CATALOGUE # MLT 261
CIP # 51.1009
DATE: September 2010
Moberly Area Community College
COMMON SYLLABUS
Spring Semester 2011
MLT 261: Advanced Phlebotomy
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Catalog description: MLT 261 Advanced Phlebotomy (w/clinicals) 1 – 4 - 2
This course reviews techniques and concepts learned in MLT 260 Phlebotomy and continues the
clinical experience. The focus is on clinical assay types and professional issues including
interpersonal communication, professional behavior, quality assurance, and phlebotomy
department management, and government regulations that pertain to phlebotomy. Successful
completion of MLT 261 prepares students to site for the American Society for Clinical
Pathologists (ASCP) national phlebotomy exam.
Prerequisites: MLT 260 Phlebotomy, OR instructor approval
Text: Chernecky, C.C. and Berger, B. J. (2008). Laboratory Tests and Diagnostic Procedures.
(6th ed.) St. Louis, MO: Saunders Elsevier ISBN: 978-1-4557--0694-5.
Text: Makely, S. (2009). Professionalism in Health Care. (4th ed.) Upper Saddle River, N.J.:
Pearson Prentice-Hall. ISBN: 978-0-13-284010-1.
Reference: Hoeltke, Lynn B. (2006). The Complete Textbook of Phlebotomy. (3th ed.)
Albany, NY.: Delmar.
Other Required Materials: Handouts, videos, training aids and transparencies as provided by
the instructor.
Purpose of the course:
In this course, students build on the knowledge and experience
acquired in MLT 260. Students become acquainted with major medical laboratory assay types to
provide meaning and understanding about the specimens collected. They will examine
professional issues, communication, quality as it applies to specimen collection, phlebotomy
department management, and federal and state regulations for clinical laboratories.
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Cognitive Course Objectives: It is the responsibility of the student to learn the following
course material presented in Advanced Phlebotomy lectures, handouts, textbooks, audiovisuals,
and computer-assisted learning:
1. Describe the purpose of the following laboratory tests and specimens generally collected to
perform these assays:
Electrolytes (Na, K, Cl, Ca, Mg)
Enzymes (Liver, Cardiac, etc.)
Glucose
Lipid studies
Thyroid testing
Adrenal assays
Serology testing
CBC
Coagulation (PT and PTT)
Renal function
Liver function
Type, crossmatch, antibody screen
Blood gases
Hormones
2. Discuss elements of and guidelines for effective communication.
3. Identify strategies for managing stress to maintain effective communication.
4. Define “professionalism”.
5. Discuss the necessity for continuing education.
6. Describe an ideal blood drawing unit.
7. Define what is meant by workload units and the factors used to determine staffing needs.
8. Discuss items a phlebotomy unit manager would consider and need to make decisions
regarding.
9. Define the following and relate them to phlebotomy practice:
Quality Control
Quality Assurance
Quality Improvement
10. Relate quality assay results to the following preanalytical errors:
Hemolyzed specimens
Insufficient sample
Incorrect sample
Clotted sample
Incorrect preparation of the patient
Incorrect identification
Lack of signature on tube
Empty tube
Sample not on ice
Sample not protected from light Equipment quality
11. Discuss how “negligence” would be applied to a phlebotomist
12. Relate rights of privacy, confidentiality and informed consent to phlebotomy practice
13. Describe the following laws that apply to healthcare:
Health Insurance Portability and Accountability Act of 1966
Clinical Laboratory Improvement Amendments of 1988
OSHA
Antikickback Law
Stark Law
False claims law
Medicare/Medicaid
Psychomotor Course Objectives: Having instruction and practice in the student lab and at the
affiliate site, students are responsible for knowing how to do the following to minimal
competency standards:
1. Competently perform 60 venipunctures using the Vacutainer system and syringes with
needles or butterfly apparatus.
2. Perform heelstick and/or fingerstick blood collections.
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3. When performing venipunctures, select correct blood tubes for laboratory tests ordered,
collect the blood in the proper order and with regard to fill level according to tube additives.
4. Practice Universal Precautions and demonstrate correct handwashing techniques.
5. Properly dispose of biohazards such as needles, syringes, blood and body fluids.
6. Practice proper isolation guidelines when approaching patients for blood collection.
7. Properly identify patients from whom specimens are to be collected, label specimens
properly after collection, and handle specimens according to tests requested.
