AUSTIN COMMUNITY COLLEGE PHLEBOTOMY TECHNICIAN PROGRAM PLAB 1323/PLAB 1023 Phlebotomy Lecture/Lab Course Syllabus SUMMER 2015 Course Website: http://www.austincc.edu/mlt/phb/phb_schedule.html Course Outline and Schedule: This schedule is tentative. Do NOT print the schedule until instructed by the professor. The schedule is subject to change. Any changes will be communicated by the professor. Course Number and Name PLAB 1323 Phlebotomy PLAB 1323 Phlebotomy Length of Course Dates Campus Instructor Lecture Laboratory Office Office Hours Phone Email Campus CYP EVC Section 001 002 Synonym 31708 31709 6 Weeks June 1, 2015 – July 7, 2015 FACULTY AND COURSE INFORMATION Cypress Creek Campus EastviewCampus Lois Wagoner, MT(ASCP) Carolyn Ragland, MSHP, Debbi Burns, MLT (ASCP) MLS(ASCP) CYP 1, Room 1142 EVC9, Room 9227 M W F 8:00 – 9:40 am M W F 8:00-9:40 am CYP 1, Room 1142 EVC9, Room 9227 M W F 9:50am – 1:20 pm M W F 9:50- 1:20 pm CPY 1136 EVC 9316 EVC 9311 Wednesday 1:30 – 2:30 pm Wednesday & Mondays 2:00-3:00 pm Others by appointment Thursdays 2:15 – 4:15 Others by appointment pm 512-627-5550 512-223-5931, cell 512- 512-632-8352 484-4018 lwagoner@austincc.edu cragland@austincc.edu Deborah.burns@austincc.edu Students will access and print out course materials from the course web site. Assessment activities are provided as a means of assisting students in determining their level of competence in given areas as well as to assist in reviewing for examinations. Assignments will be posted to enhance the student’s learning experience. 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 ACCmail account when communicating with instructors and staff. Instructions for activating an ACCmail account can be found at: http://www.austincc.edu/accmail/activation-and-login-assistance . COURSE DESCRIPTION The profession of phlebotomy is taught through didactics, student laboratory, and clinical experiences. The course will focus on skill development in the performance of a variety of blood collection methods using proper techniques and standard precautions. Blood collection procedures performed includes vacuum collection devices, syringes, capillary skin puncture, butterfly needles and blood culture, and specimen collection on adults. Collection of specimens from children and infants is discussed. Emphasis will be placed on infection prevention, patient identification, specimen labeling, quality assurance, specimen handling, processing, accessioning, professionalism, ethics, and medical terminology. Students will learn the theory and principles of CLIA waived laboratory tests and perform the tests in the student laboratory. PLAB 1323 Phlebotomy Syllabus Page 1 The CLIA waived testing performed will include manual hematocrits, automated hemoglobin and glucose testing, urinalysis dipsticks, fecal occult blood, erythrocyte sedimentation rate and pregnancy testing. PREREQUISITES: No academic prerequisites COURSE GOALS / RATIONALE This course serves to develop a working knowledge of the principles and procedures of phlebotomy, to produce accurate, skilled phlebotomists with strong ethical and professional values, and to encourage respect and understanding of all allied health professionals. COURSE OBJECTIVES The course objectives for each lecture unit of instruction and laboratory exercise are found on the course website for that unit or laboratory activity. Lecture and laboratory objectives are utilized to create the exam questions. These should be printed out and studied in preparation of each exam. One useful study technique is to write the objective on an index card and write the information pertaining to that objective on the back of the card. Upon successful completion of each unit of instruction and laboratory activity, the student will be able to meet each course or laboratory objective listed in the unit. The following affective objectives pertain to the classroom and clinical components. During enrollment in this course, the student will: 1. Demonstrate professionalism by: a. Complying with the attendance policy b. Complying with the dress code c. Submitting assignments by the stated deadline d. Complying with ACC Student Standards of Conduct and all ACC policies and procedures as stated in ACC Student Handbook located at : http://www.austincc.edu/handbook e. Complying with Policies and Procedures outlined in ACC Phlebotomy Technician Student Handbook located at: http://www.austincc.edu/mlt/phb/phb_student_handbook.htm 2. Demonstrate enthusiasm and interest in the profession of phlebotomy by asking questions, participating in class discussions and meeting with professors during office hours as needed. 3. Demonstrate initiative by reviewing objectives and lab exercises, as well as completion of reading assignments prior to class. 4. Demonstrate progression in laboratory skills by effective organization, coordination of multiple tasks, and insightful evaluation of results obtained. 5. Utilize constructive criticism to correct deficiencies and improve performance. 6. Work cooperatively with professors and fellow students to achieve the goals of each activity assigned. 7. Perform a variety of blood collection procedures using appropriate interpersonal skills and competent technique. COURSE MATERIALS REQUIRED 1. Textbook: Garza, Diana; Becan-McBride, Kathleen, Phlebotomy Handbook, 9th Edition, 2015, Pearson. (ISBN-10 0133144569/ ISBN-13 9780133144567) ACC Bookstore Online: http://austincc.bkstore.com/ 2. Phlebotomy Lecture Guide, Laboratory Manual, Course Objectives/Outline, and Course Schedule available online at the course website: http://www.austincc.edu/mlt/phb/phb_schedule.html 3. Scrubs- appropriately fitting and professional in appearance 4. Gloves- must be latex or nitrile and properly fitting. Nitrile is recommended due to the frequency of latex allergy. VINYL gloves are NOT permitted. 