Advanced Phlebotomy

Our advanced course is set up to follow the basic theory class and will present an in-depth study of advanced infection control, the advanced theory and technique of venipuncture, pre-analytical errors to avoid, as well as a module on advanced law and ethics pertaining to the profession of phlebotomy, building on the previous modules in the Basic Course. This course is strictly timed to be 20+ hours long.

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Module 1- Advanced Infectious Disease Control and Biohazards

Reading Assignment :

Chapter 1

Upon the completion of this module, the learner will be able to:

  • Define the term nosocomial infection
  • Identify steps to avoid the transmission of Blood- borne pathogens
  • Identify and discuss the modes of transmission for infectious diseases and the methods for prevention.
  • Identify the Infectious Diseases of Most Concern for Phlebotomists
  • Discuss Vaccinations required for Healthcare Workers and the Diseases they help Prevent
  • Identify the potential routes of infection and methods for preventing transmission of microorganisms through these routes
  • List the personal protective equipment required for phlebotomists.
  • Identify the proper techniques for gowning, gloving, masking, double bagging, and entering and exiting the various isolation areas.
  • Describe the various isolations procedures and reasons for their use.
  • List the components of the chain of infection and the safety precautions that break the chain.
  • Identify and properly label Bio-hazardous specimens.
  • Discuss key points of the Blood borne Pathogens Standard, including changes required by the Needle stick Safety and Prevention Act.
  • List other inpatient informational signage.

Module 2 -Anti-Coagulation Theory

Reading Assignment :

Chapter 6 
Chapter 7 
Chapter 11 

Upon the completion of this module, the learner will be able to:

  • Describe the phases of hemostasis.
  • Describe the categories of tube additives used in blood collection for patients having anti-coagulation therapy, list the additive and describe how the additive works
  • List the most common Hematology tests and the required specimen tube.
  • Describe basic coagulation and fibrinolysis processes.
  • List the most common Coagulation tests and the required specimen tube.
  • Describe the type of additional patient information needed for Coagulation tests.
  • List various types of anticoagulant therapy a patient may be receiving and what special precautions are necessary when collecting specimens from these patients.
  • List the anticoagulants used in blood collection for coagulation therapy and the mechanisms for preventing blood from clotting.
  • Identify how heparin prevents blood from clotting.

Module 3 - Pre- Analytical Sources of Error in specimen
collection, transport, processing and storage

Reading Assignment :

Chapter 9

Upon the completion of this module, the learner will be able to:

  • Identify the significant pre-analytical errors that can occur during blood specimen collection and transport
  • Explain the various means of pre-analytical error prevention
  • List proactive steps to reduce potential pre-analytical errors associated with blood collection and transport
  • Discuss the types of substances that can interfere in clinical analysis of blood constituents and the methods used to prevent these occurrences
  • List the effects of physical disposition on blood collection.
  • Describe the basal state and list the physiologic variables of the patient that influence both this state and blood test results.
  • List the general criteria for suitability of a specimen for analysis, and reasons for specimen rejection or recollection.

Module 4 - Risk Factors and Appropriate Responses to Complications in Phlebotomy

Reading Assignment :

Chapter 3
Chapter 9 

Upon the completion of this module, the learner will be able to:

  • List the site selection areas to avoid.
  • Explain how to prevent complications in blood collection and how to handle the complications that do occur
  • Describe signs and symptoms of physical problems (syncope, nausea, vomiting, convulsions, allergic reaction, hematoma, cardiac arrest, etc.) in the patient that may occur during phlebotomy and the appropriate phlebotomist response.
  • List the symptoms of shock, cardiac arrest, and external hemorrhage and their appropriate first aid procedures.

