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Phlebotomy Applied Certificate Program
PLAR Candidate Guide
Prior Learning Assessment and Recognition (PLAR)
Program PLAR Candidate Guide
Prior Learning Assessment and Recognition (PLAR)
Prior Learning Assessment and Recognition Ph lebotomy Program Page 2
Copyright
Saskatchewan Polytechnic No part of the work(s) contained herein may be reproduced or copied in any form or by any means – graphic, electronic, or mechanical, including photocopying, recording, taping of information and retrieval systems – without written consent of Saskatchewan Polytechnic.
The Phlebotomy program is dedicated to removing barriers and broadening the access to programs at Saskatchewan Polytechnic. We believe that adults acquire knowledge and skills through life and work experience that may align with courses within our programs.
Developed by program June 2017
Revised
Web ready – PLAR office
Revised template by
RPL office
Prior Learning Assessment and Recognition Ph lebotomy Program Page 3
Table of contents
Why consider a PLAR assessment? ...................................................................................... 4
What are the PLAR options? ................................................................................................ 4
Individual course challenge ............................................................................................. 4
Fees: ...................................................................................................................... 4
How many courses can be challenged through PLAR? ........................................................... 4
Which courses are PLAR-ready? .......................................................................................... 5
Is PLAR available at any time of the year? ............................................................................ 5
Is it easier to challenge a course through PLAR or take the course? ....................................... 5
Methods of assessing prior learning ..................................................................................... 5
If I live out of town, do I have to travel to a main campus to do PLAR? .................................. 6
What if I have a disability & need accessibility accommodations? ........................................... 6
Are there other ways to gain Saskatchewan Polytechnic credits for prior learning? ................... 6
Contact us ......................................................................................................................... 7
The PLAR process .............................................................................................................. 8
How long will it take to prepare evidence for PLAR? .............................................................. 9
Steps to complete a self-audit ............................................................................................. 9
Self-audit guides: Individual courses .................................................................................. 10
ETHC 185 – Professional Practices 1 ............................................................................... 10
INFC 180 – Infection Control and Safety ......................................................................... 13
MTER 180 – Medical Terminology ................................................................................... 16
PRAC 110 – Phlebotomy Practicum ................................................................................. 18
PROC 181 – Specimen Collection and Handling................................................................ 21
PROC 184 – Basic Specimen Processing .......................................................................... 24
Appendices ....................................................................................................................... 26
Appendix A – Employment validation form ...................................................................... 27
Appendix B – Employer validation checklists .................................................................... 28
ETHC 185 – Professional Practices 1 ........................................................................28
INFC 180 – Infection Control and Safety ..................................................................31
PRAC 110 – Venipuncture Practicum ........................................................................33
PROC 181 – Specimen Collection and Handling .........................................................37
PROC 184 – Basic Specimen Processing ...................................................................42
Professionalism Rubric ............................................................................................45
Appendix D – Exam Proctor form ................................................................................... 48
Appendix E – Cover page .............................................................................................. 49
Prior Learning Assessment and Recognition Ph lebotomy Program Page 4
Why consider a PLAR assessment?
PLAR refers to the combination of flexible ways of evaluating people’s lifelong learning, both formal and informal against a set of established standards. You can receive academic credit for your relevant lifelong learning. The Phlebotomy program recognizes prior learning in two ways:
Previous formal learning from an accredited training institution through transfer of credit.
Previous informal learning or experiential learning through a comprehensive prior learning and recognition process.
What are the PLAR options?
The following courses in the Phlebotomy program may be taken by continuing education or challenged through PLAR as an unclassified student prior to being admitted to the program. Completing program courses prior to admission has no impact on admission requirements but may reduce your course load if you are successfully admitted.
ETHC 185
INFC 180
MTER 190 To be eligible to register for any other courses in this program, whether through PLAR or continuing education, an applicant must first apply and be successfully admitted to the Phlebotomy program. Individual course challenge
If you have (within the last five years) successful experience in the Phlebotomy field, and have learned the skills and knowledge for one or more of the Phlebotomy courses, you may apply to be assessed for each applicable course. Fees:
There will be a charge for each individual course assessment.
