Sunday, October 27, 2013

Phlebotomy National Exam


Phlebotomists are laboratory technicians responsible for making blood donations or samples for diagnostic tests . Phlebotomists usually train for a year in a certificate program from a vocational school or community , or can learn the job if you are employed in a clinical setting . Phlebotomists can practice immediately after graduation , but many employers only hire staff who have passed the national exam in an accredited institution .

National Association of Phlebotomists
Phlebotomists can belong to several professional bodies, including the National Association of Phlebotomists . This partnership also gives them credentials to phlebotomists in office . Candidates must take a course in which earn 16 continuing education credits or 160 hours of classroom instruction , and must have 200 hours of clinical practice instruction . Applicants must also be able to document a year of work experience in the area, and a job description that includes phlebotomy. The exam consists of two parts. The first is the written test , which can take two hours. The second is a time to test. Those that do not pass can be re- run , using a second or third examination if necessary.

American Association of Bioanalysts
This institution provides certification for phlebotomists , embryologists and other areas of expertise. Candidates are several ways to become certified. They may be graduates of an accredited program in Phlebotomy training or non-accredited program that meets the minimum standards established for the instruction. A third way would be a full time job for six months in a clinical laboratory phlebotomist appropriate. Candidates must have completed 100 successful venipunctures and 25 skin punctures to pass the exam .

American Association for Clinical Pathology
The ASCP ( according to its acronym in English) offers certification for phlebotomists . Its criteria are similar to the previous one, although candidates with job training must have a one-year training , as opposed to the six months of the AAB proposed . THE ASCP also accepts other health professionals such as nurses or technicians from other disciplines , if they can document 100 successful venipunctures without help. The certification exam is computerized and assesses knowledge of laboratory operations , point of care test , sample collection and other issues.

Medical Technologists U.S.
Qualifications for certification to this institution are slightly different. Candidates may graduate from an accredited program or any suitable program that includes at least 120 hours of classroom and practical instruction respectively. Or , candidates may qualify by documenting 1040 hours of work experience as a phlebotomist , the equivalent of six months full-time job , in a period of three years. Candidates must have completed at least 50 venipunctures and 25 skin punctures . The exams are taken by computer and requires 2.5 hours. Phlebotomists have passed a licensing exam or state certification exam of another professional body may also be certified by the Medical Technologists in the United States without having to pass another test.

Income and certification
The ASCP conducts an annual survey of salaries for its members , providing references for technical staff . His 2010 salary survey reported an average salary of $ 13.5 phlebotomists time for him , or U.S. $ 28,080 per year . Supervisors earn on average U.S. $ 20.08 an hour or U.S. $ 41.766 per year . A ground level staff , certified phlebotomists receive an average pay 10% more than their non-certified colleagues . Among the supervisors , certification provides 6.5% more salary than their non-certified colleagues .

Sunday, October 20, 2013

The Phlebotomy Certification Process


The industry of health care has made several changes over the past decades and many services have increased their standards to meet the security issues as well as increase the level of care a patient receives. This is one reason why the extraction field requires strict certification process to be qualified. The phlebotomy certification process follows standard procedures and safety measures so that patients can be assured that it is a qualified professional.


Start with a wide variety of courses taken in schools and renowned facilities. They are located throughout the country, so finding a good school near you, it should not be a problem. The training courses include things such as anatomy, psychology, biology, and various other topics. It covers a wide range so you have your choice of which area you would like to concentrate on when you have completed your education is necessary. After each course, you must take tests and examinations to determine your skill level in each area.
There is also a large part of the practical training, and you will be able to work closely with a qualified professional to further develop their skills. The courses usually last between 12 to 24 months to complete, depending on whether you go full time or part time and if you pass all the courses the first time. Once everything is finished, you can write your certification exam. There are several agencies located throughout the country that are authorized to take the exam.
How much is phlebotomy certification?

When considering the importance of this race and the responsibilities involved in treating patients of all ages, then it stands to reason that you'll have to pay. Each course has a cost associated with it, and the whole course, including certification can cost in the neighborhood of $ 2,500 or more. Costs vary widely and are less if you decide to take part in your house. This is not something you will be able to do it full time at home though, there will be a required amount of hands when you should get first
.
The phlebotomy certification process is not easy, and not a get rich quick way to a new career. Like many other things in life, take some self-discipline, perseverance and hard work to succeed. Before taking any course to ensure that this is the field you want to enter, do some research online and talk to the training facilities of several before settling on one that is right for you. A career in health care has always been considered recession proof and this field is no exception. If you want a stable income for you and your family, phlebotomy certification training may be your answer.

