Phlebotomy Technician Program
This page will be retired in 5 years. Today's date: November 5, 2009
One very important word that you should understand now is ETHICS. Ethics is a mode of conduct and behavior. A pattern of proper conduct at all times is essential in persons desiring a career in any profession. The ethical responsibilities associated with a health career make it necessary for those practicing in this domain to carefully consider all of their actions both on and off duty. In addition, it is absolutely essential that all members of the medical team understand that the patient comes first! The regulations embodied in this handbook were all written with this thought in mind.
You are urged to study the contents of this handbook carefully, for you are responsible for observing the regulations contained herein. Any question or comments concerning material in the Student Handbook should be addressed to your instructor or the Phlebotomy Program Director.
Austin Community College is committed to the belief that in a free and democratic society, all persons should have a continuing opportunity to develop skills and knowledge as well as to enhance their understanding of their responsibilities to society. The College takes as its guiding educational principle the proposition that, insofar as available resources permit, instruction should be adapted to student needs. This principle requires both flexibility in instructional strategies and maintenance of high academic standards, both of which we are committed to achieving at Austin Community College.
The profession of phlebotomy is taught through didactic, student laboratory, and clinical experiences. The student will be trained to perform a variety of blood collection methods using proper techniques and precautions including: vacuum collection devices, syringes, capillary skin puncture, butterfly needles and blood culture specimen collection on adults, children and infants. Emphasis will be placed on infection prevention, proper patient identification, proper labeling of specimens, and quality assurance. Students will be taught specimen handling, processing and accessioning. Students will learn the theory and principles of CLIA waived laboratory tests and perform the tests in the student laboratory. The testing performed will include: manual hematocrits, urinalysis dipsticks, fecal occult blood, erythrocyte sedimentation rate and pregnancy testing.
Successful completion of this course (PLAB 1323 or PLAB 1023), along with the successful completion of, or validation of objectives from PLAB 1166 or PLAB 1066, will result in the awarding of a Certificate of Completion.
The Phlebotomy Technician of Austin Community College is approved by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). Approval by this organization assures students that they will be provided with a quality education. Upon successful completion of the Phlebotomy Technician Certificate, the graduate is eligible to sit for national certification exams. Granting the certificate of completion is NOT contingent upon passing an external certifying examination.
The following is the Code of Ethics of the American Society for Clinical Laboratory Science.
"I acknowledge my professional responsibility to:
Upon completion of this program the student will successfully:
Recently the U.S. Department of Labor established the Secretarys Commission on Achieving Necessary Skills (SCANS) to examine the demands of the workplace and whether the nations students are capable of meeting those demands. The Commission determined that todays jobs generally require competencies in the following areas.
1. Resources: Identifies, organizes, plans, and allocates resources
2. Interpersonal: Works with others
3. Information: Acquires and uses information
4. Systems: Understands complex interrelationships
5. Technology: Works with a variety of technologies
The Texas Higher Education Coordinating Board is now requiring all degree plans in institutions of higher education to incorporate these competencies and identify to the student how these competencies are achieved in course objectives. In PLAB 1323/PLAB 1023, Phlebotomy, examples of SCANS competencies being incorporated are as follows:
|Resources||Following Standard Precautions, performs vein and capillary puncture procedures using only necessary supplies and within a predetermined reasonable amount of time.|
|Interpersonal||Demonstrates an understanding of the profession of Phlebotomy thorough ethical behavior when dealing with patients and other members of the health care team, including maintaining a professional appearance to relieve patient anxiety and maintaining patient confidentiality.|
|Information||Record quality control results for basic CLIA waived laboratory tests performed and point out unexpected results to a supervisor.|
|Systems||Use problem-solving skills to troubleshoot basic equipment or procedures that do not fall within standards, take corrective actions or inform an appropriate supervisor.|
|Technology||Perform vein and capillary puncture procedures using a variety of methods and equipment including Vacutainer system, microcollection devices, Winged Infusion Set, and Syringe and needle,|
Successful students are those who are highly disciplined, self-motivated, self-reliant and capable of working independently. Essential functions, as distinguished from academic standards, refer to those physical, cognitive and behavioral abilities required for satisfactory completion of all aspects of the curriculum, as well as the development of professional attributes required by the program officials and clinical faculty of all students upon completion of the program. The essential functions consist of minimal physical, cognitive, affective and emotional requirements to provide reasonable assurance that students can complete the entire course of study and participate fully in all aspects of clinical training.
