WPCIH X kf>LW{0- 8 yŤP?H&옩$}Bv s_РoӚ&zaKy (-wd@׶xgBIӼ;(TF{ol oxڧa&-l%ۿXʯcP*D)n%>WKjȔ(c/,H.3fzz=B\.hg8C꣊_>4j6`7I$<љ=r# U*Ni % 0: 1u 72l 0?c 1s 72t^ w4 m 0 0w 0G 0 0VnE 0 0Vf  0V  0Uc 0 0 0` 0 0 0 08 0 0 0E 0 0 0v 0 0 0Y 0 0{! 0=" 0 # 0# 0e$ 0 % 0% 0?& 0& 0[' 0 ( 0( 0>) 0) 0* 0+ 0, 0e- 0G. 0)/ 0/ 020 00 0:1 0Y2 0_v2 0 2 03 0a5 B#*g7 D/7 D+7 07 D/9 0 : 06: 0$; 0:,< 0^f< 0<< 1e=U6e=U>=U*= B> 0D >ad? 0 Nx?? 0e@@ 0gAULBNjBUNlBlB 0BkCDDxENE 1KF8Fe G G G G G G G G G G G G G 0N G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G GXGDHhp LaserJet 1300 PCL 6 (Copy 1)0(9 Z6Times New Roman RegularX($USUS.,3#37=CIQYag1.a.i.(1)(a)(i)1)a)i)(;3$2#  0  .3  0  337=CIOW_eI.A.1.a.(1)(a)i)a)1)ue8 cc8:i+003|xU($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#(.3$ !USUS.,  ({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(.3$ !USUS.,  (.3$ !USUS.,  *+ (_2623  ..*G+G (_25   /%` ` hp x /23  ../%` ` hp x /   *8+8 (_24  ," hp x ,23  ..," hp x ,  *5+5 (_23 ` ) hp x )23  ..) hp x ) ` *2+2 (_22  &hhp x &23  ..&hhp x &  */+/ (_21  #p x #23  ..#p x #  *,+, (_20 h  p x 23  .. p x h *)+) (_19  pp x 23  ..pp x   *&+& (_18   x 23  .. x   *AA (_17  5+ ` hp x 523  Ԁ5+ ` hp x 5  *GG (_16   /%` ` hp x /23  Ԁ/%` ` hp x /   *88 (_15  ," hp x ,23  Ԁ," hp x ,  *55 (_14 ` ) hp x )23  Ԁ) hp x ) ` *22 (_13  &hhp x &23  Ԁ&hhp x &  *// (_12  #p x #23  Ԁ#p x #  *,, (_11 h  p x 23  Ԁ p x h *)) (_10  pp x 23  Ԁpp x   (&& &_9   x 23  Ԁ x   (AA &_8  5+ ` hp x 523  5+ ` hp x 5  (GG &_7   /%` ` hp x /23  /%` ` hp x /   (88 &_6  ," hp x ,23  ," hp x ,  (55 &_5 ` ) hp x )23  ) hp x ) ` (22 &_4  &hhp x &23  &hhp x &  (// &_3  #p x #23  #p x #  (,, &_2 h  p x 23   p x h ()) &_1  pp x 23  pp x   &&& $_   x 23   x   0AA.Normal  5+ ` hp x 55+ ` hp x 5  <AA:Definition T  5+ ` hp x 55+ ` hp x 5  <AA:Definition L , 5+ ` hp x 5  5+ ` hp x 586Definition(hh&H1  5+ ` hp x 5      5+ ` hp x 5  (]]&H2  5+ ` hp x 5  5+ ` hp x 5  (]]&H3  5+ ` hp x 5  5+ ` hp x 5  (]]&H4  5+ ` hp x 5 XXX 5+ ` hp x 5  (]]&H5  5+ ` hp x 5  5+ ` hp x 5  (]]&H6  5+ ` hp x 5  5+ ` hp x 5  2DD0Address  5+ ` hp x 55+ ` hp x 5  8MM6Blockquote , , 5+ ` hp x 5   5+ ` hp x 5,*CITE,dl*CODEKU<6X9`(Courier NewKSV\  `&Times New RomanS42Emphasis64Hyperlink    <:FollowedHype    4go2Keyboard KU<6X9`(Courier NewKSV\  `&Times New RomanS <:Preformatted  /%  ,Kk %#/KU<6X9`(Courier NewKSV\  `&Times New RomanS/%  ,Kk %#/  <:zBottom of 7J(X7    5+ ` hp x 5?W%2A`Arial?  SV\  `&Times New RomanS7K(X75+ ` hp x 5  &  d dI)1dxd'dxd<:zTop of For7M(X7    5+ ` hp x 5?W%2A`Arial?  SV\  `&Times New RomanS7K(X75+ ` hp x 5  I)2dxd0KS.SampleKU<6X9`(Courier NewKSV\  `&Times New RomanS0.Strong 8dl6TypewriterKU<6X9`(Courier NewKSV\  `&Times New RomanS42Variable: 8HTML MarkupB      2 0CommentB  #$%&'()* 35;AGMSY_11.1.1.1.1.1.1.1.