Diagnostics Phlebotomy Course Number: 25.57400 Georgia Standard Georgia HOSA Competitive How It Relates Events HS-DP-1 Demonstrate employability skills required by business & industry. 1.1 Communicate effectively through *Interviewing Skills (*IS) *IS – Writing, speaking, listening, reading, & interpersonal skills. writing, speaking, listening, reading & *Speaking Skills (*SS) *SS – Writing, speaking, & interpersonal skills. interpersonal abilities. Biomedical Debate (BD) BD – Speaking, listening, reading, & interpersonal skills. Extemporaneous Health EHP – Reading & interpersonal skills. Poster (EHP) EW – Writing & reading. Extemporaneous Writing JSS – Writing, speaking, listening, reading & interpersonal skills. (EW) MR – Writing, reading. Job Seeking Skills (JSS) MRC – Communication & interpersonal skills. Medical Reading (MR) MS – Writing, speaking, listening, & reading. Medical Spelling (MS) PS – Writing, speaking, & interpersonal skills. MRC Partnership (MRC) RPS – Writing, speaking, & interpersonal skills. Prepared Speaking (PS) Research Persuasive Speaking (RPS) 1.2 Demonstrate creativity with Biomedical Debate (BD) BD – Use multiple approaches to ask questions; debate. multiple approaches to ask challenging Community Awareness (CA) CA – Creative procedures, methods, & products to raise awareness. questions resulting in innovative Extemporaneous Health EHP – Creativity in drawing to raise awareness. procedures, methods, & products. Poster (EHP) HE – Creative procedures, methods & products to raise awareness. Health Education (HE) PH – Creative procedures, methods, & products to present to public. Public Health (PH) 1.3 Exhibit critical thinking & problem *Interviewing Skills (*IS) *IS – Critical thinking, problem solving skills & career planning. solving skills to locate, analyze, & apply Creative Problem Solving CPS – Critical thinking, problem solving skills, analyze, & apply information in career planning & (CPS) information. employment situations. Health Career Display (HCD) HCD – Apply information in career planning. Job Seeking Skills (JSS) JSS – Critical thinking, problem solving skills, & career planning. MRC Partnership (MRC) 1.4 Model work readiness traits required for success in the workplace including integrity, honesty, accountability, punctuality, time management, & respect for diversity. 1.5 Apply the appropriate skill sets to be productive in a changing, technological, & diverse workplace to be able to work independently, interpret data, & apply teamwork skills. *Interviewing Skills (*IS) *Speaking Skills (*SS) Conference Dress Code Job Seeking Skills (JSS) Prepared Speaking (PS) Researched Persuasive Speaking (RPS) Biomedical Debate (BD) Community Awareness (CA) Creative Problem Solving (CPS) Forensic Medicine (FM) Health Career Display (HCD) Health Education (HE) HOSA Bowl (HB) Knowledge Test: Transcultural Health Care (KT-THC) Medical Innovation (MI) Parliamentary Procedures (PP) Public Service Announcement (PSA) All Competitive Events Conference Dress Code MRC – Critical thinking, problem solving skills, apply information for career planning, & employment situations. *IS – Model work readiness traits. *SS – Model work readiness traits. Conference dress code models work readiness traits. JSS – Model work readiness traits. PS – Model work readiness traits. RPS – Model work readiness traits. BD – Diversity, interpret data, & apply teamwork. CA – Diversity, interpret data, & apply teamwork. CPS – Interpret data & apply teamwork. FM – Interpret data & apply teamwork. HCD – Interpret data & apply teamwork. HE – Diversity, apply teamwork. HB – Interpret data & apply teamwork. KT-THC – Diversity within workplace. MI – Technological environment, interpret data, & apply teamwork. PP – Interpret data & apply teamwork. PSA – Technological environment & apply teamwork. 1.6 Present a professional image Dress code requires students to be in a navy blue or black suit at all through appearance, behavior, & times. language. HS-DP-2 Explore options in the clinical lab industry, including phlebotomy and the organizational structure. 