Procedure for Phlebotomy

Posted September 11th, 2013 in Phlebotomy by Michele
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  1. Phlebotomy is the process of drawing blood from a person for laboratory examination. Phlebotomists and nurses remove blood to carry out different medical examination. Outlined below are steps involved in drawing blood from patients.
  2. Examine any patient precautions. Go through the patient’s medical records and identify any condition.
  3. Present yourself to your patient. Clarify to your patient about the phlebotomy process you are about to carry on them.
  4. Clean and disinfect your hands. Wear sanitary gloves.
  5. Examine the order of the patient. Confirm the request is stamped with the name of the patient, medical document number and birth date.
  6. Bring together your supplies. Confirm that the blood cultures and blood tubes have not expired.
  7. Choose the right needle. The needle selected will depend on the patient’s physical characteristics, age and the blood amount to be removed.
  8. Find a vein.
  9. Seat the patient. Give the patient a chair which have an armrest and have no wheels. A pillow must be placed under the arm of the patient in case he is lying down for support.
  10. Make a decision or allow the patient to decide about which arm to draw blood. Fasten a tourniquet around the arm of the patient just above the venipuncture site.
  11. Request the patient to make a fist. The patient should not be requested to force his fist.
  12. Use the index finger to trace the patient’s veins. Valve the vein using your index finger to enhance expansion.
  13. Sterilize the spot to be punctured using an alcohol cleaner. Disinfect the area in a circular motion and do not wipe the same place twice.
  14. Let the sterilized spot dry for about 30 seconds. This assists the patient not to feel a string when the needle is put in.
  15. Carry out the Blood Draw
  16. Make sure the needle is free from any defects.
  17. Needle sheath will assist in cording the needle into its holder.
  18. Valve any tubes with additives to remove the preservative from the tube.
  19. Put in the tube for collecting blood into the holder.
  20. Grab the arm of your patient and ensure it is pointing down so as to avoid reflux.
  21. Array the needle near the vein.
  22. Insert the needle.
  23. Fill the tube
  24. When blood stops flowing remove the tube from its holder.
  25. Add additives and fill all tubes.
  26. Request a patient to open his hand.
  27. Take the needle out and apply mild force to stop bleeding.

 

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How to choose a Phlebotomy Program

Posted September 7th, 2013 in Phlebotomy by Michele

If you have a huge interest in the medical field but you are concerned about the long duration of study and costly fees phlebotomy might be just the right career for you keeping in mind that it takes only eight to twelve weeks and a maximum of two years for an associate degree.

In the recent time there are many phlebotomy courses and institutions of learning offering phlebotomy training and this can be quite confusing for someone interested in joining the career. You need guidelines before selecting the right course and institution to join because this will be the first step towards your career development. A well defined program can make you competitive among others in the field so it is important to go for the best.

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A normal training program takes between six to twenty four months and this may cost around $1000 or even $15000 for tuition fee. The cost of the program does not necessary indicate the quality that will be offered so you will need to look for finer details like the program description, reputation of the school you want to join and the quality of education provided there.

The course you are selecting needs to cover the vital area that will be used in your work as a phlebotomist and this will include topics like human anatomy, drawing of blood, vein locations and also laboratory administration work.

It is important for the curriculum you are planning to study to involve the students in learning the legal aspect of phlebotomy, drawing blood with least discomfort and environmentally friendly disposal of the sharp objects used in the phlebotomy procedures. A course which offers some aspect of administrative work should be considered before others because phlebotomists need to have knowledge in keeping the results of the patients’ diagnosis.

With the growing population joining the phlebotomy you need to be equipped with the right skills which will make you stand out from the rest of the population and also offer you a good salary compared to others in the field.

Getting a certification with the organization bodies is also important because most states require you to be certified before you get employed. You may choose from the various bodies available like the national phlebotomy certification, American society for clinical pathologists (ASCP) and American society for phlebotomy technicians (ASPT) the organization you choose will depend on your specialization in the field and the kind of interest you have.

 

 

 

 

 

 

 

 

 

Phlebotomy Steps

Posted September 7th, 2013 in Phlebotomy by Michele

Phlebotomy is the process of drawing blood from a person for laboratory examination. Phlebotomists and nurses remove blood to carry out different medical examination.