5. Three (3”) inch or larger notebook with dividers. Suggested organization of notebook: i. Syllabus ii. Schedule and Assignments iii. Course Objectives PLAB 1323 Phlebotomy Syllabus Page 2 iv. Lecture Guide v. Laboratory Manual vi. Graded Lab Exercises vii. Graded Study Questions 6. Sharpie permanent marker, Ultra fine point, black or blue 7. Austin Community College Student Photo ID- must show to instructor by the second class day. RECOMMENDED RESOURCES 1. Garza, Diana; Becan-McBride, Kathleen, Success in Phlebotomy Q & A Review, 2010, Pearson/Prentice Hall. (ISBN: 9780135101001) 2. Guide to interpretation of laboratory tests - suggest: http://labtestsonline.org/ 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. a. Resources: Identifies, organizes, plans, and allocates resources b. Interpersonal: Works with others c. Information: Acquires and uses information d. Systems: Understands complex interrelationships e. Technology: Works with a variety of technologies f. Basic Skills: Reads, writes, listens, and speaks g. Thinking Skills: Thinks creatively, makes decisions, solves problems, visualized, knows how to learn, and reasons h. Personal Qualities: Displays responsibility, self-esteem, sociability, self-management, integrity and honesty The Texas Higher Education Coordinating Board is now requiring all 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 are as follows: COMPETENCY EXAMPLE Resources Following standard precautions, performs vein and capillary puncture procedures using only necessary supplies and 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, 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; uses computers to process information 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 System, micro-collection devices, Winged Infusion Set, 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. PLAB 1323 Phlebotomy Syllabus Page 3 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 PROGRAM STUDENT LEARNING OUTCOMES: 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 basic understanding of age specific or psycho-social considerations involved in the performance of phlebotomy procedures on various groups of patients. 5. Associate the major areas and departments of the clinical laboratory with the laboratory tests ordered to evaluate a patient’s pathologic condition or illness. 6. Demonstrate understanding of the importance of specimen collection and specimen integrity in the delivery of patient care. 7. Demonstrate knowledge of collection equipment, various types of additives used, special precautions necessary and substances that can interfere in clinical analysis of blood constituents. 8. Follow standard operating procedures to collect specimens via venipuncture and capillary (dermal) puncture. 9. Demonstrate knowledge of phlebotomy complications and pre-analytical errors that can significantly alter results. 10. Demonstrate understanding of requisitioning, specimen transport and specimen processing. 11. Demonstrate understanding of quality assurance and quality control in phlebotomy. 12. Demonstrate understanding of the basic concepts of verbal and nonverbal communications, personal and patient interaction, stress management, professional behavior and legal implications of 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. 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. PLAB 1323 Phlebotomy Syllabus Page 4 INSTRUCTIONAL METHODOLOGY Lecture and PowerPoint presentation Discussion Demonstration Audio/visual materials Laboratory practice Simulation/Role play BLACKBOARD ON-LINE SYSTEM A considerable portion of this course will be available via the computer on-line Blackboard learning system. All students will be required to use the internet to access their ACC email, course materials, learning activities, and exams. Students may use their home computers OR may access all materials and take exams at any public computer, including those in Learning Labs and libraries at all ACC campuses. How to Log Into Blackboard 1. To access Blackboard, go to http://acconline.austincc.edu/ 2. Enter your ACCeID and ACCeID Password in the provided boxes, and then click on the “Login” button. 3. Access your course(s) by clicking the course title located in the My Courses module. 4. ACC Blackboard support website is http://irt.austincc.edu/blackboard/StudentSupport.php COURSE REQUIREMENTS AND REGULATIONS 1. Time Commitment According to “Hints on How to Succeed in College Classes” http://tinyurl.com/n83tktx you should budget your time per week for this four hour credit course as follows: a. Reading assigned text 2 to4 hours b. Homework assignments 2 to 3 hours c. Time for review and test preparation 2 hours d. Total study time 6 to 9 hours PER WEEK 2. Attendance Policy Attendance demonstrates professionalism and regular, punctual attendance is the expectation in the professional workplace setting. It is the student’s decision to take this class. Therefore, once the student makes this decision, he/she has responsibilities to everyone else in the community of learners. Excellent attendance and punctuality are key behaviors which demonstrate responsibility and commitment to a successful learning experience. It is this commitment to learning that will enable the student to progress satisfactorily towards completion of course goals and objectives. The Attendance Policy is designed to set a pattern of professional behavior which mirrors the attendance expectations in the clinical environment. Regular and punctual attendance is required at all lecture and lab sessions. Class roll will be taken during each class period. Tardiness to class is strongly discouraged. Important announcements are made at the beginning of class which may not be repeated. If you must be absent or tardy, you must notify your instructor by phone call, text or phone message, or by email in a timely fashion at least 30 minutes prior to class start time. Each student is responsible for making up all class assignments, laboratories, etc. when absent from class. All missed lab exercises must be completed to verify completion of the course objectives. Make-up exercises or alternative learning experiences will be planned PLAB 1323 Phlebotomy Syllabus Page 5 according to the limits set by the instructor. However, the amounts of credit awarded for the exercise will be no greater than 80%. Once a student has incurred two (2) absences, for whatever reason, the Progressive Discipline Policy will be initiated as follows. a. Two absences- Verbal conference with instructor that will define what policy is not being met, as well as set up an action plan with a follow-up conference date. b. Three absences- Conference report with instructor stating what actions will be necessary to avoid probation. c. Four absences- Probation. d. Five absences- Withdrawal. Terms of probation were not met. If this occurs past the time for withdrawal, the student will receive an “F” for the course. Withdrawal is based on absences equal to or greater than 25% of the material. The attendance policy is subject to review and modification by department officials. 