<6X9`(Courier New\  `&Times New Roman%2A`Arial d(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(# Table_A(O$1, 2, 3,Level 1Level 2Level 3Level 4Level 54#'2Quick 1.\  .0 \a, b, c,Level 1Level 2Level 3Level 4Level 56#(v4Quick a. ^  .0 ^+`4New Century Schoolbook'U Z 6Times New Roman Regular($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(# a *USUS.,  _    2   )USUS.,  _AX) xdEWxA X _PLAB_Ԁ1166/1066PhlebotomyPracticum 'USUS.,  _Syllabus X AX) xdECxAhttp://www.austincc.edu/health/documents/HealthDataForm.pdfhttp://www.austincc.edu/health/dmt.phpydxGaeimquy}Bullet ListBullets Listhttp://www.medtraining.org/(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#http://www.austincc.edu/helath/immunizationhttp://www.austincc.edu/handbook/ !USUS.,  _ (33TRX3'LetterX3' Letter3'Letter33'LetterTXX  `XXXX``X`X8@XXdd8AustinCommunityCollege X @ #``U##X@Xt#bX@XXX@ b<XbX@PhlebotomyTechnicianProgram#bX@Xb<̅# bXbX@Ԉ B @*#bX@Xb#b  XbX@ @PLAB1166/1066PhlebotomyClinicalPracticum F #bX@X b e#bXbX@   p    x   @##bc#bCourseSyllabus c  #b##X@X#XX@b@%#bX@Xb'#bXbX@#bF#bSpring2008 #b##X@X#Ԉ  U   Instructor:  p 0 KeruBrophyMartinez,MT(ASCP)A  $ $  Office:  p 0 EastviewCampus,Building9000,Room9316u $ $  ContactInstructor:  Office:2235877 Q 0  0p$$ Cell:5360032Ap$p$ 0  0p$$ Officeemail:kbrophym@austincc.edu-p$p$ 0  0p$$  p$p$  OfficeHours:  Duetothevaryingclinicalschedulesofstudents,appointmentsarerequired.     p  LengthofCourse:  8Weeks,althoughnumberofweeksassignedtoaclinicalsiteisdeterminedby a 0  0p$$0 p$p$numberofclinicalhoursperweek.Q $ $  TotalNumberofHours:  112ClinicalHours )  Time:   ClinicalScheduleswillvarybystudent (  ]     p    p  Revised: l March5,2008!   " "  #!#   "3"  efg3 2  I  .3  0 (   CourseDescription 3 5 ݌(%(% Ќ  0 ( Anintermediateoradvancedtypeofhealthprofessionsworkbasedinstructionthathelpsstudents  gainpracticalexperienceinthediscipline,enhanceskills,andintegrateknowledge.Theemphasisis  onpracticalworkexperienceforwhichthestudenthasalreadyacquiredthenecessarytheoretical  knowledgeandbasicskills.Directsupervisionisprovidedbytheclinicalprofessional,generallya  clinicalpreceptor.Ahealthpracticummaybeapaidorunpaidlearningexperience. (%(% 0 ( Thestudentwilldemonstrateskilldevelopmentintheperformanceofavarietyofbloodcollection  d methodsusingpropertechniquesandstandardprecautionswhichincludes:vacuumcollection k P  devices,syringes,capillaryskinpuncture,butterflyneedlesandbloodculture,andspecimen W <  collectiononadults,childrenandinfants.Emphasisoninfectioncontrolandprevention,proper C(  patientidentification,labelingofspecimens,qualityassurance,specimenhandling,processingand /  accessioning. (%(% 0 ( Thecourseisdesignedtoallowstudentstodeveloptheskills,knowledge,andattituderequiredto   functioninaprofessionalmannerinthehealthcaresetting.Laboratoryinformationservices,client  servicesandqualityassurancemaybecovered.Studentsmustperformaminimumof100successful  venipuncturesand10successfulskinpunctures.Studentswillbescheduledfor112hoursofclinical,  MondaythroughFridayduringthedayshift.StudentswhosuccessfullycompletePLAB1323/1023  andPLAB1166/1066willbeawardedacertificateofcompletionandbeeligibletotakeanational t certificationexam.