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Phlebotomy Training in Las Vegas

Are you looking for the best places that offer phlebotomy training in Las Vegas? We have created this article to help budding phlebotomists find the training and education they need to follow the career of their dreams. A student interested in phlebotomy, also referred to by many as venipuncture, will become skilled in the removal of blood from the human body. Phlebotomy is performed for a host of reasons, from collecting samples to taking donations or treating blood disorders that affect many patients across the nation. Prospective phlebotomists in Las Vegas will be required to take coursework in a classroom study in preparation as well as perform a practicum. Successful completion of a culminating exam is required as well. Major Cities Offering Phlebotomy Training in Las Vegas Many major cities offer phlebotomy training opportunities in Nevada. In addition to Las Vegas, Henderson, Reno, Paradise, Sunrise Manor, Spring Valley, Sparks, and Carson City name only a few, but smaller towns offer courses in phlebotomy as well. Prospective students can take courses in a variety of settings, including community colleges, colleges, and universities. Requirements for Phlebotomy Traning in Las Vegas Nevada requires phlebotomy students to follow specific requirements in order to be licensed by the state and these same requirements must be fulfilled regardless of city. Las Vegas students must be at least 18. They must have a high school diploma or its equivalency. Students must pass a physical examiniation, including a drug test. They must be up to date on vaccinations and be tested for tuberculosis to ensure that they are healthy and will not endanger their patients, nor be endangered by exposure to a healthcare setting. Students must take coursework about human anatomy, the process of giving blood, and how to successfully help patients during the procedure. Phlebotomists must be competent in the use of all equipment involved in drawing blood as well. Once coursework is successfully completed, their studies will culminate in a clinical session. They must pass exams and finally apply for their license. Outlook for Phlebotomists in Las Vegas The healthcare field is booming and shows no signs of stopping. There are good prospects for work in phlebotomy in Las Vegas with an average salary ranging from $22000 to $28000.

What is Phlebotomy?

Phlebotomy is when a person uses a needle to take blood from a vein. This is usually in the arm. Phlebotomy is also sometimes referred to as blood draw or venipuncture. It is an important tool for diagnosing a lot of medical conditions.  The blood is usually sent off to a laboratory for testing. However, the blood is sometimes withdrawn as a form of treatment for certain medical conditions. This is known as therapeutic phlebotomy. It removes any extra red blood cells, extra iron, or unusually shaped blood cells from the blood. Therapeutic phlebotomy is used to treat people who have:
  • Hemochromatosis
  • Porphyria Cutanea Tarda
  • Sickle Cell Disease
  • Polycythemia Vera
  • Nonalcoholic Fatty Liver Disease

Risks and Side Effects of Phlebotomy

There are a few risks involved with phlebotomy. Some people may find the process of phlebotomy uncomfortable, however, this uncomfortable feeling shouldn’t last long.  Some people can get sick to their stomach if the sight of blood bothers them or if they are afraid of needles. There is no need to feel bad if you feel this way, it is actually very common. Some people may even have what is called a vasovagal reaction. This is a physical response which comes from your nervous system and can make you feel dizzy, break out in a sweat, and can cause your blood pressure or heart rate to drop. This can even sometimes result in the person fainting. Some relaxation techniques can be helpful to resolve this such as deep breathing or looking at something else to distract yourself.  If you do feel dizzy after a phlebotomy procedure, then you should sit or lie down and put your head between your knees until you finish feeling lightheaded.  Over the day after having the procedure, you may notice redness or bruising at the site where the needle was inserted. The area may also be a little bit sore. Most side effects of phlebotomy resolve quickly afterward.  Anyone who has gone under a phlebotomy procedure will be recommended to drink plenty of fluids, avoid alcohol, and to avoid exercise for a few hours after the procedure. 

History of Phlebotomy

Humans have been bloodletting for many thousands of years. It all began when the Egyptians began taking blood and it then spread to the Greeks and Romans before then reaching Asia and Europe.  The practice of phlebotomy was commonly used as a treatment for a lot of different medical conditions such as headaches, fevers, digestion issues, and loss of appetite.  The practice was considered to be controversial because doctors would often draw a large amount of blood. This was the case for the first president of the United States, George Washington. After being outside in snowy weather in 1799, he became quite ill and developed a fever. As a form of treatment, his doctors drained around 40% of the blood from his body. He then passed away the following night.  As time has gone on, bloodletting has been proved to be ineffective and, in a lot of cases, it has been proven to be a dangerous form of treatment. By the end of the nineteenth century, bloodletting became a lot less common than it originally was.  In our modern world, phlebotomy is used in western cultures as a form of medical testing and is only used to treat a small number of specific blood diseases. 

What are the Education Requirements for a Phlebotomist?

Degree Programs

Most qualified phlebotomists will have undertaken a mixture of classroom training and on-the-job work experience. A college degree is not required to become a qualified phlebotomist, however, a lot of phlebotomists will obtain an associates degree. Another option for aspiring phlebotomists is a bachelor’s degree in medical technology. The topics of instruction in this kind of training include a focus on venipuncture, vascular physiology, vascular anatomy, safety procedures, proper handling of blood samples, and skin puncture techniques. 

Certification

In some states, certification is required to become a phlebotomist. Some of the main certifying bodies include the American Society of Phlebotomy Technicians and the National Phlebotomy Association. The guidelines given for certification vary between different organizations by often call for a specific amount of on-the-job work experience and also membership to one of the certifying organizations. A certified phlebotomist is required to renew their certification, and this is usually needed annually. A requirement for maintaining the certification is continuing the education. Some topics of study for continuing education can include venipuncture, patient injury, blood contamination, lawsuits, and other related subjects.

