Phlebotomy Technician Program

AUSTIN COMMUNITY COLLEGE
PHLEBOTOMY TECHNICIAN PROGRAM
PLAB 1323/PLAB 1023 Phlebotomy Lecture/Lab
Course Syllabus
FALL 2013
Course Website: http://www.austincc.edu/mlt/phb/phb
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
RRC
Section
001
003
Synonym
36234
36235
8 Weeks
August 26 – October 20, 2013
FACULTY AND COURSE INFORMATION
Cypress Creek Campus
Round Rock Campus
Lois Wagoner, MT(ACSP)
Lupita Watson MLT(ASCP)
Terry Kotrla
MS,MT(ASCP) SBB
CPY 1, Room 1142
RRC3, Room 3207.00
Mondays & Wednesday 8:00 –
Tuesday & Thursday, 7:40 – 9:20 am
9:50 am
CPY 1, Room 1142
RRC3, Room 3207.00
Monday & Wednesday 10:00am
Tuesday & Thursday, 9:30am – 12:50 pm
– 1:35 pm
1136
3117.08
3117.05
Wednesday 1:45 – 2:45 pm
Tuesday 1:00 – 2:00 pm
By appointment
Others by appointment
Others by appointment
512-627-5550
512-228-8360
512-560-5361
lwagoner@austincc.edu
gwatson@austincc.edu
kotrla@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/index.php.
COURSE DESCRIPTION
The profession of phlebotomy is taught through didactic, 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
PLAB 1323 Phlebotomy Syllabus
Page 1
laboratory.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: None
COURSE GOALS / RATIONALE
Upon completion of this program, the student will successfully:
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
4. Associate the major areas and departments of the clinical laboratory with the laboratory tests
ordered to evaluate a patient’s pathologic condition or illness
5. Demonstrate understanding of the importance of specimen collection and specimen integrity in
the delivery of patient care
6. Demonstrate knowledge of collection equipment, various types of additives used, special
precautions necessary, and substances that can interfere in clinical analysis of blood constituents
7. Demonstrate proper techniques and follow standard operation procedures to collect specimens
8. Demonstrate knowledge of phlebotomy complications and pre-analytical errors that can
significantly alter results
9. Demonstrate understanding of requisitioning, specimen transport and specimen processing
10. Demonstrate understanding of quality assurance and quality control in phlebotomy
11. Demonstrate understanding of the basic concepts of verbal and nonverbal communications,
personal and patient interaction, stress management, professional behavior and legal implications
of the work environment
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
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 excercises, 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, 8th Edition, 2010,
Pearson. (ISBN 0-13-513424-2) ACC Bookstore Online: http://austincc.bkstore.com/
PLAB 1323 Phlebotomy Syllabus
Page 2
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
3. Teal Scrubs- appropriately fitting and professional in appearance
4. Properly fitting medical grade gloves – NO VINYL – (Nitrile gloves suggested)
5. Three (3”) inch or larger notebook with dividers.
Suggested organization of notebook:
i. Syllabus
ii. Schedule
iii. Course Objectives
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
RECOMMENDED RESOURCES
1. Garza, Diana; Becan-McBride, Kathleen, Success in Phlebotomy Q & A Review, 2010,
Pearson/Prentice Hall. (ISBN: 9780135101001)
2. Medical dictionary – many choices available, both in print (such as Stedman’s Medical Dictionary,
ISBN 068340007X) or on-line (such as at www.nlm.nih.gov/medlineplus/mplusdictionary.html)
3. Guide to intrepretation 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
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
PLAB 1323 Phlebotomy Syllabus
Page 3
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
PROGRAM STUDENT LEARNING OUTCOMES:
Upon completion of the Phlebotomy Technician Program, 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.
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
4. Associate the major areas and departments of the clinical laboratory with the laboratory tests
ordered to evaluate a patient’s pathologic condition or illness.
5. Demonstrate understanding of the importance of specimen collection and specimen integrity in the
delivery of patient care.
6. Demonstrate knowledge of collection equipment, various types of additives used, special
precautions necessary and substances that can interfere in clinical analysis of blood constituents.
7. Demonstrate proper techniques and follow standard operating procedures to collect specimens.
8. Demonstrate knowledge ofphlebotomy complications and pre-analytical errors that can
significantly alter results.