{`(%(%  "3"  32  II  .3  0 (   CourseGoals 3݌S8(%(% Ќ  ";"  ;0 ( 2  A  .3  0(%(%  Performsphlebotomyproceduresandtasksinanaccurate,timelyandprofessionalmanner.;݌+%% Ќ  ";"  ;0 ( 2  B  .3  0(%(%  Demonstratescommunicationskillsnecessaryforworkinginthehealthcaresetting.;݌%% Ќ  ";"  ;0 ( 2  C  .3  0(%(%  Demonstratessafeandskillfuluseofphlebotomyequipment.;?݌%% Ќ  ";"  ;+0 ( 2  D  .3  0(%(%  Demonstratesbasicunderstandingofqualityassurance.;+X݌%% Ќ  ";"  ;?0 ( 2  E  .3  0(%(%  Demonstratescriticalthinkingskillsandabilitytosolveproblems. dXX@Ԁ #X@Xd #;?l݌%% Ќ  ";"  ;0 ( 2  F  .3  0(%(%  Emphasizesprofessionalism,includinginitiative,positiveinterpersonalskills,teamwork,  respectandcaring.dXX@Ԁ#X@Xd#;݌ %% Ќ  dXX@Vdd#dVdp##X@XdQ# "3"  32  III  .3  0 (   CourseObjectives 3݌c"H!(%(% Ќ  ";"  ;0 ( 2  A  .3  0(%(%  PsychomotorandCognitiveObjectives;݌;$ #%% Ќ  ""   0 ( 0(%(%2  1  .3  0 %%  Selecttheappropriateequipmentneededtoperformavenipunctureincludingneedle, &!% syringeorvacuumcollectionsystem,bloodtubesalcoholwipe,sterilegauze, &"& tourniquetandbandaid. ݌'#' % % Ќ  ""  "0 ( 0(%(%2  2  .3  0 %%  Selecttheappropriatebloodcollectiontubesconsideringthetestsrequested,minimum ($( samplerequirementsandtheneedsofthepatient.""݌)%) % % Ќ  ""  $0 ( 0(%(%2  3  .3  0 %%  Identifyandselectasuitablevenipunctureorcapillarysite.$J$݌*&* % % Ќ  ""  M%0 ( 0(%(%2  4  .3  0 %%  Properlyprepareavenipunctureorcapillarysite.M%z%݌+'+ % % Ќ  ""  q&0 ( 0(%(%2  5  .3  0 %%  Applyatourniquetcorrectly.q&&݌,l(, % % Ќ  ""  '0 ( 0(%(%2  6  .3  0 %%  Performavenipuncturecorrectlyusingappropriatetechniqueandorderofdraw, s-X)- observingtherecommendedsafetyprecautions.''݌_.D*. % % Ќ  ""  )0 ( 0(%(%2  7  .3  0 %%  Performthenecessaryfollowupcareonpatientsfollowingavenipunctureorcapillary  procedure.)0)݌ % % Ќ  ""  j*0 ( 0(%(%2  8  .3  0 %%  Identifyappropriatesitesforcapillarypunctureinchildrenandadultsj**݌ % % Ќ  ""  +0 ( 0(%(%2  9  .3  0 %%  Performacapillarypunctureusingacceptabletechniqueandobservingappropriate  safetyprecautions.++݌ % % Ќ  " "  -0 ( 0(%(%2  10  .3  0 %%  Collectasuitablebloodspecimenfollowingcapillarypuncture.-<-݌ % % Ќ  " "  A.0 ( 0(%(%2  11  .3  0 %%  With100%accuracy,properlyidentifypatientsVX@XXX@prior#X@XXVX@"/#VX@XXX@Ԁtoperforminganyprocedure.#X@XXVX@l/#ԀA.n.݌  % % Ќ  " "  00 ( 0(%(%2  12  .3  0 %%  Observeappropriateprecautionsandprocedureswhencollectingspecimensunder  t isolationconditions.0<0݌{ ` % % Ќ  " "  z10 ( 0(%(%2  13  .3  0 %%  Whenappropriate,notifynursingpersonnelofspecimencollectionirregularitiesor g L  potentialproblems.z11݌S 8  % % Ќ  " "  20 ( 0(%(%2  14  .3  0 %%  Observeappropriatespecimenpreservationandhandlingprocedures.23݌?