The Psychomotor Demands required include:
Physical abilities to move about freely and maneuver in small spaces, stand and/or walk for long periods, and access areas within the healthcare facility.
Physical ability, including sufficient mobility and fine motor coordination, to manipulate phlebotomy equipment to safely collect and process patient specimens, maintain a safe, aseptic work environment, and accurately and safely operate a variety of laboratory equipment.
Visual ability sufficient to discern colors and perform phlebotomy procedures.
Visual acuity to read and interpret test requests and physician orders.
Hearing ability to respond to messages from patients and staff
Ability to operate computers.
- Establish and maintain effective working relationships including working as part of a team.
- Accurately remember and apply oral and written procedures
- Maintains accurate records.
- Ability to organize one's work for completion in a timely fashion.
- Ability to exercise critical thinking skills to solve problems.
The Affective Demands required include:
- Interpersonal abilities sufficient to communicate in a professional, positive, tactful manner with patients, physicians, nurses, other health care and non-health care employees, and laboratory personnel.
- Emotional stability to allow professional interaction with patients and staff, to respect patient confidentiality, use reasonable judgement and accept responsibility for actions.
- Project a well-groomed, neat appearance.
- Ability to maintain patient confidentiality and to exercise ethical judgment, integrity, honesty, dependability, and accountability in the performance of one's laboratory responsibilities.
- Ability to perform laboratory procedures accurately and quickly even under stressful conditions.
- Ability to exercise independent judgment and to think logically in the performance of one's duties.
- Ability to assume responsibility for one's work.
High school graduate or equivalent (GED).
This Program operates in compliance with the American with Disabilities Act and all other applicable state and federal laws. The Program reserves the right to require the applicant to physically demonstrate any of the above skills. It is the responsibility of the applicant / student to notify the Program officials if there is any reason why the abilities/expectations described above cannot be met.
|1.||Textbook: Garza, Diana; Becan-McBride,
Kathleen, Phlebotomy Handbook, 7th edition, 2005, Appleton-Lange.
ACC Bookstore On-line: http://austincc.bkstore.com/
|2.||PLAB 1323/1023 Phlebotomy Lecture/Laboratory Guide - available online through this website|
|4.||3 inch binder with dividers, preferably 7 tabs|
|5.||Sharpie permanent marker - fine point, black or blue|
|6.||Austin Community College Health Science Student Name Tag provided by the Program.|
Students will be expected to attend class / laboratory and assigned clinical sites clean and neatly dressed to present a professional appearance. Students not conforming to the dress code while at clinical may be sent home at the instructor's discretion, and will be required to make up the time. Repeat violations will result in the student being placed on probation.
a. A laboratory coat must be worn buttoned during all laboratory sessions requiring processing or testing of blood samples. Disposable lab coats will be provided and are NOT to be worn outside the laboratory area.
b. Appropriate footwear will be required in the campus laboratory and clinical settings. Closed-toe shoes (no sandals or canvas shoes) that are soft-soled, such as white leather-type tennis or similar shoes, must be worn in student laboratory.
The "Environment of Care" exams and HIPPA student training module MUST be completed prior to attending the first clinical day. A copy of the test results are sent to the instructor upon completion of the test. Any student not completing the exam cannot attend clinical. This test may be accessed at: http://www.austincc.edu/health/dmt.php
All students accepted into the Phlebotomy Program must have completed the immunizations required by Texas Law and have a physical examination. Print the Immunization Form. The immunizations must be signed by a healthcare provider. The Health Data Form to must be completed by your healthcare provider.
Each student must set up an Internet email account. If you do not have Internet access at home a free email account can be obtained through Yahoo. Yahoo accounts can be accessed from any computer connected to the Internet. Computers for student use are located on every ACC campus. I will communicate on a regular basis through email and you will be expected to communicate with me weekly concerning your progress in your clinical assignments.