For a listing of the specific PLAR fees for this program, open the online PLAR Inventory Database and search for the Phlebotomy program.
How many courses can be challenged through PLAR in the Phlebotomy program?
Currently we have 6 out of 6 certificate courses with PLAR challenges available. There is no limit. You may challenge as many of these courses as you are able to prove prior skills and knowledge through assessment.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 5
Which courses are PLAR-ready?
Phlebotomy Program
Applied Certificate Program Profile
COURSE CODE COURSE NAME
PLAR Challenge(s) available
through program
PLAR Challenge(s) not available
ETHC 185 Professional Practices 1
INFC 180 Infection Control & Safety
MTER 180 Medical Terminology
PRAC 110 Venipuncture Practicum
PROC 181 Specimen Collection & Handling
PROC 184 Basic Specimen Processing
Is PLAR available at any time of the year?
PLAR challenges are currently being offered prior to start date of the course being challenged.
Is it easier to challenge a course through PLAR or take the course?
Neither is easier. By using PLAR you may reduce the repetition of studying information that you already know. The PLAR process allows you to demonstrate knowledge you already have. PLAR is not an easy way to certification, rather a “different” way to obtain certification. Your personal level of skill and experience will dictate which courses you choose to challenge. The self-audit section found later in this guide will help you decide if you have a good match of skill and knowledge for a specific course.
Methods of assessing prior learning
Assessment methods measure an individual’s learning against course learning outcomes. The PLAR assessment methods listed below are most commonly used, separately or in combination, to assess learning for Medical Diagnostic courses. Other forms of flexible assessment may be considered.
evidence files with requested documents
employment validations
employer validation checklists
challenge exams
performance evaluations (including skill demonstrations, role plays, clinical applications, case studies)
interviews and oral exams
Prior Learning Assessment and Recognition Ph lebotomy Program Page 6
equivalency (evaluations of learning from non-credit training providers)
All documents submitted to Saskatchewan Polytechnic may be returned to the student after the final results have been given and the grade appeal deadline of seven days has passed. A copy of transcripts and certificates may be included in your evidence file, but be prepared to show original documents at the PLAR audit meeting for validation.
If I live out of town, do I have to travel to a main campus to do PLAR?
There will be times that you will need to meet with the program on campus. However, we will try to keep travel to a minimum.
What if I have a disability & need accessibility accommodations?
At Saskatchewan Polytechnic, we understand that sometimes services must be provided to students in a variety of ways to achieve the goals of fair representation. Therefore, the range of services provided for students with disabilities is as diverse as the needs of those students. We strive for equity (not uniformity) and provide varied services for students with differing needs. If more information is required, please contact Accessibility Services. Are there other ways to gain Saskatchewan Polytechnic credits for prior learning?
Transfer Credit
Saskatchewan Polytechnic will grant credit for previous training that is similar in content, objectives, and evaluation standards to Saskatchewan Polytechnic training. Transfer of credit is different from the PLAR process. Transfer Credit guidelines may be found at: http://saskpolytech.ca/admissions/resources/transfer-credit.aspx It is the student’s responsibility to check with Registration Services for specific campus procedures on this policy. For specific information and guidelines regarding transfer of credit, contact a Saskatchewan Polytechnic educational counsellor. Equivalency Credit
Equivalency credit refers to the application of credit you may have earned in a previously taken Saskatchewan Polytechnic course to your current Saskatchewan Polytechnic course. Apply at registration services for equivalency credit. This process should also be completed prior to your PLAR challenge. If these credits cannot be used for equivalency credit, you may use these accredited courses as part of your evidence for your PLAR challenge.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 7
Contact us
If more information is required, please contact a counsellor at a campus closest to you. Saskatchewan Polytechnic in Moose Jaw Counselling Services, Room 2.203 306-691-8311 or 306-691-8310 [email protected]
Saskatchewan Polytechnic in Prince Albert Counselling Services, Room F203 (Technical Centre) 306-765-1611 [email protected]
Saskatchewan Polytechnic in Regina Counselling Services, Room 228 306-775-7436 [email protected]
Saskatchewan Polytechnic in Saskatoon Counselling Services, Room 114 306-659-4050 [email protected]
Prior Learning Assessment and Recognition Ph lebotomy Program Page 8
Prior Learning Assessment and Recognition process
Phlebotomy Applied Certificate courses which are not available to unclassified students may not be
challenged by PLAR until the student has applied and been successfully admitted into the Phlebotomy program. .
