"Very nice format. Easy and clear."

Earn CE with MediaLab's online courses. Get immediate access to over 70 hours of P.A.C.E. continuing education (CE), including this course and 40 other courses designed for clinical and medical laboratory professionals. Learn more about individual and laboratory subscriptions to MediaLab's customizable online courses and learning management system.

Phlebotomy

Donna Goodroe BS, and Paul Fekete MD

This online continuing education and refresher course is a comprehensive review of beginning to intermediate aspects of phlebotomy. Covers anatomy, components of blood, equipment and supplies, blood drawing procedures, specimen identification, and venipucture complications. Twelve caste studies emphasize real-world application of learned skills. Ideal for phlebotomy and clinical laboratory science students, this program is also suitable as a review and/or CE for practicing phlebotomists.

Continuing Education (CE) Credits

P.A.C.E. Contact Hours: 4 hour(s)
Florida CE: General: 3 hour(s)

A subscription to MediaLab includes all 42 courses. Laboratory subscriptions feature the MediaLab Learning Management System that allows you to assign and track required training, generate and print detailed reports and statistics, delegate administrative powers to shift supervisors and safety officers, customize MediaLab courses for your laboratory, and build your own courses.

Phlebotomy Objectives

Introduce students to the theory and practice of PHLEBOTOMY.
Teach students how to interact professionally with patients.
Teach students ABOut occupational HEALTH HAZARDS and appropriate precautions, including the NEEDLESTICK SAFETY and Prevention Act.
Teach ANATOMY and PHYSIOLOGY appropriate to drawing a BLOOD specimen.
Show and explain the equipment and supplies used to draw BLOOD.
Demonstrate PHLEBOTOMY PROCEDURES.
Explain specimen IDENTIFICATION, LABELING, and processing.
Describe complications of VENIPUNCTURE and how to handle them.

Phlebotomy Outline

Introduction

What is PHLEBOTOMY?

What is PHLEBOTOMY?
What is a PHLEBOTOMIST?
What is a PHLEBOTOMIST? [continued]
What is a PHLEBOTOMIST�s role in a HEALTH care facility?
What is a PHLEBOTOMIST�s role in HEALTH care facility? [continued]

LABORATORY work flow cycle

LABORATORY work-flow cycle
Work-flow cycle: patient ID to specimen processing
Work-flow cycle: test performance to TREATMENT
LABORATORY work-flow cycle: PHLEBOTOMIST role

Professionalism

Professionalism: maintaining CONFIDENTIALITY
Professionalism: attitude
Professionalism: appearance
Professionalism: appearance continued

What are BLOODBORNE PATHOGENS?

What are BLOODBORNE PATHOGENS?
Important BLOODBORNE PATHOGENS

SAFETY precautions

OSHA BLOODBORNE PATHOGENS stANDArd
STANDARD PRECAUTIONS
STANDARD PRECAUTIONS continued
PERSONAL PROTECTIVE EQUIPMENT
Hand washing
HAZARDOUS WASTE DISPOSAL
NEEDLESTICK SAFETY and prevention act
NEEDLESTICK SAFETY and prevention act continued
NEEDLESTICK SAFETY and prevention act continued
NEEDLESTICK SAFETY and prevention act continued

ANATOMY & PHYSIOLOGY

Definitions

ANATOMY & PHYSIOLOGY: definitions
ANATOMY & PHYSIOLOGY: essential to PHLEBOTOMY

INTEGUMENTARY System

INTEGUMENTARY system: structure
INTEGUMENTARY system : function

CARDIOVASCULAR System

CARDIOVASCULAR system : structure & function
Circulation: VENOUS portion
Circulation: ARTERIAL portion
Circulation: capillary portion

BLOOD

In the LABORATORY

BLOOD Tests

Common lab tests
Panels or profiles
HEMOGRAM (CBC)
ELECTROLYTES panel (Lytes)
Basic METABOLIC panel (BMP)
Comprehensive METABOLIC panel (CMP)
OBSTETRIC panel
LIPID panel
ACUTE HEPATITIS panel
HEPATIC function panel
TORCH panel