Basic computer skills will be needed to successfully complete the course. BlackBoard, an online course delivery system, will be used for discussion, homework submission, taking exams and quizzes, and for enhanced course activities. You can access the site at: http://acconline.austincc.edu , vist the "Student Guide - Getting Started with Blackboard" prior to the first class day. Students are generally NOT uploaded into the course until the week before classes start. Your first assignment will be to post an introduction in the "Discussion Board" area.
Phlebotomy students must carry liability insurance which will be automatically purchased as part of the payment of the registration fees.
Students are not to be substituted for regular staff. After demonstrating proficiency, students, with qualified supervision, may be permitted to perform procedures. Service work by students in clinical settings outside of regular academic hours must be noncompulsory.
a. Wet hands and apply a small amount of an antiseptic soap.
b. Vigorously lather hands, wash well between the fingers and up the wrists for at least 15 seconds.
c. Rinse well with a moderate stream of water in a downward motion.
d. Dry hands with a paper towel and use the towel to turn off the faucet, do not touch the faucet with your hands.
e. Because frequent hand washing may be very damaging to the skin, frequent application of hand lotion is encouraged.
1. Measurement, Written
- Unit pretests will be given over previously covered lecture material and the accompanying laboratory exercises. A score of 70% must be obtained before you can take the major exam.
- A minimum of four (4) written examinations will be given over lecture material to comprehensively assess students knowledge of concepts, principles, techniques and procedures. These examinations will be given online through BlackBoard. Students are expected to exhibit the highest level of ethical and honest behavior. The final exam will be given in class. The score earned on the final exam MUST be within plus or minus 5 points of the students major exam grade average.
- Points will be awarded for completion of assignments listed in the discussion forum of BlackBoard: http://acconline.austincc.edu
- Periodic review of your course notebook divided into the following areas: Syllabus, Schedule, Course Objectives, Lecture Guide, Laboratory Manual, Graded Lab exercises, and Graded Study questions
2. Measurement, Laboratory Experiences
- Points are awarded for the successful completion of laboratory exercises as related to the specific objectives for each exercise.
- Points are awarded for proper response to study questions / written assignments required for each laboratory exercise.
- Points are awarded for the laboratory practical at the end of the semester. The practical is the comprehensive final exam for the laboratory component of the course.
3. Measurement, Clinical
The Clinical Practicum portion of the grade is determined by evaluation by the clinical faculty and communication on a weekly basis via BlackBoard. A student failing the Clinical Practicum component of this course, but passing the lecture and laboratory will NOT be eligible to take the national certification examination.
- Passing of the clinical component is based on successful completion of clinical objectives, weekly postings to BlackBoard during clinical and written evaluations prepared by the clinical instructors.
- Completing Medtraining tutorials.
- Students must complete and provide documentation for a minimum of 112 clinical hours and must achieve a minimum rating of at least "average" in all areas on the final clinical evaluation.
- Students must perform and provide documentation of a minimum of
(1) 100 successful venipunctures
(2) 10 capillary punctures
4. Determination of Final Grade
- Lecture: 2/3 of final grade
(1) Online Quizzes = 5%
(2) Participation in Discussion Forum = 5%
(3) Examinations = 50%
(4) Final Exam = 40%
b. Laboratory 1/3 of Final Grade
(1) Laboratory exercises and Study Questions = 75%
(2) Laboratory Practical Exam = 25%
The grade for the Clinical Practicum component of this course will be determined as follows:
- Weekly posting to Discussion Board and online quizzes15%
- Grades on Medtraining Tutorial exams 15%
- Final Clinical Evaluation 70%
A = 90 - 100%
B = 80 - 89%
C = 70 - 79%
D = 60 - 69%
F = 59% or below
It is expected that laboratory professionals may encounter very ill or possibly contagious patients in routine practice. As a Phlebotomy student, you should expect occasions when you will be working with these patients or their specimens as part of your clinical experience. It would be considered unprofessional, and unethical to refuse to respectfully and properly treat these patients and their specimens.
Failure to comply with the above is cause for immediate dismissal from the program..