Consult with PLAR designated contact
Complete application to PLAR
Schedule PLAR audit meeting
Develop an action plan
Pay assessment fees
Prepare for prior learning assessment
Challenge facilitated by assessor
Challenge evaluated by assessor
Results submitted to Saskatchewan Polytechnic registration services
Candidate notified of results
call 1-866-467-4278 & speak with an education counsellor
identify goals
discuss process & forms
identify courses for challenge
meet with program head/faculty
review the self-audit
determine eligibility
obtain approval for PLAR
consult with program faculty responsible for each PLAR
confirm assessment methods &
procedures
follow an action plan
review your skills & knowledge
collect, create & compile evidence
obtain validations
meet timelines
Successful: see academic
transcript
Not successful: letter sent
consult with program head
register for course
grade appeal process available
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Prior Learning Assessment and Recognition Ph lebotomy Program Page 9
How long will it take to prepare evidence for PLAR?
Since the requirements are different for each course, and each candidate has different experiences, the amount of time it takes to prepare your evidence will vary.
Steps to complete a self-audit
1. Read through the levels of competence as listed below.
Mastery: I am able to demonstrate the learning outcome well enough to teach it to someone else.
Competent: I can work independently to apply the learning outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome.
Learning outcomes
For each learning outcome listed, please self-evaluate your competency levels and
record in the appropriate column for each self-audit.
2. Take a few minutes and read through the following self-audit for each course you are
interested in as a PLAR candidate. 3. Check your level of competence as you read through each of the learning outcomes for
each course. The information will help you in your decision to continue with your PLAR application.
4. In order to be successful in a PLAR assessment, your abilities must be at the competent or
mastery level for the majority of the learning outcomes. Some things to consider when determining your level of competence are:
How do I currently use this outcome?
What previous training have I had in this outcome: workshops, courses, on-the-job?
What personal development or volunteer experience do I have in this area?
Be prepared to explain the reason you chose this level if asked by an assessor.
5. Bring the completed self-audit to a consultation meeting with the program head or faculty
member in step 3 – PLAR process of the candidate process for prior learning assessment.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 10
Self-audit guide(s)
ETHC 185 – Professional Practices 1
You will receive an introduction to health care and health care delivery systems. You will study the legal and ethical issues faced by health care professionals. You will discuss interpersonal and employability skills required in health care professions with an emphasis on teamwork, communication and stress management. You will learn methods to deal with grief and loss, in addition to skills and techniques for critical thinking and conflict management. Credit unit(s): 3.0 Equivalent course(s): HUMR 182
ETHC 185 – Professional Practices 1
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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1. Describe health care and health care delivery.
Describe health and its determinants
Describe the components of Canada’s health care system
Describe the types of health care delivery
2. Describe legal and ethical issues in health care.
Describe the role and responsibilities of provincial and national professional associations
Define a hospital’s legal responsibility for providing a standard of care
Describe behaviour guidelines to minimize the risk of harassment,
slander and sexual abuse
Describe the components of a valid consent for treatment
Describe the importance of confidentiality in health care environments
Discuss professional ethics and bioethics
Describe mandatory reporting of suspected abuse and malpractice
Describe health care directives
3. Describe effective employability skills required in health care professions.
Identify the core skills for employability and professionalism
Identify the skills specific to Medical Diagnostics
Identify the importance of individual skill development
Identify strategies to develop employability skills and professionalism
4. Demonstrate interpersonal communication.
Describe the communication process
Prior Learning Assessment and Recognition Ph lebotomy Program Page 11
ETHC 185 – Professional Practices 1
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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Discuss how the communication process integrates effective verbal, non-verbal, listening and perception skills