Module 5- Anatomical Site selection and Patient Preparation (Blood Culture, Arterial Puncture, and Ports/Vascular Access Devices)

Reading Assignment :

Chapter 9
Chapter 11 
Chapter 14 

Upon the completion of this module, the learner will be able to:

  • State the primary reason for performing an arterial puncture procedure.
  • Identify the sites that can be used for arterial puncture, the criteria used for the selection of the site, and the advantages and disadvantages of each site.
  • List the additional equipment and supplies needed for arterial puncture.
  • Describe patient assessment and preparation procedures.
  • Explain the performance of the Allen test, its purpose, define what constitutes a positive or negative result, and give the procedure to follow for either result.
  • List the correct order of steps in performing arterial blood gas collection on both an artery and a capillary site.
  • List complications associated with arterial puncture, identify factors that may affect the integrity of the blood gas sample, and describe the criteria for sample rejection.
  • Evaluate the advantages and disadvantages of using liquid and lyophilized heparin for blood gas testing.
  • List the steps and equipment in blood culture collections
  • Discuss the aseptic techniques and timing sequence for the collection of blood cultures and the reasons for multiple collections.
  • Identify vascular access devices managed by nurses.
  • Explain how samples are collected from vascular devices when assisting the nurse during collection
  • Explain the special precautions and types of equipment needed to collect capillary specimen for ABG, or vascular arterial blood gases
  • Describe the process/procedure of arterial puncture

Module 6- Recognition of Problems with Test Requisitions, Specimen Transport and Processing, and Corrective Actions to take for problems with Test Requisitions, Specimen Transport and Processing

Reading Assignment :

Chapter 8 
Chapter 11 
Chapter 12 
Chapter 13 

Upon the completion of this module, the learner will be able to:

  • Name three methods commonly used to transport specimens
  • Name areas of departments that usually receive laboratory reports
  • Describe the special precautions that should be taken and the techniques that should be used when various types of specimens must be transported to the clinical laboratory
  • Describe the process steps in documentation of a problem and corrective actions taken to fix the problem.
  • Describe essential elements of requisition and report forms according to the law, list essential information for test requisitions
  • Describe the test request process, identify the types of requisitions, personnel responsible and permitted to order tests and list the information required on a requisition.
  • List the different types of test collection and testing priorities as it relates to patient status and organize a work load according to these priorities.
  • List the items required on specimen collection containers and requisitions.
  • Describe the phlebotomist's role in collecting and/or transporting specimens to the laboratory.
  • Describe the potential clerical and technical errors that may occur during specimen processing.
  • Describe what the terms “fasting” and “STAT” mean when referring to blood tests.
  • State the requirements for fasting specimens and name three tests that require fasting specimens.
  • Explain the procedure for a 2 hour postprandial glucose test and glucose tolerance tests.
  • Describe how to verify fasting and other patient status requirements, and what to do when these requirements have not been met.
  • List common tests that must be chilled immediately after collection.
  • List common tests that are affected by exposure to light.
  • Describe the special precautions needed to collect blood in therapeutic drug monitoring (TDM) procedures
  • List the different reasons for performing Toxicology tests and differentiate between trough and peak drug levels.
  • Discuss safety rules for specimen processing and the safe operation of a centrifuge.
  • Discuss DOT regulations for the transport of blood and blood containing body fluids.

Module 7- Non-Blood Specimens

Reading Assignment :

Chapter 11 
Chapter 13 

Upon the completion of this module, the learner will be able to:

  • Match the different types of non-blood body fluids with their description.
  • List the appropriate instructions for patients in the proper collection and preservation for various samples, including, urine, sputum, and stools.
  • Select correct patient collection containers for the various non-blood samples.
  • Contrast the different types of urine specimen collections.
  • List the most common tests performed on urine, stool, semen, CSF, and other body fluids.
  • Differentiate between tests done on the Physical Exam, Chemical Exam, Microscopic Exam, and Microbiology Examination of Urine.
  • List common reasons for performing a Urine Drug Test for drugs of Abuse (DOA).
  • Describe "chain of custody" requirements for legal specimens and list the tests frequently requested for forensic studies.
  • List the common problems associated with Urine Pregnancy testing.
  • Contrast the different types of semen collections.
  • List the most common types of Point of Care Testing (POCT)