Phlebotomy Training in Las Vegas: Conclusion

We hope that this article has given you the information you need about phlebotomy training in Las Vegas. We have outlined some places which offer phlebotomy training in Las Vegas as well as some information about phlebotomy, the history of phlebotomy and the education requirements needed to become a phlebotomist. What are your thoughts on phlebotomy training? Are you a qualified phlebotomist with some advice for budding phlebotomists? We would love to hear your thoughts, opinions, and advice. Please leave us a comment in the comments section below this article.
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    Great Tips On How To Draw Blood

    If you’re a nursing student or are studying to be a phlebotomist, you’ll need to be prepared to perform vital tasks, one of which is drawing blood. Phlebotomists are responsible for taking blood samples. But what if you’re a nurse and a sample needs to be taken right away, but the phlebotomist isn’t available? You need to know how to draw blood.

    You may be surprised to learn that drawing blood, also called venipuncture, is not a standard procedure taught to nursing students. Why? Some hospitals deem it too risky to have nurses practice drawing blood. Because of this, they suggest that they go elsewhere to learn how to draw blood.

    While it may not be part of your regular training, knowing how to safely draw blood can be crucial if a blood sample needs to be obtained quickly. A blood sample is required for most tests, which means it can be difficult to arrive at an accurate diagnosis without first drawing blood and testing it in the lab.

    If you want to know how to draw blood, you can’t learn just by reading about it or watching demonstrations. It requires practical experience and training. Before you can practice drawing blood, it’s important to get a baseline understanding so that you’ll know what to expect. Follow safety procedures carefully, and you should have no trouble with this routine process.

    Finding The Vein

    injecting arm

    Before you can learn how to draw blood, you’ll need to learn how to find the vein. When drawing blood from an adult, try to identify the median cubital vein. This is a large vein that should be easy to draw from. It’s located between the bicep and forearm, also known as the cubital fossa. The median cubital vein is usually chosen because it poses little risk of damage to nerves or arteries.

    In some patients, the median cubital vein may be visible just under the skin. However, each individual is different, and sometimes locating a vein can be more difficult. Nicotine can constrict veins, so if your patient is a smoker or any type of nicotine user, this might make the task more difficult.

    Caffeine can also constrict veins, which is a common challenge when drawing blood early in the morning. Intravenous drug use causes veins to collapse, making many veins like the median cubital nonviable for drawing blood. In addition, some people have naturally smaller veins or mobile veins which roll instead of remaining stationary.

    How To Draw Blood Safely

    blood in phlebotomist hands

    If you want to know how to draw blood, you need to be prepared for everything which might present a challenge. Consult a map of the circulatory system if you need help. You might feel out of your depth if you’re inexperienced with drawing blood. If you don’t feel you can go on, then you should ask for a more experienced phlebotomist to step in.

    Before you begin, check for any signs of scarring from previous needle punctures, hematomas, or blood clots. If for some reason you can’t draw a sample from the median cubital vein, you can opt instead for the basilic vein, but know that this means a higher risk of accidental injury to a nerve or artery. If you patient has just undergone a blood transfusion, a surgical procedure, or has an infected wound on one arm, draw blood from the opposite arm instead.

    Gathering The Supplies

    phlebotomist supplies

    You might already have the supplies you need if you’ve got a medical kit handy. If not, you’ll gather the supplies you’ll need. This should be a simple matter if you have access to the medical supplies available in any hospital storeroom.

    You’ll need disposable rubber gloves for your protection, biohazard bags which won’t leak, and a bag which won't puncture for you to dispose of sharp needles. These items are for your protection and safety. If, for any reason, you experience a leak or tear with any of the above items, stop the procedure immediately. Do not touch blood with your bare hands for any reason.

    You’ll need blood collection tubes, specimen labels, and the proper laboratory forms. The labels ensure that once the samples are drawn, they can be processed correctly by the lab tech staff. Without properly labeling your specimens they are likely to get lost among the hundreds of other samples, and a mislabeled specimen will cause confusion and might result in a misdiagnosis.

    A tourniquet, gauze, and alcohol swabs will all be needed, as will adhesive bandages. It’s a good idea to have enough of these supplies to exceed the need, just in case you need more than you expected. Just be sure to return any clean, unused materials to the storeroom when you’re finished.

    Finally, you’ll need needles and a device to transfer the blood into your collection tubes. Handle your needles carefully.

    Drawing The Blood

    taking blood in arms

    If you haven’t sterilized them already before you start it’s a good time to wash your hands to ensure that you don’t accidentally facilitate the spread of infection. This crucial step can save lives and prevent undue suffering to patients who might otherwise be exposed to bacteria present in hospitals and other medical facilities. When you’re done, apply your latex gloves.

    With your materials collected and your patient ready, consult your forms to confirm that the test has been ordered by a doctor. When you’re ready to begin, speak with the patient you’ll be drawing blood from. Remember that this procedure might be frightening for them even if it’s routine for you.

    Ask questions about the patient’s medical history. Are they aware of any allergies they might have to latex? Are they currently taking blood-thinning medications? Do they have a family history of hemophilia that they know about? Get as much information as possible to avoid a complication or issue arising from drawing blood.

    Getting Started

    blood in syringe

    Once you’ve asked questions to reduce risk factors, tell the patient what you’ll be doing step by step as you go along. Make sure they’re informed of what you’re doing. This will help put them at ease and move the process along.

    Instruct the patient to hyperextend their arm, then take the tourniquet and wrap it 3-4 inches above the cubital fossa if you plan to draw from the median cubital vein. You should wait no more than two minutes before beginning the blood draw. Ask the patient if they’re experiencing pain, numbness or tingling. Watch to make sure that the vein doesn’t change color.

