UPHB 175 - Phlebotomy Refresher for Healthcare Providers

Refresher for health practitioners and clinicians who have previously completed phlebotomy training. Review of the theory and practice of basic phlebotomy techniques and procedures. Includes basic phlebotomy terminology and anatomy, blood collection procedures and required permissions, use of straight needle, butterfly needles, and alternative vein collection. Also includes a discussion on puncture technique problem-solving to increase confidence.

Information: Basic phlebotomy knowledge will be tested through an online course prior to practical blood draw experience in the lab.

Course Learning Outcomes:

Demonstrate good specimen collection technique, appropriate equipment and safety practices for blood draw in clinical settings with wide range of patients.
Demonstrate knowledge in anatomy, phlebotomy medical terminology, equipment, and regulations.
Demonstrate legal, ethical, and critical thinking practices through the application of appropriate procedures, documentation, and behaviors.

Outline:

Phlebotomy Skills Review
1. Updates to general rules, guidelines and standards
  1. HIPAA general rules
  2. OSHA guidelines
  3. Applicable CLSI venipuncture standards
2. Pre-collection skills and requirements
  1. Common medical terms
  2. Basic anatomy of the circulatory system of the arm and hand
  3. PPE and Infection control
  4. Identification of subject
  5. Pre-draw authorization and subject consent
  6. Collection of medical history
  7. Positioning subject for blood draw
Collection of blood sample
1. Identifying puncture site
  1. Application of tourniquet
  2. Acceptable areas for performing puncture
  3. Palpation of vein
  4. Positioning of subject for blood draw
  5. Cleansing puncture area
    1. Acceptable cleaning agents
    2. 2017 CLSA standards for cleansing area
      1. Circular target (concentric) cleansing
      2. Back-and-forth friction cleansing
    3. Allow site to air dry
Collection equipment
1. Evacuated tube system (ETS)
  1. Vacutainer (straight) needle and holder
  2. Required tubes
  3. Verification of lot #s and expiration dates
Winged infusion set (butterfly)
Syringe adapters/blood transfer devices
Post collection processes
1. Subject evaluation and care
2. Sharps disposal
3. Labeling specimens
4. Documentation
5. Storage and transport of sample
Complications during the collection process
1. Restricted vascular access and problem sites
2. Contamination
3. Special needs subjects
4. Subject behaviors
Proficiency
1. Demonstration of ETS, butterfly and syringe sample transfer
2. Three successful draws using two or more techniques.