Sunday, October 13, 2013

Phlebotomy As a Medical Practice

Phlebotomy involves drawing blood from the veins by a medical professional is known as a phlebotomist . A phlebotomist is involved in the removal of blood from the vein or body with exact precision. When this blood is extracted from the body refers to a medical examination and various tests. This is not as simple a process it might seem , as it involves good practices and knowledge related to the skills required of doctors and medical specialists .

As a phlebotomist , you have to undergo various courses and training before you can qualify to become a phlebotomist . Many people are afraid of needles and blood and phlebotomist really knows how to reassure these patients. For this reason phlebotomists are considered to have developed social skills and passion to deal with patients.

If you want to take care phlebotomy as a profession , then you have to give time to the professional and make sure you are enrolled in a good institution that requires you to get going with this profession. To become certified, you will have to do a couple of courses. These courses vary from state to state and you have to enroll in an institution of their status for certain regulatory purposes . For starters, you can even register online with some beginner courses that are short lived . These courses will give you an idea of ​​the profession and then you can decide whether to go for advanced courses or not. In general, these short courses last about 3 months or so and advanced courses have a much bigger life as about 2 years or less.

There is also an administrative part in the field of phlebotomy is also growing demand in time. There is a general increase in demand for phlebotomist due to a general increase of the population , which in turn calls for intensified medical services. Over time, you can improve your services as a phlebotomist as skill level upgrades over time. This means that like any other career , start with a low income or salary and as you become more experienced and professional in the field , you will be able to get more of the race as a phlebotomist .

So once you have decided to take this as a profession , research well in the field and learn more about the different options. In that case, you will have to search online and visit the state authorities for the various institutions that offer these services and help you to become a phlebotomist .

Wednesday, October 2, 2013

Phlebotomy - Necessary Medical Field

The number of patients that can be damaged during phlebotomy (1) are exclusively based on a consideration large absolute numbers. In this country , we estimate that over perform venipuncture billion annually. In the fall of 2004 , a Bulletin of BOR 26,773 list the fact that phlebotomy technicians ( phlebotomists ) have been certified since the PBT registry examination was introduced in 1989 . Prior to the introduction of safety measures ( 2) phlebotomists caused an estimated 600,000 or more punching injuries annually. Therefore, one can imagine the potential for harm to patients who, after all , is at the opposite end of each venipuncture receptor . necessary

The privilege extraccionistasdisfrutan patient trust , since they are allowing performing an invasive procedure that ordinarily offer any healthy individual suffering , The axiom "first, do no harm " (3 ) applies to doctors as to phlebotomists . In fact , the etymology of the word "safe" is "saved " meaning " free from harm "
During phlebotomy errors can cause serious harm to patients , and even death , directly or indirectly. This statement might seem radical to us to investigate the many possible errors that might occur while performing the procedure for the collection of a blood sample . It is therefore essential to ensure that they perform and manage quality practice during phlebotomy . The phlebotomist , which usually works independently without direct supervision in the hospital or that is available to the outpatient must take personal quality management in their own work. Quality management is to promote intentional results in real time , with the use of materials and methods of practice.

At first let us take a look at a list of typical errors that can occur during phlebotomy (4 )
- Identification of the patient .
- Communication with the patient
- Selecting the venipuncture site
- sites capillary skin puncture
- Selecting the right equipment
- Special considerations related to patients.

Patient Identification
The reliable identification of the patient is not indefensible. The phlebotomists must be trained from day to recognize the importance of accurately identifying patients.
The phlebotomists must also know the possible result of not following the protocol easy identification of patients . Failure to follow established protocol identification could lead to a treatment or lack of treatment of the patient. If the patient has not been identified correctly by the phlebotomist Blood Bank and Transfusion Medicine Service the end result could be fatal.
The physician relies on the characterization of the clinical laboratory to provide accurate test results that allow the diagnosis of disease and / or for monitoring the course of a disease or treatment.
Each activity should have a written protocol that establishes the procedure as it applies to the identification of hospital patients and outpatients practice glove . Must be at least two identifiers for both types of patients. ( May )

Typically, the primary identifier for a hospital patient is the hospital identification bracelet found on the wrists of children and adults and elderly patients or ankles of neonatal patients . The secondary identifier should be established and should be used by all employees who need to identify the patient. In putting outpatient primary identifier is usually writing practice physician while the secondary identifier may be the date of birth or social security number . To check drug or other legally a photograph sensitive test that identifies the patient may be required to practice. (This is the case of blood donors , which must inevitably submit the photo identification ) .