Describe barriers to effective communication
Describe strategies to facilitate effective communication
Discuss the use of technology for communication
5. Explain how to facilitate communication with individuals having diverse needs.
Discuss communication for diverse needs
Describe techniques for effective communication when people have sensory impairments
Describe techniques used to communicate with impairments due to intoxication
Describe techniques used to communicate with mental impairments
Recognize diverse communication needs for patients of different
generations
Establish strategies for communicating across cultures and language barriers
Describe stressors affecting patients and how they affect behaviours
6. Demonstrate critical thinking skills.
Define critical thinking processes
Apply processes involved in critical thinking
Discuss the value of critical thinking
7. Describe stress and stress management strategies.
Describe the common stressors in life
Describe self-talk and how it relates to stress management
Describe a healthy balanced life
Describe stress reduction techniques
8. Describe the methods used when dealing with grief and loss.
Describe grief and the behaviour of individuals in various stages of grief
Describe how to assist patients in the various stages of the grieving
process
Prior Learning Assessment and Recognition Ph lebotomy Program Page 12
ETHC 185 – Professional Practices 1
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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Describe how grief affects the health care provider
9. Analyze the components of conflict and techniques for conflict management.
Describe conflict and views of conflict
Describe the conflict process
Discuss conflict management techniques
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in one or more of the following ways. Be prepared to discuss the expectations during a consultation meeting.
Challenge exam
Candidate is required to pass a 50 minute examination with a minimum mark of 50%
Candidate is tested on theory for both comprehension and critical thinking assessment
The closed book exam consists of multiple choice and case study questions
Upon prior approval of program head, complete a proctor form (refer to Appendix D).
** Candidate must pass challenge exam before the evidence file will be assessed **
AND
Evidence file (may or may not require an interview with assessor)
Completion of self-audit
Cover page (refer to Appendix E)
Signed employment validation form (refer to Appendix A)
Signed employer validation checklist (refer to Appendix B – ETHC 185)
If applicable, any relevant documentation of completion of private (offered as an in-service by past employers, for example), training courses, non-credit courses and/or workshops
Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course.
Saskatchewan Polytechnic (current edition) ETHC 185 – Professional Practices 1, course manual, Saskatoon, SK: Saskatchewan Polytechnic Saskatoon Campus.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 13
INFC 180 – Infection Control and Safety
You will study the transmission of microorganisms, blood-borne pathogens (i.e. hepatitis virus and HIV), standard precautions, isolation procedures, immunization for medical workers, sterilization and disinfection, biohazard waste, safety and WHMIS. Credit unit(s): 2.0
INFC 180 – Infection Control and Safety
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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1. Define the characteristics of microorganisms.
Describe the different types of microorganisms
Describe the appearance of bacteria
Describe the importance of endospores
Describe the phases of bacterial growth
Describe the viral characteristics and effects on host cells
2. Describe the interaction between microbe and host.
Describe normal flora
Describe host-microbial relationships other than normal flora
Describe the chain of infection
Describe the signs and symptoms of infection
Describe nosocomial infections, antibiotic resistant bacteria and the
role of infection control committees
3. Describe immunization and tuberculin testing.
Describe how immunity is achieved
Describe immunization practices for rubella, hepatitis and chicken pox
Describe the need for tuberculin testing
4. Describe the blood-borne pathogens – Hepatitis and AIDS.
Describe the transmission, pathology, diagnostic testing and treatment for Hepatitis A
Describe the transmission, pathology, diagnostic testing and treatment for Hepatitis B
Describe the transmission, pathology, diagnostic testing and
treatment for Hepatitis C
Describe the transmission, pathology, diagnostic testing and treatment for HIV
Prior Learning Assessment and Recognition Ph lebotomy Program Page 14
INFC 180 – Infection Control and Safety
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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Describe risks and exposure protocols for health care workers