2.1 Identify and describe current Biomedical Laboratory BLS – Testing employment options in the clinical lab Science (BLS) HCD – Career Exploration profession and the required education Health Career Display (HCD) HB – Round 2 questions and training. HOSA Bowl (HB) 2.2 Identify members of the clinical lab Biomedical Laboratory BLS – Testing team; differentiate between roles, Science (BLS) HCD – Career Exploration department and responsibilities of Health Career Display (HCD) HB – Round 2 questions team members, and place all members HOSA Bowl (HB) in appropriate positions on the organizational chart. HS-DP-3 Utilize appropriate laboratory/medical terminology and venipuncture equipment. 3.1 Demonstrate the appropriate use of Medical Assisting (MA) MA – Testing clinical lab nomenclature to include Medical Spelling (MS) MS – Testing & Spell Off medical terminology related to clinical Medical Terminology (MT) MT – Testing lab testing and requisitions. 3.2 Differentiate between physician Medical Assisting (MA) MA – Testing requisition, sample collection, and accession process. 3.3 Identify phlebotomy reference Medical Assisting (MA) MA – Testing sources including tube collection order Medical Spelling (MS) MS – Testing & Spell Off of draw; translating a brand name to Medical Terminology (MT) MT – Testing order of draw for venipuncture; special use sample collection and identification number; correct spelling or definition of medical terms; methods of patient identification; and ETS (Evacuated Tube Systems). 3.4 Classify and explain the types and Medical Assisting (MA) MA – Testing purpose of evacuated tubes by color code, anticoagulants and additives, and special characteristics 3.5 Select and assemble appropriate Medical Assisting (MA) MA – Testing venipuncture equipment for collection areas or mobile work stations, including ETS, syringes, winged-blood collection sets, needles, sharp containers, evacuated collection tubes, transfer devices, tourniquets, personal protective equipment (PPE), antiseptic swabs (according to protocol), gauze pads and bandages, slides, and marking pens. HS-DP-4 Abide by regulations governing workplace safety, infection control, operational standards, patient confidentiality, and facility protocol. 4.1 Demonstrate adhering to *Personal Care (*PC) *PC – Procedure I regulations regarding workplace safety Biomedical Laboratory BLS – Testing & Procedure II [e.g., Occupational Safety and Health Science (BLS) HHA – Procedure IV Administration (OSHA) and National Home Health Aide (HHA) HB – Round 2 questions Institute for Occupational Safety and HOSA Bowl (HB) L&E – Testing Health (NIOSH)]. Knowledge Test: Medical NA – Procedure I Law & Ethics (L&E) Nursing Assisting (NA) 4.2 Demonstrate abiding by regulations *Personal Care (*PC) *PC – Procedure I regarding operational standards (e.g., Biomedical Laboratory BLS – Testing & Procedure II Joint Commission on Accreditation of Science (BLS) HB – Round 2 questions Healthcare Organizations (JCAHO), HOSA Bowl (HB) L&E – Testing Clinical and Laboratory Standards Knowledge Test: Medical NA – Procedure I Institute (CLSI). Law & Ethics (L&E) Nursing Assisting (NA) 4.3 Demonstrate patient privacy Knowledge Test: Medical L&E – Testing (protected health information) as Law & Ethics (L&E) MA – Procedures I, II & III outlined in HIPAA (Health Insurance Medical Assisting (MA) Portability and Accountability Act) regulations 4.4 Demonstrate following exposure control plans in the event of occupational exposure *Personal Care (*PC) Biomedical Laboratory Science (BLS) Nursing Assisting (NA) 4.5 Demonstrate exhibiting appropriate Biomedical Laboratory infection control standards and safety Science (BLS) equipment, to include biohazards set Home Health Aide (HHA) forth by OSHA and the Communicable Disease Center (CDC). 