ML127 - SharePoint - Erie Community College

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ERIE COMMUNITY COLLEGE
North Campus
COURSE OUTLINE
A.
Unit Code and
Suggested Course Title:
600
Phlebotomy, ML 127
B.
Curriculum/Program:
Medical Laboratory Technology
C.
Catalog Description:
This course involves the role of the phlebotomist in facilitating the specimen collection
process. Classroom and laboratory instruction concentrate on venipuncture using
simulated arms and micro-collection techniques. Introduction to point of care testing and
waived category tests; quality management and liability risk management is also
included.
Prerequisites: MA 115 or ML 111 or equivalent or permission of instructor.
Concurrent Registration: ML 128
F/S (N)
D.
Duration of
Instructional Period:
One 50-minute lecture/week for 15 weeks
One 100-minute lab/week for 15 weeks
E.
Academic Credit Hours:
2.0 Credit hours
F.
Suggested Text/and
Course Materials
Blood Collection in Healthcare,
Author: Marjorie Schaub DiLorenzo
Susan King Strasinger
G.
Course Outcomes:
Upon completion of this course, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
3/08
Rev9/08
Identify the function of phlebotomy in the HealthCare Setting
Demonstrate fundamental knowledge of basic medical terminology and body
systems
State and adhere to all safety protocols and guidelines to include universal
precautions and infection control and other guidelines that may be provided both on
campus as well as at the extern site
State and adhere to all PHI rules and HIPAA regulations as specified by the extern
site
Follow departmental policies and procedures to correctly identify the patient and
the labeling protocols of all patient specimens.
Select appropriate evacuated tubes for routine blood collection
List criteria for minimizing collection complications and specimen rejection by the
laboratory
1
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
H.
Select appropriate veins and demonstrate proper collection techniques by
venipuncture on adults
Recognize the need for specialized collection techniques, the complications and
special considerations associated with blood collection
Relate the importance of collection criteria, specimen storage and transport for
routine and special tests
Select appropriate collection systems for dermal punctures in the adult, child and
newborn
Demonstrate proper microcollection techniques in the adult
Perform common CLIA waived tests
List the importance of quality control tools
Demonstrate concern, competency and care when interacting with patients
Identify the components of a quality assurance program
Enter data into a computer following protocols as needed
Use effective communication skills
Qualify for certification/registration examination offered by the National
Association of Health Professionals
Apply the skills required to project an image of professionalism to include
appearance, conduct, punctuality, competency and continuing education as feasible
Program Competencies:
1.
Identify direct causes of technical or instrumental problems and make appropriate
corrections using preset strategies. (13-14)
2. Collect and prepare human samples for analysis. Store and transport samples using
appropriate preservation methods. Specimens may include blood, urine, and other
body fluids. (2-12, 15, 18, 19)
3. Operate equipment or instruments necessary for routine analytical tests. Recognize
instrument malfunction and take appropriate action. (13-14)
4. Perform, record and evaluate all quality control procedures required for the tests
assayed. (13, 16)
5. Recognize abnormal or unusual test results and follow institutional procedures for
reporting critical values. (13)
6. Report results in writing, orally or by computer. (17, 18)
7. Perform and record routine instrument checks and maintenance procedures. (13)
8. Observe established safety measures. (3-15)
9. Maintain the work area in clean, orderly condition. (5-17)
10. Participate in continuing education. (19)
11. Demonstrate behavior consistent with acceptable professional conduct standards,
such as appearance, quality of work, quantity of work, human relation skills,
leadership skills, written, and verbal communication skills. (1-19)
Not a required course in the Medical Laboratory Technology Associate Degree course of
study.
I.
SUNY General Education Ten Knowledge Areas:
Not applicable to course offerings in Health Science Division.
3/08
Rev9/08
2
J.
ECC Graduate Learning Outcomes (GLO):
1.
2.
3.
4.
5.
6.
K.
Communicate effectively. (2-12, 15, 18-20)
Read and think critically. (2-16, 19, 20)
Demonstrate civic responsibility including an understanding of ethics, diversity,
citizenship, and community involvement. (4-15, 17, 19, 20)
Demonstrate personal and interpersonal integrity and maturity through leadership,
perseverance, motivation, adaptability, responsibility and respect for self and
others. (15, 19, 20)
Demonstrate adequate preparation for a career or continuing education. (1-20)
Demonstrate competence with computers and technology. (3-14, 17)
Assessment of Student Learning:
1.
Quizzes
A minimum of four (4) quizzes will be scheduled based on lecture/lab material, text
reading and any additional handouts provided. More if needed. A minimum of
70% is required.
Make–ups on quizzes are not provided
2.
Midterm and Final exam
A MIDTERM and FINAL Exam may be scheduled based on lecture/lab material,
text reading and any additional handouts provided and as needed
Make-ups on exams are NOT provided
Absence of an exam or quiz will require weighting of the final exam. Speak to the
instructor if an absence is anticipated for make-up work.