5. Follow standard precautions and isolation procedures.
Describe the use and guidelines for standard precautions
Describe personal protection
Describe isolation procedures
6. Describe sterilization and disinfection procedures as an essential part of infection control.
Apply the correct terms used for sterilization and disinfection
Describe the various sterilization methods used in health care settings
Describe the various methods of chemical disinfection
Describe the various methods of mechanical disinfection
Describe aseptic technique
7. Describe safety and WHMIS in the workplace.
Describe the components of safety
Describe the components of WHMIS
Describe the disposal of waste in health care facilities
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in one or more of the following ways. Be prepared to discuss the expectations during a consultation meeting. Students enrolled in the Combined Laboratory and X-Ray Technology (CLXT), Cytotechnology, Medical Laboratory Assistant (MLA), Medical Laboratory Technology (MLT) and Medical Radiologic Technology (MRT) programs who successfully PLAR INFC 180 are required to participate in a Medical Diagnostic Department Saskatoon Campus laboratory safety tour as part of their program requirements. 1. Challenge exam
Candidate is required to pass a 50 minute examination with a minimum mark of 50%
Candidate is tested on theory
The exam is closed book and consists of multiple choice questions
** Candidate must pass challenge exam before the evidence file will be assessed**
Prior Learning Assessment and Recognition Ph lebotomy Program Page 15
Upon prior approval of program head, complete a proctor form (refer to Appendix D).
AND 2. Evidence file (may or may not require an interview with assessor)
Completion of self-audit
Cover page (refer to Appendix E)
Signed employment validation form (refer to Appendix A)
Signed employer validation checklist (Appendix B – INFC 180)
If applicable, any relevant documentation of completion of private (offered as an in-service by past employers, for example) training courses, non-credit courses and/or workshops
Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course. Saskatchewan Polytechnic (current edition) INFC 180 – Infection Control and Safety, course
manual, Saskatoon, SK: Saskatchewan Polytechnic Kelsey Campus
Prior Learning Assessment and Recognition Ph lebotomy Program Page 16
MTER 180 – Medical Terminology
You will learn to use the prefixes, suffixes and combining forms from which medical terms are derived. You will also learn to use medical abbreviations. Credit unit(s): 1.0
Equivalent course(s): MED 161
MTER 180 - Medical Terminology
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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1. Apply the rules for construction and analysis of medical terms.
State the components and combinations used
State the rules for word construction and analysis
State the rules for word pronunciation and spelling
2. Apply the rules for using medical suffixes, combining forms and prefixes.
Use suffixes which relate to medical conditions
Use suffixes which relate to technical procedures
Use general suffixes commonly used in the medical field
Use combining forms which relate to body systems
Use general combining forms that are commonly used in the medical field
Use prefixes which relate to direction or position
Use prefixes which relate to colour, shape, size or number
Use general prefixes that are commonly used in the medical field
3. Interpret medical abbreviations.
Interpret abbreviations and symbols related to pharmacy
Interpret abbreviations and symbols related to doctor’s orders
Interpret abbreviations and symbols related to measurement
Prior Learning Assessment and Recognition Ph lebotomy Program Page 17
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in the following way. Be prepared to discuss the expectations during a consultation meeting. 1. Challenge exam
Candidate is required to pass a 50 minute examination with a minimum mark of 50%
The exam consists of multiple choice questions
The exam is closed book
Upon prior approval of program head, complete a proctor form (refer to Appendix D). Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course. Saskatchewan Polytechnic (current edition) MTER 180 – Medical Terminology, course manual,
Saskatoon, SK: Saskatchewan Polytechnic Saskatoon Campus Several medical dictionaries and medical terminology textbooks are available at: Saskatchewan
Polytechnic Saskatoon Campus library
Prior Learning Assessment and Recognition Ph lebotomy Program Page 18
PRAC 110– Venipuncture Practicum
You will participate in a supervised clinical experience following the hours of work at a clinical site. Upon successfully completing this experience, you will be able to perform venipuncture. Credit unit(s): 4.0 Prerequisite(s): ETHC 185, PROC 181, PROC 184
PRAC 110 – Venipuncture Practicum
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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1. Work safely in workplace.