9. Demonstrate understanding of requisitioning, specimen transport and specimen processing.
10. Demonstrate understanding of quality assurance and quality control in phlebotomy.
11. Demonstrate understanding of the basic concepts of verbal and noverbal communications,
personal and patient interaction, stress management, professional behavior and legal implications
of the work environment.
INSTRUCTIONAL METHODOLOGY
 Lecture and PowerPoint presentation
 Discussion
 Demonstration
 Audio/visual materials
PLAB 1323 Phlebotomy Syllabus
Page 4
 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/.
COURSE REQUIREMENTS AND REGULATIONS
1. 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. Improtant 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 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.
2. Dress Code
a. Clothing: Teal scrubs must be worn during all classroom, laboratory and clinical activities.
Scrubs must be clean, neat and project a professional appearance. Scrubs that are overly
reveiling, or which may present a safety hazard 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 disicipline process.
PLAB 1323 Phlebotomy Syllabus
Page 5
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 of a normal hair color. 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. Male students must either shave regularly or if they choose to wear a mustache and/or
beard, must keep them cleaned and well groomed. (No “five o’clock shadows”).
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. Hygiene: Students must bathe regularly (i.e. daily) to avoid offensive odor. Students must
refrain from the use perfume, cologne or aftershave lotion. Make up, if worn, must be
conservative.
f. 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.
g. 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.
h. Body Piercing/Tattoos: No visible body piercings are allowed. Tattoos will be covered at all
times in the laboratory and clinical setting.
i. 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.
j. 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.
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. 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_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.
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: www.austincc.edu/health/AllOthers.php
PLAB 1323 Phlebotomy Syllabus
Page 6
b.
5.
6.
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
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 practitoner. 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. For more
information, please refer to the TB test Flow Chart
(http://www.austincc.edu/health/hsresource/documents/tbtestflowchart.pdf
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
must have basic keyboard and computer skills to successfully complete the phlebotomy courses.
Example activities:
a. 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
b. First Blackboard assignment: ‘Please introduce yourself to the class’. Post an introduction in
the Discussion Board section of Blackboard.
c. 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
throught the assignment button on the course page in Blackboard.
d. 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: http://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.
PLAB 1323 Phlebotomy Syllabus
Page 7
STUDENT EVALUATION
1. Lecture- 65% of course grade
a. Quizzes – 5% of 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. The review quiz must be
taken before you are allowed access to the appropriate examination. 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.
The scores from the Daily quizzes and Exam Review Quizzes are averaged together and are
worth 5% of the lecture grade.
b. Exams – 40% of Lecture grade
Four (4) written examinations will be given in Blackboard material covering lecture 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 examation’s time limit.
Students are encouraged to use an external timing device to ensure they
do not exceed the exam’s time limit.
5)Penalities 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)Extention of time on exams: Only students providing a current signed OSD letter /
form requesting an accommodation for extention of time for examinations will be
permitted additional time for examinations. OSD letters / forms must be provided
to the course instructor at the beginning of the semester, at which time, the
instructor will consult with the Office of Student Disabilities (OSD) office to make
the needed arrangements. For more information, see STUDENTS WITH
DISABILITIES section.
c.
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).
PLAB 1323 Phlebotomy Syllabus
Page 8
d. 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 .
Late assignments will be subject to a 20% late penalty.
e. MTS Training Modules – 5% of Lecture Grade
The student must complete the following MTS Training Modules (access them at
http://www.medtraining.org or from the Med Training button in blackboard). 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
1) Introduction to the Clinical Laboratory
5) Biosafety
2) Patient Identification
6) Chemical Safety
3) Infection Control
7) Electrical Safety
4)Skin Puncture
8) Fire Safety
2. Laboratory Exercises- 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 was performed.
Late assignments will be subject to a 20% late penalty.
b. Comphrensive Laboratory Final – 30% of Laboratory Grade
A comprehensive 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 three attempts 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.
The competency assessment process is as follows:
a. First unsuccessful competency assessment1) The student meets with the instructor in a formal conference to review the procedure
for performing the specific skill. During the formal conference, remediation and an
PLAB 1323 Phlebotomy Syllabus
Page 9
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 conference form.
2) The student will be allowed to repeat the competency assessment at a specified time.
b. Second 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.
2) The student will provide input as to what is needed to be successful in the final
attempt. This will be documented on the probation form.
