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 3/08 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, 3/08 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