    So long as everything appears normal, and the patient isn’t feeling any unusual discomfort, you can proceed. The patient should make and hold a fist. It isn’t necessary to do this repeatedly. Holding a fist is sufficient. Tap the vein with your finger to dilate it, then take your alcohol swab and sterilize the area around the planned injection site.

    Starting The Blood Draw

    phlebotomist drawing blood in patient

    With one hand, take your needle. Hold the patient’s arm below the injection site with your other hand. Hold the skin firmly to make sure that vein doesn’t move as you insert the needle through the skin and into the vein. This should be done at a 15- to a 30-degree angle.

    If you’ve successfully punctured the vein, you’ll see blood appear in the catheter. Attach the collection tube and watch to make sure that blood begins flowing at a slow, even pace. When the collection tube has been filled, you can remove the tourniquet and withdraw the needle.

    Quickly take your gauze and press down on the injection site. Wrap a bandage around the gauze to hold it in place. Take the used needle and place it carefully into your biohazard disposal receptacle. Remove your gloves and dispose of these as well. Be sure to label all your specimens carefully before depositing them in the lab.

    Best Practices in Phlebotomy

    This section of our article will cover all of the steps that are recommended for safe phlebotomy and it will go over the accepted principles for drawing blood and for blood collection. We will include some background information, practical guidance, and the relevant best practices in phlebotomy. 

    Background information on the Best Practices in Phlebotomy

    Best practices for phlebotomy include the following factors:

    • Planning ahead
    • Quality control
    • Using an appropriate location
    • Standards for quality care for patients
    • Standards for quality care for health workers
    • Quality of laboratory sampling
    • Availability of appropriate supplies
    • Availability of post-exposure prophylaxis (PEP)
    • Availability of protective equipment
    • Appropriate training in phlebotomy
    • Avoidance of contaminated phlebotomy equipment
    • Cooperation on the part of the patients 

    Planning Ahead

    This is the most important part of carrying out and procedures and this is usually completed at the very start of the phlebotomy session. 

    Using an Appropriate Location

    The phlebotomist should work in a clean, well-lit, and quiet area. This applies whether the work is being completed with outpatients or inpatients. 

    Quality Control

    An essential part of the best practice in infection prevention and control is quality assurance. In phlebotomy, this helps to minimize the chances of any mishaps. Below are examples of the important aspects of quality control:

    Education and Training

    It is absolutely necessary for all of the staff carrying out phlebotomy to have the appropriate education and training. This should include an understanding of anatomy, an awareness of the risks of blood exposure, and a knowledge of the consequences of poor infection prevention and control. 

    Standard Operating Procedures (SOPs)

    Standard operating procedures are required for every single step or procedure involved in phlebotomy. These should be written out and should be readily available to all health workers. 

    Correct Identification of the Patient

    Patient identification should be done through matching with the laboratory request form. For blood donations, the identity of the donor should be accurately matched to the results of the screening tests. When doing blood sampling, a system of identification and tracking is essential after the samples have been taken from the patient. This allows you to ensure that the sample is correctly matched with the result and with the patient or donor. 

    The Condition of the Sample

    The condition of the sample should be in such a way that the quality of the results is satisfactory. 

    Safe Transportation

    Part of the best practices of phlebotomy includes making safe transportation of the blood or blood products. This will improve the quality of the results from laboratory testing. 

    Incident Reporting System

    It is essential to have a system in place for reporting any adverse events that may occur. A register or log book of some kind should be established and this should include accurate details of the incident, possible causes of the incident, and management of adverse events. 

    Quality Care for Patients and Health Workers

    There are several factors which can improve the safety standards and the quality of care for both health workers and patients, and laboratory tests. These factors include the following:

    Availability of Appropriate Supplies and Protective Equipment

    The procurement of the supplies needed is the direct responsibility of the administrative structures that are responsible for setting up phlebotomy services. The management should provide hand-hygiene materials including soap and water or alcohol rub, well-fitting non-sterile gloves, single-use disposable needles, and syringes or lancing devices in sufficient numbers. This will ensure that every patient has a sterile needle and syringe or equivalent for each of the blood sampling. The administration should also ensure that there is sufficient laboratory sample tubes to prevent any dangerous practices. An example could include decanting blood to recycle laboratory tubes.  There are many safety-engineered devices that are available on the market today. These devices effectively reduce exposure to blood and injuries. However, the use of these types of devices should be accompanied by some other infection prevention and control practices and should involve training in their use. Not all safety devices available are applicable to phlebotomy. It is important to investigate all potential devices to determine their appropriate use, efficiency in protecting staff and patients, and their compatibility with existing phlebotomy practices before selecting one. 

    Availability of Post-Exposure Prophylaxis

    Any accidental exposures and specific information about incidents should always be recorded in a register. There should be support services available for those who undergo any accidental exposure. PEP can help to avert hepatitis B and HIV infections. Hepatitis B immunizations should be provided to all of the health workers. This includes waste handlers and cleaners either as part of the PEP or upon entry into health care services. 

    Avoidance of Contaminated Phlebotomy Equipment

    Tourniquets are a potential source of methicillin-resistant staphylococcus aureus (MRSA). Up to 25% of tourniquets are contaminated through lack of hand hygiene on the part of the phlebotomists, or through reuse of contaminated tourniquets. Additionally, the reuse of finger-prick devices and any other related point of care testing devices that are contaminated with blood have been implicated in outbreaks of hepatitis B.  To avoid any contamination, all common-use items such as glucometers must be visibly clean before any use on a patient, and all single-use items should never be reused. 

    Training in Phlebotomy

    All members of staff must be trained in phlebotomy as this prevents unnecessary risks of exposure to blood and can help to reduce any adverse events for patients. Any groups of health workers who are historically not formally trained phlebotomy should be encouraged to take up this necessary training. A lack of infection prevention and control practices will result in poor safety for staff and could pose a risk to patients. The depth and length of training needed will be dependant on local conditions. However, the training should cover at least the essentials. Supervision by experienced staff members and structured training is essential for all health workers. This includes physicians who undertake the blood sampling. 

