PHLEBOTOMY HANDBOOK 2015 - 2016 Phlebotomy Program Dear Phlebotomy Student, Welcome to the Phlebotomy Program at Front Range Community College, Larimer Campus. We have an excellent Phlebotomy training program, which includes lecture, lab and clinical components with a skilled Phlebotomist/instructor. This program will prepare you to be able to seek employment as a Phlebotomist, and prepares you to sit for the national ASCP exam. (American Society for Clinical Pathology) The ASCP exam is not required in this state to be able to work as a Phlebotomist, but is considered the premier certification to obtain, which we consider a worthy goal, and we highly recommend that students obtain this certification. The Phlebotomy training is also an excellent way to enhance other medical careers, such as Nursing, Medical Technologist or Medical Laboratory Technician. The Phlebotomy Program has developed this handbook to help you navigate the program policies. Important information on courses, expectations, and policies for classes and clinicals are included. We expect that you will read and be familiar with this material. Lack of knowledge about the contents of the Student Handbook is not justification or defense for unacceptable or inappropriate actions. As a student you need to read and follow the policies in each of the documents throughout the training. Students will be required to sign documents at the beginning of the semester, acknowledging they have read and understand the program policies. (The forms are found in the student paperwork packet, available in D2L once class starts) Please submit the forms to the instructor of the course at the beginning of the semester, by the instructor’s due date. The signed form will placed in your file as part of your permanent record of training. If you have any questions about any of the material you read, please talk with your instructor. Our faculty members are a resource for you, so feel free to contact us with any questions. Warmest Regards, Suzanne Sevy, RN, BSN, PBT (ASCP), Program Director Phlebotomy Julie Kohuth, CPT, ASCP, Lead Faculty for Phlebotomy Tammy Henry, Phlebotomist, ASCP, Secondary Instructor, Phlebotomy Heather Morrison, Phlebotomist, ASCP, Secondary Instructor, Phlebotomy ss Mod. April 2015 2 Table Of Contents General Information ………………………. 4 Professionalism Policy………………………….. 25 Course Descriptions………………………… 4 Cell Phone & Electronics Policy……………… 27 Admission Process………………………….. 5 Attendance Policy: Classroom……………… 28 Program Requirements…………………... 5 Attendance Policy: Lab………………………… 28 Philosophy………………………………………. 6 Absences, unexcused…………………………… 29 Objectives……………………………………….. 7 Attendance: Clinicals……………………………. 29 Phlebotomy Student Role……………….. 7 Non-Attendance/Drop Policy……………….. 30 Phlebotomist’s Role………………………… 8 Test & Assignment Policy……………………… 30 Background Check & Drug Screen…… 9 Skills Final Exam……………………………………. 31 Background Check/Drug Screen Policies 10 Failure Of Final……………………………………… 32 Disqualifying Offenses……………………. 11 HPR 112: Grading Scale………………………… 33 Failed Background Check/Drug Scree 12 HPR 113: Clinical Information………………. 33 Immunizations: Required……………….. 12 Clinical Policies & Requirements…………… 35 Immunizations: Recommended……… 13 Safe Practice Guidelines……………………….. 36 Immunizations Not Submitted………… 13 Skills Expectations………………………………… 36 Waivers For Immunizations…………….. 13 Clinical Documents……………………………….. 37 Sites For Immunizations………………….. 14 What To Bring To Clinicals…………………….. 37 Program Policies……………………………… 14 Clinical Dress Code & Appearance……….. 38 Admission Policy……………………………… 15 Clinical Grading & Evaluation …………….…. 39 Essential Functions…………………………. 16 Clinical Expectations…………………………….. 40 Accommodations……………………………. 18 Final Evaluation Tool…………………………….. 40 Retention Policy……………………………… 18 Weekly Clinical Performance Evals………. 43 Dismissal Policy………………………………. 19 Failing Clinical Evaluation …………….………. 43 Student Code Of Conduct………………. 20 Incomplete Clinical Hours …………..……….. 43 Dismissal From Phlebotomy……………. 20 Injury During Clinicals …………………………… 44 Failure Of Clinical……………………………. 21 HIV Prevention..……………………………………. 45 Dismissal Procedure……………………….. 21 Program Contacts…………………………………. 45 Completion Policy…………………………… 22 FRCC Student Resources…………………….… 46 Student Outcomes………………………….. 23 Tutoring…………………….………………………….. 46 ASCP Certification Eligibility……………. 23 Common Clinical Sites…………………………… 48 HPR 112: Classroom Policies………….. 24 Community Resources………………………….. 49 Weather Emergencies……………………. 24 Dress Code: Class & Lab…………………. 25 ss Mod. April 2015 3 General Information • • • • • • The program is usually a one semester, 8 credit curriculum. In some spring semesters, a second Phlebotomy course is offered, and students complete the clinical in the summer semester. Classes are held at the FRCC Loveland Campus, in the Thompson School District Building, 800 S. Taft, Loveland, CO., 80537, classroom 7 Clinicals are held in a number of local laboratories, clinics and hospitals, ranging from Denver to Northern Colorado. Upon successful completion of the phlebotomy program, the student is awarded a Certificate in Phlebotomy from Front Range Community College. Following successful completion of the lecture, lab and clinical components, the student will be eligible to sit for the ASCP Phlebotomy examination, a nationally certified examination. At the current time, the State of Colorado does not require that phlebotomists be certified through ASCP in order to obtain employment in Colorado. However, students are urged to take the certification examination, as it is nationally recognized, and this certification can be used in other states that may require a certification. The Phlebotomy program at Front Range Community College is certified through a national accrediting agency, NAACLS: National Accrediting Agency for Clinical Laboratory Sciences Required Phlebotomy Courses: Credits Course Course Title 4 HPR 112 Phlebotomy (lecture & lab) 4 HPR 113 Advanced Phlebotomy (includes a 2 week clinical rotation during the dates of this class) *Both HPR 112 & HPR 113 are usually offered in one semester Successful completion of both courses is required to achieve a certificate in Phlebotomy Course Descriptions: HPR 112: This course teaches the duties associated with the practice of venipuncture, capillary puncture, and special collection procedures. Students will have experience with quality control, infection control and safety procedures as well as laboratory computer systems and laboratory equipment. HPR 113: This course instructs students in advanced Phlebotomy techniques to include patients in trauma, neonatal, geriatric, long-term care and acute care areas. In addition, laboratory procedures taught include specimen processing and advanced point-of-care instrumentation. This course includes a clinical rotation in a local Phlebotomy lab site, for students to master the Phlebotomy skills learned in the classroom and lab in HPR 112. Students are required to pass all components of HPR 112 to be eligible to attend the clinical. ss Mod. April 2015 4 Admission Process Admission to the phlebotomy program is governed by standard admission procedures developed by the Colorado Community College System: 1. Register as a student at FRCC. To do this, go to: www.frontrange.edu Click on Prospective Students tab, then Getting Started, then Apply On-line. To be accepted in the Phlebotomy Program, the student needs to be 18yo by the clinical dates. 2. Be sure to sign up for COF (College Opportunity Fund) when enrolling. COF will reduce your tuition significantly. COF is a stipend for Colorado residents- to qualify you must have lived in Colorado for at least 1 year. 3. Take the Accuplacer Assessment Exam- in the testing center on the FRCC Larimer Campus at the corner of Harmony and Shields, in the Mount Antero building. Access the testing center schedule at: http://www.frontrange.edu/Current-Students/Learning-Resources-and-SupportPrograms/Testing/Larimer-Testing-Center.aspx Testing Center : 970-204-8188. The exam takes about 2 hours. You may get an exemption for the Accuplacer exam if you meet certain requirements, i.e. already have a degree in a field, be currently enrolled in another college or university, or have recent SAT/ACT scores at a certain level. See the testing center website for test exemption information. Students should have either taken CCR092, or place into CCR 093 or 094. 4. Now you can register for the Phlebotomy classes. Be sure to register for both HPR-112 & HPR-113. The HPR 112 class is an an on-line hybrid class. Some lecture material will be in the on-line D2L format, and labs will be face-to-face in class. Clinicals are usually held at PVH, MCR, McKee, Skyline, Quest, NCMC, and Longmont United Hospital, and are held for a 2 week rotation during the dates for HPR-113, after the student completes a 2-3 day portion with the FRCC Instructor. Students will sign up for the clinical during HPR-112, based on preference of dates or location. Program Requirements: Cost of the Program: • • The estimated cost for in-state students is ~ $1,370.00 for tuition and class fees for 2 classes (8credits), the textbook & student kit, and the cost of the required background check. Fees are subject to change yearly. Out-of-pocket expenses not paid to the college are: Cost of $63.00 Background Check & Drug Screen, cost of required immunizations, cost of scrub uniforms, cost of ASCP exam, a watch) Textbook & Student Phlebotomy Kit: • REQUIRED- ONLY at the Larimer Campus Bookstore, Fort Collins Phlebotomy Essentials, 5th edition, Ruth McCall & Cathee Tankersley, Lippincott Williams & Wilkins ss Mod. April 2015 5 Phlebotomy Program Philosophy The mission statement of the Phlebotomy Program is consistent with the mission and values of Front Range Community College. The mission of the College states that we enrich lives through learning. The College vision is learner-centered and responsive to the diverse needs of student goals, including service to the community. The college is committed to serving the community through vocational, academic and business oriented students to succeed in a highly competitive, goal economy by focusing on quality, technology, self-initiative, and problem solving. The core values of the college are students, teaching and learning, community, and employees. Philosophy The FRCC Phlebotomy Program believes that working in the medical field is both an art and a science. A Phlebotomist assists to promote optimal function of the individual client by integrating Phlebotomy skills into the overall health care plan. A Phlebotomist functions as a team member in the health care process of each patient, resident or client. Changing needs of society require varying patterns of practice and delivery of health services which occur in a variety of settings. Phlebotomy education is concerned with helping the student to learn and master the Phlebotomy skills, and utilize the current standards of Phlebotomy practice. Current Phlebotomy standards of care are incorporated into the curriculum, and the goal is for the student to become competent in all Phlebotomy skills required to function within the scope of practice of a Phlebotomist. Phlebotomy Role The Phlebotomist provides direct patient contact with clients who have common, well-defined health problems. Phlebotomist’s roles include the sciences of blood sample collections, collecting lab specimens and delivering those specimens to the appropriate agencies, sample processing and includes bedside point-of-care tests and other lab tests. The Phlebotomist functions primarily in structured health care settings such as hospitals, nursing homes, labs and clinics where the policies, procedures and protocols for provision of care are established. The goal of the Phlebotomy program is to provide our students access to the resources, skills, and knowledge that enable their career and community success in the field of Phlebotomy. The goal of the Phlebotomy program is to provide students with the specific skills and training they need to be able to gain employment as a Phlebotomist, and to be prepared to take the ASCP certification exam (American Society for Clinical Pathology). Many students may benefit from the Phlebotomy training as an enhancement to other Medical Careers, such as Nursing, Medical Technologist or Medical Laboratory Technician. This program prepares students for entry-level Phlebotomy positions. *As Medical fields are comprised of both art and science, there are other skills in the arts incorporated into the Phlebotomy program, which include: Caring Caring is the basis for all health practices, and is derived from the intrinsic value placed on the individuals, families, and communities served. Caring is an active process valuing each client’s individual needs, including physical, emotional or spiritual needs, which incorporates client choice and quality of life. Students in the program will have the art of caring and compassion emphasized throughout the training. The students will demonstrate caring and compassion to clients, families, the healthcare team and other students and faculty. ss Mod. April 2015 6 Communication Communication is an important skill as a Phlebotomist or health care worker. It involves the process of sending and receiving information through verbal, nonverbal, written, and technological processes to increase understanding between clients, health care providers, community members and health care systems. Students will learn communication skills, and will practice the use of good communication skills throughout the courses, and particularly during the clinical. Critical Thinking Critical thinking skills are imperative when dealing with clients in health care settings. This is a cognitive process of reflective judgment through inquiry, reasoning, analysis and decisive decision making. The student will learn critical thinking skills in the classroom setting, and will demonstrate the use of good critical thinking and judgment throughout the courses, and in a variety of situations during the clinical. The student will be required to demonstrate a good understanding of their scope of practice, and will be expected to apply all principles of the skill accuracy, scope of practice and critical thinking when working with clients during the clinical rotation. Professionalism Professionalism is a key component to any health care career. Professionalism includes work ethic, attitude, attention to detail, reliability and dependability, professional dress, and professional communication both with patients and other health care professionals. Professionalism is an important part of the classroom, and a Phlebotomy job. Phlebotomy Program Objectives: The Phlebotomy Program is accredited through NAACLS, the National Accrediting Agency for Clinical Laboratory Sciences. The following program objectives have been developed per NAACLS protocols. Role as a Phlebotomy Student: Students Will: 1. Demonstrate cognitive competence by assuming responsibility for your own learning, by applying theoretical knowledge to clinical practice and by applying concepts of basic problem solving and critical thinking to clinical decision-making and problem-solving. 2. Demonstrate technical competence through appropriate, skillful use of basic equipment according to established standards. The student will be able to consider alternatives and will utilizes knowledge gained from lectures and skills labs to demonstrate skills accuracy during the clinical. 3. Demonstrate interpersonal skills competence through interactions and/or relationships with other students, faculty, staff at clinical sites and all clients during the clinical. Students will demonstrate caring and compassionate behaviors, including the use of verbal communication and nonverbal communication. The student will be able to demonstrate proper therapeutic communication skills with clients when performing Phlebotomy procedures. 4. Demonstrate ethical and legal competencies by following the Phlebotomy Scope of Practice. Students will function according to the professional code of ethical behaviors and standards which ensure accountability for personal practice, patient advocacy, client confidentiality and the use of legal standards for practice. ss Mod. April 2015 7 Competencies of the Phlebotomist: Students will: 1. Know the history of phlebotomy 2. Understand the importance of phlebotomy and the role of the phlebotomist in the health care setting. 