Equipment

Introduction to PHLEBOTOMY equipment
PHLEBOTOMY trays
BLOOD collection tubes: introduction
BLOOD collection tubes: types
HEMOGARD � BLOOD collection tubes
BLOOD collection tubes: inversion
BLOOD collection tubes: sizes
BLOOD collection tubes: expiRATIOn dates
BLOOD collection tubes: common types
Lavender top tubes
Light blue top tubes
Green top tubes
Red top tubes
SPECKLE top tubes
Gray top tubes
Yellow top tubes
Royal blue top tubes
BLOOD CULTURE BOTTLES
NEEDLES
NEEDLE components
BLOOD transfer device
Single draw NEEDLES
Multiple draw NEEDLES
NEEDLES with built-in SAFETY devices
Multiple draw NEEDLES with built-in SAFETY features.
BUTTERFLY NEEDLES
BUTTERFLY NEEDLES continued
Butterflies with built-in SAFETY features
BUTTERFLY NEEDLES with built-in SAFETY features continued
LANCETS
Plastic holders used with the evacuated tube system
NEEDLE holders with built-in protection devices
NEEDLE holders, built-in protection devices contd
SYRINGES
SYRINGES with built-in SAFETY devices
SYRINGES with built-in SAFETY devices contd.
TOURNIQUETS
STERILIZATION materials for PHLEBOTOMY
BANDAging materials
GLOVES
SHARPS DISPOSAL CONTAINERS
Marking pen

Collecting BLOOD

Routine VENIPUNCTURE Procedure

Greeting
Greeting continued
Patient IDENTIFICATION
Importance of Patient ID
Patient IDENTIFICATION continued
Special Requests
VENIPUNCTURE STANDARD PRECAUTIONS
Wash hands and apply GLOVES
Positioning the patient
Applying the TOURNIQUET
Applying the TOURNIQUET continued
Patient clenches fist
Choosing a site
Choosing a site continued
Alternate Sites
Sites to avoid
Routine VENIPUNCTURE equipment
Routine VENIPUNCTURE equipment continued
Cleaning the site
Cleaning the site continued
Attach NEEDLE to holder
Place tube into holder
Hold VEIN in place
Insert NEEDLE
Push tube onto holder
BLOOD won't flow
Adjust NEEDLE
Multiple tube collections
Remove NEEDLE
Apply pressure
Apply adhesive pressure
Activation of SAFETY device
NEEDLE DISPOSAL
Specimem LABELING
Specimem LABELING continued
Finger STICK - Specimen collection

Other BLOOD Collection PROCEDURES

HEELSTICK - PEDIATRIC collection PROCEDURES: Introduction
HEELSTICK - NEONATAL BLOOD collection
HEELSTICK - Site selection and prepaRATIOn
HEELSTICK - Puncture
HEELSTICK - specimen collection
HEELSTICK - Apply STERILE gauze
BUTTERFLY NEEDLE - BUTTERFLY NEEDLE collections
BUTTERFLY NEEDLE - BUTTERFLY NEEDLE collections continued
BUTTERFLY NEEDLE - BUTTERFLY NEEDLES and NEEDLE-STICK injuries
BUTTERFLY NEEDLE - BUTTERFLY NEEDLES with built-in SAFETY features
BUTTERFLY NEEDLE - AnGEL WingTM SAFETY BUTTERFLY
BUTTERFLY NEEDLE - Punctur-GuardTM SAFETY BUTTERFLY
Finger STICK - Finger STICK collections
Finger STICK - Site prepaRATIOn
Finger STICK - puncture
Finger STICK - Wipe away the first drop
Finger STICK - Specimen collection continued
SYRINGE - SYRINGE BLOOD collections
SYRINGE - SYRINGE BLOOD collections continued
SYRINGE - Transferring BLOOD to collection tubes
SYRINGE - Transferring BLOOD to collection tubes contd

Measuring Bleeding Time

Introduction
Introduction continued
Performance
Bleeding time
Apply BLOOD pressure cuff
Prepare the site
Make the INCISION
Wick the BLOOD
Record elapsed time
BANDAGE the INCISION