3. Dress Code a. Clothing: Properly fitting, clean scrubs must be worn during all classroom and laboratory activities. Avoid wearing scrubs which may present a safety hazard or that are overly revealing and do not project a professional appearance. Students not conforming to the dress code may be sent home at the instructor’s discretion. Repeat violations will result in activation of the progressive discipline process. 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, flip flops, sandals, 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 professional with no extreme styles or colors. If the hair’s length is at or below the shoulder, or if it has tendency to hang in the face, it must be drawn back; such as in a clip or band. Hair ornaments should be minimal and professional. 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. (No “five o’clock shadows”). f. Hygiene: Students must bathe regularly (i.e. daily) to avoid offensive odor. Conservatively applied makeup is permitted. g. Fragrances: DO NOT use perfume, body spray, cologne or aftershave lotion. Some patients may have allergies to fragrances or the odor may make them nauseous. h. Fingernails: Fingernails must be kept clean and at a reasonable length. Reasonable length is defined as no greater than one-eighth (⅛) inch above the fingertips. Artificial nails and nail jewelry are NOT permitted. Clear or light pink nail polish may be worn. i. Jewelry: Jewelry should be limited to wedding rings and a wristwatch. A conservative necklace that is kept close to the skin (not dangling) and conservative earlobe earrings (one earring per ear) that do not extend more than one-half (½) inch below the earlobe are acceptable. j. Body Piercing/Tattoos: No visible body piercings are allowed. Tattoos will be covered at all times in the laboratory and clinical setting. k. Identification: Students must wear their ACC photo ID badge identifying them as Austin Community College students. Badges should be worn on your outermost article of clothing and at rib-cage level or higher. Wearing the badge clipped to a lanyard is acceptable as long as it does not create a safety hazard or dangle into the workspace. l. Other clothing articles, hats, etc. that may present a safety issue or be disruptive to the learning process will not be allowed. Contact the course instructor if uncertain about the suitability of any item taken into the lab setting. PLAB 1323 Phlebotomy Syllabus Page 6 3. Turn cell phones off or set them to mute. It is very disruptive to the learning environment to have these devices go off during class. No CD players, MP3s, IPods, or similar items are to be used during class and/or laboratory sessions. Use of computers during class shall be restricted to note taking and classroom activities. If the student chooses to use cell phone or tablet applications during the laboratory component of the course, these items must have a protective cover that can be disinfected at the conclusion of the activity. The policies concerning Social Media and Portable Electronic Devices as stated in the Phlebotomy Technician Student Handbook will be followed and enforced in the classroom and laboratory. ADDITIONAL COURSE REQUIREMENTS 1. Review of the Phlebotomy Student Handbook. Student are required to review the Phlebotomy Student Handbook and submit the completed signature page by the first day of class. The handbook can be found at: http://www.austincc.edu/mlt/phb/phb_student_handbook.htm 2. Drug Screening. All Phlebotomy students must comply with the ACC Health Science Department Drug Screening Policy. 3. Criminal Background Check. Only students with a clear criminal background check as defined by the ACC Health Science Department may register for the course. 4. Health Insurance. Students will be required to demonstrate proof of health insurance prior to attending student practicum. Students that are unable to provide proof of health insurance by the stated deadline, will not be able to attend the practicum. If the student is unable to attend the practicum, the course objectives will not be met. This may result in the student being withdrawn from the program. Health Insurance information can be found at: http://www.austincc.edu/health/health_insurance.php . 5. Record of required immunizations. Health Sciences students must comply with both Texas law and clinical facility requirements related to immunization and testing. A copy of a students immunization records must be included as part of their application to the phlebotomy program. All immunizations must be current. a. Learn what immunizations are required at Health Sciences Programs Immunization Guidelines: http://www.austincc.edu/health/AllOthers.php b. The form to record your immunizations can be found at: www.austincc.edu/health/documents/ImmunizationsFormRevised10_01_12.pdf c. **Flu Shots** i. Fall & Spring semesters only ii. Flu Vaccine Record and information regarding flu shot clinics can be found at http://www.austincc.edu/health/flu_shots.php 6. Completion of the ACC Health Data / Physical Exam form a. Print the Health Data Form at http://www.austincc.edu/health/dmt.php (see link under ‘Other’) b. Page 1: Demographic and emergency contact information – to be filled out by the student. c. Page 2: Physical Examination & TB report form - Must be appropriately signed and dated by the health care provider completing the examination and form. i. Results of a physical examination performed by a physician, physician’s assistant or nurse practitioner. Form must be appropriately signed and dated. ii. TB testing requirements (please read carefully): Test results occurring more than 90 days before the start of the Phlebotomy Program are NOT acceptable. Initial testing: either a two step TB skin test (TST) or a TB blood test (QFT or TSPOT). Note: Persons who develop a positive skin test reaction OR who have had a positive TB skin test in the past must have the TB Blood test (QFT or TSPOT). If the TB blood test is positive, physician documentation and a chest x-ray must be submitted, as well as the TB questionnaire. For more information, please refer to the Health Data Form and the TB test Flow Chart: http://www.austincc.edu/health/hsresource/documents/TBFlowChartWhiteBGPDF.pdf 7. Technology and basic computer skills requirements. Students must have access to a computer with internet connection. Students may use their home computers OR may use any public computer, including those in the Learning Labs and libraries at all ACC campuses. Students PLAB 1323 Phlebotomy Syllabus Page 7 must have basic keyboard and computer skills to successfully complete the phlebotomy courses. Example activities: d. Blackboard and accessing course materials. Blackboard, an online course delivery system, will be used