3. Be familiar with all sections of the laboratory, and other hospital departments 4. Have knowledge of the ethical/legal aspects of the phlebotomist. 5. Describe and actively apply knowledge of anatomy and physiology of the venous system for pediatric and neonatal patients while performing blood specimen collection. 6. Describe and actively apply knowledge of anatomy and physiology of venous system for geriatric and acute long term care patients. 7. Demonstrate ability to successfully perform blood collections for testing on veins using lancets, butterfly set-ups, syringes, and other techniques. 8. Demonstrate the ability to perform point-of-care testing to include pregnancy tests, drug screening, glucose, and other miscellaneous tests. 9. Demonstrate the ability to perform specimen processing to include centrifugation, aliquoting, and special handling techniques. 10. Understand the role of quality assurance and quality control in phlebotomy 11. Know common medical terminology as it applies to the phlebotomist’s role. 12. Understand and demonstrate knowledge of infection control and safety measures applicable to phlebotomy. 13. Learn and demonstrate standard lab operating procedures to requisition, transport, and process various specimens. 14. Learn and demonstrate effective workplace communication. Professional Role Development As A Phlebotomist: 1. Demonstrate responsibility and accountability to the Phlebotomist’s Job Role and the health care settings by having an awareness of a variety of health care delivery systems, an awareness of safety and legal concerns, including scope of practice, and by working with other health care professionals for the good of each client, which may include reporting or intervening to resolve client concerns. The Phlebotomist understands and complies with the scope of practice of phlebotomists in the state where he/she is employed. The Phlebotomist is concerned with changes in health care trends and the delivery of excellent care, changes in the Phlebotomy profession and the changes in practice that incorporate new skills and new education. 2. Demonstrate awareness of the need for professional development for a Phlebotomist to keep current in the field of Phlebotomy, as a member of the health care team. The Phlebotomist assumes responsibility for self-development and life-long learning by identifying educational needs, personal and professional growth and improvement, and consideration for career mobility. Those achieving the ASCP certification will complete continuing education for re-certification every 3 years. 3. Demonstrate people and communication skills by using good communication skills when interacting with co-workers, clients and families, to foster the climate of communication and quality of care in all health care settings. Phlebotomists should demonstrate an awareness of human limitations, personal and professional for self, with understanding of the limitations of others. ss Mod. April 2015 8 4. Demonstrate ethical and legal competencies by practicing concepts of ethical/legal practice and by teaching and/or evaluating ethical/legal standards to other personnel. A Phlebotomist should follow the scope of practice, should practice behaviors that promote client’s rights and promote quality of life in all clients. The Phlebotomist works to resolve ethical problems encountered in practice. BACKGROUND CHECK & DRUG SCREEN COMPLETION: The Background Check & Drug Screen is required by all clinical facilities for your participation in the NUA 170 Clinical, and must be passed during HPR 112, (prior to the clinicals). This is an additional out-of-pocket expense, NOT included in the student tuition. The student is responsible for completing the background check and drug screen in a timely manner, and pass by the instructor’s established due date. The application must be submitted to this Certified Background website: http://cccs.certifiedbackground.com 10-Panel Drug Screen Includes: Amphetamines Barbiturates Benzodiazepines Cocaine Marijuana Methadone Methaqualone Opiates Phencyclidine Propoxyphene Ordering Instructions: • Click on the “Place Order” button • Select your school, Front Range Community College • Select your campus from the drop-down menu (Larimer) • Select your program from the 2nd drop-down menu (Phlebotomy) • Select your program package from the 3rd drop-down menu -Background Check + Drug Screen Cost $63.00 *Phlebotomy Program: Some Clinical Sites may require a separate drug test at the student’s expense and/or a facilityspecific background check to attend the clinical. Nursing or other Programs may have different requirements. • • Review the contents of your package, then check the box agreeing to Terms & Conditions Click the “Continue Order” button, and set up your Certified Profile Account. *Once the order is placed, the student is notified of the closest lab to go to for the drug screen (Phlebotomy Program: No fingerprint requirements. Other programs may have different requirements) Viewing Results: • • • • • Results are posted directly to your Certified Profile Account Students should provide copy of their background check & drug screen for the clinical sites, if requested. You will be notified if there is any missing information needed to process your order. Most background check results are completed within 3-5 business days, some results may take longer. Your order will show as “In Progress” until it has been completed entirely Certified Profile Service Desk: 1-888-914-7279 cpservicedesk@certifiedprofile.com ss Mod. April 2015 9 * REVIEW DISQUALIFYING OFFENSES that will keep a student from passing a background check or attending the clinical portion of the training program PRIOR to submitting the Background Check. If the student is aware that they have an infraction on the list of Disqualifying Offenses when discussed on day 1 of class, it is the student’s responsibility to drop the class by the add/drop date in order to receive a refund in tuition for the course. ……………………See Disqualifying Offenses……………………………………………………Page 11 Applications are to be submitted ONLY to the Certified Background website for a criminal background check. Each student must pass the criminal background check through Certified Background prior to day 1 of clinical training, per FRCC contract agreement with all clinical sites. It is highly recommended that the student submit the background check on day 1 of HPR 112 class, as submission of the background check is no guarantee of passing the background check. A passed background check & drug screen are required to attend the clinical. Students should complete the drug screen as soon as possible, in order to receive results in a timely manner. Failure to submit or pass the background check or drug screen by the instructor’s established due date in HPR 112, will result in the student being UNABLE to attend the clinical, no exceptions. The student will be removed from the clinical schedule, and will only be rescheduled for clinicals, as space permits, and when the background check is passed. Helpful Hints for Successful BG √ Submission: • • • • You may need to gather information on previous addresses, employers and schools for the last 10 or more years before starting the background check. You will enter your full name, date of birth, social security number, current address and phone number, and e-mail address. You may verify the information required on the Certified Background website. Do not list employers whom you know to be out-of-business, therefore no one can be reached to verify your employment. There may be a mandatory holding period when employers cannot be reached. Print a COPY of your background check results and drug screen results from your Certified Profile Account. Some clinical sites could require you to bring a copy of your own background check and drug screen on day 1 of clinicals. Students are responsible for submitting the background check and drug screen, and verifying it has been received and completed at the Certified Background website. Background Check Policies: Once Certified Background has completed the background check, it is sent to FRCC, who actually determines if the background check passes. Your name and pass or fail status is entered into a secure database by FRCC legal department- they will be the only entity to see the background check facts. DO NOT bring a copy of the background check results to the instructor, as this is the student’s private information. The Phlebotomy Program’s administrative assistant will access the database daily during class, to determine that the student has passed the background check, and is cleared to attend the clinical. Students will be notified in class by their instructor when they have successfully passed the background check through FRCC. ss Mod. April 2015 10 * Some facilities MAY REQUIRE that students’ bring a copy of their own background check and drug screen to the clinical facility on day one of clinicals, to be kept in a permanent student file in the HR department. In order to attend the clinical rotation at the facility, the student MUST be willing to comply with the facility’s policies, and provide a copy of their background check or drug screen. BACKGROUND CHECK MODIFICATION/ DISQUALIFYING OFFENSES: The Colorado Community College System (“CCCS”) and the State Board for Community Colleges and Occupational Education authorize the health care programs to conduct a background investigation of all student applicants. The clinical sites used in the health care programs require background checks of all potential interns. The purpose is to maintain a safe and productive educational and clinical environment. New students who refuse to comply with the background investigation will not be allowed to enter an FRCC health care program. An Applicant will be disqualified from a CCCS health care/Phlebotomy program based on the following guidelines: (These items will fail a BG Check…….NO EXCEPTIONS) • Any violent felony convictions of homicide. (No time limit) • Crimes of violence (assault, sexual offenses, arson, kidnapping, any crime against an at-risk adult or juvenile, etc.) as defined in section 18-1.3-406 C.R.S. in the 10 years immediately preceding the submittal of application. • Any offense involving unlawful sexual behavior in the 10 years immediately preceding the submittal of application. • Any crime, the underlying basis of which has been found by the court on the record to include an act of domestic violence, as defined in section 18-6-800.3 C.R.S. in the 7 years immediately preceding the submittal of application. • Any crime of child abuse, as defined in section 18-6-401 C.R.S. in the 7 years immediately preceding the submittal of application. • Any crime related to the sale, possession, distribution or transfer of narcotics or controlled substances in the 7 years immediately preceding the submittal of application. • Any felony theft crimes in the 7 years immediately preceding the submittal of application. • Any misdemeanor theft crimes in the 5 years immediately preceding the submittal of application. • Any offense of sexual assault on a client by a psychotherapist, as defined in section 18-3-405.5 C.R.S. in the 7 years immediately preceding the submittal of application. • Crimes of moral turpitude (prostitution, public lewdness/exposure, etc.) in the 7 years immediately preceding the submittal of application. • Registered Sex Offenders. ( No time limit) • Any offense in another state, the elements of which are substantially similar to the elements of any of the above offenses. • More than one (1) D.U.I. in the 7 years immediately preceding the submittal of application. If the investigation reveals information that could be relevant to the application, the designated individual responsible for background checks may request additional information from the applicant. The offense shall be reviewed on a case by case basis. Students who have successfully completed the terms of a deferred adjudication agreement will not be disqualified. ss Mod. April 2015 11 Failed Background Check or Drug Screen: If the Background Check or Drug Screen is failed, the student may complete the HPR-112 class and receive a grade if all other criteria are met. The student also has the option to “withdraw” without refund of tuition if the add/drop date has passed. There will be no reimbursement of tuition for HPR-112, as there is no guarantee a submitted background check or drug screen will result in passing results. Since the background check and drug screen are a requirement for the clinical portion of the training, the student must drop the HPR-113 class by the add/drop date to eligible for tuition reimbursement of HPR-113. If the Background Check or drug screen does not pass in time for the clinical, the student is removed from the clinical schedule, and is responsible for discussing options with the instructor or program director. There may be a possibility of arranging a new clinical date once the background check is passed, but there is no guarantee that a clinical will become available. Again, it is the student’s responsibility to submit the background check and drug screen in sufficient time to receive results, and prior to the clinical. ∗ There is no appeals process for a failed background check or drug screen. REQUIRED IMMUNIZATIONS: Immunizations are required for the clinical portion of the training, HPR-113. • • • The student will need to provide COPIES of immunizations to the instructor, to be kept in the student’s file, and to be sent to the clinical facility prior to the clinicals. Do not bring your original documents, as the Phlebotomy program will not make copies for you. The student should begin obtaining immunization records early in the class so they may be turned in ON TIME to the instructor. Required Immunizations Prior to HPR 113 Clinical: (these are out-of-pocket expenses) Negative TB Test Results (Tuberculosis): (must be less than 1 year old, including the clinical dates) The CDC requires anyone in a healthcare setting to be tested annually for Tuberculosis. If a student has a positive TB test, a chest X-Ray or blood work is required, at the student’s expense, to prove the student is negative for TB before the student is permitted to attend the clinical rotation. TB tests take 48-72 hours to complete! You must return to have the results read in 48 - 72 hours following placement of the TB test! A private physician, clinic, or Dept. of Health may administer TB tests. Seasonal Flu Shot (Influenza): As of Fall 2012, the Colorado Department of Public Health and Environment requires all Colorado health care workers and students to have this vaccine yearly, between the months of October 1 and March 31. FRCC requires proof of this vaccination prior to attending clinical training in any health care facility. Influenza is highly contagious, and can be deadly to patients and residents. If the student has a health reason he/she may not take a flu shot, documentation from a physician is required on the FRCC Flu Waiver form. In this event, the student will be required to wear a mask at all times while in the facility, during the clinical rotation, if allowed by the facility. BE ADVISED: Some facilities will not allow the student to attend clinical at all, if not vaccinated for the Seasonal Flu. ss Mod. April 2015 12 2 MMR (Measles, Mumps & Rubella): This vaccine is usually received as a child, and requires 2 doses. Many Physicians are recommending a booster as an adult, as some people have shown they have not developed full immunity from the 2 childhood doses. Doses can only be given at a minimum of 28 days apart. Only people born before January 1957, would not require these vaccines and may sign a waiver, as people would have contracted the disease prior to the availability of immunization in 1957. Varicella (Chicken Pox): Students may provide proof with vaccination records, proof of documented illness by the MD, or by a titer. Hepatitis B Series: Usually a 