Outlined below are steps involved in drawing blood from patients.

Patient Examination:

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  • Examine any patient precautions. Go through the patient’s medical records and identify any condition.
  • Present yourself to your patient. Clarify to your patient about the phlebotomy process you are about to carry on them.
  • Clean and disinfect your hands. Wear sanitary gloves.
  • Examine the order of the patient. Confirm the request is stamped with the name of the patient, medical document number and birth date.
  • Bring together your supplies. Confirm that the blood cultures and blood tubes have not expired.
  • Choose the right needle. The needle selected will depend on the patient’s physical characteristics, age and the blood amount to be removed.
  • Find a vein.
  • Seat the patient. Give the patient a chair which have an armrest and have no wheels. A pillow must be placed under the arm of the patient in case he is lying down for support.
  • Make a decision or allow the patient to decide about which arm to draw blood. Fasten a tourniquet around the arm of the patient just above the venipuncture site.
  • Request the patient to make a fist. The patient should not be requested to force his fist.
  • Use the index finger to trace the patient’s veins. Valve the vein using your index finger to enhance expansion.
  • Sterilize the spot to be punctured using an alcohol cleaner. Disinfect the area in a circular motion and do not wipe the same place twice.
  • Let the sterilized spot dry for about 30 seconds. This assists the patient not to feel a string when the needle is put in.

Procedure for drawing Blood:

  • Make sure the needle is free from any defects.
  • Needle sheath will assist in cording the needle into its holder.
  • Valve any tubes with additives to remove the preservative from the tube.
  • Put in the tube for collecting blood into the holder.
  • Grab the arm of your patient and ensure it is pointing down so as to avoid reflux.
  • Array the needle near the vein.
  • Insert the needle.
  • Fill the tube
  • When blood stops flowing remove the tube from its holder.
  • Add additives and fill all tubes.
  • Request a patient to open his hand.
  • Take the needle out and apply mild force to stop bleeding.

 

 

Phlebotomist salary

Posted September 7th, 2013 in Phlebotomy by Michele

Phlebotomy technicians are medical professionals whose core responsibilities are gathering blood specimens from patients. Phlebotomists must take caution when drawing and storing the fluids to avoid any contamination. There is an increase in demand for more phlebotomist as the health centers are growing in number. A phlebotomy technician can work in a hospital lab, private clinics, insurance industry, government agency, blood banks and in research centers.

A person interested to join this field must first learn what the discipline contains including the mean salary. Phlebotomist’s salary depends on ones experience, working center and level of education. The mean salary of a certified phlebotomist is $ 30,000 annually. Phlebotomy field also have part-time staffs that who are paid on hourly bases which is not less than $10, they also have other allowances like reduced cafeteria prices.

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A number of factors influence a phlebotomist salary, one being his experience. The longer a person has worked in an area the more skilled a person is and the more accurate one is. A phlebotomy technician who has worked in a place for one to three years will earn a salary ranging between $20,000 and $36,000 every twelve months. Those with five to ten years practice earns a real decent income that is between $36,000 and $40,000. Their phlebotomists who have been in the field for decades, their annual salary are more than $40,000.

Another factor is the phlebotomist employer. The employer may be the government, NGO and hospital management. NGO’s are the best paying employers; they pay their phlebotomy technician an average of $36,000 and $ 39,000 annually. Hospitals lead in the number of phlebotomists they hire. They pay an average salary of $29,000 per year. Those working in labs earn an average of $30,000 and those in clinical labs taking home a mean of $35,000.

Qualification is very important, as no employer is willing to hire someone who is not certified. One who passes well in phlebotomy exams is assured a better salary; passing includes excellent performance in phlebotomy practical.

Location of the working premises also influences ones income, before entering into any field it is always good to consider the firm’s location. There are a number of cities that are favorable for phlebotomists to work in they include San Francisco, Los Angeles, Newark, Chicago. The living standard in these places is very high even if the salary is high. Location is therefore another factor that influences income.