for important announcements, email communication, discussion board postings, homework submission, taking exams and quizzes, and for enhanced course activities. Students who are not familiar with the features of Blackboard should review links at the Blackboard ACC Student Support page before the first day of class: http://irt.austincc.edu/blackboard/StudentSupport.php e. First Blackboard assignment: ‘Please introduce yourself to the class’. Post an introduction in the Discussion Board section of Blackboard by the end of the first week of class. f. To verify a working email account, students are required to email their course instructor through their ACCmail account during the first week of class. Students are to send their instructor their name as they wish it to apperar on their phlebotomy certificate and their cell phone number. g. Other assignments: Following each class period, it will be the responsibility of the student to check for daily assignments. These assignments can be accessed through the course schedule page: www.austincc.edu/mlt/phb/phb_schedule.html . From the schedule page, click on the Assignment button at the top of the page. Assignments can also be access through the assignment button on the course page in Blackboard. e. Pre-Clinical Assignments – Prior to attending the clinical component of this course, each student must complete all required Pre-Clinical training modules, which can be accessed from the ACC Health Science Page: www.austincc.edu/health/dmt.php Additional instructions can be found on the Pre-Clinical section of Black board. All phlebotomy students must complete the following modules: Seton Family of Hospitals – Seton EOC Education Module St. David’s Health Care Partnership – Student Orientation Manual; Mandatory Education Module; Statement of Responsibility; and The Confidentiality and Security Agreement ACC – HIPAA Student/Employee Training Module NOTE – you must have access to a printer WHEN working on these assignments as you will need to print documentation pages. It is the student’s responsibility to complete the Modules, print, sign, and date the appropriate documentation and turn it in to their instructor by the tenth (10th) day of class. In addition to the above modules, a small number of clinical affiliates have additional modules that must be completed prior to attending clinical at their facility. If a student is assigned a clinical rotation at one of these affiliates, the instructor will inform the student of the additional modules and provide information for completion of the additional modules. STUDENT EVALUATION 1. LECTURE - 65% of course grade a. MTS Training Modules – 5% of Lecture Grade The student must complete MTS Training Modules (access them from the Med Training button in Blackboard or at http://www.medtraining.org ). The modules can be repeatedly taken until the deadline and the student must score an 80% or better. Your user name and password will be your first and last name, all together, with the first letter of each capitalized. Example: SaraJones. Late assignments will be subject to a 20% late penalty b. Discussion Board Assignments – 5% of Lecture Grade Points will be awarded for completion of assignments listed in the discussion forum of Blackboard: http://acconline.austincc.edu and for quizzes associated with assigned article readings. Late assignments will be subject to a 20% late penalty. PLAB 1323 Phlebotomy Syllabus Page 8 c. Quizzes – 5% of Lecture grade The scores from the Daily quizzes and Exam Review Quizzes are averaged together and are worth 5% of the lecture grade. 1) Daily quizzes will be given on a regular basis at the start of class. If you are late or absent, you will not be allowed to take the quiz. 2) Exam Review Quizzes will be given over lecture material and the accompanying laboratory exercises which will be covered on each major exam. There is an Exam Review Quiz for each of the four (4) major exams. The corresponding review quiz must be completed with a score of 80% or better before you are allowed access to the Exam. The quizzes are located in Blackboard. The quizzes can be taken repeatedly and students must score 80% on the review quiz before having access to the major exam. d. Exams – 40% of Lecture grade Four (4) written examinations will be given in Blackboard covering lecture material and related lab material to comprehensively assess the student’s knowledge of concepts, principles, techniques, and procedures. BLACKBOARD EXAMINATION POLICY - Students are expected to exhibit the highest level of ethical and honest behavior. 1) These examinations will be taken in Blackboard and will be timed 2) NO study materials are to be used during the examination. This includes, but is not limited to course materials, notes, lab materials, textbooks, internet resources, or electronic devices. 3) Students are expected to take each test at its assigned time. If a student misses one exam, the grade of the comprehensive final exam will be averaged in the place of the missed exam grade. If other exams are missed, grades of “ 0” will be given. 4) Each examination must be completed in one sitting; once opened, the exam must be completed within the allowed time period. 1. Blackboard will NOT close the exam automatically when the time limit has been reached. 2. It is the student’s responsibility to not exceed the examination’s time limit. Students are encouraged to use an external timing device to ensure they do not exceed the exam’s time limit. 5) Penalties for exceeding the examination time limit: 1. Students will receive a one point (1 pt) deduction from the final adjusted point score for every five (5) minutes over the posted time limit. For example, a student takes 1 hour and15 minutes on an exam with a 1 hour time limit. The time was exceeded by 15 minutes so a 3 point penalty will be applied to the recorded score. 2. The Program’s Progressive Discipline Policy will be implemented if exam time limits are consistently exceeded. 6) Extension of time on exams: Only students providing a current signed Student Accessibility Services (SAS) letter / form requesting an accommodation for extension of time for examinations will be permitted additional time for examinations. SAS letters / forms must be provided to the course instructor at the beginning of the semester, at which time, the instructor will consult with the Student Accessibility Services (SAS) office to make the needed arrangements. For more information, see STUDENT ACCESSIBILITY SERVICES section. 