$  % % Ќ  ""  40 ( 0(%(%2  15  .3  0 %%  IdentifysituationswherespecialprecautionsmaybenecessaryincludingNursery, +  Pediatrics,ICU/CCU,EmergencyRoom,Surgeryandotherspecialareasofthe   hospitalandtakeactionasnecessary.4J4݌  % % Ќ  ""  50 ( 0(%(%2  16  .3  0 %%  Properlyinformthepatientofanyprocedures.5)6݌  % % Ќ  ""  70 ( 0(%(%2  17  .3  0 %%  Properlyidentifyhim/herselftothepatient.7J7݌ % % Ќ  ""  =80 ( 0(%(%2  18  .3  0 %%  Labelallspecimenscorrectlywiththenecessaryinformation.=8j8݌ % % Ќ  ""  m90 ( 0(%(%2  19  .3  0 %%  Properlydisposeofallusedequipment.m99݌ % % Ќ  ""  :0 ( 0(%(%2  20  .3  0 %%  Collects80%ofassignedpatientsusingacceptabletechniqueandfollowing  appropriatesafetyprocedures.::݌p % % Ќ  ";"  ;;0 ( 2  B  .3  0(%(%  AffectiveObjectives ;;$<݌cH%% Ќ  ""  <0 ( 0(%(%2  1  .3  0 %%  Thestudentperformsassignedtaskswithinterestandenthusiasm.<=݌S8 % % Ќ  ""  !>0 ( 0(%(%2  2  .3  0 %%  Thestudentdemonstratesdependabilitybynotifyinginstructorandclinicalsupervisor ?$ oftardinessand/orabsences.!>N>݌+ % % Ќ  ""  ?0 ( 0(%(%2  3  .3  0 %%  Thestudentmaintainsarigidattendancepolicyinwhichthereisonlyexcused  absencesortardiness.??݌ % % Ќ  ""  A0 ( 0(%(%2  4  .3  0 %%  Thestudentmaintainsacleanandorderlyworkarea.A3A݌ % % Ќ  ""  ,B0 ( 0(%(%2  5  .3  0 %%  Thestudentacceptsconstructivecriticismasalearningprocess.,BYB݌ % % Ќ  ""  _C0 ( 0(%(%2  6  .3  0 %%  Thestudentdemonstratesinquisitivenessbyaskingnecessaryquestionsconcerning  practicalperformanceortheoreticalapplicationoflaboratoryprocedures._CC݌  % % Ќ  ""  E0 ( 0(%(%2  7  .3  0 %%  Thestudentacquirescompetenceandindependenceinthecorrectperformanceof !  laboratoryprocedures.E.E݌"p! % % Ќ  ""  lF0 ( 0(%(%2  8  .3  0 %%  Thestudentconcentratesonwhats/heisperforming,answersquestionswhen w#\" necessaryandminimallyinterruptsothersduringtheperformanceofalaboratory c$H # procedure.lFF݌O%4!$ % % Ќ  ""  ,H0 ( 0(%(%2  9  .3  0 %%  Thestudentunderstandswhats/heistodowhengivenoralorwrittendirections.VX@XXX@,HYH݌;& "% % % Ќ  " "  I0 ( 0(%(%2  10  .3  0 %%  Thestudentdemonstratesexcellentinterpersonalskillsbyinteractingwithpatients, '' #& peers,andotherhealthcareworkersinahighlyethicalandprofessionalmannerasto (#' notoffendorcauseproblemsbyinappropriatecomments.II݌($( % % Ќ  " "  K0 ( 0(%(%2  11  .3  0 %%  Thestudentwillmaintainconfidentialityofpatientinformationbynotsharingpatient )%) namesorresultsofprocedureswithanyindividualwhodoesnothaveanabsoluteneed *&* toknow.KK݌+'+ % % Ќ  " "  ZM0 ( 0(%(%2  12  .3  0 %%  #X@XXVX@+I#Thestudentperformsworkatpaceofpeergroupswithminimumproceduralerrors.ZMM݌,(, % % Ќ  " "  N0 ( 0(%(%2  13  .3  0 %%  Studentsfollowallsafetypoliciesandadherestothedepartment'sExposureControl -)- Plan(EPC)andChemicalHygienePlan(CHP).NN݌.l*. % % Ќ  ?