Interactions with clients in the health care system carry inherent risks to both the client and caregiver, including, but not limited to, communicable diseases. In this document, as well as in the curriculum, students will be given information regarding known risks for various diseases and provided skills to implement precautions appropriate to these risks. All students are expected to provide appropriate care to all clients assigned to them in any health care setting as a learning experience. These assignments may include clients with medical diagnoses of tuberculosis, hepatitis, AIDS, or other infectious diseases.
Further more, the student understands that participation in this Program exposes the student to certain risks of illness, injury or infectious contact. The College will not be held responsible for any illness or injury, or infectious contact which occurs during the participation in the Program. The student's signature on the Statement of Understanding page is an acknowledgment of this policy.
Interactions with clients in the health care system carry inherent risks to both the client and care giver, including, but not limited to, communicable diseases. In the curriculum, students will be given information regarding known risks for various medical conditions and provided necessary skills to implement precautions. Standard precautions, prescribed by the Center for Disease Control, will be taught to all students and must be strictly adhered to.
All students will be expected to provide appropriate care to all clients assigned to them in any health care setting as a learning experience. These assignments may include clients with medical diagnoses of tuberculosis, hepatitis A, B or C, and/or AIDS. Additionally, it will be the responsibility of the student to implement Standard Precautions as appropriate when providing care and adhere to all facility policies.
Since medical history and examination cannot reliably identify the infectivity of all patient's blood and body fluids, precautions against exposure must be followed for all patients. The concept of Standard Precautions (sometimes called Universal Precautions) was first introduced in 1987 by the Centers for Disease Control & Prevention (CDC) to decrease the occupational risks of blood-borne diseases such as Acquired Immunodeficiency Syndrome (AIDS) and hepatitis B to healthcare workers. The application of universal precautions is continually evolving; all body fluids must be handled with the same precautions as blood.
If you do have a blood or body fluid exposure, after any immediate first-aid measures, inform the Phlebotomy Program Director or an Austin Community College phlebotomy clinical instructor at once so you can receive appropriate counseling, guidance and assistance in completing the forms for insurance. The Program Director or the clinical instructor will assist in providing and completing the required documentation for any and all exposures.
Classes may be canceled due to inclement weather. If classes are not in session, notification is made through local radio and television stations, as well as ACC’s Channel 19 and on the web at www.austincc.edu. These local media should be consulted regarding resumption of classes. If classes are currently in session, the Vice President's office will appoint staff to deliver notices to all classrooms/laboratories. If you are in a clinical assignment when the official notice is released, you should use your best judgement as to whether it is safer to remain at the site until the roads are safer or to leave immediately. If you feel you must remain at the clinical site please stay in the lobby or other appropriate place until you determine it is safe to leave. You may not stay in the clinical department.
Community Standards for criminal background checks were developed in conjunction with the Austin Health Industry Steering Committee (HISC) to meet clinical agency compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards pertaining to human resource management. JCAHO requires verification of competency of all individuals who have direct contact with patients or employees; this includes students doing clinical rotations in the facility. Competency extends beyond technical skills to an individual’s criminal history.
Successful completion of a criminal background check is required for admission and continuation in all Health Sciences Programs. Students will be given specific directions from the program about how to obtain the background check. DO NOT submit order to PreCheck until you receive directions from the department. The student should review all apropriate information about the process at http://www.austincc.edu/health/background.php .
Upon completion of the Phlebotomy admissions process you will be conditionally accepted to the program and will be notified to complete the Criminal Background Check process.
The well-being of students, patients and clients is essential to the delivery of safe health care by students in clinical settings. The well being of patients and clients cared for by our students is of primary concern in all Health Sciences programs and a carefully designed and administered drug and alcohol misuse procedure can reduce accidents. Therefore, the Health Sciences Department is adopting a substance abuse testing program wherein a student who is participating in clinical classes will be tested for drugs when there is reasonable suspicion that the student is under the influence of alcohol and /or illegal drugs, i.e. drugs which are controlled substances under federal law which are not being used under the supervision of a licensed health care professional, or otherwise in accordance with the law.