3 shot series given over a 6 month period. May have been received as a child or adult. Students may waive this immunization if the Hepatitis B series has not been received or has not been completed. It is highly recommended for health care workers, and many health care facilities provide this injection series to their employees at no cost. The person is not considered protected until all doses are received. It protects against Hepatitis B Virus, which is contracted through blood or other bodily fluids. Most people born in 1993 or later have already received this set of vaccinations as a child. Meningococcal: Recommended, but not required for clinical. DTap (Diphtheria, Pertussis, Tetanus): Recommended, but not required for clinical. The following immunizations are not required for the clinical, but are highly recommended for all health care workers: Students and health care professionals are at risk of being infected with a variety of viruses, bacteria or other pathogens through contact with infected patients or residents. Because of this risk, the American College Health Association and the Center for Disease Control (CDC) highly recommend that all health care workers be vaccinated against Hepatitis B, Meningitis, Diphtheria, Pertussis (Whooping Cough), Tetanus, Measles, Mumps, Rubella, Varicella (Chicken Pox) and Seasonal Influenza, unless medical or religious circumstances make it inadvisable. All students planning a career in health care are encouraged to contact their personal Physician to verify they are current on all vaccinations recommended for health care workers by the CDC. It is mandated that a yearly TB (Tuberculosis) Test should be administered to all health care workers and students, showing a negative result, and also a yearly seasonal flu shot. Meningococcal Vaccine: This vaccine is recommended for health care workers. The vaccine protects against certain strains of Meningitis, particularly the more serious strains of the disease. The spread of this virus can be airborne, and therefore is easily transmitted. Tdap (Tetanus, Diphtheria, Pertussis): Most people have had the series of multiple injections of Tetanus, Diphtheria and Pertussis as a child. Tetanus should be repeated every 10 years to be protected from the disease. Recently, there have been a number of new cases of Pertussis (Whooping Cough) in the U.S., so many Physicians are recommending adult boosters of the combination Tdap, instead of just Tetanus vaccination only. Immunizations NOT Submitted By The Due Date: The student will NOT be permitted to attend the clinical rotation, and will be removed from the clinical schedule, if immunization records are not provided to the class instructor by the due date set by the instructor, in the HPR-112 class. General Immunizations Waiver Form: • An immunization waiver for all recommended vaccinations for healthcare workers (above) is found in the student paperwork packet. Each student will be required to sign the waiver form prior to the clinical, acknowledging that the vaccinations are highly recommended, but not required to attend the clinical. ss Mod. April 2015 13 Possible Sites for Immunizations: Call site for current times of operation & prices! Fort Collins: Larimer County Department of Health and Environment- Walk-in clinic 1525 Blue Spruce Drive Ft. Collins (north of Jax Surplus). Phone: 970-498-6700 General Care Clinic 620 S. Lemay Ft. Collins (north of RR tracks at Riverside and Lemay) Phone: 970-482-6620 ……………………………………………………………………………………………………………………….………………………... Loveland: Larimer County Department of Health and Environment 205 E. 6th, Loveland First Care Physicians, LLP 295 E. 29th St. , Loveland Phone: 970-679-4580 Phone: Take Care Clinic- Walgreens 205 E. Eisenhower , Loveland (no credit cards) 970-669-6000 Phone: 970-669-4444 ……………………………………………………………………………………………………………………………….………………… Any information you request from your doctor may be confidentially faxed to the Phlebotomy Program office at: Confidential FAX: 970-613-7585 ~All student information will be kept confidential~ Phlebotomy Program Policies: FRCC/ Larimer ~*Each student will be required to read these policies and sign a declaration that they have read the following policies in this handbook, and understand they will be held accountable for the rules and policies herein.*~ Please be advised that lack of knowledge about the contents of the Student Handbook is not justification or defense for unacceptable or inappropriate actions. ss Mod. April 2015 14 Admission Policy: Recommended Admission Criteria: 1. Registered as a Front Range student, minimum age of 18 yo, (age limit required for the clinical). 2. Register for HPR 112 & HPR 113 classes 3. Good physical and mental health without physical, mental, visual or hearing impairment that would inhibit successful learning of all required skills. ……….……………….……...see Essential Functions/Technical Standards 4. Excellent personal hygiene and grooming habits 5. Absence of drug and alcohol abuse 6. Personality traits and work ethics consistent with a professional Phlebotomist: • Professional, positive attitude • Friendly, and likes people • Good work ethic • Honest • Cooperative, and can work as a team • Empathetic and compassionate, and a good listener • Punctual/timely • Reliable/dependable • Accountable for his/her actions, shows maturity • Conscientious, cares about doing a good job while meeting the needs of people and serving people when very ill and possibly at their worst. • Attentive to details • Courteous and respectful to all people from all cultures, belief systems and walks of life • Life-long learner, open to learning new skills, and learning them well • Able to handle challenging situations 7. Ability to read, write and understand English. 8. Take the Accuplacer placement exam at the FRCC Testing Center, placing in CCR 093 or 094 or equivalent, or previous college transcripts indicating proficiency in a level higher than Accuplacer expectations, or conferred degree. Pre-requisite accepted: completion of CCR 092. Transcripts must be turned in to the Testing Center for review, to obtain Accuplacer Test Exemption. 9. Provide required immunizations: …………………………………….See Immunizations section 10. A completed and passed background check & drug screen through a specific required site, prior to clinicals. ……………………………………………………………………………………………………………………………………………………………… ss Mod. April 2015 15 Essential Functions/Technical Standards The prospective phlebotomy student is expected to complete a self-assessment to ascertain that he/she fully satisfies the essential function requirements a professional phlebotomist needs in order to perform tasks consistent with high standards of care. The student admitted to the program must complete, sign, and submit the "Essential Functions Assessment Form" during the first week of HPR 112. The Program Coordinator, when necessary, will recommend that the student seek consultation of a qualified expert in the assessment of an applicant's possible inability to meet the following essential functions. The following Technical Standards are often mandated in Phlebotomy job descriptions: • • • • • • Normal, compensated, or corrected vision to independently perform microscopic work; read charts, graphs, manuals, and instruments, and, make color comparisons and interpretations. Normal, compensated, or corrected hearing to independently communicate with patients, colleagues, and other health care practitioners. Sufficient and appropriate eye-hand coordination and manual dexterity to independently perform phlebotomy techniques/ procedures. o Have full range of motion of joints, ability to perform repetitive tasks and the ability to stoop, bend twist, reach, and occasionally kneel and squat. o Have fine motor abilities to use electronic keyboards to input and transmit data. o Have the ability to lift and move up to 50 pounds of weight daily. Physical stamina to work long periods of time (4-8 hours) at tasks that demand bending, stooping, standing, and sitting. o Move freely and safely about the laboratory and the clinical setting o Perform moderately taxing continuous physical activity. o Reach laboratory counters, shelves, patients lying in hospital beds or patients seated in blood collection furniture. Mental, psychological, and emotional health to independently perform with speed and accuracy in potentially and occasionally stressful situations. o Recognize own stress level and communicate need for assistance appropriately o Perform multiple tasks and establish priorities. o Calmly react to urgent situations Sufficient English-language competence (verbal and written) to independently interact with patients and co- workers. Essential Functions: Front Range Community College has adopted the following standards for admission, progression and graduation of Phlebotomy Program students in clinical courses involving direct client care. These standards are required of all Phlebotomy students to be successful in the program. Candidates for this certificate must be able to meet these minimum standards with or without reasonable accommodations for successful completion of certificate requirements. ss Mod. April 2015 16 The following essential functions are often standard in Phlebotomy job descriptions, and are required for the program: A. Observation The student must be able to observe lectures, demonstrations, videos and practice situations in the program. She/he must be able to observe clients, observe changes in the client’s condition, be observant for safety risks and interventions, and interpret interactions in the clinical setting. Observation necessitates the functional use of vision, hearing, tactile and somatic senses to function adequately. B. Communication A student must be able to speak and communicate effectively in English with clients and family members, faculty and all members of the health care team. This includes both social and therapeutic communication, both verbal and non-verbal. A student will be required to exhibit effective communication as the sender of information, and the receiver of information. A student must communicate adequately with clients to elicit information regarding history, safety precautions, client needs, desires, choices, mood and activity, and to perceive nonverbal communication. A student must be able to report accurate and appropriate information to members of the health care team and to clients, and receive accurate information from the client and the health care team. The student must be able to teach, explain, direct, counsel and provide emotional support to a wide variety of individuals of all ages in the clinical setting. Students must be able to follow directions adequately in routines of care, and in emergency situations. Effective therapeutic communication includes the functional use of speech, hearing, reading, writing and computer literacy. C. Motor A student must have sufficient gross and fine motor skills, physical endurance, physical strength, mobility, vision, tactile abilities to carry out Phlebotomy skills and procedures, and to operate equipment accurately and safely. A student must have sufficient motor function to elicit information from clients and perform basic laboratory tests and routine client procedures. He/she must be able to execute motor movements reasonably required in a prompt, timely fashion to provide routine and emergency responses. The student should be able to lift and/or support at least 50 pounds in order to reposition clients or move equipment. Students must be able to stand and/or walk for up to four hours at a time. Students must have a high degree of manual dexterity, and be able to squat, bend, sit and lift using good body mechanics. Students should have the motor skills necessary to accurately follow infection control procedures. D. Intellectual, conceptual, integrative and quantitative abilities The student must be able to read and understand written documents in English and to solve problems involving procedures and recording accurate information, using appropriate reasoning, memory, and critical thinking skills, in a timely manner. He/she must be able to synthesize knowledge and integrate the relevant aspects of a client’s history and physical findings. The student must be able to use this information to report changes and resident needs to the nurse. The student must be able to demonstrate the ability to focus on relevant information in noisy and/or stimulating environments. A student must be able to demonstrate and utilize knowledge of the aging process, residents with dementia and disabilities, or cognitively impaired individuals. A student will need to be able to follow regulations on resident rights, like the right to choice, privacy and dignity, and freedom from abuse. In addition, he/she must be able to comprehend three-dimensional and spatial relationships. E. Behavioral and social attributes A student must have the capacity to demonstrate full utilization of her/his intellectual abilities, emotional stability, exercise good judgment and complete all responsibilities under stressful crisis and non-crisis situations, and promptly complete all responsibilities pertinent to the care of clients in a variety of ss Mod. April 2015 17 settings. A student must have the capacity to develop mature, sensitive, and effective therapeutic relationships with clients. He/she must be able to tolerate physically and mentally taxing workloads and function effectively under stress. As a component of Phlebotomy education, the student must be able to demonstrate ethical behavior, including adherence to the student codes of conduct, as well as the scope of practice for Phlebotomists, HIPAA laws and confidentiality, facility rules and regulations. A student must be able to demonstrate caring and compassion to all clients. A student must demonstrate sensitivity to emotional states, dementia behaviors, confusion, inappropriate behaviors, and must be able to adequately modify own behaviors and responses to the needs of each individual. ………………………………………………………………………………………………………………………………………………………………. Reasonable Accommodations: It is the policy of Front Range Community College to provide reasonable accommodation to qualified students with disabilities so they can meet these required standards. Students requiring reasonable accommodation are strongly encouraged to contact the Learning Opportunity Center directly, at 970-204-8112 to arrange for accommodations and support services. It is the individual student’s responsibility to request such services and to provide appropriate current documents addressing the need for such services, to the instructor. Documentation from the Learning Opportunities Center is to be given to the instructor by the student as soon as possible so student accommodation needs can be met by the instructor. Retention Policy: Retention of the Phlebotomy student in this class may be in jeopardy if any of the following behaviors are manifested by the student. The instructor will meet with the student and provide the appropriate documentation of warning, probation or dismissal. The student and instructor will plan goals required to be met, and the student will be given the appropriate amount of time to improve the behaviors and meet the goals. If the student does not meet the set goals, they will not be successful in passing or completing the program. Behaviors Affecting Student Success Include: 1. Unprofessional attitudes: Which may include, but is not limited to: • • • • • • Acts of verbal or physical aggression, or harassment of other students or faculty Displaying negative attitudes with peers, instructor or facility staff members Refusals to practice skills to the best of one’s ability, as part of the curriculum Not adhering to either class instructors’ direction as to skills curriculum expectations Unwillingness to practice skills, or practice the correct way. Any unprofessional behaviors or unprofessional dress/attire (see description of Professionalism) 2. Violations of Student Code of Conduct for FRCC: ………………..see also Dismissal Policy The complete Student Code of Conduct/Rights and Responsibilities can be found at http://www.frontrange.edu/Current-Students/Student-Life/Student-Rights.aspx ss Mod. April 2015 18 Some of these acts may include, but is not limited to: • • • • • Academic misconduct Disruptive behavior Deceitful acts, lying, cheating Conduct that is detrimental to college or safety Physical or Non-physical abuse • • • • • • Harassment or Discrimination Sexual Misconduct Weapons Narcotics/alcohol use Dress Code Violation Leaving Children unattended 3. Failure to complete and pass ALL tests and assignments as assigned by class instructor, or master the required skills with accuracy in the skills final exam. …………………see Testing & Assignment Policy 4. Failure to meet the academic grade level that is set by the program: ………………….see Grading Scale 5. Failure to Submit Required Immunizations: ……………….see Immunizations 6. Failure to Pass the Required Background Check & Drug Screen Prior to the Clinical: ..