 

 

Phlebotomy equipments

Posted September 7th, 2013 in Phlebotomy by Michele

Collection tubes – Intended to fill a fixed amount of blood.  The codes used in labeling the rubber stoppers should be in different colors according to the sample color they hold. The tubes come in different sizes. NEVER transfer blood samples from one tube to another as the tubes may contain dissimilar coatings or additives. Once their used, they should be cleaned and stored in dry and tidy place.

Needles – The estimated number signifies the bore extent, therefore the smaller the estimated number the larger the needle bore. For the evacuated methods, the needles are accessible and with syringe use, in either single draw or butterfly method they are used.

Adapter/Holder – Used with evacuated collection apparatus. The holder should be non-flammable.

Tourniquet –Clean with alcohol and change often.

Alcohol wipes –It should always be maintain at 70% isopropyl alcohol

Providone –This iodine wipes have their use in drawing blood cultures.

Gauze sponges –Once the needle is withdrawn from the skin their used to dry the skin surface.

Tapes/ adhesive bandages –Used to protect the venipuncture site after blood samples are collected.

Needle disposal –After using a needle it should NEVER be bend, reused or broken instead it is good to dump it in a proper needle disposal unit. The dumping must be right away after their use.

Gloves –There worn to protect both the phlebotomy technician and the patient from any contamination. Phlebotomist puts them on. Gloves are made of rubber, latex or vinyl. They should be disposed like the needles and not reused.

Syringes – Used in special cases to substitute evacuated collection tube

Vacutainer tube –Depressed into a needle to start removing blood from a patient

Microtainers –This is one of microcollection tube used in blood collecting from either the heel or the finger. This method of collecting blood sample is mostly for patients who are elderly or small children and patients with difficult veins.

Fecal occult blood examination –Used to test for colorectal cancer by spotting any unseen blood in the stool specimen. The cards in the examination pack have a guiac paper that react with the blood portion causing a blue color to show once the developer is introduce.

Urine dipsticks –used for chemical testing of urine

Butterfly needles –draws blood from patients who has delicate veins.

Safety transfer equipments –protects the phlebotomists from accidental stick of a needle during blood transfer from a syringe to tubes.

 

 

 

 

 

 

 

 

 

Job Duties of a Phlebotomist

Posted September 1st, 2013 in Phlebotomy by Michele

Phlebotomist technicians can work in private clinics, physician’s offices, hospitals, research centers, blood banks, nursing homes and in insurance industries. In this field, there is an interaction with nurses, doctors, patients and other clinical workers of which all have different ages and social classes.

Tasks of Phlebotomists

The main duty of a phlebotomy worker is to remove blood from patients that is used in different ways. Their responsibilities expand past drawing blood to being good communicators, timekeepers, knowing and practicing all lab rules, sticking to CDC approvals and OSHA recommendations. The following are some of phlebotomist obligations that he carries daily.

  • Bringing together timed samples, the phlebotomist must have the understanding of the importance of timing especially if it relates to curative medicine level and any other crucial examining procedures. They must also adhere to all rules established for lab samples.
  • They should always make sure they label and record all the specimens’ tubes they gather with the correct dates and corrects initials. The label consists of the patient’s name, date of birth, date and time of blood drawing.
  • Phlebotomy technicians are obliged to match all the lab application forms and samples tubes and keep all the lab records in a safe place out of access to authorized personnel.
  • Phlebotomists have to follow all safety measures in the lab and communicate the precautions to any other laboratory user.
  • They make orders and receive all ordered items to be used in the laboratories. They arrange the supplies.
  • They make sure the laboratory is clean and all equipments are clean, sterilized and dry and are stored in safe positions to protect them from breaking.
  • Phlebotomy technician has a duty of making sure blood-removing trays are stored while clean and neat.
  • In case of a research in the phlebotomy field to resolve a problem, they take part in data collection, data analysis and in decision-making.
  • They communicate to the Lab Supervisor of any likely danger.
  • In the case when the phlebotomists visit patients in their homes, they are responsible in the transportation of the samples to the labs.
  • They also have a duty of taking measures for storing and transporting specimens to be analyzed by other health professionals.
  • Phlebotomists working in labs have a duty to make sure that specimens are examined correctly and are free from any contaminations.