Students will be asked to submit to drug screening by their ACC clinical instructor at the expense of the college in the following circumstances:
Probation is a trial period in which the student must improve or be withdrawn from the program. A student may be placed on probation in the Phlebotomy Technician program by for any of the following reasons:
The time and terms of probation are to be determined by the faculty and Program Director. ACC Counselors may be asked to attend the meeting to assist students in meeting the terms of probation. For example, if the student is having attendance issues the counselor can provide counseling on time manangement or direct the student to a workshop on time management.
Continued problems with one or more of the above standards will result in the student being withdrawn from the Program.
In all instances, the student is provided individual counseling and assistance.
The intention of the student grievance procedure at Austin Community College is to assure the aggrieved student of due process and neutral evaluation in the disposition of the grievance or complaint. While the procedure will not guarantee the student that the result will be totally satisfactory, it is intended that sufficient options for resolution of the matter be available and that there will be no recrimination or retaliation brought against the student as a result of filing a grievance.
The procedure for filing a complaint can be found in the Austin Community College http://www.austincc.edu/handbook/.
The following procedure applies to complaints about an instructor or other college employee. You must complete each step before proceeding to the next one.
Cost is approximate and subject to change. The following miscellaneous charges apply to all students: $20.00 lab, $3.10 accident insurance, $10.00 malpractice insurance, $45.00 textbook,$10.00 parking and $2.00 ID badge = approximately $90.10. NOTE: These are estimates based on tuition and fees as of November 5, 2009
|Course #||Misc Fees||PLAB 1323||PLAB 1166||PLAB 1023||PLAB 1066||TOTAL|
|Out of District||$90.10||$222.00||$111.00||$423.10|
|CE In District||$90.10||$193.00||$193.00||$476.10|
|CE Out of District||$90.10||$241.25||$241.25||$572.60|
National Certification Exam: $90.00
NOTE: Students not registered by the deadline will be dropped from the system and will be replaced by those students on a waiting list. As a courtesy, please call 223-5918 and leave a message that you are no longer interested in the program. This will allow us to inform those waiting for a spot in the program to register sooner and plan their schedule.
The counselors assist with the most frequently expressed student concerns:
|Academic / Education Planning:||selecting courses, degree planning, and information on transferring ACC credits to other schools|
|Career:||job-search strategies, career exploration, skills identification, resume writing, job interviewing, goal setting, and vocational assessment|
|Counseling:||personal adjustment, time management, relationships, communication, trust building, and stress management|
Counselors also provide an assessment program. Vocational interest inventories identify areas of interest in career fields. Aptitude tests assess skills and abilities. Personality tests clarify problem areas in personal functioning. Students can consult with a counselor to determine if an assessment is needed.
The counselors are the persons to see for any type of help you might need. If they can't provide the information or assistance you need, they will be able to refer you to someone who can.
Visit http://www3.austincc.edu/evpcss/rss/counsel/counseling.htm for locations, phone numbers and hours.
If serious problems exist, the Plebotomy Program Director/Instructor may require a student to make an appointment with the counselor.
Austin Community College provides information on financial aid to assist students; the financial aid program includes scholarships, grants, loans, and part-time employment.
The College expects students to make a maximum effort to assist themselves and provide a portion of their college expenses. Students should view financial aid only as a supplement to the financial resources of the applicant.
Students must reapply each year for financial aid and mail applications by the following suggested dates. Students who plan to attend both fall and spring need apply only once for that academic year. If an application is late, the College awards funds only if funds are available.
Fall and Spring April 1
Spring Semester October 15
Summer Semester March 15
The Financial Aid Offices can provide the necessary forms and provide additional information:
All phone and fax numbers fall under the 512 area code; campus location information here.