……………….see Background Check/Drug Screen Information 7. Non-attendance, tardies, or failure to meet the required training hours- for classes, labs or clinical time: • It is mandatory that every student enrolled in this program attends all classes, skills labs and clinical days as part of the Phlebotomy training program, and meet the required training hours and skills proficiencies of NAACLS. ……………..……………….see Attendance Policy Dismissal Policy: Grounds For Dismissal/Termination Or Suspension: Students are expected to follow all policies of student code of conduct during the classes, labs and the clinical rotation. If a student violates these policies, it is grounds for dismissal from the program and clinical site. Violations of the STUDENT CODE OF CONDUCT: The complete Student Code of Conduct/Rights and Responsibilities can be found at http://www.frontrange.edu/Current-Students/Student-Life/Student-Rights.aspx ss Mod. April 2015 19 Some Violations of Student Code of Conduct may include, but are not limited to: • • • • • • • • • • • • Academic misconduct Disruptive behavior- repeated behaviors that interferes with the learning process of other students Deceitful acts- Dishonesty, such as cheating, copying, lying, plagiarism, forgery or misuse of records Conduct that is detrimental to college or safety- disorderly conduct, combative or hostile behavior Physical abuse/ threats of injury, or Non-physical abuse Harassment or Discrimination of any sort Sexual Misconduct or obscene behavior including, but not limited to: o Sexual flirtation or prolonged staring o Sexually suggestive looks, gestures, or sounds o Sexually explicit statements, jokes, or anecdotes o Pressure for dates o Sexually demeaning comments that infer that one sex is inferior to another o Deliberate physical contact such as patting, pinching, cornering o Pressure for sexual activity o Requests for sex in exchange for grades or favors, or to avoid poor grades or discipline Weapons- presence of, or use of weapons on campus Theft or property damage or destruction Use of narcotics/alcohol/illegal substances- not compatible with health care employees Dress Code Violation Leaving Children unattended Grounds For Dismissal, Specific To The Phlebotomy Program Include: This will result in dismissal from HPR 112 & HPR 113: Failure to maintain an academic average of “C” , or 77% in the class. Non-compliance with the attendance policy Failure to notify the instructor of an absence, tardy or early departure, prior to missed class, lab or clinical time. Failure to meet course requirements of attendance, required hours of training, quizzes, assignments, and written and skills final exams Failure to complete criteria for an “Incomplete” grade. Unprofessional attitudes, negativity, or unprofessional dress/ attire Any behaviors against the student codes of conduct listed above Failure to submit required immunizations by the due date will dismiss a student from the HPR-113 clinical. Failure to submit and pass the background check or drug screen prior to the clinical will dismiss a student from the clinical, HPR-113. Any physical or emotional problem that interferes with completion of the course requirements. A student will be dismissed from, and fail the clinical for attending a clinical without the FRCC instructor’s involvement, or arranging personal clinical hours away from FRCC’s arranged clinical. Unprofessional conduct, behaviors or language towards peers, faculty, preceptors or facility staff during clinicals. Facility staff members and clients are to be treated with respect at all times. ss Mod. April 2015 20 Use of cell phone in resident areas during the clinical. Cell phones must be silenced at all times during clinical hours, and may not be used as a watch. Termination of Clinical Experience: Compromising the safety of patients or clients Any behavior or response that would not meet clients’ safety needs or would cause a patient or client to be unsafe during the clinical rotation • If a student is demonstrating a pattern of unsafe performance, lack of accountability, or inconsistency in performance in the clinical area at the expected level of the course, the clinical experience will be terminated by the instructor, upon consultation with the preceptor, even if there are days remaining in the clinical experience. This is necessitated by the critical need for patient safety, and clinical facility concerns. The grade for the clinical experience will be an “F”. • If a clinical agency/facility requests that a student NOT return to their facility (to complete a current or future clinical) due to behavior, drugs, etc., the phlebotomy program has the right to terminate the clinical and/or record this as a student failure (F) in that course. Unsafe or inconsistent performance, lack of accountability Disregard for privacy and confidentiality laws and protocols (HIPAA), during the clinical. Students are required to safeguard any private health information obtained during the clinical. Any patient abuse during the clinical. *PATIENT ABUSE will NOT be tolerated at any time during the Clinical rotation!! This will result in immediate dismissal from the clinical site, possible criminal charges, failure of the course and dismissal from the program. Disregard for the regulations/scope of practice for Phlebotomists in Colorado. Performing skills of which the student has not been trained and found proficient by the instructor is prohibited Disregard of clinical facility rules and policies Use of drugs or alcohol before or during the clinical • If a student is sent home due to suspicion of drug or alcohol use, the case will be investigated by the Dean of Student Services, and determinations will be made as to the re-admittance of the student to the class. If the student, in attempting to refute these concerns, chooses to have a blood alcohol test done, it will be at the student’s expense and must be done within 45 minutes of being approached by a faculty person for the results to be accurate. Remediation & Dismissal Procedure: Any infractions by the students that may cause potential dismissal from the program will first be discussed verbally with the student, by the instructor, and possibly the program director. The student and instructor will establish goals and requirements that must be followed by the student, for the student to continue in the program and be successful, if the infractions are not outlined as “immediate dismissal” from the program. This will become a written contract between the student and the FRCC Larimer Phlebotomy Program, and will be signed by the instructor, student and program director. If the student does not meet the requirements in the contract, the student will be dismissed from the Phlebotomy training program, and will receive a failing grade. There will be no option for taking an “Incomplete” grade. Tuition reimbursement will not be possible. ss Mod. April 2015 21 Course Withdrawal Option: • • A “Withdrawal” or “W” grade from a course would mean the student would not receive a failing grade on their college transcripts, but a student with a withdrawal grade would NOT be eligible for tuition reimbursement. Tuition reimbursement is usually only possible if a student drops a course prior to the add/drop date in the course. If it becomes necessary for the student to “Withdraw” in good standing, from HPR-112 or HPR113, re-enrollment for a future course may be possible. The registrar office determines tuition and fees reimbursement, if any. Complaint Process: If a student has a disagreement with a faculty member, the student is required to discuss it first with the instructor. If the issue fails to be resolved, the student may speak with the program director, and ultimately the Department Chair. Completion Policy: To successfully complete the Phlebotomy program at Front Range Community College, the student must successfully meet all criteria in the Program Retention Section, which includes: 1. 2. 3. 4. Attention to professionalism and positive attitudes No violations of the student code of conduct Maintaining a grade of C (77%) or better in each required course Successfully completing and passing all quizzes, final exams, assignments, all skills proficiencies, and adherence to safety and infection control policies. 5. Satisfactory performance of all required skills, with attention to detail and accuracy, willingness to practice and learn skills the correct way, and demonstration of proficiency in testing of the skills. 6. Submission of required immunizations prior to the clinical 7. Submission and passing of the background check & drug screen prior to the clinical 8. Attendance of required classes, labs and clinical hours, with missed hours or content made up by the student- required program training hours 9. Professional behavior in calling the instructor when tardy or absent, prior to missed hours, as a professional C.N.A. would do on the job 10. Successful completion of all 2-3 days of clinical with the class instructor, and 2 weeks of clinical with the facility’s Phlebotomy preceptor,under the supervision of an FRCC Instructor. 11. Students must achieve a minimum of 100 successful venipunctures and minimum of 100 clinical hours during the clinical experience. 12. Adherence to all policies for the clinical, including professionalism, attendance, cell phone use, safety, infection control, proper care and treatment of clients, and adherence to HIPPA regulations, scope of practice and facility policies. The student should not demonstrate any form of resident abuse. Professional conduct towards peers, faculty, staff, patients and families are expected in all classes, conferences, labs, and clinical experiences. The student should not perform skills in which they have not been trained and found proficient by the instructor. ss Mod. April 2015 22 Phlebotomy Program Student Outcomes: Phlebotomy Program Outcomes are developed as performance indicators which provide evidence that the FRCC Phlebotomy program is meeting its mission and goals for Phlebotomy training. Documentation of program outcomes shows the effectiveness of the educational program and serves as a mechanism to guide program development and revisions. Phlebotomy program outcomes have been developed using the National Accrediting Agency for Clinical Laboratory Services (NAACLS) criteria and guidelines, and are also aligned with the mission and philosophy of FRCC. By the end of HPR 112 & 113, the student will: 1. Complete the training successfully and progress to graduation in a timely manner as identified by program outcome goals and competencies. Graduates will be prepared to begin a career as a Phlebotomist, and are prepared for entry into practice in a variety of health care settings. 2. Be prepared to take and pass the ASCP national certification exam for Phlebotomists. Students may elect to take this exam after successful completion of the program. Students who take the ASCP examination will successfully pass at or above the national pass rate for ASCP. 3. Phlebotomy student graduates will obtain full or part-time employment as a Phlebotomist, or will utilize the training as further education in conjunction with other health care fields, as in Nursing, Medical Technologist or Medical Laboratory Technician. Employment and education rates will be determined with VE-135 data from survey respondents interviewed within six to twelve months of graduation. 4. 80% of students and graduates will be satisfied with their program of learning which includes satisfaction of educational resources, phlebotomy knowledge, clinical preparation, critical thinking skills and preparation for ASCP examinations. ASCP Certification Eligibility: When the student has successfully completed all coursework and hours required for HPR 112 & HPR 113, the student will be eligible to sit for the ASCP national certification exam in Phlebotomy. (American Society for Clinical Pathology) This certification is not currently required to work as a Phlebotomist in Colorado, but may be a requirement to work in other states. The program strongly encourages each student to pursue this premier certification through ASCP. National certification through ASCP improves employment opportunities. If the student desires to take the ASCP exam, the student must apply for, schedule and pay for this exam. Students should notify the Phlebotomy program instructor and Program Director that they intend to take the ASCP exam, as the program director will be required to verify the student’s eligibility on the ASCP website before the student may take the exam. Program Director Contact Information: o The Program Director may be emailed at suzanne.sevy@frontrange.edu o Office Phone: 970-613-7583 direct, or main office 970-613-7580 ss Mod. April 2015 23 The ASCP Exam Eligibility date will be listed as the last attended date of the clinicals, and should be recorded on the students skills checklist for clinicals, and on the ASCP application. The cost of the ASCP exam is not included in the student’s tuition and fees. The ASCP exam fee will be an out-of-pocket expense. The ASCP website: http://www.ascp.org/ Students are required to complete paperwork and continuing education every 3 years in order to maintain active status of their ASCP certification. Continuing education may be obtained through the ASCP website. HPR 112 Classroom Policies: Learning and mastery of the curriculum depends on class attendance, participation, and student preparation and effort. The knowledge gained in class, laboratory, and clinical experiences provides the foundation for all future phlebotomy responsibilities. These program policies have been adopted in order to maximize success and maintain fairness for all students. Students are expected to abide by the following policies of professionalism and attendance. • • • • • Tardiness, personal conversations, extraneous noise, etc., are distracting to others in the learning environment, and will be addressed as needed by the instructor. Cell phones must be turned off or silenced during class/clinical time. Students are responsible for following the professionalism code at all times. Students are expected to notify the course instructor of impending absences, tardiness or need for early departure. This is the student’s responsibility. A faculty member has the authority to ask a student to leave, or have the student removed, from an academic activity upon observing student behavior that demonstrates irresponsible, unsafe, or unprofessional conduct in class, laboratories, or clinical experiences. Advanced preparation (i.e., reading, completion of assignments, etc.) will be necessary for students to participate in classroom sessions and clinicals. Food In The Classroom or Lab: The class instructor may have specific guidelines regarding food and drink in the classroom or lab. • Usually students may bring food/drink to classes. Drinks are allowed ONLY if in a closed container to prevent spills. • Students are required to clean up their own trash and spills, on the floor or table. • Students are requested to be careful to minimize any spills, and be aware of other students’ notes, books, computers or other personal belongings. • If these guidelines are not followed, the class may lose the right to food/drink in the classroom. Weather Emergencies: Occasionally weather emergencies make it impossible to hold classes. Weather and school closure notifications can be found on the