I did not understand. I agree to abide by all of the policies, procedures, and
requirements stated within.
Initials required here
↓
_____ Course Goals
_____ Course Objectives
_____ Course Requirements and Regulations
_____ Attendance Requirements
_____ Dress Code Policy
_____ Criteria for calculation of the course grade, including the required assignments:
Discussion Board, MedTraining Modules and Final Clinical Evaluation.
_____ Requirements for submission of clinical paperwork
_____ Requirements for promotion, failure and dismissal from the program.
_____ Requirements to carry health insurance coverage while attending clinical training.
_____ Policies, procedures and requirements for clinical practice, with special emphasis to
those referring to safety especially accidental exposure to blood or body fluids.
________________________________ ________________________
Signature
Date
________________________________
Printed Name
PLAB 1166
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