7) Note: Students are forbidden from electronic copying or printing of any course examination or quiz. Electronic copying or printing of exams and/or quizzes will be considered an act of cheating and student will be subject to penalties outlined in the Scholastic Dishonesty policy. PLAB 1323 Phlebotomy Syllabus Page 9 e. Comprehensive Lecture Final – 45% of Lecture Grade A comprehensive final exam covering all lecture materials will be given on campus and will be proctored by the instructor. An announcement of the specific date, time and location for the final exam(s) will be made by the course instructor(s). 2. LABORATORY- 35% of course grade a. Laboratory Exercises and Study Questions – 70% of Laboratory Grade Points are awarded for the successful completion of laboratory exercises as related to the specific objectives for each exercise. Unless otherwise announced by the instructor, laboratory exercises are due the same day the lab is performed. Late assignments will be subject to a 20% late penalty. Points are awarded for proper response to study questions and written assignments required for each laboratory exercise. Unless otherwise announced by the instructor, study questions are due the next class day after the laboratory exercise were performed. Late assignments will be subject to a 20% late penalty. b. Comprehensive Laboratory Final Exam – 30% of Laboratory Grade A comprehensive written final exam covering all lab materials will be given on campus and will be proctored by the instructor. This will be given on the same day and time as the lecture final. The instructor will provide you with the date, time and location. 3. Competency Assessment, Skills Mastery, and Program Progression Competency assessment is used to determine that the student has the necessary knowledge and skills to perform a basic laboratory test 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 and will receive feedback from the instructor during the skills practice sessions. Clinical competencies are pass/fail and must be completed successfully to pass the course. If the student has an unsuccessful competency assessment, an action plan will be developed which will include remediation. Remediation can include: demonstration of skills by the instructor, discussion of specific errors the student made and how to correct them, and additional practice opportunities. A failed competency will result in initiation of the progressive discipline policy. The student will be allowed a total of three competency assessment attempts per procedure. If a student is unable to demonstrate competency after the third and final attempt the student will be withdrawn from all PLAB courses. If the withdrawal date has passed the student will be awarded a grade of “D” regardless of the course average. Every effort will be made to complete the competency assessment process during scheduled course hours. However, if necessary, the instructor will make arrangements to meet with any student(s) in order to allow the student(s) the opportunity to complete the competency assessment process. The competency assessment process is as follows: a. First unsuccessful competency assessment1) The student meets with the instructor for a documentated 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. b. Second unsuccessful competency assessment – PLAB 1323 Phlebotomy Syllabus Page 10 1) The student meets 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. 2) The student will be allowed to repeat the competency assessment at a specified time. c. Third unsuccessful competency assessment 1) 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. 2) The student will be allowed a final opportunity to repeat the competency assessment. 3) If the student is unsuccessful on the final attempt, the student will meet with the department chair for an exit interview. 4) The instructor withdraws the student from the course. If the date for withdrawal has passed a grade of “D” will be awarded for the course regardless of the course average. 4. Successful completion of this course requires the student to have a 70% grade or higher in both the lecture and laboratory components of the course and receive a “Pass” for both venipuncture and capillary puncture competencies. If a student has a lecture average below 70%, a laboratory average below 70% or has failed his/her final competency assessment the student will receive a “D” in the course and will not be allowed to continue to the practicum course. GRADING 1. The lecture grade is worth 65% of the course grade and is calculated as follows: a. MTS Training Modules = 5% b. Participation in Discussion Forum = 5% c. Quizzes (class and exam review) = 5% d. Examinations = 40% e. Comprehensive Lecture Final Exam = 45% 2. The laboratory grade is worth 35% of the course grade and is calculated as follows: a. Laboratory Exercises and Study Questions = 70% b. Comprehensive Laboratory Final Exam = 30% 3. Grade Scale A = 90-100% B = 80-89% C = 70-79% D = 60-69% F = 59% or below Incomplete (I) - To receive an I, a student must have a passing average (70% or better) and have completed at least 80% of the course work. An instructor may award a grade of “I” (Incomplete) if a student was unable to complete all of the objectives for the passing grade in a course. An incomplete grade cannot be carried beyond the established date in the following semester. The completion date is determined by the instructor but may not be later than the final deadline for withdrawal in the subsequent semester. WITHDRAWAL POLICY It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decide to withdraw from the class. The instructor does, however, reserve the right to drop a student PLAB 1323 Phlebotomy Syllabus Page 11 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. Students who enroll for the third or subsequent time in a course taken since Fall, 2002, may be charged a higher tuition rate for that course. State law permits students to withdraw from no more than six courses during their entire undergraduate career at Texas public colleges or universities. With certain exceptions, all course withdrawals automatically count towards this limit. Details regarding this policy can be found in the ACC college catalog. 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 dishonesty such as, but not limited to, the following may result in IMMEDIATE dismissal from the Phlebotomy program and withdrawal from all Phlebotomy courses. If the withdrawal date has passed the student will be given a “D” for each course. 