FRCC home page, at www.frontrange.edu. ss Mod. April 2015 24 In the event of bad weather, students should refer to the FRCC website and watch for notifications regarding the FRCC Larimer campus, or specifically the Loveland campus, where Phlebotomy classes are held. In the event of school closure, the program director and instructor will create a plan for making up class and lab time and content. This could include make-up days that will be required, class work done in another class time or on D2L. Occasionally clinicals may need to be moved to different dates. Dress Code For Class & Lab: • • • • • • • Professionalism in dress is required Scrubs are not required for classes. Comfortable street clothes are appropriate, as long as the body parts are not exposed. Shirts should cover the breasts of females, and pants should cover the entire buttocks area in both males and females. Students should maintain good body and oral hygiene, attending to both cleanliness and good grooming practices. Hair should be clean and washed, and pulled back out of the face during lab time. A watch with a second hand is required for class and clinical. FRCC nametag PROFESSIONALISM Health care is not only a science (knowledge and skills) but also an art (caring, compassion and professionalism). Professionalism is a very important attribute for a Phlebotomist, and is a key component in taking care of patients and clients, and of being a valuable health care worker. • • • • • • In order to maintain your status in this program, students are expected not only to work hard to gain knowledge but also must demonstrate professional, caring behaviors and attitudes. This means being kind, considerate and respectful to fellow students, patients, faculty and other staff. Following high standards of professionalism are required during all classroom, lab and clinical time. In addition to teaching content, the program aims to support the professional development of our students. As late arrivals are disruptive and disrespectful to classmates and the instructor, students are expected to arrive in class on time. Habits developed during school are frequently habits that will continue in professional life. The faculty strongly encourages students to address issues such as childcare, reliable transportation, personal time management, etc. to develop this area of professional behavior. Part of the Phlebotomy training is preparing students for a realistic health care career in Phlebotomy. Part of this training will include calling the class instructor to report the student will be late or absent, as a real Phlebotomist would do on the job, as part of real-life professionalism. Students who are tardy or absent will miss valuable content material or required components. Missing required components may fail a student or make them ineligible for the clinical rotation. As part of real life professionalism in a Phlebotomy job and in preparation for that career, your instructor may have special requirements regarding tardiness or absences. Missing class time may be a graded component in the course. ss Mod. April 2015 25 Professionalism Grading: Students will be evaluated for professionalism in class, lab and clinicals. Points may be assigned daily for professionalism, at the instructor’s discretion. The number of daily Professionalism Points are determined by the instructor. Points may be deducted for ANY poor display of the listed criteria of professionalism expectations, resulting in a lower professionalism grade, possibly a lower letter grade or failure of the course. In order to maintain your professionalism and status in this program, students are expected to: • • • • • • • • • Work hard to gain knowledge Learn the skills accurately and with attention to details Practice the skills for the length of time required by the instructor Use lab time efficiently Demonstrate a positive attitude towards the practice Come to class prepared, as directed by the instructor. There may be specific content that must be prepared at home prior to lab time. Instructors may alter the syllabus as needed to further evaluate students or to aid in the training and preparation of students. Learn and practice techniques of infection control and safety, and adhere to these during the clinical Students must call the instructor prior to missing class time, when the student will be tardy or absent, as a professional Phlebotomist would on the job. This reflects the professionalism expectations of a real Phlebotomist and is part of the Phlebotomy program professionalism policy. Students must demonstrate personality traits/work ethics consistent with a professional health care worker: Professional, positive attitude Friendly, and likes people Good work ethic Honest Cooperative, and can work as a team Empathetic and compassionate, and a good listener Punctual/timely Reliable/dependable Accountable for his/her actions, shows maturity Conscientious, cares about doing a good job, meeting the needs of people and serving people at sometimes their worst times when ill. o Attentive to details o Courteous and respectful to all people from all cultures, belief systems and walks of life o Life-long learner, open to learning new skills, and learning them well o o o o o o o o o o Students must demonstrate professional, caring behaviors and attitudes at all times. This means being kind, considerate and respectful to fellow students, faculty, staff in the clinical facilities, and the clients in those facilities. ss Mod. April 2015 26 The student is expected to communicate professionally and therapeutically with peers, instructors, facility staff, residents and families at all times during the classes and clinicals. This also includes the use of foul language, sarcasm, teasing, or any forms resident abuse. Students must comply with the cell phone and electronics policy of the Phlebotomy program and the clinical facility. All students will consistently demonstrate knowledge of the scope of practice for Phlebotomists. Professional behaviors in the classroom include no use of any substance that could impair reasoning, judgment and behavior, like drugs (either legal, prescription or illegal), alcohol, smoking (either tobacco cigarettes or electronic cigarettes). Unprofessional behavior also includes language/ foul language in the classroom, sexual harassment or other harassment. ………….See Student Conduct Covered Previously Cell Phone & Electronics Policy: (HPR 112 & 113) This is part of professionalism, and it is expected that students will follow this policy in class! The policy could be related to either cell phone or other electronics use in the classroom or lab. • • • • • • • • • • • Laptop or tablet devices may be used in class as it pertains to the lecture only. These items should not be used during skills demonstrations. Cell phones may be left on silent or vibrate, during class or clinicals, so students may be notified in case of a campus emergency. Cell phones may NOT be used during lectures or labs, including text messaging. This behavior can be very distracting to others in a learning environment, and should be avoided. Students MUST step outside the room if a cell phone must be used. Students may check on children, or answer important calls in the hallway, not in the classroom. If the student’s use of the cell phone in the hallway leads to frequent breaks, or unusually long breaks, the student may lose attendance or professionalism points. The student’s grade WILL be affected by cell phone use in class and labs, and professionalism points will be deducted from the student’s daily grade. Cell phones may be left on silent during the clinical rotation, but must be kept in the student’s pocket. Cell phones may NOT be used as a watch during the clinical rotation Cell phones MUST NEVER be used in any client areas within the clinical facility, per facility policy, and FRCC policy. This is considered unprofessional in all areas of health care work and settings. During clinicals, cell phones may only be used outside of client areas, in the break rooms, in the staff bathroom, outside the facility or in the student’s car. * BE ADVISED THAT ALL CONVERSATION AT A CLINICAL SITE MUST BE PROFESSIONAL, APPROPRIATE AND WITHOUT USE OF FOUL LANGUAGE, PER PROFESSIONALISM POLICY, EVEN OUTSIDE THE FACILITY, OR IN ANY AREAS THE STUDENT COULD BE OVERHEARD! Students may fail the clinical or be asked to repeat all clinical days based on breach of professionalism, if the cell phone policy is not followed. ss Mod. April 2015 27 Attendance Policies: Lecture (HPR 112) The Phlebotomy student will be responsible to follow policies of professionalism, as a Phlebotomist would in real life. This includes calling the instructor when the student will be tardy or absent. This would be a requirement for a professional job as a Phlebotomist, and will be expected for class, lab and clinicals. • The Phlebotomy program is a professional health care program, therefore the student is expected to assume personal responsibility to arrange to make up any missed assignments, exams, clinical days, etc. • Lecture attendance is strongly advised. If you occasionally cannot attend a lecture class, you are encouraged to have another student tape the lecture for you. • Online lecture material is required, and there is not a valid reason for missing on-line lecture, as this can be accomplished from home. • Students are required to be self-directed and motivated to complete on-line course material. Each student is required to monitor the class assignments and due dates, and complete these by the due date. • Some lecture courses have specific attendance guidelines as part of the course grade. See the course syllabi for specific policies. • Students are responsible for all announcements, handouts, and other material presented in class and for meeting all course requirements. • Punctuality is expected. Students should plan accordingly for traffic and weather. • ANY absence may require class hours to be made up, at the instructor’s discretion. • A TARDY will be considered more than 5 minutes late to class. • If a student is tardy every day or multiple times, this will also be considered unreliable and unprofessional, and points may be deducted, even though a call was made. This also reflects current standards of professionalism in health care. • For an excused absence, the student may be required by the instructor to provide documentation of the absence, like an MD note for illness. Excused absences are illnesses of self, child or significant other, hospitalization, car trouble or motor vehicle accident, or other pre-arranged absences with the instructor of the class. Laboratory (HPR 112) • Attendance is mandatory for all laboratory sessions, as there is new and specific content covered in each lab, and missed content is not easily made up. • Punctuality is required. Arriving late for lab sessions is considered the same as arriving late for a clinical experience. Missed content and practice of skills must be made up. Failure to make up any missed lab will constitute a failure in the course. • Absence from the laboratory component of any course is considered the same as an absence from a clinical component and must be made up. Arrangements must be made with the course instructor for makeup activities as soon as possible after returning to school. If available, lab makeup may include reading textbook assignments, viewing tapes or videos, and completing assignments. • The instructor must be notified prior to absence of laboratory time. • ANY absence may require class hours to be made up, at the instructor’s discretion. • A TARDY will be considered more than 5 minutes late to class. ss Mod. April 2015 28 • If a student is tardy every day or multiple times, this will also be considered unreliable and • • • • unprofessional, and points may be deducted, even though a call was made. This also reflects current standards of professionalism in health care. For an excused absence, the student may be required by the instructor to provide documentation of the absence, like an MD note for illness. Excused absences are illnesses of self, child or significant other, hospitalization, car trouble or motor vehicle accident, or other pre-arranged absences with the instructor of the class. In the event of any missed labs, the student will still be required to demonstrate competency and proficiency of the missed skills on the skills final exam. If skills do not meet proficiency on the skills final exam, the student will fail the course, and will not attend clinical. If specific content is not made up prior to the scheduled clinical, the student will be removed from the clinical schedule. There may be the possibility of the student receiving an “Incomplete” grade, and making up the class at another time. Arrangement for make-up time is the responsibility of the student. The student must check with the instructor for available make-up times. Unexcused Absence, No Call/No Show for Class Or Lab: • Unexcused absences, including no call/no show, will lose attendance and professionalism points in the class or lab, and this may result in a lower letter grade or failure of the course. Clinical (HPR113) • • • • • • • • Absences of any clinical day must be made up regardless of the reason for the absence. The purpose of clinical makeup days is to allow students with extenuating circumstances to complete the required clinical work necessary to pass the course when clinical days are missed due to valid and excused absences, like illness of self or child. The program will not provide makeup days in excess of three clinical days. Makeup days will be scheduled at the availability of the clinical facility and instructors. These may include weekends, evenings or night shifts. Absences in excess of three days or failure to make up the absences will constitute a failure in the course. Absences will be recorded in terms of ½ day or 1 day. Any absence from a clinical or laboratory experience of 4 hours or less equals a ½ day absence. Any absence from a clinical or laboratory experience of more than 4 hours will equal a one-day absence. Clinical orientation is considered part of the clinical experience; therefore, absences from clinical orientation will be recorded as per the above guidelines. Students who anticipate being late to the clinical area are required to notify the clinical site first and then the FRCC instructor. ss Mod. April 2015 29 FRCC NON-ATTENDANCE DROP POLICY: ♦ For All Students: FRCC will drop students for non-attendance, by 5 pm on the add/drop day of the course. This is a change to our previous policy. For online students, logging in to the course site does not count as attendance unless students also participate in an academically-related activity such as submitting an assignment or participating in an online discussion about the course content. There are no late-adds and no appeals process once the student has been dropped from the Phlebotomy Program. The student may re-register for the course prior to the add/drop deadline, as space permits. A student must be registered for the course to attend or sit in the class. Tests & Assignments Policy: There are required examinations and assignments from the required reading in the textbook in every course. All quizzes and exams may consist of multiple choice and other types of questions. The quizzes may be completed in class or on-line in D2L. Students will be instructed in the use of D2L on day 1 of class. The written final exam will be in class, and is cumulative. There will also be a skills final exam in class. Assignments are determined by the course instructor. *Additional quizzes/ assignments may be added by the instructor to further evaluate student learning. Students requiring accommodations should provide the necessary accommodation’s letter from Disability Support Services to the instructor at the beginning of classes, and prior to any tests. It is the responsibility of the student to ask for accommodations, and to alert the instructor to the student’s needs. ……………………………………….See Student Accommodations All exams and assignments are required on the date due, whether in class or on-line. Early exams will not be available. If an exam or assignment is missed and not