3.
Laboratory and Classroom Performance
Regular attendance and arriving to class in a punctual manner is necessary for
continuity of a good learning experience. Absence of 15% or more or habitual
tardiness will result in lowering the final grade a minimum of one letter grade or
may necessitate the student’s removal from the externship site practice and oncampus course.
Performance, within the campus setting, will be evaluated based on meeting
Checklist performance objectives. Points will be assigned.
A minimum score of 80% is required on the simulator arm evaluation to continue
on to the extern site rotation and in the on-campus classes. Failure to obtain this
competency level will result in course failure of both ML 628 and the clinical
rotation (ML 629).
ML 628 and ML 629 are linked – meaning that both have to be passed. Less than
70% constitutes an F. If you receive on F in one of these courses, you will
automatically receive an F in the other – no exceptions. You cannot pass lecture if
you fail rotation; you cannot go out on rotation if you are failing lecture or proceed
from the VA on to your next rotation if you are failing the previous.
3/08
Rev9/08
3
4.
Clinical Rotation – ML 629
Successful completion of checklist evaluations on the simulator arm with a
minimum score of 80% must be demonstrated prior to the clinical site rotation.
The Clinical Rotation(s) consists of a minimum of nine (9) hours of patient
phlebotomy at the VA with at least 25 successful draws, 6 hours of orientation and
observation. An exit exam is administered by this site. All Clinical Rotations will
be graded. This will be followed by 8 hrs. each at 3 of the facilities in the Catholic
Health System. Scheduling will be done when all health forms/immunization/
HIPAA records are in and approved. Phlebotomy draws at the hospitals start at
5:00 AM.
NOTE: Failure to complete the rotation, pass the exit quiz, or otherwise display a
lack of safety considerations, protected health information, demonstrate
unacceptable ethical behavior, failure to follow site dress codes and in any way be
detrimental to the operation of the rotation site will result in a grade of F for the
entire course of ML 628 and the ML 629 rotation grade.
L.
Library Resources:
 MLO Medical Laboratory Observer
 Medline
M.
Topical Outline:
Introduction
Syllabi-628 and 629, Departmental Safety Protocol
Video-Lab Safety, Sign safety form
Collect Allied Health Form, Collect HIPPA Certificates,
Collect $ for Name Badges
Videos-Homeostasis, Circulatory System,
Introductory Quiz
Unit 1
Sign-up for Hospital Rotation(s), Lab tests, Introduction to
Blood Collection-Introduction/importance of correct collection
and handling, Types of specimens and quality assurance
Video-Collection and handling of Specimens
Unit 2
Quiz 1 is on Introduction, Unit 1
Venipuncture equipment-Introduction, organization, order of
draw, syringes, winged sets, tourniquets, gloves, antiseptics,
gauze, bandages, additional supplies, quality control, demo of
equipment, tray, tubes and supplies
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Rev9/08
4
Vacutainer (evacuated tubes) Start Simulator arms, handout
Competency evaluations
Unit 3
Quiz 2 is on Unit 2
Routine venipuncture- Introduction, collection practice,
Requisitions, greeting and identification, patient and technician
Preparation, equipment selection, site selection, tourniquet
Application, cleansing of site, performance of venipuncture,
Needle removal and disposal, bandage, labeling of tubes,
Disposal of supplies, exiting room, delivery of specimen
Video- Venipuncture
Practice in lab
Unit 4
Complications and additional techniques- Introduction, causes
Of failure to obtain blood, hematomas, hemolyzed and
contaminated specimens, technical and patient problems and
complications, syringe, winged infusion , specimen rejection
criteria
Video- The Difficult Draw
Start competency evaluations
Quiz 4 is on Unit 3 and 4-includes labeling
Continue lab practice and competency evaluations
Hospital rotations start
Unit 5
Special venipuncture collection- Introduction, fasting and timed
Specimens, blood cultures, special specimen handling procedure
Related to cold agglutinins, chilled samples, light sensitive
Tests, legal specimens
Video- Special Collection
Continue lab practice and competency evaluations
Practice butterfly collection
Quiz 5 is on Unit 5
Continue lab practice and competency evaluations including
butterflys
Introduction to CLIA waived testing and point of care
Introduction, hemoglobin testing using the HemoCue
Instrument, microhematocrits, glucose testing using Accu-Chek,
Preparation of a quality wedge blood smear
Continue lab practice and competency evaluations
Continue lab practice and competency evaluations including
Butterflys, microhematocrits, glucose, and blood smears
Unit 6 –
Dermal punctures- Introduction, importance of correct
Collection and composition of blood, puncture equipment,
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Rev9/08
5
Devices and microcollection containers, dilution systems,
Puncture practice overview, preparation of patient and
Equipment, site selection of finger and heel, cleansing,
Performance, order of collection, labeling and exit requirements
N.
Proposal Prepared by:
3/08
Rev9/08
MLT/MOA Faculty
6
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