1. Submitting homework assignments copied from others. Both the student and the student that the materials were borrowed from will receive a “0" for the assignment and may be subject to the Academic Dishonesty Process and dismissal from the program. 2. Falsifying laboratory results. 3. Using classroom notes, labs, textbooks, electronic devices or internet resources during scheduled course exams and lab practical(s). 4. Electronic copying or printing of any course examination or quiz. FREEDOM OF EXPRESSION/STUDENT 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. 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. 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. AUSTIN COMMUNITY COLLEGE SAFETY PLAB 1323 Phlebotomy Syllabus Page 12 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/handbook/health-safety-and-security/environmental-health-safety-and-insurancedepartment. 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. STUDENT ASSISTANCE POLICY It is the sincere desire of the program faculty to aid each student in developing his/her professional potential. Academic, clinical, and those personal problems that interfere with the student's development are of concern to the faculty. The program faculty has adopted the following policy: Personal Problems The PHLEBOTOMY student should feel free to make an appointment to discuss problems of a personal nature with a faculty member of his/her choice. In addition, the Health Science counselors are available for the student for additional counseling, if necessary. Academic Problems Problems encountered in the PHLEBOTOMY lecture and/or laboratory sections should be brought to the attention of the course instructor. The instructor will work with the student to resolve the problem. If the student feels he/she cannot reach an agreement with the instructor, the student with the instructor should present the situation to the Program Director. All discussions with the faculty will remain confidential. PROMOTION, FAILURE, AND/OR DISMISSAL FROM THE PROGRAM A minimum grade of “C” (70%) is required in BOTH the lecture and laboratory components of PLAB 1323/PLAB 1023 to be allowed to participate in PLAB 1166/PLAB1066 Phlebotomy Practicum. A failing average in EITHER the lecture or laboratory component of the course will result in a grade of “D” even though the total average is above 70%. Students who earn a grade of “D” will be withdrawn from PLAB 1166/PLAB 1066. Students must pass the competency assessments for venipuncture and capillary puncture to successfully complete the course. Students will be given a total of 3 opportunities, to include re-tests, to demonstrate competence. If a student fails a competency they will be remediated and allowed additional practice prior to the next competency assessment. At the first failed competency, the student will be placed on the Progressive Discipline cycle. If the student fails a competency on the third and final time, they will be withdrawn from the course and the program. A minimum grade of “C” (70%) is required in BOTH the lecture/laboratory components of PLAB 1323/ PLAB 1023 – Phlebotomy AND in PLAB 1166/PLAB1066 – Phlebotomy Practicum courses to be awarded the program certificate of completion and to be eligible to take the national certification examination. The awarding of the program certificate is not contingent upon a student passing any type of external certification or licensure examination. PLAB 1323 Phlebotomy Syllabus Page 13 A student may be withdrawn from the program for excessive absences (see Attendance Policy), academic dishonesty, consistently failing to meet class assignments, disruptive conduct during lecture or laboratory, displaying conduct detrimental to the ethics of phlebotomy, failing to meet competency levels, for violating patient confidentiality/HIPAA violations or violating policies and procedures. PLAB 1323 Phlebotomy Syllabus Page 14 STUDENT ACCESSIBILITY SERVICES 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 Student Accessibility Services (SAS), at the primary campus they expect to attend. Each semester students need to meet with the SAS coordinator at all campuses they are attending in order to discuss accommodation needs. 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/supportand-services/services-for-students/disability-services-and-assistive-technology SAFETY AND HEALTH INFORMATION Health Insurance ACC does not provide personal health insurance coverage for students. All Health Sciences students are required to carry some type of personal health insurance. Information about health insurance is available at www.austincc.edu/health/health_insurance.php. Medical Professional Liability Insurance Medical Professional Liability Insurance is required for each Health Sciences student enrolled in a clinical course with patient contact. This insurance is purchased automatically through ACC registration fees collected each semester. Accident Insurance The Student Accident Policy provides insurance coverage only while participating in specified laboratory/clinical classes. It does not extend to accidents involving automobiles and incidents outside the laboratory/clinical/classroom. Accident Procedures 1. Provide first aid for the student sufficient to get the situation under control. 2. If the accident occurs on campus, campus police are notified. 3. The ACC faculty member responsible for the course in which the student is injured must be notified immediately of the incident. The faculty member or designee will immediately go to the clinical site or meet the student at the emergency room or physician office. 4. If it appears that a physician should see the student, they may choose to see their physician, go to a minor emergency center, or be transported to the hospital. The student can pay the bill at the time of treatment or assign benefits and request reimbursement from ACC’s insurance company. 5. The injured student will use the designated claim form. All components of the claim form must be completed. The completed form must contain the signatures of (1) the faculty/supervisor, and (2) the student/claimant along with an itemized medical bill before reimbursement will be remitted. Refer to the Phlebotomy Student Handbook. Blood and Body Substance Exposure Students who experience an exposure to any potentially infectious materials (needle stick, mucous membrane, or non-intact skin) or airborne inhalation require specific follow-up. It is the responsibility of the individual to report the incident to the faculty and seek medical evaluation/care as soon as possible PLAB 1323 Phlebotomy Syllabus Page 15 (preferably within one hour). Faculty will ensure that copies of the appropriate insurance forms will be available to the students prior to their first clinical experience. LABORATORY REQUIREMENTS 1. It is the responsibility of the student to prepare for each lecture/laboratory session. Laboratory exercises must be read prior to attending the laboratory period to provide the student with basic understanding of what will be expected of him/her during the laboratory session. Quizzes will be given to test laboratory concepts. 