approved, the student will still be required to complete the exam or assignment, but there will be a loss of points equivalent to a drop in a letter grade for each day it is completed late, past the due date. For example: If a student takes an exam 1 day late, and scores an “A”, they will receive a B on the exam, because the student did not meet the requirements of taking the exam by the due date. Students should go to the on-line 24 hour help desk on D2L home page if having difficulties on D2L. The student should contact the instructor immediately if they cannot open an on-line exam or have any difficulties taking the exam. A student should NOT wait until the due date has passed to notify an instructor that an exam was missed. Taking or copying exam questions or answers are prohibited, both, during or after the exam. Students may not use any electronic devices, cell phones, ear buds, headphones, laptops or tablets during the exams, and should abide by the student code of conduct in regard to cheating on exams. If a student arrives late for the written exam, the student may be allowed to begin the exam, at the instructor’s discretion. The student may need to make arrangements with the instructor to make up the exam at a later time. ss Mod. April 2015 30 Written Final exam answer sheets will be collected by the instructor, and must be kept in the student’s file in the Program office. Any missed exams must be pre-approved by the instructor prior to missing the exam, and a make-up time will be determined by the instructor. Make-up exams may be different from the original exam, in written format, short answer, essay, or other types of questions. If the final written exam or final skills exam is missed for a valid reason, i.e. illness, the student may be eligible to receive an incomplete for the course. Arrangements for making up the final written or skills exam will be at the discretion of the instructor. The student may not attend the clinical if the written or skills final exams are missed. Every effort will be made to reschedule the clinical for the student in another clinical group during the semester, as space permits, when all class requirements are met. There are no guaranteed clinical spots for make-up. If a student receives an “incomplete” grade, the student must complete all missed criteria or proficiencies by the end of the following semester to receive a grade. The student will meet with the instructor to discuss criteria that needs to be completed for the student to be successful. The student will receive an “F” if the criteria are NOT completed, for both the HPR 112 & HPR 113 classes, in the allotted time frame. There will be no tuition reimbursement for a failed class, or an incomplete that is not completed by the student in the expected time frame. Corrected exams will be returned as soon as possible to the students. Students will be allowed a brief period of time to review items missed on their exam. At the end of the review time, the exam and answer sheet must be returned to the faculty. Instructors may choose to review certain specific exam questions. Students with additional questions or those that wish to review the exam should contact their instructor before the next exam. Skills Final Exam/ Clinical Competency Test: The skills final practical is a graded exam, and will determine the student’s proficiency and competence of the Phlebotomy skills learned in the lab training time. If a student does not demonstrate proficiency of all skills, or proficiency with communication, safety and infection control during the skills exam, the student will not pass the skills final exam. The Skills Final Exam must be passed for the student to be eligible to go to clinicals, and complete the Phlebotomy training. The skills final exam/clinical competency test includes practical assessment of venipunctures, bleeding times and skin punctures. The instructor may add content to be assessed to further evaluate student learning. This exam is administered prior to the beginning of clinical rotations. This test must be passed at 93% before the student will be allowed to start the clinical component. A maximum of 3 tries will be allowed to successfully complete this requirement. If the student does not successfully complete the test at 93% after three attempts, he/she will not be allowed to attend clinical, and will therefore fail the course. ss Mod. April 2015 31 Policies: • • • It is at the discretion of the classroom instructor to determine if a student who arrives late for the skills final exams will be permitted to join the exam, already in-progress. Skills final exams are very specific to certain skills and content, and require specific participation. There are no immediate make-ups for missing the skills final exams. Missed skills final exams must be made up at a later date, possibly with another class, and will delay the student’s ability to attend clinicals. If The Skills Final Exam Is Failed: o o o o If a student fails steps or skills in the skills final exam, the student may be asked to repeat the failed skill for the instructor, possibly the same day of the skills final exam. If the student shows proficiency of the skill the next time, they will pass the skills final exam. If the student is not able to demonstrate proficiency of a skill, the student will fail the skills final exam. If the skills final is failed, the student will NOT be able to attend the clinicals, the final portion of the Phlebotomy training. Failure of the skills exam will fail the student for the HPR 112 class, and the student is advised to drop the clinical, HPR 113. Students may discuss options for re-taking the entire skills exam at a later date, with another class, with their instructor or Program Director. SERVICE WORK The student may, on occasion, participate in service work, such as participating in the 9 Health fair. This participation is not compulsory, and is not required for program completion. Students may avail themselves of this opportunity to obtain more practice with their skills. An instructor must be present with the student during service work. Please discuss this matter with the course instructor when the need arises. HPR 112 Grading: Grades are determined by the following: Quizzes – points to be determined by instructor • Tests – points to be determined by instructor • Homework – points to be determined by instructor • Written Final Exam – points to be determined by instructor • Professionalism – breakdown of points to be determined by instructor • Attendance – points to be determined by instructor • Skills final exam – points to be determined by instructor • Additional assignments as determined by individual instructors …………………………………………………………………………………………………………………………………..….. • The student is responsible for contacting the course instructor to clarify any questions or expectations. • A syllabus will be provided on day 1 of class, and is also available on D2L (Desire 2 Learn). * Instructors reserve the right to modify the syllabus and calendar to better meet class and individual needs. • ss Mod. April 2015 32 Grading Scale for HPR 112: A= B= C= D= F= 93 – 100 85 – 92 77 – 84 69 – 76 0 – 68 *Students must receive 77%, a “C” or better, to pass the course, and to be eligible to attend the clinical portion of the training program. * May not attend clinicals with a D or F Students are expected to initiate interactions with the course instructor regarding his/her academic standing. Any student not achieving 77% or greater on any exam should make an appointment with the instructor before the next scheduled exam. Tutoring/mentoring may be available through the Learning Center at FRCC Larimer campus. Grades will not be given over the phone, by e-mail or to any other person other than the student, due to FERPA regulations. Final grades will be posted on-line, and may be accessed by going to the FRCC home page at http://www.frontrange.edu/ , under current students tab, records and transcripts, or by accessing E-Wolf. Rounding Policy for Grades All grades for exams in the phlebotomy courses will be kept to the 100ths for each exam. Example: 86.79 will not be rounded up to 86.8. At the completion of each course, grades will be tallied and rounded only once for a final grade. A grade of 0.49 will be rounded down, 0.50 and above will be rounded up to the nearest whole number. Example: A final grade of 76.49 will be rounded down to 76, or a grade of 76.51 will be rounded up to 77. Phlebotomy Clinical Information: (HPR 113) Phlebotomy clinical includes the practice of skills learned in HPR 112 in the clinical setting. The process integrates cognitive, affective, and psychomotor skills. Because practice is not limited to a particular area, the learning experiences of the student must be broad enough to cover all clinical areas, knowledge, and practical skills expected of a job entry-level phlebotomist. A clinically oriented competency test will be administered prior to the beginning of clinical rotations. This test must be passed at 93% before the student will be allowed to start the clinical component. A maximum of 3 tries will be allowed to successfully complete this requirement. If the student does not successfully complete the test at 93% after three attempts, he/she will not be allowed to attend clinical, and will therefore fail the course. • Clinicals are a mandatory component of the Phlebotomy training program. Clinicals usually consist of a 2-3 day hands-on clinical training with the class instructor, then a 2-week clinical rotation with a preceptor during the dates of the HPR 113 course. ……………………………………………….See Clinical Attendance • During the clinical, the student is expected to proficiently and professionally perform the skills learned in class while caring for clients. • This is NOT a shadowing experience! The student will NOT pass the clinical if they do not actively participate and perform skills during the clinical. • Students are paired with a preceptor (professional Phlebotomist) at the clinical site. In some clinical sites, the student may, if deemed proficient by the preceptor after performing a number of draws, be allowed to work independently, after the preceptor has determined the student ss Mod. April 2015 33 • • • • • • • • • • • • • • • is competent. The criteria for proficiency to work alone will be determined by the individual preceptors at the clinical sites, and will follow individual clinical site protocol. The student will never be present in the clinical setting without a preceptor available in the vicinity of the clinical site. HPR 113 is a graded experience. When all criteria and competencies of the clinical rotation are met, the student will earn a letter grade based on the theory requirements. The HPR 113 instructor will make visit to each clinical site during each clinical rotation to evaluate the student’s performance. Part of this evaluation will be from the input received from the preceptor. Each student’s performance is evaluated by the laboratory site preceptor on the Phlebotomy Clinical Checklist. This document will be kept as part of the student’s permanent record at FRCC. The FRCC Larimer Phlebotomy Training Program has pre-arranged the clinical sites for each class many months in advance. These sites are often difficult to come by, and FRCC is fortunate to be able to get student placements at any facility where we attend the clinical. The sites for the clinical experience will be announced during the HPR 112 class, and students will have an opportunity to sign up for the site they would like to go to, as space permits, or may sign up for the dates they prefer, as space permits. Due to limited availability of clinical sites, students may not always receive their first choice in the clinical setting. Instructors attempt to have students with transportation issues sign up at a facility closest to home, but no site is guaranteed. Transportation to the clinical facility is the responsibility of the student. Students are required to be prompt to the clinical, regardless of transportation issues. Students are not guaranteed a specific facility, regional location or 2-week rotation. Occasionally, the sites are subject to change due to changes at a facility, and due to no fault of FRCC. The Phlebotomy Program does its best to establish firm dates and sites for every class. Due to staffing fluctuations in local hospitals and laboratories, available preceptors for clinical sites may be changed and thus clinical placements cannot be guaranteed at all times. In the event that a clinical site becomes unavailable, the program director will work directly with the student and other available sites to ensure completion of HPR 113. In the event that the clinical site is not available, the student may take an Incomplete and then complete the required hours for the clinical in the following college semester. If the student fails the clinical component (HPR 113), the student will receive a failing grade for HPR 113. To be eligible to attend the clinical, the student must have been trained and found proficient in all skills, and in areas of safety and infection control. The student must demonstrate competency of skills on the skills final exam/clinical competency exam, completed with the Phlebotomy instructor. To be eligible to attend the clinicals, the student must have met all of the criteria in the HPR 112 course and successfully passed HPR 112, must have turned in sufficient immunizations, passed the background check & drug screen, passed all exams, and have at least a 77% overall in the HPR 112 course. If a clinical is missed due to extenuating circumstances, like an illness, the student is required to make up all clinical time to successfully pass the clinical rotation. Make-up clinical days are not guaranteed, as availability depends on number of clinical sites each semester. Clinicals will be arranged by FRCC faculty, as space permits. Once the requirements of both HPR 112 & HPR 113 are successfully passed, the student will receive a Certificate of Phlebotomy training from FRCC (usually within 6 weeks). The student will also be eligible to take the ASCP Exam. If the clinical is failed the student will not be eligible for a certificate of program completion, nor eligible to sit for the ASCP exam. ss Mod. April 2015 34 Schedule and Work Recommendations Due to the fast pace and heavy academic demands in the phlebotomy program, particularly in HPR 113, the faculty urges students to avoid working fulltime during their clinical rotation. Clinical shifts may be 8 to 12 hours and may include days, evening, and weekends. Clinical shifts are subject to last minute changes each semester. In addition, clinical shifts are scheduled at a variety of clinical sites that may be some distance from campus. Therefore, students’ personal commitments must remain flexible to accommodate program requirements. Reliable transportation is needed due to the distance of some clinical sites. Clinical Policies & Requirements: 1. All 2-3 days of hands-on instructor-led clinical training are required . All 2 weeks of clinical rotation at a laboratory site are required. An absence of clinical days may constitute a failure in the course! (Health fairs are occasionally used for clinical time.) 2. The student must have a minimum of 100 successful venipunctures recorded during HPR 113, through the 2-3 day and 2 week clinical components. Students will have a total of 100-120 successful sticks/venipunctures documented, and a minimum of 100 clinical hours between the 2-3 day instructor-led portion of the clinical, and the 2-week rotation during the clinical. These hours must be documented and verified by the clinical instructor and preceptor. 3. The clinical skills and completion of successful venipunctures is mandated by the NAACLS accrediting agency for the FRCC Phlebotomy Program. 4. Students are REQUIRED to arrive in a timely manner for each clinical day. Arriving 15 minutes prior to the start of the clinical shift is standard protocol. Start times will be per individual agency protocol. 