BLOOD CULTURES

Introduction
Avoid skin CONTAMINATION
Equipment
Select the site
Site prepaRATIOn
Site prepaRATIOn continued
Feel the VEIN
Cleen the BOTTLE tops
Collection methods
Volume is important
Activate NEEDLE SAFETY device
Remove IODINE
Additional tips
Additional tips continued

Special BLOOD Collections

GLUCOSE Tolerance Test

Introduction
12 hour fast
Collection tubes
AdministRATIOn of GLUCOSE
Specimen collection
Patient observation
One hour screening test for GESTATIONAL DIABETES

Therapeutic DRUG monitoring

Introduction
Peak and trough levels
Collection times

Legal specimens

Introduction
Collection kits
URINE
URINE continued
BLOOD
Documentation

BLOOD BANK specimens

BLOOD BANK specimens

Patient Care

HOLLISTER and similar systems

HOLLISTER and similar systems
Concept of HOLLISTER and similar systems
HOLLISTER system: specimen collection and LABELING
HOLLISTER system: ARMbands
HOLLISTER system: ARMbands continued

Special Patient PROCEDURES

Uncooperative patients
Patients refusing BLOOD work
Fainting
Fainting continued
HEMATOSIS
BLOOD should not be drawn from ARMS with IVs
Signs
ARMS to avoid
ALLERGIES

BLOOD Collection Problems

Unsatisfactory Specimens

Unsatisfactory specimens
Causes
HEMOLYSIS
Causes of HEMOLYSIS
Clots
Causes of CLOTTING
Insufficient volume
Partial collection tubes
LABELING errors
Causes of LABELING errors
What if no BLOOD flows when the NEEDLE is in place?

Case Studies

Case Study 1

Case
What crucial step did Julie fail to perform?
Discussion

Case Study 2

Case
Which site should Bobby choose for the VENIPUNCTURE?
Discussion

Case Study 3

Case
What had Marcie done to HEMOLYZE the specimen?
Discussion

Case Study 4

Case
What could have caused the CLOTTING?
Discussion

Case Study 5

Case
At this point, what should John know to do?
Discussion

Case Study 6

Case
What did the PHLEBOTOMIST do wrong?
Discussion

Case Study 7

Case
What should Julie have done to prevent the NEEDLE STICK?
Discussion

Case Study 8

Case
In which order should evacuated tubes be filled to obtain optimal results?
Discussion

Case Study 9

Case
What did Bobby do that could have falsely prolonged the bleeding time?
Discussion

Case Study 10

Case
What should the PHLEBOTOMIST do now?
Discussion

Case Study 11

Case
In what direction should the LANCET be placed on the patient�s finger ?
Discussion

Case Study 12

Case
What could the PHLEBOTOMIST do at this point to renew BLOOD flow?
Discussion

Phlebotomy Keywords

Click on a term below to see its use in this Phlebotomy course and other available MediaLab courses.