2. Each student is responsible for his/her own work and for the cleaning up of their workstation. 3. Blood, urine, and other biological specimens possibly containing pathogenic organisms will be collected and used in this course. Therefore, the following precautions must be observed: a. Eating, drinking, and/or smoking will not be permitted in the laboratory. Avoid putting any objects in your mouth. b. Wash your hands before leaving the laboratory for any reason. Proper hand washing is essential in preventing the acquisition and spread of potentially harmful organisms. c. Disinfect work area thoroughly after each laboratory session. d. If the student chooses to use cell phone or iPad applications during the laboratory component of the course, these items must have a protective cover that can be disinfected at the conclusion of the activity. e. Cover spills with paper towels, soak thoroughly with disinfectant and wait 15 minutes before cleaning it up. f. All accidents are to be reported immediately to the laboratory supervisor/instructor. LABORATORY SAFETY All students must abide by the following safety precautions while in student lab: 1. Use barrier protection (gloves, mask, gown, lab coat, face shield) as necessary to prevent skin and mucous membrane contamination with blood or other body fluids. 2. Wash or use hand sanitizer before and after each patient contact. 3. Gloves must be worn when: a. Cuts, scratches, or other breaks in the skin are present. b. Performing phlebotomy or capillary blood collections. c. Anytime it appears that contamination of the hands may occur. d. Blood or body fluids specimens are handled. 4. Change gloves after each patient contact or when visibly contaminated with blood. 5. Open cuts, wounds, exudative lesions or weeping dermatitis must be covered with an occlusive dressing or bandage to prevent contamination by blood or body fluid exposure. 6. Wash hands or other skin surfaces thoroughly and immediately if contaminated with blood or other body fluids. 7. Wash hands immediately after gloves have been removed even when no external contamination appears to have occurred. Organisms on the hands multiply rapidly in the warm, moist environment within the glove. 8. Wear a mask, eyeglasses, 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, or eyes. 9. 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. 10. Handle needles with extreme caution. 11. Place used needles, disposable syringes, skin lancets and other sharp items into a punctureresistant biohazard container specially designed for disposal. The container should be located as close as possible to the work area. 12. Needles must never be recapped, purposely bent, cut, broken, removed from disposable syringes, or otherwise manipulated by hand. Uncapped needles must never be laid down. The needle safety device must be activated immediately upon removal of the needle from the vein. 13. All specimens of blood and body fluids should be placed 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 laboratory form accompanying the specimen. PLAB 1323 Phlebotomy Syllabus Page 16 14. 15. 16. 17. 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 using a safety transfer device attached to the syringe, puncturing the tube stopper then allowing the correct amount of fluid to flow slowly into the tube along the wall. If a safety transfer device is not available, the tube should not be held when puncturing the top. Place the tube in a test tube rack, styrofoam cup, or some other suitable holder. Puncture the diaphragm of the rubber stopper and allow the vacuum of the tube to fill the tube. Never force blood into an evacuation tube by exerting pressure on the syringe plunger. Decontaminate all laboratory work areas with an appropriate chemical germicide after a spill of blood, other body fluid, and when work activities are completed. Laboratory countertops should be disinfected at least once per shift. Rinse off all body fluids from reusable contaminated equipment prior to reprocessing according to the institution’s policies. Pregnant laboratory workers are not considered 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 standard precaution. PHYSICAL RISK STATEMENT Students with a temporary physical problem or 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 instructor written permission from a physician to take part in all course functions during the period that any physical problem or limitation is present. ACC is not responsible for any exacerbation of this problem which occurs as a result of the student’s continued participation in the program. Interactions with clients in the health care system carry inherent risks to both the client and caregiver, including, but not limited to, communicable diseases. In this document, as well as 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. Furthermore, the student understands that participation in this program exposes the student to certain risks of illness, injury, or infectious contact. ACC will not be held responsible for any illness, injury, or infectious contact which occurs during the participation in the program. The student’s signature on the Course Syllabus Acknowledgement Page is an acknowledgment of this policy. REQUIREMENTS FOR CLINICAL PRACTICE 1. Successful completion of BOTH the lecture and laboratory components of PLAB 1323/1023 with a grade of 70% or higher. A failing average in EITHER the lecture or laboratory component of the course will result in a grade of “D” even though the total average is above 70%. 2. Students MUST PASS a competency assessment for BOTH venipuncture and capillary puncture to successfully complete the course. Students will be given a total of 3 opportunities, to include re-tests, to demonstrate competence. If a student fails a competency they will be remediated and allowed additional practice prior to the next competency assessment. If the student fails a competency on the third and final time, they will be withdrawn from the course and the program. 