 

 

Career Benefits for Phlebotomists

Posted September 1st, 2013 in Phlebotomy by Michele

The role of phlebotomy technicians is to draw blood samples from a patient to that is used in laboratories for different medical examinations. Phlebotomists have the knowledge of the many different examinations done on the blood specimen. He must be in a position to identify any type of prescription or diet that can hamper with this examination. This discipline comes with its benefits as outlined below.

Job Opportunities

The major pro is that there are plenty of jobs available worldwide as their many hospitals and clinics all over. A certified phlebotomist can work in any country of their choice. One can work in research centers, clinical labs, nursing homes and even in insurance firms. Some nations have mutual agreements that allow one to work in certified capacity all over the world. The increased job demand has attracted many people in this field.

High Income

Phlebotomy’s salary depends on his experience, level of training and the potential boss. They make a decent income. According to a research carried out by the American Medical Technologists, phlebotomy technicians rewarded hourly. A phlebotomist working in a public hospital or in a clinic earns an average income of $12.50 per hour, those in a lab earns $ 13 per hour. On the other hand, those at the reference laboratory makes $ 20 per hour, this is per the Bureau of Labor Statistics.

 

 

Retirement and cover Benefits

All medical fields have their benefits to its staff and so does the phlebotomy discipline have. Many medical care centers will offer its staff s cafeteria discounts, free and secured parking, free recreation facilities and welfare services like contributions in case of sickness or death and counseling in the case of depression and any job-related problems. A good example of such healthcare is the Valley Green Hospital found in Monroe; it offers its staff with insurance covers such as dental insurance, medical insurance, and people with disability insurance cover, life insurance and pension policy. Phlebotomists enjoy all this services too.

Career fulfillment

For any individual who likes assisting people and taking up new challenges may end up in phlebotomy job. This job involves interaction with different persons from different backgrounds. Phlebotomists interacts with patients during blood drawing, the phlebotomy must make sure the patient is relaxed. A phlebotomy technician can also take the pleasure as their work plays a vital role in diagnosing a patient and treating them.

 

 

 

Phlebotomy – Getting to the top of your medical career

Posted August 30th, 2013 in Phlebotomy by Michele

In layman’s language phlebotomy is the drawing of blood from the veins but in the real sense it is more than the drawing blood. Phlebotomy training programs assists you to take charge of emergencies and get the knowledge on laboratory procedures.

Proper study of phlebotomy equips you with the knowledge to hygienically collect blood without contamination for accurate giving of reports on the lab tests. Training in good schools and getting certification by the various bodies in the United States makes you perfect in your phlebotomy work and join in this reputable medical field.

In a phlebotomy class you will learn:

Human circulatory system, urinary system, respiratory system and all these are combined into one unit we call the anatomy of the human body and physiology.

Blood cells and human cells, where you will learn the blood structure and the cells structure and how they are affected by microorganisms during infection process, the change in the cell structure in the presence of ailments and diseases.

Blood sample taking which is the core part of phlebotomy and you study taking of blood samples from children, elderly and adults all in a different manner and technique for absolute comfort.

Hygienic importance, safety and care in the lab- the need to maintain hygiene in the lab in learnt, prevention of contamination and cross infection in the lab, handling of equipments in the lab and cleaning the tools for accurate results. You will also learn how to prevent yourself from contamination and injury in case of accidents.

In phlebotomy, you deal with human lives so it is important to choose the best college to train for proper qualification. Human life is dependent on the lab results for various diagnoses so it is important that phlebotomist do their work accurately and put all their skills together for best results.

Phlebotomy is widely growing and employment opportunities are coming up day after day in hospitals, blood donation centers, research institutions and government laboratories. The health care industry is so far the best paying and the pay increases as experiences increases and advancement in education.

After completing the formal training, it is important to get certification from a reputable recognized body available in your state, which will suit your course. Certification involves taking an examination offered by the body giving you certification and you get it after successfully passing the examination.

Certification is a big step in your career because you will attract many employers who need certified phlebotomists and increase your pay.