Fax Operating Hours Cypress Creek, Room 1002.1 223-2023 223-2057 Mon-Tues: 8-6:30, Wed-Fri. 8-5 Eastview, Bldg 2000/Rm 2113 223-5152 223-5900 Mon-Tues: 8-6:30, Wed-Fri. 8-5 Northridge, Bldg 1000/1106B 223-4734 223-4227 Mon-Tues: 8-6:30, Wed-Fri. 8-5 Pinnacle, Rm 223 223-8012 223-8688 Mon-Tues: 8-6:30, Wed-Fri. 8-5 Rio Grande Annex, Rm 154 223-3055 223-3108 Mon-Tues: 8-6:30, Wed-Fri. 8-5 Riverside, Bldg G, Rm 8102 223-6022 223-6144 Mon-Tues: 8-6:30, Wed-Fri. 8-5
Library services at Austin Community College are available at following campuses: Riverside, Rio Grande, Northridge, Pinnacle, Cypress Creek, and Eastview.
The Health Sciences Collection is located at the Eastview Campus. The Health Sciences Collection consists of approximately 8,000 health sciences books, 200 health care journals, 1,400 items of audiovisual software, and 100 computer software titles. The book collection, located on open shelves and covering the fields of medicine, surgery, nursing, allied health, hospitals, public health and the pre-clinical sciences, is classified and cataloged according to the system of the National Library of Medicine. The journal collection is on open shelves in alphabetical order by title, and indexes provided are: Cumulative Index to Nursing and Allied Health Literature, Hospital Literature Index, and Index Medicus.
Audiovisual software is also classified and cataloged according to the National Library of Medicine System. It is stored on open shelves for student use at carrels equipped with filmstrip/audio-cassette projectors, slide/audio-cassette projectors, and video-cassette players.
The computer center is equipped with Personal Computers, MACs and printers for student and faculty use.
Books, articles, and audiovisual material may be placed on reserve in the library by your course instructors to be used as reference or for special assignments. You may also use any other library at any ACC campus for checking out materials. Books may be returned to any ACC library, regardless of which campus they were checked out. The librarian may also be able to assist you with on-line computer searches for specific subjects -- consult the librarian for more information. Instruction in the use of computer and audiovisual hardware and software is available.
ACC's cooperative arrangements with other libraries in the community expand the students' access to needed materials. Any student with an ACC ID card, regardless of residence, may use the collections and services of the Austin Public Library free of charge. Public library cards are available on application and take about two weeks to obtain. The University of Texas at Austin and St. Edward's University offer ACC students a limited number of special borrower library cards at no charge. Applications for these cards are available each semester from the ACC Library and afford the user full borrower privileges at the libraries for that semester. Austin Community College, along with other academic and public libraries in Texas, participate in a state-funded program, TexShare, which was established to allow participants to share resources. The TexShare libraries have agreed to extend free reciprocal borrowing privileges to each other's library patrons in an effort to provide direct access to materials that are not available at the home library. For more information visit: http://library.austincc.edu/gen-info/texshare-cards-about.htm. For a list of participating college and university libraries visit: http://www.texshare.edu/generalinfo/about/programs.html
In addition to these resources, ACC participates in an inter-library loan system which makes materials available from libraries across the country.
Your ACC identification card and a picture ID is required for checking out any library material.
TERRY M. KOTRLA
Office Phone (512) 223-5932 Pager (512) 606-2188
Work e-mail: firstname.lastname@example.org Home e-mail: email@example.com
Professional Educational Background
Lake Jackson, Texas
Dates Attended: June 1976 to May 1978
Associate of Science Degree in Chemistry
University of Houston at Clear Lake City
Clear Lake City, Texas
Dates Attended: September 1978 to August 1980
Bachelor of Science in Medical Technology
MT (ASCP) #139171
BB (ASCP) #301
Date Attended: January 1999 - present
Master of Science in Distance Education in Progress
Pasadena General Hospital -- Pasadena, Texas
Position: Medical Technologist -- Generalist
Dates: August 1979 to July 1980
Seton Medical Center -- Austin, Texas
Position: Medical Technologist -- blood bank, hematology, coagulation, and urinalysis
Dates: Full-time from September 1980-May 1984
Dates: May 1984 to Present - PRN
Austin Community College -- Austin, Texas
Position: Assistant Program Coordinator - MLT
Position: August 2000-present
Dates: November 1984 to May 1992
Position: Associate Professor
Dates: August 1992 to Present