+ ` hp x X? "3 "  3P2  IV  .3  0 (   SCANSCompetencies 3PP݌(%(% Ќ  0 ( RecentlytheU.S.DepartmentofLaborestablishedtheSecretarysCommissiononAchieving  NecessarySkills(SCANS)toexaminethedemandsoftheworkplaceandwhetherthenations  studentsarecapableofmeetingthosedemands.TheCommissiondeterminedthattodaysjobs  generallyrequirecompetenciesinthefollowingareas.(%(%  ( 1.0  Resources:Identifies,organizes,plans,andallocatesresources t%%  ( 2.0  Interpersonal:Workswithothers{ `%%  ( 3.0  Information:Acquiresandusesinformationg L %%  ( 4.0  Systems:UnderstandscomplexinterrelationshipsS 8 %%  ( 5.0  Technology:Workswithavarietyoftechnologies?$ %% 0 ( TheTexasHigherEducationCoordinatingBoardisnowrequiringalldegreeplansininstitutionsof   highereducationincorporatethesecompetenciesandidentifytothestudenthowthesescompetencies   areachievedincourseobjectives.InPLAB1223/1023,Phlebotomy,examplesofSCANS   competenciesbeingincorporatedareasfollows:(%(% *ZSddd Xdd Xdd X%%,E[7, [[+  8III' $w8?+ ` hp x X? COMPETENCY 6IIII#III 6 EXAMPLE UIID," $w  IIII wUResources 6III#:II 6FollowingStandardPrecautions,performsveinand : capillarypunctureproceduresusingonlyappropriate &  andnecessarysupplieswithinapredetermined  reasonableamountoftime. LII;# w  III wLInterpersonal 6III#aFII 6Demonstratesanunderstandingoftheprofessionof aF Phlebotomythoroughethicalbehaviorwhendealing M2 withpatientsandothermembersofthehealthcare 9 team,includingmaintainingaprofessionalappearance %  torelievepatientanxietyandmaintainingpatient  confidentiality. LII;#  w  III wLInformation 6III#` E!II 6RecordqualitycontrolresultsforbasicCLIAwaived ` E" laboratorytestsperformedandpointoutunexpected L!1# resultstoasupervisor. LII;#8"$ w  III wLSystems 6III##%II 6Useproblemsolvingskillstotroubleshootbasic #& equipmentorproceduresthatdonotfallwithin $l ' standards,takecorrectiveactionsorinforman s%X!( appropriatesupervisor. LII;#_&D") w  III wLTechnology 6III#'#*II 6Performveinandcapillarypunctureproceduresusinga '#+ varietyofmethodsandequipmentincludingVacuum ($, collectionsystem,microcollectiondevices,Winged )%- InfusionSet,andSyringeandneedle.3)'*k&. w   III 3 -)0  "3"  3l`2  V  .3  0 (   MethodsOfPresentation 3l``݌(%(% Ќ  ";"  ;Oa0 ( 2  A  .3  0(%(%  Discussionofpoliciesandprocedures.;Oa|a݌%% Ќ  ";"  ;Rb0 ( 2  B  .3  0(%(%  Observationofclinicalstaff;Rbb݌%% Ќ  ";"  ;Lc0 ( 2  C  .3  0(%(%  Performanceofproceduresundersupervisionofclinicalstaff;Lcyc݌%% Ќ  ";"  ;fd0 ( 2  D  .3  0(%(%  CompletionofBlackBoardpostings;fdd݌%% Ќ  ";"  ;de0 ( 2  E  .3  0(%(%  MedtrainingModuletutorials;dee݌%% Ќ  "3"  3af2  VI  .3  0 (   MaterialsRequired 3aff݌ t(%(% Ќ  ";"  ;@g0 ( 2  A  .3  0(%(%  Scrubs;@gmg݌{ `%% Ќ  ";"  ;#h0 ( 2  B  .3  0(%(%  IDbadgesleeve;#hPh݌g L %% Ќ  ";"  ;i0 ( 2  C  .3  0(%(%  Penand/orsharpie;i.;E݌%% Ќ  "3 "  32  X  .3  0    StandardPrecautions 3݌g L %% Ќ  "; "  ;0  2  A  .3  0%%  TheconceptofuniversalprecautionswasfirstintroducedbytheCentersforDiseaseControl ?