    Patient Cooperation

    The involvement and the cooperation of the patient is one of the essential markers of quality care in phlebotomy. This is mutually beneficial to both the patient and the health care worker. There should be clear information available to each patient who undergoes any form of phlebotomy. 

    Quality of Laboratory Sampling

    There are some factors which influence the outcome of laboratory results during the transportation and collection. These factors include:
    • Use of the correct gauge or a hypodermic needle to prevent any abnormal results or hemolysis. 
    • The use of recommended laboratory collection tubes
    • Knowledge of staff involved in blood collection
    • The anatomical insertion site for venipuncture
    • Patient sample matching (for example - labeling)
    • The use of recommended laboratory collection tubes
    • Transportation conditions
    • Interpretation of results for clinical management

    Practical Guidance on Best Practices in Phlebotomy

    Provision of an Appropriate Location

    In a clinic or outpatient department, there must be a dedicated phlebotomy cubicle which contains a clean surface with two chairs - one for the patient and one for the phlebotomist. It should also contain a hand wash basin with soap, paper towels, and running water. Plus it should also contain alcohol hand rub.  In the blood sampling room for an outpatient department or clinic, there should be a comfortable reclining couch with an arm rest.  In wards and inpatient areas the curtain should be closed by the patient's bedside for privacy. It should also be ensured that blood sampling is done in a clean and private manner. 

    Provision of Clear Instructions

    Ensure that the indications for blood sampling are clearly defined, either in documented instructions or in a written protocol. 

    Do’s and Don’ts for Drawing Blood

    At all times you should follow the strategies for infection prevention and control. Below are the do’s and don’ts of infection prevention and control practices. 

    DO

    • Carry out hand hygiene (using alcohol rub or soap and water), and wash carefully. The washing should include wrists and the spaces between the fingers for a minimum of thirty seconds
    • Do use a single-use device for all blood sampling and drawing
    • Do use one pair of non-sterile gloves per patient or procedure
    • Do disinfect the skin at the venepuncture site
    • Whenever recapping of the needle is unavoidable, do use a one-hand scoop technique
    • Do discard the used device (a syringe or needle is a single unit) immediately into a robust sharps container
    • Do seal the sharps container with a lid which is tamper-proof
    • Do immediately report any incident or accident which is linked to a needle or sharp injury. Always seek assistance in these instances and start PEP as soon as possible, following all protocols
    • Do place laboratory sampling tubes in a sturdy rack before injecting it into the rubber stopper

    DO NOT

    • Do not forget to clean your hands
    • Do not use a syringe, needle, or a lancet for more than one patient
    • Do not use the same pair of gloves for more than one patient
    • Do not wash gloves for reuse
    • Do not leave any unprotected needles lying outside the sharps container
    • Do not touch the puncture site after disinfecting it
    • Do not recap a needle using both hands
    • Do not overfill or decant a sharps container
    • Do not delay PEP after exposure to potentially contaminated materials. Beyond 72 hours, PEP is no longer effective
    • Do not inject into a laboratory tube while holding it with the other hand

    How to Draw Blood Following the WHO Guidelines

    Assemble The Equipment

    Collect all of the equipment which is needed for the procedure and then place it within easy and safe reach on a trolley or tray. It is important to ensure that all the items are clearly visible. The equipment that is required includes:

    • A supply of laboratory sample tubes, which should be stored upright in a rack and should be dry. Blood can be collected in any of the following: vacuum-extraction blood tubes, glass tubes with screw caps, sterile glass or plastic tubes with rubber caps (the choice of tube will be dependant on what is agreed with the laboratory)
    • A sterile glass or bleeding pack if large quantities of blood are being collected
    • An assortment of blood-sampling devices (syringes, needles, or safety engineered devices) of different sizes
    • Well-fitting non-sterile gloves
    • Alcohol hand rub
    • 70% alcohol swabs for disinfecting skin
    • A tourniquet
    • Gauze or cotton wool balls for applying to the puncture site
    • Writing equipment
    • Laboratory specimen labels
    • Laboratory forms
    • A puncture-resistant sharps container
    • Leak-proof transportation containers and bags
    Ensure that the rack which contains the sample tubes is close to you, the health worker, but is far away from the patient, to avoid it being accidentally tipped over. 

    Identify and Prepare the Patient

    When the patient is a conscious adult, follow the steps outlined below. 

    • Introduce yourself to the patient and ask for them to state their full name
    • Check that the laboratory form matches with the patient’s identity
    • Ask whether or not the patient has any allergies, phobias, or if they have ever fainted during any previous blood draws or injections
    • If the patient is afraid or anxious, reassure them and ask what would make them more comfortable
    • Make the patient more comfortable in a supine position if this is possible
    • Place a clean paper towel underneath the patient's arm
    • Discuss the test that is going to be performed and obtain verbal consent from the patient. The patient does have the right to refuse the test at any time before the blood sampling, so therefore it is important to ensure that the patient has understood the procedure that is about to happen

    Select The Site

    In General Patients
    • Extend the patient’s arm  and inspect the forearm or the antecubital fossa
    • Locate a vein that is a good size and that is visible, clear, and straight. The median cubital vein lies between the muscles and is usually one of the easiest to puncture. Under the basilic vein there is an artery and a nerve, so puncturing in this area runs the risk of damaging the artery or nerve, and this area is usually more painful. Don’t insert a needle where veins are diverting, as this increases the risk of a haematoma
    • The vein should be visible to the naked eye without having to apply the tourniquet. Locating the vein will help to determine the correct size of needle needed
    • Apply the tourniquet around 4-5 finger widths above the venepuncture site and then re-examine the vein
    In Hospitalized Patients
    For hospitalized patients, do not take blood from an existing peripheral venous access site as this can give false results. Haemolysis, contamination and presence of any intravenous fluids or medication can alter the results. Physicians and nursing staff may access the central venous lines for specimens following protocols. However, specimens from central lines can carry a risk of erroneous laboratory test results or contamination.  It is not ideal, but is acceptable, to draw blood specimens when first introducing an in-dwelling venous device, before connecting the cannula to the intravenous fluids. 