 

 

Disadvantages of Being a Phlebotomist

Posted August 30th, 2013 in Phlebotomy by Michele

Phlebotomist who works in physician’s workplace earns an average of $ 23 per hour; this is according to American Society for Clinical Pathology. This income is low when compared to other medical professionals who spend the same period of training as the phlebotomy technician. The phlebotomists have a lower esteem in the medical field compared to doctors and pharmacist.

Phlebotomist technicians are exposed to perilous waste. The biggest challenge in this discipline is that the personnel are always exposed to hazardous materials. Reagents, specimens and solutions used in the lab at times produce poisonous; this is as per the research the United Stated Bureau of Labor Statistic carried out. Phlebotomists can make a mistake when drawing blood or disposing used needles and nick or cut his or herself. This increases their chances of contracting infections such as HIV/AIDs or even syphilis.

In the field of phlebotomy, there is no room for errors. Errors like mixing different specimens accidentally can lead to a very high impact. Labeling samples incorrectly can lead to mixing blood of patients with different illnesses, which in return can lead to infecting a patient with terminal illness like HIV. Use of tools that are not sterilized can lead to infections of both the staffs and patients. When transporting laboratories specimens, the samples should be stored in such a way they cannot mix even after an accident occurs.

There is long working hours in phlebotomy field. Phlebotomists spends many hours in removing blood samples from patients which includes testing the patient’s blood level, going through their past medical records and counseling them on how to take care of themselves. They are also involved in submitting and transporting blood specimens to laboratories for examinations. Phlebotomy technicians carry out the lab work by they test the specimen under different conditions. After the tests are done, they communicate the findings to doctors and other medical personnel. All this duties can lead to back pain and joint aches.

Any phlebotomy technician must have good communication skills and a good attitude towards his or her job and his patients. This is necessary to make the patient feel comfortable and less anxious for the blood to be drawn well. If a patient is not comfortable with the phlebotomist who is serving him, he will ask for another and this will result to downbeat performance assessment of the denied phlebotomist.

Phlebotomy Technician Program Information

Posted August 29th, 2013 in Phlebotomy by Michele

Phlebotomy program takes a total of 28 hours and the lessons are broken out into 4-hour sittings taking place over seven successive weeks, it offers original education for phlebotomist and other healthcare preparing for phlebotomy practice. The course has being modified to adult style of learning for better understanding of key ideas. Interactive lectures, slides, team discussion, presentations and practical laboratory experiments are methods used in phlebotomy classes. On completion, one receives a certificate from American Red Cross Metro New York, which certifies a candidate to take the National Health career Association (NHA) Certified Phlebotomy Technician (CPT) examination. After which one can practice phlebotomy.

Course Requirement

GED or High School

Core Standard for the Performance

  • One should be able to communicate in a comprehensive manner with the trainer, fellow students and patients verbally or in writing.
  • A person must be in a position to interrelate with different people with different cultures, emotions and intellectual conditions.
  • Interested person must have a critical ability to think sufficiently for medical judgment.
  • He/she must have enough physical ability to plan in patient rooms.
  • The individual must have the knowhow of using venipuncture tools and positioning the patients.
  • The person should be able to observe and exam a patient.
  • He must be in a position to assess physically their patients.

All the core performance measures is examined practically by measuring performance against the set national standard in practical tests.

Unit Completion Requisite

  • Attending punctually all the scheduled classes.
  • Active contribution in class and in laboratories,
  • Achieve 70 percent or above as a man in end-course exam.
  • Pass well on final practical exam.
  • Pass well on final cognitive exam.

The Americans with Disabilities Act and Performance Measures.

Phlebotomy is a discipline with affective, sensory, cognitive and psychomotor measures. For the sake of its conformity with the 1990 Americans with Disability Act, a certified person with any form of any disability is one who, with or without sensible adjustment, confirms to the necessary entitled conditions for taking part in the phlebotomy program. If a person thinks, he cannot meet the set requirements without changes the American Red Cross Metro New York personnel’s will determine whether the changes encountered on the individual’s basis. Those that cannot meet the course requirements without practical changes can qualify to review the whole program without getting any certification.