4.6 Implement infection control *Personal Care (*PC) procedures to break the chain of Biomedical Laboratory infection; transmission via direct and Science (BLS) indirect contact, droplets, airborne, Home Health Aide (HHA) and hospital acquired infections. Medical Assisting (MA) Nursing Assisting (NA) 4.7 Demonstrate first aid and Basic Life *Life Support Skills (*LSS) Support techniques and initiate when CPR/First Aid (CPR) necessary. Emergency Medical Technician (EMT) 4.8 Observe standards of operation and *Personal Care (*PC) workplace safety regulations for: • Biomedical Laboratory needle stick safety and precaution act, Science (BLS) • blood borne pathogen, • safety Clinical Nursing (CN) practices of HIV (Human Immune Home Health Aide (HHA) Deficiency Virus), Hepatitis B & C. Medical Assisting (MA) Nursing Assisting (NA) 4.9 Show the appropriate use of PPE *Personal Care (*PC) (personal protective equipment) and Biomedical Laboratory effective hand sanitization procedures. Science (BLS) Home Health Aide (HHA) Medical Assisting (MA) *PC – Procedure I BLS – Testing & Procedure II NA – Procedure I BLS - Testing & Procedure II HHA – Procedure IV *PC – Procedure I BLS – Testing & Procedure II HHA – Procedure IV MA – Procedure VIII NA – Procedure I *LSS – Procedures I, II, III & IV CPR – Testing & Procedures I, II, III, IV, V, VI, VII, VIII & IX EMT – Testing & Procedures I, II, III, IV, V & VI *PC – Procedure I BLS – Testing & Procedure II CN – Procedures I & II HHA – Procedure IV MA – Procedure VIII NA – Procedure I *PC – Procedure I BLS – Testing & Procedure II HHA – Procedure IV MA – Procedure VIII NA – Procedure I Nursing Assisting (NA) 4.10 Demonstrate reacting to *Life Support Skills (*LSS) *LSS – Procedures I, II, III & IV emergency situations following agency CPR/First Aid (CPR) CPR – Testing & Procedures I, II, III, IV, V, VI, VII, VIII & IX procedures and facility protocol. Emergency Medical EMT – Testing & Procedures I, II, III, IV, V & VI Technician (EMT) HS-DP-5 Maintain quality control measures within the medical facility to prevent medical errors and provide appropriate patient care. 5.1 Identify and describe the national Biomedical Laboratory BLS – Testing regulatory agencies for quality Science (BLS) MA – Testing assurance and healthcare: JC (Joint Medical Assisting (MA) Commission), CLIA (Clinical Laboratory Improvement Act), CAP (College of American Pathologists), NAACLS (National Accrediting Agency for Clinical Laboratory Sciences), and CLSI (Clinical and Laboratory Standards Institute). 5.2 Describe quality assurance program Medical Assisting (MA) MA – Testing components and quality control related to Georgia Department of Education Georgia Department of Education Dr. John D. Barge, State School Superintendent October 11, 2013 Page 3 of 5 All Rights Reserved phlebotomy, including the following: • patient record documentation • procedural manuals • collection manuals 5.3 Recognize quality control Biomedical Laboratory BLS – Testing measurements, including risk Science (BLS) MA – Testing management, and demonstrate Medical Assisting (MA) methods of performance improvement. 5.4 Perform outcome measurements, Biomedical Laboratory BLS – Testing including the number of times patient Science (BLS) MA – Testing samples had to be redrawn due to Medical Assisting (MA) error through the collection of data to improve quality processes. 5.5 Demonstrate the usage of Medical Assisting (MA) MA – Testing information management components, including bar code systems and documentation in the electronic health records. HS-DP-6 Identify site specific anatomy related to venipuncture. 6.1 Identify and explain the three major Clinical Specialty (CS) CS – Student can choose Phlebotomist for Career selection & preform preferred sites for venipuncture in the venipuncture as their skill. antecubital fossa and distinguish the “H” and “M” shaped patterns. 6.2 Locate other potential veins for Clinical Specialty (CS) CS – Student can choose Phlebotomist for Career selection & preform venipuncture, when necessary. venipuncture as their skill. 