    Perform Hand Hygiene and Put on Gloves

    Wash hands thoroughly with soap and water and dry with single-use towels. If the hands are not visibly contaminated, clean with some alcohol rub - Use 3ml of alcohol rub on the palm of the hand, rub it into the fingertips, back of the hands and all over the hands until it is dry.  After performing the hand hygiene, put on the well-fitting, non-sterile gloves. 

    Disinfect the Entry Site

    Unless you are drawing blood cultures or preparing for a blood collection, clean the site with a 70% alcohol swab for thirty seconds and allow it to dry completely. Alcohol is preferable to povidone-iodine. This is because the blood that is contaminated with povidone-iodine may falsely increase the levels of uric acid, phosphorus, or potassium in the laboratory test results. Apply firm but gentle pressure. Begin at the center of the venepuncture site and work downwards and outwards to cover an area that is 2cm or more. Allow the area to then dry. Failure to allow enough of the contact time increases the risk of contamination. Do not touch the cleaned site and definitely don’t place a finger over the vein to guide the shaft of the exposed needle. If the site is touched, you will need to repeat the disinfection. 

    Take The Blood

    Use the following method when performing venepuncture:

    • Anchor the patient’s vein by holding their arm and then placing a thumb below the venepuncture site
    • Ask the patient to put their hand in a fist so that the vein is more prominent
    • Enter the vein quickly at a thirty degree angle or less. Continue to introduce the needle along the vein at the easiest angle for entry
    • As soon as an efficient amount of blood has been collected, release the tourniquet before removing the needle. Some guidelines will suggest removing the tourniquet as soon as blood flow is established, but it should always be removed before it has been in place for two minutes or longer
    • Remove the needle very gently and then apply gentle pressure to the site with a dry cotton wool bud or with a clean gauze. Ask the patient to hold the cotton wool bud or gauze in place with their arm extended and raised. Be sure to tell the patient not to bend their arm as this can cause a hematoma

    Fill the Laboratory Sample Tubes

    When you are obtaining multiple tubes of blood, be sure to use evacuated tubes with a needle and a holder for the tubes. This system will allow for the tubes to be filled directly. If you do not have this system available, use a winged needle set or a syringe instead.  If a winged needle set or syringe is used, the best practice for this is to place the tube into a rack before going ahead and filling the tube. To prevent the needle from sticking, use one hand to fill the tube or use a needle shield between the needle and the hand which is holding the tube.  Using slow and steady pressure, pierce the stopper on the tube using the needle. Be sure not to press the syringe into the plunger as this additional pressure can increase the risk of haemolysis Whenever possible, try to keep the tubes in a rack and move the rack towards you. Inject into the appropriate colored stopper in a downwards motion. Do not remove the stopper at any time as this will release the vacuum.  If the tubes you are using do not have a rubber stopper, inject extremely slowly into the tube. Minimizing the velocity and pressure used to transfer the blood reduces the risk of haemolysis. Do not recap and remove the needle.  Before they are dispatched, invert the tubes which contain additives for the required number of times. This will have been specified by the local laboratory. 

    Draw Samples in the Correct Order

    To avoid any cross-contamination of additives between the tubes, draw blood collection tubes in the correct order. Verify the recommendations with the local laboratory as color coding and tube additives may vary from laboratory to laboratory. 

    Clean All Contaminated Surfaces and Complete Patient Procedure

    Begin by discarding the used needle and syringe or blood sampling device into a puncture-resistant sharps container.  Check all of the forms and labels for accuracy. The label should be written out clearly with all of the information required by the laboratory. This typically includes the patient’s first and last names, their date of birth, their file number, and the date and time that the blood was taken.  Discard all used items into the appropriate category of waste. Items used for phlebotomy that would not release a drop of blood if squeezed (for example, gloves) may be discarded in the general waste, unless the local regulations state otherwise.  After these steps have been taken, perform the hand hygiene again as previously described. Recheck all of the labels on the tubes and forms before the dispatch.  Once all of this is complete, inform the patient that the procedure is over. Ask them how they are feeling. Check the insertion site to ensure that it is not bleeding and then thank the patient and say something encouraging and reassuring before they leave. 

    Prepare the Samples for Transportation

    Pack the laboratory samples safely in a leak-proof plastic bag that has an outside compartment for the laboratory request form. Placing this requisition on the outside helps to avoid any chances of contamination. If there are multiple tubes then you should place them in a rack or a padded holder to avoid any breakages during the transportation. 