3. Phlebotomy students must carry liability insurance which will be automatically purchased as part of the payment of the registration fees. 4. Phlebotomy students must carry health insurance. 5. Phlebotomy students must comply with both Texas law and clinical facility requirements related to immunization and testing. Please visit http://www.austincc.edu/health/immunizations.php for complete information. Documentation of a two step Tuberculosis Skin Test (TST) or a TB Blood Test performed PLAB 1323 Phlebotomy Syllabus Page 17 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 preformed. If the TB Blood test is positive, physician documentation by chest x-ray within the last 2 years must be submitted, and the TB questionnaire. 6. All Phlebotomy students must comply with the ACC Health Science Department Drug Screening Policy. 7. 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 time must be made up. 8. Service Work Policyi. 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. ii. 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. AUDIOVISUAL PROGRAMS LIBRARY The following DVD’s will be placed on reserved by the instructor at the beginning of each semester. Portions will be shown in class by the instructor. Students who miss class or wish to review these materials will be able to access them for 2-hour in-library use only. Basic Venipuncture – Applied Phlebotomy Series EVC, RRC & CYP - WB 381 B31 2010 DVD Skin Puncture and Newborn Screens Applied Phlebotomy Series EVC, RRC & CYP - WB 381 S628 2008 DVD Preventing Preanalytical Errors – Applied Phlebotomy Series EVC, RRC & CYP - WB 381 P944 2010 DVD Arterial Blood Gas Collection Applied Phlebotomy Series EVC, RRC & CYP - WB 381 A652 2009 DVD Avoiding Phlebotomy Related Lawsuits – Applied Phlebotomy Series EVC, RRC & CYP – WB 381 A961 2010 DVD Bloodborne and Airborne Pathogens Cypress- RA642.B56 B53 2005 South Austin- RA642.B56 B53 2005 Handwashing Cypress- RC64.H35 1997 DVD MTS Training Modules available online at http://www.medtraining.org Additional Library Resources Blood Collection: The Difficult Draw (VHS) Cypress- RM172.B675 1992 Eastview- WB 381 B6556 1993 Basic Venipuncture Cypress- QY25 B31 2004 Eastview- QY25 B31 2004 Blood Collection: The Pediatric Patient (VHS) Cypress- RJ286.B566 1990 Eastview- WB 381 B6552 1990 Avoiding Phlebotomy-Related Lawsuits c2004 Cypress- QY25 B33 2004 Eastview- QY25 B33 2004 Blood Collection: The Routine Venipuncture Cypress- RM172.B56 1989 Eastview- RM172.B56 1989 Preventing Preanalytical Errors c 2004 Cypress- QY25 B32 2004 Eastview- QY25 B32 2004 Blood Collection: Special Procedures Cypress- RM172.B665 1991 Eastview- WB 381 B6555 1991 Laboratory Safety and Infection Control Eastview- WA 485 L123 1990 Rio Grande- Q183.A1 L336 1990 PLAB 1323 Phlebotomy Syllabus Page 18 PLAB 1323 Phlebotomy Syllabus Page 19 PLAB 1323/1023 Phlebotomy Course Syllabus Acknowledgment Page I have read the course syllabus and have had an opportunity to ask questions. My initials and signature below indicate that I have carefully reviewed the syllabus and that I agree to abide by the policies, procedures, and requirements within. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Course Objectives Course Goals Essential Functions Service Work Policy Attendance Policy will be strictly enforced Dress Code Policies, procedures, and requirements for the classroom, laboratory, and clinical, with special emphasis to those referencing safety The appropriate Exam Review Quiz for each of the four (4) major exams must be completed with a score of 80% or better before access to the corresponding Exam is allowed. Additional Requirements: Use of Blackboard, e-mail requirements, completion of pre-clinical assignments. Evaluation and grading criteria for lecture and laboratory Requirements for promotion, failure, and dismissal especially earning 70% in each component of the course All competencies must be passed within three attempts in order to pass the course; competencies are graded as Pass or Fail. Physical Examination Form and documentation of appropriate TB testing is due the second week of class Compliance with ACC Student Health Insurance Policy Compliance with ACC Health Science Department Drug Screening Policy is mandatory ________________________________ ________________________ Signature Date ________________________________ Printed Name PLAB 1323 Phlebotomy Syllabus Page 20 STUDENT INFORMATION FOR CREATING CLINICAL SCHEDULE Name __________________________ Date ____________________ Students are required to attend phlebotomy clinical practicum for 112 to 120 hours. This is best accomplished with a schedule of 8 hour days, 5 days a week for 3 weeks. This full time schedule provides the best clinical experience and helps the student continue development of entry level phlebotomy competency skills. The faculty realize that some students have other classes and/or jobs that may interfere with a full time clinical schedule. Please provide the following information for creating your clinical schedule for the second half of the semester. 1. Are you a pre-MLT student? (Circle one) YES NO If YES, what year do you plan to enter the second year of the program? Fall_____________ 2. Do you plan to work as a phlebotomist? (Circle one) No Part time/PRN Full Time 3. What is your career/educational goal? 4. List your residential address including the zip code. 5. Give a brief geographical description of where you live, listing the nearest major intersection, i.e., NW Austin near 183 and 620, or SE Austin near Riverside and Montopolis. 6. If you are employed and may need to travel to or from work to your clinical site, list your employment location address. Include the geographic location of your employment, i.e., NE Austin near 290 and 183. 7. READ THE FOLLOWING INSTRUCTIONS CAREFULLY: Clinical is scheduled for Monday through Friday. Ideally, it is 8 hour days, 5 days a week. A. Please fill in your daily schedule below for the SECOND half of the semester, listing any work OR class obligations that conflict with the basic phlebotomy practicum schedule. B. If you are taking other classes during the SECOND half of the semester, fill in the class times AND THE CAMPUS where you are taking the class(es. ). Include any evening classes you are taking. C. If you do not have any work/school/personal conflicts with the schedule, mark the table with an “X” and state “None” Monday Tuesday Wednesday Thursday Friday Work Hours Class Hours Campus 8. Briefly list any other conflicts or concerns faculty should be aware of before preparing your schedule, i.e., transportation issues, child care, etc. PLAB 1323 Phlebotomy Syllabus Page 21