The staff needs to be trained phlebotomists in their identification protocol . If they understand the importance of complete patient identification and know what can happen to a patient if they ignore the rules, and will probably meet more closely the rules. You need to " put teeth " in its identification protocol using corrective action when a staff member chooses not to follow the protocol.

Patient Communication
Communication is the means by which information is exchanged or transferred between the phlebotomist and patient. Communication involves three components : verbal , non - verbal , and listening. (6)
There will always be the opportunity for error when a phlebotomist does not communicate properly with him or her patients.
When a phlebotomist comes to a patient, or that enters its box, the first thing he should do is identify , stating his name and that he is the laboratory and inform him that he will draw blood for laboratory studies requested by your doctor . He is informing the patient and is getting the patient's permission to advance. Patients are achieved by the AHA Patient Bill of Rights. (7 ), the patient has the right of refusal for any procedure. If a phlebotomist does not seem to listen to your patient and / or ignores a verbal or non-verbal refusal , he is guilty of harassment and assault . If the patient has the perception that the phlebotomist is ignoring its negative and think forward to perform the procedure , this is the intent ( attack). If the phlebotomist should lay a hand on the patient , this is the test of aggression although there is no harm done to the patient.
When the phlebotomist comes to the patient's room the first activity to be performed is to correctly identify the patient.

If the patient is asleep , day or night , the phlebotomists must awaken . If the phlebotomist tries to extract blood from a patient asleep, identification errors may occur or physical injury to the patient. This would also prevent the patient give appropriate informed consent and could produce a legal action for harassment or assault .

The attack can be defined as unjustified effort to touch another person or threatened to do so, causing the perception in the other person, that this will take place .
Aggression is the intentional touching of another person without their consent. Aggression includes the attack because the two words are combined in the assault and battery (8 )

Selecting the venipuncture site
When a phlebotomist chooses to ignore the selection rules for venipuncture site , he or she runs the risk of causing harm to their patients. See Table 1 for a selection guide venipuncture site .
If a phlebotomist has chosen to use the basilar vein when usable antecubital or cephalic vein and the patient suffers arterial puncture or nerve damage - with the possibility of loss of arm movement or bleeding in the arm - the action can legally be taken by both the patient and the doctor of it.
If there is no written order from the physician and the phlebotomist performs the extraction of one foot complications occur when you get up there will be no possible defense in the courtroom when the patient or doctor take legal action.
If a phlebotomist uses the bottom of the wrist which is an area extraction , there is the possibility of puncturing the radial or ulnar nerve or artery . Clicking the nerve in the bottom of the wrist can cause temporary nerve damage or permanent and the patient may lose the ability to open and close your hand.

Sites capillary skin puncture

When a phlebotomist makes the mistake of ignoring the appropriate site for capillary skin puncture , they may harm the patient . See Table 2 for a guide to the sites for capillary skin puncture .

The callus develops thumb daily use with the index finger as opposed fingers . It may be impossible to restore adequate blood sample of a thumb . Certain occupations lead to proliferation in callus growth , such as sailors and cowboys who work with rope or seamstresses who work with rough fabrics like burlap.
Puncturing the index finger can be painful due to the numerous threads on this finger nerve , and the pain may intensify and may be extended through the use of this finger hand with the thumb .

Finger sticks when performed on the small little finger contact can occur with the bone.
The phlebotomist who choose to ignore the right places on a newborn 's heel and use the toes or the middle of the race behind the heel bone puncture risk . Drilling in these areas can cause osteomyelitis and / or osteoarthritis . If these baby foot areas come into contact with the dirty diaper poop may get an infection which in turn lead to septicemia.

Selecting the right equipment
The phlebotomist must choose used venipuncture venipuncture. Properly fit into the syringe needle . Failing this procedure could derail the process and cause harm to the patient.

Comments on Technical Aspects and Procedure
Each phlebotomist must be knowledgeable of the various phlebotomy techniques recommended (See Table 4 ) . They also must maintain knowledge about the possibility of different complications if they do not follow the technique properly . The phlebotomist needs to recognize the possibility of certain problems of a procedural and legal .
As you have read , there are many opportunities for error in the arena of phlebotomy . There are also opportunities for learning and knowledge that can prevent these errors are a fact.