6.3 Utilize appropriate palpation Clinical Specialty (CS) CS – Student can choose Phlebotomist for Career selection & preform techniques in vein location. venipuncture as their skill. HS-DP-7 Follow steps and guidelines necessary to prepare patients for blood collection procedures. 7.1 Apply appropriate safety standards for patient preparation. 7.2 Review requisition, confirm test Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform requirements (e.g., fasting and Knowledge Test: Nutrition venipuncture as their skill. medication) and status, and identify (Nut) Nut – Testing patient special considerations such as: • diet restrictions • latex sensitivity • timed / status 7.3 Perform proper patient identification procedures, verification and discrepancy rectification to insure accuracy. 7.4 Conduct initial patient observation utilizing appropriate communication techniques, including explanation of procedure to the patient. 7.5 Ensure consent is given by patient, either implied or informed. 7.6 Assess site selection, based on knowledge of anatomy and physiology, for sample collection that is appropriate for patient age and condition, in order to minimize patient risk. 7.7 Apply antiseptic agent utilizing proper aseptic techniques. Medical Assisting (MA) MA – Procedure III Medical Assisting (MA) MA – Procedures II & III Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. HS-DP-8 Perform venipuncture and capillary blood collection, utilizing appropriate equipment and techniques. 8.1 Demonstrate utilizing knowledge of Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform anatomy and physiology, related to site Medical Assisting (MA) venipuncture as their skill. selection. MA – Testing 8.2 Demonstrate applying appropriate Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform employee safety standards for Medical Assisting (MA) venipuncture as their skill. collection techniques and patient MA – Testing safety. 8.3 Confirm appropriate ETS Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform (evacuated tube system) and tube Medical Assisting (MA) venipuncture as their skill. additives. MA – Testing 8.4 Demonstrate assembling primary Clinical Specialty (CS) CS - Student can choose Phlebotomist for Career selection & preform blood collection equipment, including Medical Assisting (MA) venipuncture as their skill. MA – Testing quality verification (sterility and expiration date). 8.5 Demonstrate proper application, tying, removal, and standards for timing when utilizing a tourniquet. 8.6 Demonstrate proper techniques, including order of draw, for venipuncture needle insertion and removal. 8.7 Demonstrate performing the steps in a venipuncture procedure utilizing evacuated tube system, syringe, and winged collection set. 8.8 Demonstrate ensuring inversion of evacuated tubes after collection, to maintain additive/specimen ratio. 8.9 Demonstrate proper techniques, including order of draw, for capillary specimen collection, as required by patient age and condition. 8.10 Demonstrate performing capillary (dermal) puncture steps in the correct order. 8.11 Recognize common complications from primary collection (e.g., lack of blood flow, hematoma, petechiae, and nerve injury). 8.12 Identify and describe problematic patient signs and symptoms throughout collection (e.g., syncope, diaphoresis, nausea, seizure). Clinical Specialty (CS) Medical Assisting (MA) Clinical Specialty (CS) Medical Assisting (MA) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing Clinical Specialty (CS) Medical Assisting (MA) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing Clinical Specialty (CS) Medical Assisting (MA) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing Clinical Specialty (CS) Medical Assisting (MA) Clinical Specialty (CS) Medical Assisting (MA) Clinical Specialty (CS) Medical Assisting (MA) Clinical Specialty (CS) Medical Assisting (MA) CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing CS - Student can choose Phlebotomist for Career selection & preform venipuncture as their skill. MA – Testing HS-DP-9 Observe specialized laboratory tests that may involve specific techniques for patient preparation, timing of sample collection, other blood collection techniques, and sample handling. (Performing these skills may be considered more advanced, and may not be allowed according to Georgia law.) 9.1 Demonstrate by simulation or Biomedical Laboratory BLS – Procedures V & VI observe the following: • peripheral Science (BLS) FM – Testing blood smear preparation • blood Forensic Medicine (FM) MA – Testing culture collections, including assisting Medical Assisting (MA) other healthcare professionals • blood donation phlebotomy • blood sample collection for inborn errors of metabolism (e.g., PKU, galactosemia) 9.2 Calculate volume requirements to Medical Math (MM) MM – Testing avoid causing iatrogenic anemia. 9.3 Accommodate the technical and Medical Assisting (MA) MA – Testing communication challenges of blood collection for the pediatric and geriatric populations. HS-DP-10 Ensure compliance with facility procedures and protocol when documenting and reporting and when handling and transporting specimens. 10.1 Confirm proper labeling Biomedical Laboratory BLS – Testing procedures, including patient Science (BLS) FM – Testing & Round 2 identification and time. Forensic Medicine (FM) MA – Testing & Procedure VII Medical Assisting (MA) 10.2 Demonstrate performance and Biomedical Laboratory BLS – Testing & Procedure III assessment of routine and special Science (BLS) FM – Testing & Round 2 specimen handling. Forensic Medicine (FM) MA – Testing & Procedure VII Medical Assisting (MA) 10.3 Demonstrate avoiding preBiomedical Laboratory BLS – Testing analytical errors when collecting blood Science (BLS) specimens (e.g., (QNS) Quantity Not Sufficient and hemolysis). 10.4 Ensure proper quality control for all procedures, including Clinical Laboratory Improvement Amendments (CLIA)-waived. 10.5 Demonstrate exhibiting proper patient communication when explaining non-blood, specimen collection procedures (e.g., urinalysis and stool). 10.6 Demonstrate utilizing proper safety protocol when handling patientcollected nonblood specimens. 10.7 Demonstrate transporting specimens based on handling requirements (e.g., temperature, light, and time). 10.8 Demonstrate ensuring the following proper guidelines for nonlaboratory specimen transport (e.g., forensic studies and blood alcohol): • custody guidelines • transportation requirements • communication coordination 10.9 Demonstrate preparing samples for transportation to a reference (outside) laboratory. 10.10 Demonstrate evaluating procedures for effectively communicating critical values according Biomedical Laboratory Science (BLS) Medical Assisting (MA) BLS – Testing MA – Testing Biomedical Laboratory Science (BLS) Medical Assisting (MA) BLS – Testing MA – Testing & Procedure VII Biomedical Laboratory Science (BLS) Forensic Medicine (FM) Medical Assisting (MA) Biomedical Laboratory Science (BLS) Forensic Medicine (FM) Medical Assisting (MA) Biomedical Laboratory Science (BLS) Forensic Medicine (FM) Medical Assisting (MA) BLS – Testing FM – Testing & Round 2 MA – Testing & Procedure VII Biomedical Laboratory Science (BLS) Forensic Medicine (FM) Medical Assisting (MA) BLS – Testing FM – Testing & Round 2 MA – Testing BLS – Testing FM – Testing & Round 2 MA – Testing & Procedure VII BLS – Testing FM – Testing & Round 2 MA – Testing to established protocol, related to point-of-care testing. (Not allowed to be done by Phlebotomists in Georgia) 10.11 Demonstrate evaluating the procedure for reporting critical values for point-of-care testing and distributing laboratory results to ordering providers. (Not allowed to be done by Phlebotomists in Georgia). 10.12 Demonstrate proficiency in the following use of technology for processing specimen data. • input and retrieval • specimen flow through the laboratory utilizing the information management system Biomedical Laboratory Science (BLS) Medical Assisting (MA) BLS – Testing MA – Testing