8. When collecting blood specimens follow proper drawing guidelines for the following
situations:
Fasting
Diet restrictions
Blood culture
Timed specimens
Bleeding times
Alcohol
Affective Course Objectives: By the end of the course the student will be able to display for
following behaviors and attitudes:
1. Demonstrate responsibility toward patients and colleagues.
2. Maintain confidentiality.
3. Accept instruction and constructive criticism.
4. Demonstrate initiative and resourcefulness.
5. Demonstrate attention to detail and quality.
6. Maintain technical competency and emotional stability in times of stress or tension.
7. Initiate learning new techniques and persistence in developing skill.
8. Communicate legibly on paper.
9. Practice safety at all times.
10. Communicate confidently and empathetically with other professionals, students and patients.
11. Organize for priority and efficiency.
12. Exhibit a professional appearance and attitude.
Course Content:
I.
Phlebotomy technique review
II.
Laboratory safety review
A. Handwashing
B. Latex allergy
C. Disposal of used materials
III.
Laboratory tests and specimens
A. Electrolytes (Na, K, Cl, Ca, Mg)
B. Enzymes (Liver, Cardiac, etc.)
C. Glucose
D. Lipid studies
E. Thyroid testing
F. Adrenal assays
G. Serology testing
H. CBC
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IV.
V.
VI.
VII.
VIII.
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I. Coagulation (PT and PTT)
J. Renal function
K. Liver function
L. Type, crossmatch, antibody screen
M. Blood gases
N. Hormones
O. Therapeutic drugs
Customer service
A. Communication
B. Active listening
C. Common ground
D. Conflict management
E. Patient satisfaction
Stress management
Quality
A. Requisition design
B. Quality Control
C. Quality Assurance
D. Quality Improvement
E. CME
F. Pre-analytical errors
Phlebotomy management
A. Interpersonal relations
B. Facility
C. Staffing
D. Laboratory compliance plan
1. Standards of conduct
2. Medical necessity
3. Billing/CPT/ICD-9
4. Standing Orders
5. Marketing
6. Prices charged to physicians
7. Retention of records
8. Employee training
9. Questionable test requests
a. Contacting physicians about unclear orders
b. Contacting physicians about diagnosis
c. Documentation
d. Release of test results
Compliance
A. Antikickback Law
B. Stark Law
C. False claims law
D. Medicare/Medicaid
E. Health Insurance Portability and Accountability Act of 1966
F. Clinical Laboratory Improvement Amendments of 1988
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G. Laboratory compliance plan
1. Standards of conduct
2. Medical necessity
3. Billing/CPT/ICD-9
4. Standing Orders
5. Marketing
6. Prices charged to physicians
7. Retention of records
8. Employee training
H. Requisition design
I. Phlebotomy services
General Notes: Library assignments, periodicals, computerized modules, and guest speakers
may be used as appropriate.
Assessment of Student Learning:
In both the didactic and the laboratory portions of the course, the student must achieve 78% or
greater. Failure to achieve this minimum score will result in dismissal from the program. In
the laboratory portion of the course, the final grade will be recorded as “Pass” or “Fail” and
registered with the didactic portion.
The following grading scale applies to all programs within the Allied Health Division:
100 – 92% = A
83 – 91% = B
78 – 82% = C
66 – 77% = D
65% and below = F
In the lecture portion of the clinical course, the final grade is derived from student
performance on examination(s) and/or assignments.
Grading/Student Assessment of lecture (didactic) portion of the course:
Final grade will be composed of:
1. Unit tests averaged = 60%
2. Case studies, study questions, or quizzes averaged = 10%
3. Final exam = 30%
4. Total 100%
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Grading/Student Assessment of laboratory (student laboratory and clinicals)
portion of the course:
1. Performance Evaluation: Passing is 78% of the competencies met
Final Pass/Fail clinical grade is the average of the Performance Evaluation
and the Professional Behaviors Evaluation
Statement to Connect Course with General Education Outcomes or Technical Program
Outcome Statement: In compliance with MACC’S General Education outcomes, the student
who successfully completes this course will be able to:
Program Objective 1: Demonstrate knowledge of collection equipment, various types of
additives used, special precautions necessary and substances that can interfere in clinical analysis
of blood constituents;
Program Objective 2: Demonstrate knowledge of medical laboratory safety measures and
quality control;
Program Objective 5: Properly collect and handle biological specimens for laboratory analysis;
Program Objective 6: Recognize pre-collection and collection factors that affect laboratory test
procedures and results;
Program Objective 7: Understand of selected types of laboratory assays;
Program Objective 8: Recognize quality control issues that apply to blood collection equipment;
Program Objective 9: Understand requisitioning, specimen transport and specimen processing;
Program Objective 10: Demonstrate professional conduct with patients of all ages and health
care workers both within and outside the laboratory;
Program Objective 11: Demonstrate effective interpersonal communication skills;
Program Objective 12: Recognize governmental agencies and laws that apply to medical
laboratory issues;
Program Objective 13: Recognize of the need for continuing education in professional practice
and action on that recognition.