    Clean Up Any Spills of Blood or Body Fluids

    If any spilling of blood has occurred (for example, if a laboratory sample has broken within the phlebotomy area or during transportation, or if excessive bleeding occurs during the procedure), be sure to clean it up. An example of a safe cleaning up procedure can be found below:  

    • Put gloves on and a gown or apron if bleaching or contamination of the uniform is likely in a larger spill
    • Mop up the liquid from large spills with paper towels and then place them into the infectious waste
    • Remove as much of the blood as possible with wet cloths before disinfecting
    • Review the surface and see if it will be damaged by a water and bleach solution
    • For metal, cement and other surfaces that can tolerate a stronger bleach solution, flood the area with around 5000 parts per million (ppm) solution of sodium hypochlorite (1:10 dilution of a 5.25% chlorine bleach to water). This is the preferred concentration for larger spillages. Leave this area wet for around ten minutes
    • For any surfaces which may become corroded or discolored by a strong bleach, clean it carefully to remove any visible staining. Make a weaker solution and leave it in contact for a longer period of time. An example of this would be an approximately 525 ppm solution (1:100 dilution of a 5.25% bleach). This will be effective
    • Prepare the bleach solution fresh on a daily basis and keep it in a closed container as it will degrade over time and when in contact with the sun
    If a person has been exposed to blood through non intact skin, a puncture wound, or mucous membranes, complete an incident report. For transportation of the blood samples outside of a hospital, be sure that the transportation vehicle is equipped with a blood spillage kit.

    How to Draw Blood: Conclusion

    blood donor

    Knowing how to draw blood is something that all sorts of medical professionals will be called upon to do at one point or another. If you’ve never done it before, the process can be intimidating. The important thing is to pay attention, follow all safety procedures to the letter, take it step by step and get as much practice as possible before attempting to draw blood from a patient on your own.

    If possible, look for opportunities for hands-on training from in your area. Courses in venipuncture are available in nursing colleges and medical universities. Seek them out if venipuncture isn’t part of your regular coursework.

    Prospective employers, especially those in intensive care wards, want to be assured that you know how to draw blood. So do your patients. The more practice you have, the better chance you’ll have of anticipating problems before they arise. Even if you’re diligently paying attention to every detail, the unexpected can still derail you.

    Any phlebotomist will admit that drawing blood requires intuition as well as preparation. With experience, you’ll gain the confidence to proceed with a venipuncture procedure even if you have difficulty finding a vein in the patient’s arm. But until you’re prepared, it’s a good idea to practice with easier blood draws. Now you know how to draw blood practice, practice, practice.

    Phlebotomy Training in VA: How to Get Certified, FAQs, and More

    Students who are interested in the medical field as a career option may want to learn more information about phlebotomy training in VA. Phlebotomists are trained medical professionals who draw blood from patients. There are many good phlebotomy certification Virginia programs from which to choose. Students just have to do their own research to ensure they are choosing a phlebotomy training Virginia program that will meet the criteria discussed here.

    Phlebotomy Coursework

    Like many other programs of study in the medical field, phlebotomy training in VA will require students to take a specific curriculum of coursework. This curriculum is designed to help students learn about various veripuncture techniques and how to identify puncture sites on a patient. Students enrolled in this type of program will also learn how to collect blood samples, how to bandage a site after drawing blood, and how to preserve blood samples. Students can even expect to learn about anatomy and physiology as well as medical terminology.

    Gaining Experience in the Field of Phlebotomy

    Coursework alone is not enough to earn phlebotomy certification in Virginia. An established phlebotomy training Richmond VA program or a phlebotomy training Roanoke VA program will ensure that all students get actual practice drawing blood. This field training usually begins with exercises for training that do not involve human patients. Once students have learned the skills required for drawing blood by practicing on artificial limbs and other simulation models, they must get actual experience using real patients. There is no substitute for this portion of the certification process.

    National Certification Exam

    Once students have completed all of the necessary coursework for phlebotomy certification in VA, they must take the National Certification Exam. This exam must be taken and passed before students can obtain employment as phlebotomists. Before choosing a phlebotomy school, a prospective student should always verify that the school is accredited, so the student will be allowed to sit for the National Certification Exam upon successful completion of the phlebotomy program.
    Choice of Programs
    Students interested in phlebotomy certification Richmond VA or phlebotomy training Roanoke VA programs should know they have choices when it comes to choosing the right program for them. Some schools offer accelerated phlebotomy programs that can be completed in as little as a few months. Other programs, if taken on a part-time basis, may take up to one year to complete. Just like other educational programs, students enrolled in phlebotomy training in VAmay be eligible to receive financial aid to cover the cost of tuition or books.
    Job Opportunities
    There are many job opportunities for students who complete the coursework required for phlebotomy certification in VA and who pass the National Certification Exam. Phlebotomists work in a variety of medical settings. Students can expect to find employment in hospitals, medical centers, blood banks, or clinics. There are both part-time and full-time positions available in this field. Phlebotomists are also needed for day, evening, and nighttime work depending on the shift or rotation desired.

    Which Schools Have Training Programs for Phlebotomy in VA?

    Learn about practice in Virginia on phlebotomy. Get program data and conditions to make an informed decision about your education. These common options also include schools providing degrees in Clinical Laboratory Science.  Training in phlebotomy may be for learners who break into the medical sector or for those who wish to add credentials to their medical background. Virginia programs can be discovered in the classrooms below, typically including venipuncture training, processes for collecting blood, security and quality assurance, and medical terminology.

    Where and How to Take Phlebotomy Training in VA

    Do you want to be a phlebotomist? In Virginia, you can take courses or pursue a certificate at the state's 2-year college or4-year college. You may choose to finish a course within 10 weeks, or you may choose a certificate program that can last about one or more semesters. Clinical experiences and externships are crucial for most programs along with general lecture courses. After finishing your class or receiving a certificate, you will be eligible to pursue voluntary phlebotomy certification. Continue to read about possibilities to study phlebotomy in VA for more data.

    Norfolk State University Phlebotomy Class 

    This phlebotomy program is provided through Norfolk State's Virginia Beach Higher Education Center. The program's topics include the role of the phlebotomist, legal problems, quality assurance, and universal precautions. You will also learn about the terminology of medicine, physiology, anatomy and blood circulation. You also learn to gather samples using different methods, together with possible problems, troubleshooting and mistakes.