5. Students must call the clinical instructor to notify the instructor that they will be tardy/absent on each day of the clinical, and must call the clinical site/preceptor also. Failure to do so will be considered unprofessional by the clinical instructor, as would an employer in a real Phlebotomy job. This may result in the student failing the clinical. Students will be given a phone number to contact the instructor during clinical. 6. Tardiness would be considered as more than 5 minutes late. Any student who is tardy may be expected to make up clinical time, as tardiness counts towards absence time. Tardiness of 5 to 15 minutes late may be considered a ½ day absence. Beyond 15 minutes late may be considered a full day absence. 7. The student may NOT leave the facility without the instructor’s permission. If the student leaves the facility without permission during the clinical day, it will be assumed that the student was absent all day, and will be counted as a full day absence. 8. The student may fail the clinical or may be required to make-up a clinical day at another time, as space permits, if the attendance policies are not followed. 9. Students are expected to continue professional behaviors during the clinicals, as outlined previously, including professionalism and cell phone use policies. 10. During the clinical, students WILL NOT perform any services for which they have not been trained and been found proficient by the instructor. Any student who does not follow the scope of practice for Phlebotomy or who performs skills they have not been trained for, will be dismissed from clinical, and will receive a failing grade. 11. The clinical instructor has the right to dismiss any student from the clinical site based on dress code infringements, tardiness, breach in professionalism, negligence in following the scope of practice or any forms of resident abuse. 12. Client abuse of any kind WILL NOT be tolerated during the clinical rotation! The student will be asked to leave the clinical site, and will receive a failing grade. Students should be aware that ss Mod. April 2015 35 criminal penalties may apply. (Abuse may be physical, sexual, or emotional in nature, and may include, but is not limited to, teasing or picking on a client, use of sarcasm or inappropriate language or message content, laughing at or making fun of a client, handling a client roughly, not reporting pain or another physical change in their status, neglectful or poor care of the client, denying a client their rights to choice, privacy, or any other rights by law, or any mistreatment of any kind.) 13. The Student must safeguard the patient’s right to privacy by maintaining confidentiality of information concerning the patient. The student must understand and comply with the Health Insurance Portability and Accountability Act (HIPAA) at all times (see HIPAA document). Dismissal from the program may result if confidentiality is compromised. 14. Safe practice (see Safe Practice Guidelines) is expected at all times. Any mistake, accident, or unusual occurrence involving a student must be reported immediately to the preceptor and/instructor and to the appropriate health team member so that prompt action can be taken to initiate treatment or to alleviate harm. Concealing mistakes or dishonesty can lead to disciplinary action and failure of the program. 15. If the student earns less than 77% or a “C” in the Clinical Grading Rubric, the student will not pass the clinical or the training program. 16. All FRCC and facility safety rules MUST be followed at all times during the clinical rotation or the student will fail the clinical and be asked to leave the facility. ……………………SEE expected Clinical Attendance Policy, previously covered. Safe Practice Guidelines for Clinicals: The definition of safe clinical practice for all phlebotomy students includes the following items. Individual instructors may require additional items for specific learning situations or for certain clinicals. The student will: 1. Come to the initial clinical experience meeting with the preceptor and/or instructor with a completed time schedule. 2. Review performance criteria and hospital procedures for phlebotomy procedures as needed prior to the clinical day, and ask pertinent questions as needed. If receiving a new order, review the protocol prior to doing the procedure. 3. Demonstrate ability to perform assigned skills safely and accurately, applying knowledge from HPR 112. 4. Report pertinent changes in the client’s health status during procedures immediately to preceptor. 5. Seek help from instructor and preceptor as needed. Do not perform new skills/additional skills without consent or supervision of the preceptor and/or instructor. 6. Follow guidelines of the FRCC Phlebotomy Program and the clinical facility. Student Skills Expectations: Students will demonstrate knowledge of the Phlebotomy Terminal Competencies learned in HPR 112 during the clinical rotation: To successfully meet the competencies, students must demonstrate skills and procedures at an entry-level Phlebotomy position. ss Mod. April 2015 36 Competencies from HPR 112: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Know the history of phlebotomy Understand the importance of phlebotomy and the role of the phlebotomist in the health care setting. Be familiar with all sections of the laboratory, and other hospital departments Have knowledge of the ethical/legal aspects of the phlebotomist. Describe and actively apply knowledge of anatomy and physiology of the venous system for pediatric and neonatal patients while performing blood specimen collection. Describe and actively apply knowledge of anatomy and physiology of venous system for geriatric and acute long term care patients. Demonstrate ability to successfully perform blood collections for testing on veins using lancets, butterfly set-ups, syringes, and other techniques. Demonstrate the ability to perform point-of-care testing to include pregnancy tests, drug screening, glucose, and other miscellaneous tests. Demonstrate the ability to perform specimen processing to include centrifugation, aliquoting, and special handling techniques. Understand the role of quality assurance and quality control in phlebotomy Know common medical terminology as it applies to the phlebotomist’s role. Understand and demonstrate knowledge of infection control and safety measures applicable to phlebotomy. Learn and demonstrate standard lab operating procedures to requisition, transport, and process various specimens. Learn and demonstrate effective workplace communication. Required Student Documentation for Clinical: The health care clinical facilities that we contract with for student clinical experiences require current documentation of various items from each student and faculty attending clinicals in the facility. Beyond the requirements for a passing background check and immunizations, there will be other documentation required by the student to attend the clinical. These documents must be submitted to the facilities prior to the clinical rotation, so it is crucial that the Phlebotomy Program receives this documentation from students in a timely manner. Failure to comply will result in the student not being allowed into the clinical setting. Additional Required Documentation: • Current Personal Data Form • Acknowledgment of Workman’s Compensation Form • Acknowledgement of Program Policies Form Required Items To Bring To The Clinical: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ss Mod. April 2015 Self, appropriately dressed in scrubs, with FRCC nametag on COPY of the BACKGROUND CHECK! (leave in your car) Phlebotomy Clinical Skills Checklist/ Clinical Paperwork Workman’s comp letter Map to the facility, and clinical instructor’s phone number (given during class) Watch with a second hand, or that can count 60 seconds Black ink pen in the pocket Sack lunch? Hand sanitizer (recommended) Cell phone turned to SILENT! 37 Clinical Dress Code: The student is required to dress in a professional manner. The student should check with the instructor PRIOR to clinical if they have questions regarding dress requirements. The student is a representative of FRCC Phlebotomy Training Program, and is viewed by a facility as dressing to represent a profession, and dressing for a job. The student will be sent home if dressed inappropriately for clinical! • • • • • • • • • Uniforms/scrubs or lab coats are required during your clinical rotation, per agency protocol. No jeans are permitted. Professional dress clothes may be worn with lab coats per agency protocol. Be aware of the possibility of contamination and staining that could ruin clothing. Scrubs/lab coats should be clean, unwrinkled, without holes, and without other facility names on them. No sweatshirts or coats are to be worn while on the floor at the facility. A long-sleeved T-shirt may be worn under the scrub top or a scrub jacket may be worn for warmth. Scrubs may be any color or design in most facilities. Shoes must be closed-toed. Acceptable footwear includes: white uniform shoes or athletic shoes that are clean and in good repair, or Nursing shoes. Crocs are not permitted. An FRCC nametag must be worn and visible at all times during the clinical experience! The nametag is provided by FRCC on week 1 of class, and should be used by students for all class time and clinical time. A watch with a second hand, or one that can count 60 seconds is required. CELL PHONES may NOT be used as a watch! Personal Appearance For Clinicals: Hair o o o o o (Mandated by the Clinical Sites) Students should maintain good hygiene, both cleanliness and grooming practices Must be clean and freshly washed. Must be of a natural color- small streaks of color is OK Long hair must be pulled back off of the face, tied back or pinned up. (If you look down, and your hair gets in your face, it needs to be pulled back in a better way for clinical!) Beards are fine if short and well-groomed. Dreadlocks are acceptable as long as the hair is clean and pulled back out of the face in a ponytail. Jewelry o o o o Should be minimal & conservative Only 1 set of post style earrings in each ear is acceptable. No dangling earrings are allowed. Visible body-piercing jewelry needs to be removed, covered with a bandage, or may be clear or fleshcolored. (This includes eyebrow, nose, navel, cheek, lip and tongue rings, bars or chains). No exceptions! Ear gauges should be covered with a solid cap. ss Mod. April 2015 38 Tattoos o Visible tattoos must be covered during the clinical experience with a bandage, long-sleeved shirt or concealing makeup. Fingernails o Must be trimmed short, filed smooth, and clean, and be natural and free of nail polish. No acrylic or false nails are allowed. Hygiene o o o No perfumes or perfumed body lotion should be worn, as residents may be very sensitive to odors or chemicals. Students need to avoid strong bodily odors of tobacco/smoke from any source Chewing gum is not considered professional, and is NOT allowed. Breath mints are acceptable. Clinical Grading: HPR 113 The following grading scale will be used throughout the program: A = 93 – 100 B = 85 – 92 C = 77 – 84 Must achieve at least a 77% to pass D = 69 – 76 F = below 69 • • • An average grade below 77% results in a “D” or “F” for the course, regardless of clinical performance or other course requirements. An unsatisfactory clinical performance evaluation means the student does not pass the course regardless of the theory grade. Individual course syllabi/guides will identify additional grading parameters. Students should talk directly with the instructor about any grading concerns, grading course materials, or special needs. The student is responsible for contacting the instructor in a timely manner concerning problems. Evaluation Of The Clinical Performance • • • • • • Clinical evaluation by the FRCC instructor and the preceptor are used to determine whether students are achieving clinical objectives established in HPR 112. The student’s performance will be compared to established norms in Phlebotomy and requirements of HPR 112 & 113. Weekly evaluations are meant to measure the ongoing success of students, and will include preceptor feedback to the instructor. Weekly evaluation results will be combined in order to determine a final grade. Weekly evaluations lead to problem solving, goal-setting and accountability from which students can gain insight on how to further develop strengths or overcome deficiencies. Positive comments indicate areas of strength for the students. Weekly evaluations will identify areas of a student’s need for improvement. The instructor will indicate areas where the student is expected to improve, in order to be successful in the final evaluation. Final evaluation of each student determines the student’s success in meeting the competencies, and determines the final grade for the clinical. If weekly evaluations have been positive, there will be no surprises in the final evaluation. ss Mod. April 2015 39 Expectations during the Phlebotomy Student Clinical are as follows: • • • • • • • • • • • Establish and maintain a professional relationship with the client. Use knowledge, skills, and established protocols to safely perform phlebotomy measures according to the needs of the client. Perform a variety of sterile and non-sterile procedures safely and accurately on clients. Use a variety of technical and mechanical equipment safely and accurately. Implement a variety of strategies to educate the client, according to their needs. Use critical thinking to review and analyze data Document client data. Use management concepts within a health care delivery system. Assume responsibility for professional self-development. Assume accountability for quality phlebotomy practice. Function as a member of the health care team. Final Clinical Evaluation Tool Students are evaluated during the clinical based on the competencies established in HPR 112, for safe and appropriate Phlebotomy skills. In weekly evaluations and in the final evaluation, the following scale will be used, using these standard rating definitions for each objective/competency: 2 points 1 point 0 points N/A Satisfactory/ Acceptable Performance Inconsistent Performance Unsatisfactory/ Failing Performance Not Applicable The student demonstrates consistency and competency with Phlebotomy skills The student has not demonstrated expected Phlebotomy skills & competencies The student is inconsistent with Phlebotomy skills and requires additional practice, & consistency with skills This competency or set of skills was not available or was not observed Final Clinical Grade: The points earned in weeks 1 & 2 will be added to achieve a cumulative score. Students will earn a letter grade for the clinical, based on consistency of performance of the Phlebotomy skills and competencies. Grades will be determined using the following grading scale: There are 164 points possible for the clinical. (82 points per week) To be successful the student should earn scores of at least 1’s and 2’s in Week 2 of Clinicals ss Mod. April 2015 A= B= C= D= F= 93 – 100 85 – 92 77 – 84 69 – 76 0 – 68 At least 152 points earned At least 139 points earned At least 126 points earned Less than 126 points is not passing. 