blood (161 occurances)
needle (47 occurances)
phlebotomist (36 occurances)
vein (32 occurances)
venipuncture (32 occurances)
safety (28 occurances)
alcohol (26 occurances)
arm (24 occurances)
needles (22 occurances)
syringe (19 occurances)
plasma (19 occurances)
anticoagulant (19 occurances)
butterfly (18 occurances)
stick (18 occurances)
culture (16 occurances)
phlebotomy (15 occurances)
hospital (14 occurances)
incision (13 occurances)
procedures (13 occurances)
iodine (12 occurances)
label (12 occurances)
coagulation (12 occurances)
gloves (12 occurances)
glucose (12 occurances)
body (11 occurances)
needlestick (11 occurances)
laboratory (11 occurances)
physician (11 occurances)
protein (10 occurances)
sharp (10 occurances)
tourniquet (10 occurances)
labeling (10 occurances)
clotting (10 occurances)
container (9 occurances)
heelstick (9 occurances)
bloodborne pathogen (9 occurances)
hemolysis (9 occurances)
platelet (9 occurances)
potassium (9 occurances)
venous (9 occurances)
sodium (8 occurances)
sterile (8 occurances)
serum (8 occurances)
identification (8 occurances)
lancet (8 occurances)
contamination (8 occurances)
disposal (7 occurances)
bandage (7 occurances)
pediatric (7 occurances)
nurse (7 occurances)
vacuum (7 occurances)
swab (6 occurances)
infection (6 occurances)
bacteria (6 occurances)
diabetes (6 occurances)
donor (5 occurances)
drug (5 occurances)
gestational (5 occurances)
health (5 occurances)
electrolytes (5 occurances)
bottle (5 occurances)
infectious (5 occurances)
hollister (5 occurances)
hemoglobin (5 occurances)
hepatitis b (5 occurances)
syringes (5 occurances)
red blood cell (5 occurances)
oxygen (5 occurances)
urine (5 occurances)
white blood cell (4 occurances)
wilkin (4 occurances)
ratio (4 occurances)
sugar (4 occurances)
heart (4 occurances)
latex (4 occurances)
lipid (4 occurances)
lippincott (4 occurances)
lung (4 occurances)
nursing (4 occurances)
monoject (4 occurances)
capillaries (4 occurances)
chloride (4 occurances)
bloodstream (4 occurances)
blood bank (4 occurances)
aspirin (4 occurances)
abnormal (4 occurances)
ammonium (4 occurances)
exposure (4 occurances)
contaminated (4 occurances)
creatinine (3 occurances)
disposed (3 occurances)
diagnosis (3 occurances)
doctor (3 occurances)
fingerprint (3 occurances)
health-care (3 occurances)
anatomy (3 occurances)
albumin (3 occurances)
arteries (3 occurances)
antecubital (3 occurances)
antibody (3 occurances)
betadine (3 occurances)
bilirubin (3 occurances)
biohazard (3 occurances)
bioplexus (3 occurances)
cholesterol (3 occurances)
citrate (3 occurances)
centrifuged (3 occurances)
carbon (3 occurances)
needle-stick (3 occurances)
metabolic (3 occurances)
mastectomy (3 occurances)
hepatitis c (3 occurances)
heparin (3 occurances)
hemolyze (3 occurances)
integumentary (3 occurances)
rbc (3 occurances)
respiratory (3 occurances)
secretion (3 occurances)
organism (3 occurances)
osha (3 occurances)
physiology (3 occurances)
pregnant (3 occurances)
standard precaution (3 occurances)
transfusion (3 occurances)
treatment (3 occurances)
tubing (2 occurances)
urea (2 occurances)
vaginal (2 occurances)
waste (2 occurances)
oxalate (2 occurances)
pleural (2 occurances)
nurses (2 occurances)
oxygenated (2 occurances)
peritoneal (2 occurances)
personal protective equipment (2 occurances)
phlebitis (2 occurances)
phosphatase (2 occurances)
photomicrograph (2 occurances)
semen (2 occurances)
samples (2 occurances)
sterilization (2 occurances)
sodium fluoride (2 occurances)
speckle (2 occurances)
tamper-evident (2 occurances)
toxicology (2 occurances)
toxin (2 occurances)
training (2 occurances)
intravenous (2 occurances)
infection control (2 occurances)
labeled (2 occurances)
hemogram (2 occurances)
hiv (2 occurances)
identifying (2 occurances)
identity (2 occurances)
mellitus (2 occurances)
lithium (2 occurances)
lipoprotein (2 occurances)
isopropyl (2 occurances)
neonatal (2 occurances)
cardiovascular (2 occurances)
catheter (2 occurances)
calcium (2 occurances)
cephalic (2 occurances)
chemical (2 occurances)
circulating (2 occurances)
aspartate (2 occurances)
antibiotic (2 occurances)
antigen (2 occurances)
assistant (2 occurances)
alanine (2 occurances)
aminotransferase (2 occurances)
ammonia (2 occurances)
alkaline (2 occurances)
allergic (2 occurances)
gel (2 occurances)
hematology (2 occurances)
fingerstick (2 occurances)
false-positive (2 occurances)
finger-stick (2 occurances)
electrolyte (2 occurances)
environment (2 occurances)
disinfect (2 occurances)
dorsum (2 occurances)
deoxygenated (2 occurances)
centrifugation (2 occurances)
coagulum (2 occurances)