    Northern Virginia Community College

     In this program you will learn how to obtain blood and other samples. You take one phlebotomy course that includes subjects in medical terminology, collection and handling of specimens, patient interactions, and clinical laboratory design. You also finish a clinical where, under your instructor's guidance, you receive practical on - the-job instruction.

    Tidewater Community College 

    Four classes are completed in this programme. College composition and medical terminology are covered in two lessons. The course of phlebotomy introduces you to the framework of a clinical laboratory, parts of healthcare delivery, methods of collection, patient interactions and handling of specimens. The course of clinical phlebotomy enables you to apply your learned abilities in a college lab or outside agency under guidance.

     Virginia Highlands Community College

     This certificate program provides classes in medical terminology, identification, infection c. Other classes include puncture of the skin, post-puncture care, problem solving, assurance of quality, morality, stress and communication. You also have to finish an externship of 100 hours.

    How Do You Become a Phlebotomist? Here’s a Step-by-step Guide

    Before going into information, let's describe who are engineers of phlebotomy and what they are doing. Phlebotomists are basically experts who draw patients ' blood. They can operate in federal or state hospitals, personal practices, or labs. Here you can read more about tech kinds, work settings, etc. This is a medical career at the entrance level that is often seen as a move towards more complicated employment, such as a nursing assistant, registered nurse, etc. It enables you to comprehend whether you want to continue working with patients. Still, there are many technicians in phlebotomy who can't imagine a better profession, so it's up to you.

    Clear Objectives You Need to Obtain to Become a Phlebotomist

    One

    Graduate from high school or GED Although universities providing phlebotomy programs do not require excellent accomplishments, we still suggest that you pay attention to your high school grades. A high school diploma is a fundamental prerequisite for admission, or its equivalent, GED. You must also be at least 18 years old to apply for an authorized phlebotomy training program. As far as particular topics are concerned, chemistry and biology are the ones you will use during your practice and on the job in your daily operations. Having excellent grades in these two will offer you a competitive advantage when applying for a course of phlebotomy over other applicants.

    Two

     Enroll in a phlebotomy training program once you've decided that phlebotomy is a nice choice for your profession (and surely it's!), it's time to find a college close you. These are short-term programs, generally less than a year. Some are eight weeks short. You will learn fundamental abilities as a phlebotomist during your practice. For instance, blood drawing using various methods and tools in a variety of respects. Basic legal, safety at the laboratory and topics of patient communication will also be discussed. In addition to theoretical training, in hospitals or laboratories you will undergo hands-on practice. Although this isn't a rigid necessity among your prospective employers, NAACLS sets the quality bar fairly high, so you can be sure that their curriculum will cover all the topics you need for your work.

    Three

    Become certified & licensed. You may also want to be certified once you have finished a phlebotomy training program. More sophisticated certifications also enable you to expand your daily operations as a phlebotomist and thus possibly boost your wage. A number of organizations in the United States give phlebotomy certifications. The main ones are: American Medical Technologists (AMT) American Society for Clinical Pathology (ASCP) National Association of Healthcareers (NHA) Want to learn more about different types of certifications, their requirements and how they differ? Look at our comprehensive certification manual for phlebotomy. To operate as a phlebotomist, California, Louisiana, Nevada, and Washington require you to be licensed. But it's worth it totally. California offers the highest wages in the US, according to our survey. Certification examination generally comprises of a multiple-choice theoretical test and a practical element. Now, this examination is generally part of the vast majority of training programs, and you're going through it at the final phases of your training.

    Four

    Get Employed Once all of the above steps have been finished, here's the most significant step–getting your work done. In fact, with increasing demand for phlebotomists and other medical experts, recruiters are likely to approach you when completing the above measures. Don't forget to be active on your own though! Even during your first phlebotomy work experience while doing hospital practice, make sure to get to know people and check out job opportunities. Don't let this last-minute thing be this most significant move. What we want is a selection of employers and choices, right? You can apply not only to local clinics or laboratories, but also to blood donation centers, doctors ' offices, outpatient care centers or even consider becoming a portable phlebotomist! Being proactive, not reactive is therefore going to help you a lot.

    Five

    Maintain your certificate Although it may seem like a simple task at first, ongoing schooling is a must. Requirements vary from institution to institution, but in general it is a certain amount of CEs (Continuing Education Credits) that you can earn through short courses within two years. Renewing certification in this way will mean that you are aware of it and that you can apply the latest industry developments to your daily work.

    How Long Does It Take to Become a Phlebotomist?

    As a summary, let's calculate briefly how long it will take you to begin a phlebotomist from scratch: preparation and application to colleges: 1 month Phlebotomy training itself: 1-2 semesters, or 4 to 8 months, depending on the college After these steps, you may consider yourself a phlebotomist, but we would suggest that you obtain a certificate that may take about 12 months to prepare yourself. This is why, depending on the program of your decision, the entire method should not take more than 6 to 10 months.

    What Abilities and Characteristics Does a Successful Phlebotomist Have?

    For those who want to work as phlebotomy technicians, the following are important: look for detail. Taking the correct quantity of blood, properly labeling the sample, entering information into the database and tracking it is incredibly essential. Unless properly performed, samples may be blended, lost, etc.

    Discipline

     All equipment, supplies and workplace must be kept completely clean, if not sterile.

    Coordination and Dexterity

     Working with delicate materials such as needles implies you want excellent hand-eye coordination and all your supplies know-how. It is very important that you do not hurt the patient with as little impact as possible and handle the entire process.

    Outstanding Skills

     It's no wonder many patients are afraid of the operation of blood drawing. For some adults, let alone children, this is true. So, a successful phlebotomy tech is going to be a caring and comprehension professional who can discover any kind of patient strategy.

    Phlebotomy Training in Virginia: FAQs

    Why do you need to get your phlebotomy certification to begin your career as a phlebotomist?