Use standard precautions
Demonstrate lab hygiene practices
Use safety equipment
Respond to chemical and biological spills
Know all emergency codes
Respond to fire emergencies
Practice Global Harmonized Systems (GHS) guidelines
Describe protocol for incident/accident reporting
2. Review test requests.
Receive phlebotomy request
Ensure relevant information is present
3. Perform venipuncture techniques independently.
Identify according to protocol
Obtain consent
Perform venipuncture on patient
Follow correct protocol for blood exposure
4. Demonstrate ability to work as part of the phlebotomy team.
Determine work responsibilities
Perform duties as assigned
Assist co-workers in task completion
Work cooperatively with others
5. Demonstrate effective communication skills in phlebotomy.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 19
PRAC 110 – Venipuncture Practicum
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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Relate required information accurately
Record messages correctly
Demonstrate knowledge of telephone use (place on hold, transfer call)
Follow up on written and verbal requests promptly
Discuss ongoing work
Write clearly and concisely
6. Conduct all workplace actions in a professional manner.
Arrive on time daily
Adhere to dress code
Maintain confidentiality
Maintain code of professional conduct
Demonstrate time management, initiative and accountability
Work independently within limits of competence
Seek learning experiences to meet goals
Demonstrate ability to adapt to changes
Take responsibility for own actions
Adhere to policies and procedures of Saskatchewan Polytechnic and the health agency
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in the following way. Be prepared to discuss the expectations during a consultation meeting.
* You must have performed a minimum of 50 venipuncture collections within the last year in order to PLAR this course
(PRAC 110)*
1. Evidence file (may or may not require an interview with assessor)
Completion of self-audit (see above)
Cover page (refer to Appendix E)
Signed employment validation form (refer to Appendix A)
o The Employment Validation Form must indicate that the candidate has performed a minimum of 50 venipuncture collections within the last year in order to proceed with assessment
Prior Learning Assessment and Recognition Ph lebotomy Program Page 20
Signed employer validation checklist (Appendix B – PRAC 110)
If applicable, any relevant documentation of completion of private (offered as an in-service by past employers, for example) training courses, non-credit courses and/or workshops, i.e. WHMIS certification, TDG certification, WHMIS certification, TDG certification.
Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course. Saskatchewan Polytechnic (current edition). PRAC 110 – Venipuncture Practicum Learner
Manual for Clinical Experience. Saskatoon, SK: Saskatchewan Polytechnic Saskatoon Campus
Prior Learning Assessment and Recognition Ph lebotomy Program Page 21
PROC 181 – Specimen Collection and Handling
You will learn to collect, handle and transport various laboratory specimens to ensure the quality of laboratory results. The collection of blood specimens will be emphasized. You will practice capillary and venous collection on adults at various sites in the community. Credit unit(s): 3.0
Prerequisite(s): INFC 180, minimum grade of 60%
PROC 181 – Specimen Collection and Handling
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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1. Collect blood samples by venipuncture.
Discuss phlebotomy and types of samples collected by venipuncture
Describe equipment used when performing venipuncture
Describe the venipuncture procedure
Discuss common situations, problems and special collections
Perform venipunctures on a variety of adult patients
2. Collect blood samples by capillary puncture.
Discuss capillary collection
Describe equipment used when performing capillary collections
Describe the capillary puncture procedure
Discuss common problems of capillary collection
Perform capillary punctures on adults
3. Explain the procedures for collecting and handling laboratory specimens other than blood.
Explain the collection and handling of urine for common laboratory
analyses
Explain the collection and handling of feces for common laboratory analyses
Explain the collection and handling of sputum for common laboratory
analyses
Explain the collection and handling of seminal fluid specimens for
common laboratory analyses
Discuss the handling of laboratory specimens typically collected by medical/nursing staff
4. Manage the receipt, distribution and storage of laboratory specimens.
Identify who must initiate a laboratory request
Assist with the receipt of specimens in the laboratory
Prior Learning Assessment and Recognition Ph lebotomy Program Page 22
PROC 181 – Specimen Collection and Handling
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
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Assist with the accessioning of specimens
Assist with the preparation of serum and plasma samples
Prepare aliquot samples with supervision
Discuss the procedure for unsuitable specimens (e.g. unlabelled, mislabelled, wrong specimen collected, NSQ, etc.)