Position: Program Director Phlebotomy Technician Program
Dates: January 1994 to Present
Position: Faculty Advisor, MLT Student Club
Dates: September 1995 to Present
CAROLYN A. RAGLAND
Assistant Department Chair
Office Phone (512) 223-5931 Home Telephone (512) 243-1818
Professional Educational Background
Southeastern Iowa Area Community College
Burlington, Iowa and Mount Pleasant, Iowa
Dates Attended: September 1967 to December 1970
Applied Associate Degree in Laboratory Science
Illinois Central College
Dates Attended: September 1971 to December 1978
Associate Degree in Arts and Sciences
Dates Attended: January 1978 to June 1979
University of Illinois -- Medical Center
CAHP Peoria School of Medicine
Dates Attended: September 1979 to June 1980
Bachelor of Science in Medical Technology
MT (ASCP) #136955
NCA ASCLS #079519
Southwest Texas State University
San Marcos, Texas
Dates Attended: August 1982 - December 1989
Masters of Science in Health Professions
St. Francis Hospital and Medical Center -- Peoria, Illinois
Dates: March 1971 to September 1973
Position: MLT (ASCP) Urinalysis
Dates: October 1974 to February 1976
Position: MLT/MT ASCP Chemistry
Dates: February 1976 to August 1980
Medical Parkway Clinical Laboratory -- Austin, Texas
Position: Staff Technologist - MT (ASCP)
Dates: October 1980 to May 1981
Austin Community College -- Austin, Texas
Medical Laboratory Technology Program
Dates: August 1981 to January 1985
Dates: January 1985 to April 1994
Position: Education Coordinator
Dates: April 1994 to September 1995
Position: MLT Professor & Program Coordinator - September 1995 - September
Position: MLT Professor and Assistant Program Coordinator September 2005 to present
Please sign and/or initial ALL forms in this section and turn in to the Phlebotomy Department Head. These will become part of your permanent record.
After thoroughly reading and familiarizing yourself with the Phlebotomy Student Handbook policies and procedures read and initial each of the following statements.
___ I have read the Technical (Non-Academic Admissions) requirements and understand that if I have difficulty in any of these areas, I may not be successful in passing the Phlebotomy course.
___ I have read the (Phlebotomy Technician Student Handbook) and understand the policies and procedures stated within. I understand that if I cannot support and abide by these policies and procedures, it may be in my best interest to seek another program in which to develop my technical skills.
___ I have been informed of the amount of clinical time required to complete the requirements of PLAB 1166 to successfully complete the Phlebotomy program.
___ I have read the (Phlebotomy Safety Policy and Applications) in this Student Handbook. I have been informed that biological specimens and blood products utilized in student lab and clinical rotations may possess the potential of transmitting infectious diseases such as hepatitis and acquired immunodeficiency syndrome (AIDS). I understand that even though diagnostic products are tested for HIV antibodies and Hepatitis B surface antigen (HBsAg), that no known test can offer 100% assurance that products derived from human blood will not transmit disease. I understand that I will be taught the proper way to handle patient specimens and reagents prepared from biological materials (Standard / Universal Precautions) to decrease the risk of exposure and I agree to abide by them.
___ I understand that the college does not provide healthcare insurance but offers optional health insurance at my own expense. I have been advised to carry medical insurance and acknowledge that my health insurance and/or expenses are my responsibility.
___ I understand that the Student Accident insurance which I pay for as part of my tuition and fees will cover the costs related to accidents or injuries which occur in the classroom or at the clinical site. A small co-payment is required at the time of service.
___ I understand that I must submit proof of all immunizations required by Texas law.
__ I understand that I must pass a Criminal Background Check.
Student Name (printed): _______________________________Student Signature: ___________________________________
Date: _________________________________ ___ ___
I, _______________________________ , recognize that the use and abuse of alcohol, drugs or substances can create an unsafe clinical working environment for myself and others. I agree to provide a blood, urine and / or breath sample to the drug testing laboratory designated by Austin Community College. I also permit the testing laboratory to release the results of the drug screening testing to designated Austin Community College authorities.
Are you presently (or plan on) working a full- or part-time job?
If "Yes," how many hours per week? ___ ___ ___ ___
Are you receiving (or going to receive) VA benefits?