Module 8- Communication in Phlebotomy

Reading Assignment :

Chapter 1 
Chapter 12 

Upon the completion of this module, the learner will be able to:

  • List examples of positive and negative body language
  • List skills for active listening and effective verbal communication
  • Identify the unique factors in healthcare and the laboratory environment which present customer service challenges.
  • Describe the behaviors and characteristics of professionalism as it applies to phlebotomy.
  • Apply basic concepts of communication, interpersonal relations, and stress management to phlebotomy
  • List the types of diversity present among laboratory customers.
  • Differentiate between internal and external laboratory customers.
  • List appropriate ways to resolve conflict situations.
  • Identify six ways to enhance the intra-laboratory communication network
  • Discuss effective verbal and nonverbal communication appropriate in the workplace.
  • List the typical reasons for telephone use by laboratory staff and the characteristics of good telephone techniques.
  • Describe how to prepare patients for testing, how to answer inquiries concerning tests, and what to do if a patient objects to a test.
  • Describe how to answer inquiries concerning tests, and the protocol for handling a patient's refusal to have a blood sample collected.
  • List the causes of stress in the work environment and discuss the coping skills and techniques used to deal with stress in the work environment.

Module 9- Quality Assurance in Phlebotomy Necessary to Provide Accurate and Reliable Laboratory Test Results

Reading Assignment :

Chapter 2 

Upon the completion of this module, the learner will be able to:

  • Define risk and describe the major elements in a risk management program
  • Identify steps in monitoring and evaluating a specimen collection process
  • Give examples of how phlebotomist can participate in quality improvement efforts
  • Describe essential elements of a phlebotomist’s performance assessment
  • Define the terms, abbreviations and numerical values associated with quality assurance in phlebotomy.
  • List the types of records that can be used to monitor the quality of specimen ordering, collection, testing and turn-around-time.
  • Recognize and describe the steps in taking corrective actions and documentation of problems with test requisitions, specimen transport and processing.

Module 10- Legal and Ethical Issues Related to Blood Collection

Reading Assignment :

Chapter 1 
Chapter 2 

Upon the completion of this module, the learner will be able to:

  • Define basic ethical and legal terms and explain how they relate to the health care setting.
  • Describe the CLIA '88 Regulations and describe their impact on laboratories.
  • Discuss the role of JCAHO, CAP, CLSI, AABB, and CDPH in the regulation and accreditation of laboratories.
  • Identify the different types of Lab testing complexity as defined by CLIA.
  • Describe the sanctions or penalties imposed for noncompliance with CLIA regulations.
  • Describe the personnel standards for laboratory testing personnel as defined by CLIA.
  • Identify the different categories of laboratory documentation.
  • Identify common deficiencies found in the phlebotomy area during lab inspections
  • Describe the various types of patient consent.
  • Define how to avoid litigation as it relates to specimen collection in a health care environment
  • Describe CLIA 88’ in perspective to blood collection and transportation responsibilities
  • Describe the “5D’s” in terms of negative patient outcomes
  • Define the different terms used in the medico-legal aspect for phlebotomy.
  • List policies and protocol designed to avoid medico-legal problems.
  • Discuss the major points of the American Hospital Association's Patient's Bill of Rights and Health Insurance Portability Act (HIPPA) and the phlebotomist's responsibility for maintaining confidentiality of privileged information on individuals.
  • Describe when and how to complete Incident reports.
  • Give examples of how phlebotomists could be involved in medical malpractice law suits.
  • List ways to avoid lawsuits.
  • Understand California State Law related to phlebotomy
  • Describe 4 levels of CLIA testing including waived, PPM, and moderate/high complexity

Details

Category : Phlebotomy

Course Number : 6

Price : $399.00

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