$  (CDC)todecreasetheoccupationalrisksofbloodbornediseasessuchasAIDSandhepatitisB +  tohealthcareworkers.Duetothelackofuniversalapplicationofuniversalprecautionsnew   standardshaveevolvedcalledStandardPrecautionswhichrequiresthatallbodyfluidsbe   handledwiththesameprecautionsasblood.Blood,urine,andotherbiologicalspecimens   possiblycontainingpathogenicorganismswillbeusedinthiscourse;therefore,CDCguidelines  willbefollowedastheyapply.Precautionsspecificforclinicallaboratories:;݌%% Ќ  " "  t0  0%%2  1  .3  0` %%  Usebarrierprotectionroutinelytopreventskinandmucousmembranecontamination  withbloodorotherbodyfluids.t݌` %` % Ќ  " "  0  0%%2  2  .3  0` %%  Weargloves:݌p` %` % Ќ       ` Whencuts,scratches,orotherbreaksinskinarepresent. w\ "yir "  yir\0  0%%0` %%2  a  .3  0 ` %` %  Whenperforminganytypeofbloodcollection.yir\݌cH % % Ќ  "yir "  yir 0  0%%0` %%2  b  .3  0 ` %` %  Wheneverbloodandbodyfluidspecimensarehandled.yir  ݌O4 % % Ќ  "yir "  yir!0  0%%0` %%2  c  .3  0 ` %` %  Anytimeitappearsthatcontaminationofthehandsmayoccur.yir!!݌;  % % Ќ  " "   #0  0%%2  3  .3  0` %%  Changeglovesaftereachpatientcontactorwhenvisiblycontaminatedwithblood. #7#݌' ` %` % Ќ  " "  L$0  0%%2  4  .3  0` %%  Wearamask,eyeglassesorgoggles,orfaceshieldduringproceduresthatarelikelyto  generatedropletsofbloodorotherbodyfluidstopreventexposureofthemucous  membranesofthemouth,nose,andeyes.L$y$݌` %` % Ќ  " "  7&0  0%%2  5  .3  0` %%  Wearafluidresistantgown,apron,orothercoveringwhenthereisapotentialfor  splashingorsprayingofbloodorbodyfluidsontothebody.7&d&݌` %` % Ќ  " "  '0  0%%2  6  .3  0` %%  Washhandsorotherskinsurfacesthoroughlyandimmediatelyifcontaminatedwith   bloodorotherbodyfluids.''݌! ` %` % Ќ  " "  >)0  0%%2  7  .3  0` %%  Washhandsimmediatelyaftergloveshavebeenremovedevenwhennoexternal "l! contaminationhasoccurred.Organismsonthehandsmultiplyrapidlyinthewarmmoist s#X" environmentwithintheglove.Liquidhandsanitizersareanacceptablealternativetohand _$D # washing.>)k)݌K%0!$` %` % Ќ  " "  r+0  0%%2  8  .3  0` %%  Handlelaboratoryinstruments,especiallyneedlesandscalpelblades,withextreme 7&"% caution.r++݌#'#&` %` % Ќ  " "  ,0  0%%2  9  .3  0` %%  Placeusedneedles,disposablesyringes,skinlancets,scalpelblades,andothersharp (#' itemsintoapunctureresistantbiohazardcontainerfordisposal.Thecontainershouldbe ($( locatedascloseaspossibletotheworkarea.Phlebotomistsshouldcarrypuncture )%) resistantcontainerswiththemontheirphlebotomytray.,,݌*&*` %` % Ќ  "  "  >/0  0%%2  10  .3  0` %%  NeedlesafetydevicesmustbeactivatedIMMEDIATELY.Thesafestwaytodothisis +'+ afterremovingneedleuseonehandtoapplypressuretopuncturesite, immediately use ,(, otherhandtoactivateneedlesafetydeviceACCORDINGTOMANUFACTURERS -|)- INSTRUCTIONS.