    Because without your certification as a phlebotomist, obtaining a job is almost impossible and becoming difficult all the time as the preference of most employers is to employ those who have gained credentials. The certification of phlebotomy informs your potential employer that you have met the criteria set out in your sector by renowned certification bodies. These certification bodies retain educational and experiential norms.

    Where Can You Get Your Phlebotomy Certification?

    • The American Society for Clinical Pathology 
    • American Society of Phlebotomy Technicians
    •  National Phlebotomy Association 
    • National Healthcareer Association National Center for Competency Testing 
    You Must Have:
    • Successful completion of an accredited phlebotomy training program 
    • At least 100 documented successful venipunctures 
    • Five documented skin punctures 
    • A present ASPT membership npa-logo National Phlebotomy Association (NPA)
     Similarly, you must submit this request with your membership application on unit letterhead or; Clinical experience is not acceptable and your manager will need a letter verifying the duration of the job. You also need to attend a training program on phlebotomy to qualify through the NPA for accreditation. The program you are attending must include:

     Venipuncture Methods 

    • Hands-on clinical practical internship of 160 classroom hours in relation to clinical practical internship and 16 Nha National Healthcareer Association (NHA) ongoing education units
     The National Healthcareer Association provides the Phlebotomy Technician Certification (CPT) that enables engineers to draw blood and work with clients. You will be able to verify concentrations of glucose, prepare samples for medical equipment testing and maintenance. The certification examination fee for NHA Phlebotomy Technician is $105. You will need to have effectively finished a training program over the previous five years to be eligible for the NHA exam.  You will need to have effectively finished the following processes: 
    • 30 venipunctures and 10 capillary sticks on live beings 
    • Have a high school diploma or GED ncct-logomark National Competency Center (NCCT) 
    • Certification The NCCT provides three methods to obtain your certification: be a present student in a NCCT-authorized school phlebotomy technician program or graduate from an NCCT-certified college

    AMT License

     AMT Applicants must graduate from a phlebotomy program with a minimum of 120 didactic clock hours to be eligible for the American Medical Technologists Exam, which provides the designation of Registered Phlebotomy Technician (RPT). Also the U.S. should approve the program. Education Department. You also have to have over the past three years completed 1,040 hours of accepted work experience as a phlebotomy tech. Types of knowledge and processes that are acceptable within this timeframe are as follows: Venipunctures Skin punctures Specimen processing Communication abilities Clerical responsibilities The first step is to submit an application online and provide transcripts and other required paperwork to determine if you are qualified to pass the AMT test. If you are interested in acquiring AMT certification, guarantee that your phlebotomy program enables you to finish at least 50 effective venipunctures and 10 effective human-sourced skin punctures.

    Phlebotomy License Renewal 

    Part of professional certification implies that your credentials are maintained. AMT needs annual renewal; you will have to pay a premium and comply with their Continuation Program for Certification. That implies you're going to have to finish a qualification activity like continuing education. Similar conditions apply to the National Phlebotomy Association and other certifying organisations. While not all countries have criteria for phlebotomy certification, all 50 jurisdictions have legislation on what a phlebotomist is allowed to do on the job. Check legislation and regulations with your government boards as they vary by place. California, for example, which involves licensing of its phlebotomists, allows three kinds of certification of phlebotomy, each with different duties.

    What Are My Options for a Phlebotomist Certification?

    For those looking at phlebotomy training in Virginia, there are a few questions to ask during your search. How do you determine which one is correct for your profession with so many certification organisations? Consider these variables to assist you decide which organizations your state approves?  You can get an updated list of certifying bodies from your state boards. Which certification bodies do employers prefer in your region? Ask yourself, is it a reputable nationally recognized organisation. Criteria such as applications charges and eligibility requirements should also be considered. For example, the American Society for Clinical Pathology requires applicants to pay a $135 fee and complete one of seven routes to pass the certification examination based on education or work experience. Meanwhile, American Medical Technologists provide two paths for candidates to select and charge an application fee of $120.

    Phlebotomy Training in VA: Computer-Based Testing

    While most certifying organizations offer computer-based testing, there are no internet choices for phlebotomist certification. You may often apply to take your examination online, but candidates are needed to appear and finish the examination at a testing site, which is either their college or another place. Many organizations are using computer-adaptive testing to calibrate questions based on the reaction of a test-taker. If they properly answer a question, the issue that follows is harder. Some organizations, such as the National Phlebotomy Association, include a practical section in relation to the writing part of the test— another reason you need to be there in individual. Most certification programs for phlebotomists are not trained online either. They are not as thorough as a course you would take on campus while they exist. Because phlebotomy requires you to work straight with patients, in a classroom and laboratory would give you the most for your money. However, if you need a more flexible schedule, you can check out online phlebotomy training programs here

    Phlebotomist Certification Test 

    In a variety of topic fields, a phlebotomist certification exam will evaluate your expertise and abilities. Because phlebotomists need to be vigilant about safety and control of infections, you can expect to see questions about: 
    • Responding to workplace hazards 
    • How to avoid hematomas and nerve damage 
    • How to correctly dispose of machinery 
    • Equipment sterilization student 

    Phlebotomy Training in VA: Final Review

    Phlebotomists communicate with all kinds of patients, from babies to the elderly. These circumstances can sometimes be stressful, particularly when a patient goes out, gets sick or is scared of needles.  In these kinds of situations, the phlebotomist certification exam will test your abilities. You will be asked to answer questions about the precautions that you will take for patients with special needs and how you will interact with verbal and nonverbal patients. Depending on the testing organisation, a phlebotomist certification exam requires two to two and a half hours to finish. Typically, examinations are computer-based, but some organisations will allow candidates to use a paper examination, but processing expenses may be greater.
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