3) The student will be allowed a final opportunity to repeat the competency assessment.
c. Third unsuccessful competency assessment 1) The student meets with the department chair for an exit interview.
2) 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 a third 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. Quizzes (class and exam review) = 5%
b. Examinations = 40%
c. Final Exam = 45%
d. Participation in Discussion Forum = 5%
e. MTS Training Modules = 5%
2. The laboratory grade is worth 35% of the course grade and is calculated as follows:
a. Laboratory Exercises and Study Questions = 70%
b. Laboratory Written Practical Exam = 30%
3.






Grade Scale
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = 59% or below
Incomplete - 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 decides 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
PLAB 1323 Phlebotomy Syllabus
Page 10
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/current/needtoknow
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 major exams.
4. Printing out examinations.
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
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
PLAB 1323 Phlebotomy Syllabus
Page 11
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 a competency assessment for venipuncture and capillary puncture to successfully
complete the course. Students will be given a total of 3 opportunities 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 3 times 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.
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.
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 Office
for Students with Disabilities (OSD). Students are encouraged to request accommodations when they
PLAB 1323 Phlebotomy Syllabus
Page 12
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 OSD for this course must provide the
instructor with the ‘Notice of Approved Accommodations’ from OSD 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 the Office for Students with Disabilities is available at
http://www.austincc.edu/support/osd/
SAFETY AND HEALTH INFORMATION
Health Insurance
ACC does not provide personal health insurance coverage for students. All Health Sciences students are
encouraged to carry some type of personal health insurance. Information about health insurance is
available at http://www.austincc.edu/ehs/insurance.
Medical Professional Liability InsuranceMedical 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
(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
PLAB 1323 Phlebotomy Syllabus
Page 13
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. Cover spills with paper towels, soak thoroughly with disinfectant and wait 15 minutes
before cleaning it up.
e. 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.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
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.
Wash or use hand sanitizer between before and after each patient contact.
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.
Change gloves after each patient contact or when visibly contaminated with blood.
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.
Wash hands or other skin surfaces thoroughly and immediately if contaminated with blood or other
body fluids.
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.
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.
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.
Handle needles with extreme caution.
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.
Needles must never be recapped, purposely bent, cut, broken, removed from disposable syringes,
or otherwise manipulated by hand. The needle safety device must be activated immediately upon
removal of the needle from the vein.
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.
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.
PLAB 1323 Phlebotomy Syllabus
Page 14
15.
16.
17.
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/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 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 3 times 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 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
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.
5. All Phlebotomy students must comply with the ACC Health Science Department Drug Screening
Policy.
6. 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.
7. Service Work Policy- 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.
PLAB 1323 Phlebotomy Syllabus
Page 15
AUDIOVISUAL PROGRAMS LIBRARY
Avoiding Phlebotomy-Related Lawsuits c2004
Cypress- QY25 B33 2004
Eastview- QY25 B33 2004
Bloodborne and Airborne Pathogens
Cypress- RA642.B56 B53 2005
South Austin- RA642.B56 B53 2005
Basic Venipuncture
Cypress- QY25 B31 2004
Eastview- QY25 B31 2004
Handwashing
Cypress- RC64.H35 1997
Blood Collection: The Difficult Draw
Cypress- RM172.B675 1992
Eastview- WB 381 B6556 1993
Laboratory Safety and Infection Control
Eastview- WA 485 L123 1990
Rio Grande- Q183.A1 L336 1990
Blood Collection: The Pediatric Patient
Cypress- RJ286.B566 1990
Eastview- WB 381 B6552 1990
Preventing Preanalytical Errors c 2004
Cypress- QY25 B32 2004
Eastview- QY25 B32 2004
Blood Collection: The Routine Venipuncture
Cypress- RM172.B56 1989
Eastview- RM172.B56 1989
MTS Training Modules available online at
http://www.medtraining.org
Blood Collection: Special Procedures
Cypress- RM172.B665 1991
Eastview- WB 381 B6555 1991
PLAB 1323 Phlebotomy Syllabus
Page 16
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
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 Health Science Department Drug Screening Policy is
mandatory
________________________________ ________________________
Signature
Date
________________________________
Printed Name
PLAB 1323 Phlebotomy Syllabus
Page 17
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 18