>/k/݌.h*.` %` % Ќ  "  "  |10  0%%2  11  .3  0` %%  Placelargeborereusableneedles(bonemarrow,biopsyneedles,etc.)andotherreusable  sharpobjectsintoapunctureresistantcontainerfortransporttothereprocessingarea.|11݌` %` % Ќ  "  "  430  0%%2  12  .3  0` %%  Usemouthpieces,resuscitationbags,orotherventilationdevicesduringemergency  resuscitationprocedures.43a3݌` %` % Ќ  "  "  40  0%%2  13  .3  0` %%  Exudativelesionsorweepingdermatitisshouldbecoveredwithanocclusivedressingto  preventcontamination.44݌` %` % Ќ      "  "  660  0%%2  14  .3  0` %%  Allspecimensofbloodandbodyfluidsshouldbeputinwellconstructedcontainerswith g L  securelidstopreventleakingduringtransport.Careshouldbetakenwhencollecting S 8  eachspecimentoavoidcontaminatingtheoutsideofthecontainerandthelaboratory ?$  formaccompanyingthespecimen.66c6݌+ ` %` % Ќ  " "  80  0%%2  15  .3  0` %%  Usebiologicalsafetyhoods(Class1or2)forproceduresthathaveahighpotentialfor   generatingdroplets(e.g.,blending,sonicating,andvortexing).88݌ ` %` % Ќ  " "  ':0  0%%2  16  .3  0` %%  &W%XX@Fillevacuationtubes,vials,andbottlesbyusingtheirinternalvacuumonly.<( 4 <DLX<V&W%%&WIfasyringeisused,   thefluidshouldbetransferredtoanevacuationtubebyattachingthesafetytransferdevicetothe  syringe,pushingthetubeinuntilthediaphragmoftherubberstopperispuncturedandallowing  thecorrectamountoffluidtoflowslowlyintothetubealongthewall.#&W%%V&W;# V&W%%&WNever #&W%%V&W)=#V&W%%&Wforcefluidintoan p evacuationtubebyexertingpressureonthesyringeplunger.#VX@X%V&W:##X@XXVX@w=#':T:݌eJ` %` % Ќ  " "  >0  0%%2  17  .3  0` %%  Usemechanicalpipettesformanipulatingallliquids(includingbodyfluids,chemicals,or =" reagents)inthelaboratory.>>݌)` %` % Ќ  " "  @0  0%%2  18  .3  0` %%  Decontaminatealllaboratoryworkareaswithanappropriatechemicalgermicideaftera  spillofbloodorotherbodyfluidsandwhenworkactivitiesarecompleted.Laboratory  countertopsshouldbedisinfectedatleastoncepershift.@3@݌` %` % Ќ  " "   B0  0%%2  19  .3  0` %%  Rinseoffallbodyfluidsfromreusablecontaminatedequipmentpriortoreprocessing  accordingtoyourinstitutionpolicies. B7B݌` %` % Ќ  " "  C0  0%%2  20  .3  0` %%  Cleananddecontaminatescientificequipmentthathasbeencontaminatedwithbloodor  otherbodyfluidsbeforebeingrepairedinthelaboratoryortransportedtothe  manufacturer.Alwaysfollowmanufacture'srecommendations.CC݌n` %` % Ќ  " "  E0  0%%2  21  .3  0` %%  Pregnantlaboratoryworkersarenotthoughttobeatgreaterriskofinfectionthanothers uZ inthelaboratory.However,ifaninfectiondoesdevelopduringpregnancyorthemother a F isacarrierpriortothepregnancy,theinfantisatriskofinfectionbyperinatal M!2  transmission.Therefore,pregnantlaboratoryworkersshouldbeespeciallyawareof 9"! universalprecautions.EE݌%# "` %` % Ќ  " "