Program Outcomes and Assessments: The Allied Health Department continually strives to
meet the needs of the Medical Laboratory Technician student through program improvements.
This is a cooperative effort that includes input from the faculty, student, Medical Laboratory
Technician Advisory Board, and other appropriate agencies or entities. Students are assessed on
mastery of the course concepts and essential skills throughout the courses of the Medical
Laboratory Technician Program. Other program assessments include clinical performance
criteria, essential skills mastery, the clinical process evaluation, ASCP examination scores,
placement rates, and follow-up surveys.
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Instructor Policies/Expectations:
Instructors of this program expect the following from students:
1. Come to class prepared to discuss or apply important concepts by having read the
assigned material or reviewed materials for instrument operation.
2. Participate in class by listening, taking notes, and making contributions to discussions.
3. Consult with faculty for clarification of difficult material or additional resources to
consult.
4. Respect the learning environment by averting distractions and disturbances such as
ringing cell phones and extraneous conversation in class.
5. Treat instructors and fellow students with consideration, concern, and fairness.
6. Refrain from using a computer during lecture.
Academic Dishonesty: MACC board policy is as follows: “Academic dishonesty by students
damages institutional credibility and unfairly jeopardizes honest students; therefore, it will not be
tolerated in any form.” Forms of academic dishonesty include but are not limited to the
following: violations of copyright law, plagiarism, fabrication, cheating, collusion, and other
academic misconduct.
Incidents of dishonesty regarding assignments, examinations,
classroom/laboratory activities, and/or the submission of misleading or false information to the
College will be treated seriously. The procedure for handling academic dishonesty is outlined in
the Student Handbook (Policy Handbook M.010). In cases of alleged academic dishonesty, the
burden of proof is on the student, not on the instructor.
Attendance:
Students are expected to prepare for and attend all classes and clinical practice. Regular
attendance improves probability for success in the program. Habitual tardiness and frequent
absences are disruptive to the classroom and cause an unsafe environment in the student
laboratory. Instructors carefully plan learning experiences, so it is important as a matter of
courtesy and fairness to the class that all individuals be present. Students absent for reasons
beyond their control, such as verified personal illness or family illness and/or death, can make up
class work. If a student misses so many classes due to extenuating circumstances that the
instructor feels the student cannot catch up, the MLT Program Coordinator will send a written
report to the Director of Allied Health.
Students who miss two consecutive weeks of class during a regular sixteen-week semester or the
equivalent ratio of class time during a shorter session will be dropped from that class unless
acceptable justification is supplied to the instructor and the Dean of Student Services.
Additionally, students who miss more than one-fourth of the class meetings during any
scheduled session may be dropped from that class by the instructor if, in the opinion of the
instructor, the student does not have a reasonable opportunity to succeed in the class.
Tardiness, make-up, and late work: Tardiness to class and clinicals is disruptive and
inconsiderate of others. Being on time is mandatory.
Make-up and late work: See the MLT Student Handbook for guidelines. Remember that
communication, accountability and responsibility are very important professional behaviors.
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Refer to the MLT handbook for the following policies:
Drop policy
Drug/alcohol policy
Grade appeal procedure
Student code of conduct
Student due process and grievance procedure
Student rights and privacy act
Use of computing resources
ADA Statement
Students who have disabilities that qualify under the Americans with Disabilities
Act may register for assistance through the Office of Access and ADA Services.
Students are invited to contact the Access Office to confidentially discuss
disability information, academic accommodations, appropriate documentation
and procedures. For more information, please call either the Moberly office at
(660) 263-4100 x 11240 or the Columbia office at (573) 234-1067 x 12120, or
visit our web page at http://www.macc.edu/index.php/services/access-office.
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