40 Students are graded on the following competencies: Clinical Skills & Competency Evaluation Rating Scale for Clinical Performance: The student and clinical preceptor each evaluate the clinical experience. Requirement: *Minimum of 100-120 total successful venipunctures & a minimum of 100 clinical hours* (During the 2-3 days of instructor-led clinical, and 2 week rotation at the clinical site) 2 points 1 point 0 points N/A Satisfactory/ Acceptable Performance Inconsistent Performance Unsatisfactory/ Failing Performance Not Applicable The student demonstrates consistency and competency with Phlebotomy skills 1. The student is inconsistent with Phlebotomy skills and requires additional practice, & consistency with skills The student has not demonstrated expected Phlebotomy skills & competencies This competency or set of skills was not available or was not observed Demonstrates knowledge of health care delivery team a) Knows phlebotomists role b) Describes types of lab procedures c) Uses common medical terminology 2. Demonstrates knowledge of infection control and safety a) Maintains laboratory safety b) Demonstrates appropriate infection control techniques c) Follows isolation procedures d) Follows OSHA standard precautions 3. Understands basic anatomy and physiology as regards body systems and pathological conditions a) Identifies the veins on the body part where phlebotomy is to be performed b) Demonstrates a basic understanding of blood components 4. Demonstrates understanding of specimen collection and integrity a) Verbalizes legal and ethical concerns with proper patient identification b) Verbalizes criteria for suitability of specimen analysis and/or reasons for rejection c) Can explain the importance of timed, fasting, and stat specimens 5. Demonstrates knowledge of collection equipment, additives, and precautions a) Identifies each type of additive b) Verbalizes correct tube colors c) Selects appropriate types of equipment for venipuncture, capillary and dermal puncture ss Mod. April 2015 41 6. Follows laboratory procedures to collect specimens a) Identities potential sites for appropriate punctures b) Applies aseptic techniques c) Demonstrates the steps in preparing an appropriate site. d) Performs proper needle insertion and withdrawal techniques in venipuncture and dermal puncture e) Performs capillary collection methods on adults f) Explains frequent causes of phlebotomy complications. g) Competently performs an effective venipuncture on a client. h) Competently performs a dermal/capillary puncture on a client. 7. Demonstrates understanding of requisitioning, specimen transport and processing a) Describes the standard operating procedures for requesting a laboratory analysis. b) Instructs clients on proper collection and preservation for various samples. c) Demonstrates appropriate methods for transporting and processing specimens. d) Understand the potential errors that may occur during collection, labeling, transportation and processing. 8. Demonstrates understanding of quality assurance and quality control a) Describes the system used in the clinical site for monitoring quality assurance b) Identifies location of policies and procedures in the clinical laboratory c) Understands the appropriate policy and procedures for applicable specimens. 9. Communication in the workplace a) Maintains confidentiality b) Interacts appropriately and professionally with members the health care team c) Understands the Patient’s Bill of Rights from the clinical institution d) Follows verbal and written instructions in carrying out procedures. e) Demonstrates ability to use computer information systems in the clinical site. 10. Demonstrates Professionalism in the clinical setting a) Is prompt, neat, clean, and appropriately attired b) Is adequately prepared and ready to assume assigned responsibilities c) Demonstrate behavior indicating knowledge of professional ethics in dealing with clients, visitors, the health team, peer group, preceptor and instructor d) Is accountable for own actions e) Demonstrate the ability to be a client advocate as appropriate f) ss Mod. April 2015 Complete assignments on time 42 Weekly Evaluations of Performance: A space for the instructor’s/preceptor’s comments on the evaluation tool offers a means for clarifying the ratings marked in the student’s clinical evaluation. It can be used to reinforce positive behavior or document areas for improvement. A space for student comments allows for self-evaluation and comments regarding strengths as well as areas that the student believes he/she needs additional practice and experience. During weekly evaluations of student progress, if it has been identified that the student is deficient in some of the technical skills or competencies, the preceptor and instructor may meet with the student to identify needs for improvement, in order to give the student an opportunity to improve their skills and be successful in the training. The student must receive a rating of a 2/Satisfactory, or 1/Inconsistent as the final grade for each competency, in order to pass the clinical experience. Minimally Satisfactory Clinical Performance or Performance In Need Of Improvement: The student is not consistently safe and does not adequately demonstrate application of Phlebotomy skills, psychosocial or psychomotor skills, or organizational skills. The student does not demonstrate knowledge of skills learned in HPR 112, or the synthesis of learning that was expected. The student is deficient in meeting some or all of the program’s clinical objectives, and is in need of specific improvements throughout the rest of the clinical to be successful. If students do not meet these expectations, the student will receive a failing grade for the clinical. • A final grade of 0/Unsatisfactory on a competency will constitute a failure in the clinical experience. Incomplete Clinical Hours: • • • If a student does not complete the mandatory clinical days, hours or venipunctures required, the student will not pass the Phlebotomy clinical. If there are extenuating circumstances that prohibit the student from attending ALL of the clinical hours, for example a valid excuse like a significant illness, etc., the student may have the option of taking an incomplete grade or withdrawing from the clinical. The student may be given the opportunity to complete clinical training in the same semester if the clinical site agrees to a new arrangement. BE ADVISED: No alternate clinical placements are guaranteed in the same semester or the following semester. Students should expect to make whatever arrangements are necessary to complete the clinicals during the current semester, as clinical sites and rotations are very difficult to come by, and rotations are arranged many months in advance. o The FRCC Clinical instructor will attempt to make other arrangements for a student’s clinical when hours are missed for a valid reason. Again, there is no guarantee that other clinical dates, times or sites will be available or offered by a clinical site. o If a student misses clinicals for an invalid reason, the student will fail the clinical, or may have an option to drop or withdraw from the course. ss Mod. April 2015 43 o If a student is dismissed from a clinical site due to a personality conflict, the instructor may attempt to find a new clinical placement and re-schedule the student, depending on the nature of the conflict. This will be decided upon on a case-by-case basis. Again, there are no guarantees another site will become available for the student. • If a student demonstrates poor knowledge or skills during the clinical rotation, and does not successfully pass the competencies, the student may discuss opportunities for re-taking the clinical in another semester with the program director and clinical instructor. If allowed another opportunity to re-take the clinical: o The instructor will identify areas that must be improved in the second clinical opportunity, and a contract will be developed between the student, the clinical instructor and the program director. o The student will only be given this 1 additional opportunity to perform their skills adequately and complete the clinical. o The student would be expected to register and pay for the second clinical opportunity, should there be a site available in the next semester. Again, availability of sites are not guaranteed. Injury During Clinicals: There is always the possibility of exposure to injury or infectious diseases when working in a health care setting. Students are taught proper procedures for protecting themselves by using standard precautions when working with clients, which includes prevention of exposure to blood-borne pathogens like HIV or Hepatitis B. Students are covered under FRCC Worker’s Compensation for injury or exposure to infectious disease during the dates of the clinical rotation at a facility. • Students are NOT covered under Worker’s Comp. for the classroom and lab settings at FRCC. *It is critical that the facility listed on the FRCC Worker’s Comp. form be used for any required FOLLOWUP CARE to have Worker’s Compensation pay. If a facility other than this is used, payment for services rendered will be the student’s responsibility. If a student sustains an injury or is accidentally exposed to an infectious disease (needle stick, exposure to TB, etc.) in the clinical area, she/he must notify the instructor immediately. An incident report will be filled out according to agency policy and immediate treatment will be at the facility, if available. An FRCC Incident Report will also need to be filled out. If not available at the facility and the injury is an emergency, use the nearest emergency room. If not an emergency, use the facility listed on the Worker’s Compensation Form. The student must fill out a Worker’s Compensation form in the office of Human Resources at the home college campus within 24 hours of the incident. Students are required to sign a Worker’s Compensation form for FRCC, located in the Phlebotomy paperwork Packet, available in D2L. Students are taught Standard Precautions, CDC and OSHA Guidelines during HPR 112, as well as safe practice guidelines when performing Phlebotomy duties. ss Mod. April 2015 44 HIV Prevention: Colorado Policy and Guidelines for Prevention and Management of Human Immunodeficiency Virus and Infectious Disease in the Health Care Education Community Numerous reportable communicable diseases (i.e., Hepatitis, HIV, Rubella, Rubeola, Varicella) which infect individuals through various methods of contact may represent a public health threat to the campus community. In particular reference to HIV, current evidence indicates that HIV infected individuals do not infect common living space, study areas, libraries, classrooms and theaters and are not a public health threat to the campus community. Therefore, exclusion of infected individuals from these activities is not necessary, or appropriate. When cases of reportable communicable diseases are known to exist on the campus, the College will review matters on a case-bycase basis to decide what actions, if any, need to be taken to protect against direct threat of harm to others. Guidelines for HIV Testing: Qualified individuals will not be denied admission to the phlebotomy program on the basis of HIV status. A student who believes he/she to be at risk has an ethical responsibility to know his/her HIV antibody status. The testing decision will be voluntary, but due to the nature of the disease, the student is encouraged to be tested. Counseling regarding this will be available. Students’ rights to confidentiality and privacy of information will be maintained. No specific information concerning student HIV status will be provided to any faculty, administrators, or others without express written consent of the individual student involved. Phlebotomy Program Contacts: Administrative Assistant Michelle Deckard, BS (main office #) 970-613-7580 Faculty Julie Kohuth, CPT, ASCP (Lead Instructor) Tammy Henry (Secondary Instructors) Heather Morrison (Secondary Instructors) 970-495-8700 Program Director Suzanne Sevy, RN, BSN, PBT (ASCP) 970-613-7583 FRCC RESOURCES LIBRARY • • • Instructors may put articles, books, or videotapes on reserve for you to use in your local campus library or check out for short periods of time. The reserve section is located behind the circulation desk. A computerized catalog, CARL, and computerized periodical indices make it easy to find materials for your research. The library also subscribes to the Cumulative Index to Nursing and Allied Health Literature, a valuable resource for locating health related articles. The phlebotomy program has specific materials available to any student enrolled in HPR 112/113. You may be expected to research the current literature in a number of your school classes and this task will be much less daunting if you are familiar with the library. Therefore, you are encouraged to visit the Harmony Library, at the corner of Shields and Harmony, in Fort Collins. ss Mod. April 2015 45 LEARNING DEVELOPMENT CENTER For students who are returning to school after several years, or students who want to brush up on their basic academic skills, the Academic Support Center offers individually arranged, self-paced classes in Math, English, Writing, and Reading. Drop-in tutoring is available to all students in these areas. The ASC also has videotapes for students to review in the areas of study skills, test taking skills, basic computer usage, Math and English. Services can be accessed by calling your Director of Special Services or asking for information form the information desk. TESTING CENTER/ASSESSMENT CENTER Another service offered by the college is the Testing Center. Here students who have missed tests, or who need to take a test early, can do so with prior approval from their instructor. Tele-course tests are also taken here. Testing Center hours vary each semester but are posted around campus and are at the Information Center. You will need your picture ID to use the Testing Center. (970-204-8188) LEARNING OPPORTUNITIES CENTER There are many services available to students with disabilities and special needs. It is the individual student’s responsibility to request such services and to provide appropriate, current documentation of the need for such services. (970-204-8112) A sample of services provided follows: • Interpreters for hearing impaired students • Two part carbonless paper for note takers • Readers • Audio recording of texts and class lectures • Extra time on exams • Referral to off-campus agencies for diagnostic testing (at student’s expense) TUTORS Students who are having academic difficulty and need support outside of class have the following options available to them: 1. If you are a student with a disability, contact the Learning Opportunities Center. 2. If you need tutoring for a vocational (e.g., nursing) class, fill out a Tutor Referral form, have it signed by your instructor, and submit it to the Learning Opportunities Center. 3. If you need help with Math, English, Science, Arts and Humanities, or Social Science classes, ask your instructor about lab/tutorial schedules for these departments. Students who request individualized tutoring under the above guidelines are expected to: • Maintain regular class attendance • Be current in their class assignments or are making an effort to become current ss Mod. April 2015 46 Students who are placed with individual tutors are expected to: • Keep scheduled appointments with tutors • Call the tutor if you are not able to meet as scheduled (the tutor has set aside time from their busy day to meet with you) • Do all of your own assigned work Students will lose the privilege of tutoring if: • They miss two scheduled sessions without informing the tutor • Are disrespectful of the tutor in any way • Do not attend class regularly Students who lose tutorial privileges may appeal for reinstatement by applying to the Director of the Learning Opportunities Center. ss Mod. April 2015 47 Common Clinical Sites: Poudre Valley Health Systems: • Medical Center of the Rockies o 2500 Rocky Mountain Ave., Loveland, 970-624-1507 Richard Nixon, Supervisor • Poudre Valley Hospital Express Lab o 1020 Doctor’s Lane, Ft. Collins, Just north of PVH Hospital, 970-495-8752 Chris Foster, Supervisor • Harmony Lab o 2127 E. Harmony Road, Ft. Collins, entrance off Harmony Road, Robin Sorrell, Manager • Poudre Valley Hospital Lab (Pre-Admit Lab) o 1024 LeMay, Ft. Collins, 970-495-8716 Andrew Tafoya, Supervisor • Greeley Medical Clinic o 1900 16th St., Greeley, 970-495-8736 Doug Smoot, Manager • Medical Centerra Clinic o 2500 Rocky Mountain Ave., Loveland, 970-624-1507 Richard Nixon, Supervisor McKee Hospital: o 2000 N. Boise Ave., Loveland, 970-622-1960 Sue Harkness, Lab Director Skyline Laboratory (in Skyline Medical center): o 2555 East 13th Street, Suite 115, Loveland, 970-622-1960 Sue Harkness, Lab Director NCMC- Northern Colorado Medical Center: o 1801 16th Street, Greeley, 970-395-2589 Summit View Commons Lab o 2001 70th Ave., Greeley, 970-395-2559 Christina.Round and Lynette Wardlaw Quest Diagnostics Fort Collins: o 1100 Haxton Drive, Ft. Collins, 970-217-2640 Christin Randall, Teamlead Longmont United Hospital: o 1950 Mountain View Ave., Longmont, 303-651-5396 Janice Mueller, Supervisor Kaiser Permanente: various locations ss Mod. April 2015 48 ss Mod. April 2015 49