Discuss the distribution of specimens to appropriate testing areas
Discuss the storage and retention of specimens
5. Describe the transportation of laboratory specimens.
Discuss current legislation concerning transportation of biological
specimens
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in both of the following ways. Be prepared to discuss the expectations during a consultation meeting.
You must have performed a minimum of 50 venipuncture collections within the last year in order to PLAR this course
(PROC 181)*
1. Challenge exam
Candidate will be required to pass a 50 minute examination with a mark of 50% or more
Candidate is tested on theory for specimen collection and handling
The exam is closed book and consists of multiple choice questions
The student may bring a non-programmable calculator into the exam
Upon prior approval of program head, complete a proctor form (refer to Appendix D)
** Candidate must pass challenge exam before the evidence file will be assessed**
AND
2. Evidence file (may or may not require an interview with assessor)
Completion of self-audit
Cover page (refer to Appendix E)
Signed employment validation form (refer to Appendix A)
Signed employer validation checklist (Appendix B – PROC 181)
If applicable, any relevant documentation of completion of private (offered as an in-service by past employers, for example), training courses, non-credit courses and/or workshops.( i.e. WHMIS certification, TDG certification, WHMIS certification, TDG certification)
Prior Learning Assessment and Recognition Ph lebotomy Program Page 23
Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course. Saskatchewan Polytechnic (current edition). PROC 181 – Specimen Collection and Handling,
course manual, Saskatoon, SK: Saskatchewan Polytechnic Saskatoon Campus
Prior Learning Assessment and Recognition Ph lebotomy Program Page 24
PROC 184 – Basic Specimen Processing
You will study the theory and practice required to perform basic specimen processing. You will focus on the use of centrifuges and transfer pipettes, specimen accessioning and aliquot techniques. Credit unit(s): 1.0
Prerequisite(s): INFC 180, MTER 180
PROC 184 – Basic Specimen Processing
Mastery: I am able to demonstrate it well enough to teach it to someone else.
Competent: I can work independently to apply the outcome.
Functional: I need some assistance in using the outcome.
Learning: I am developing skills and knowledge for this area.
None: I have no experience with the outcome. Ma
ste
ry
Co
mp
ete
nt
Fu
ncti
on
al
Le
arn
ing
No
ne
1. Describe the organization of a clinical laboratory.
Identify the various departments of a clinical laboratory and their role in
diagnostic testing
Identify the personnel of a clinical laboratory and the role they play
Discuss the testing process of a clinical laboratory
Discuss common tests performed in the Hematology Department
Discuss common tests performed in the Chemistry Department
2. Use basic laboratory equipment.
Explain safe laboratory practices
Discuss the use of a centrifuge
Explain transfer pipette skills
Demonstrate safe centrifuge and pipette skills
3. Practice accessioning and aliquoting of specimens.
Describe the process for requesting laboratory tests
Describe the process for receiving laboratory specimens
Discuss the composition of blood
Describe the procedures for preparation and distribution of specimens
Demonstrate specimen accession and aliquot skills
Prior Learning Assessment and Recognition Ph lebotomy Program Page 25
PLAR assessment methods
If you qualify for PLAR, you may be asked to demonstrate your learning in both of the following ways. Be prepared to discuss the expectations during a consultation meeting. 1. Challenge exam
Candidate will be required to pass a 50 minute examination with a mark of 50% or more
Candidate is tested on theory for Basic Specimen Processing
The exam is closed book and consists of multiple choice questions
The student may bring a non-programmable calculator into the exam
Upon prior approval of program head, complete a proctor form (refer to Appendix D)
** Candidate must pass challenge exam before the evidence file will be assessed**
AND
2. Evidence file (may or may not require an interview with assessor)
Completion of self-audit
Cover page (refer to Appendix E)
Signed employment validation form (refer to Appendix A)
Signed employer validation checklist (Appendix B – PROC 184)
If applicable, any relevant documentation of completion of private (offered as an in-service by past employers, for example), training courses, non-credit courses and/or workshops.( i.e. WHMIS certification, TDG certification, WHMIS certification, TDG certification)
Resources
A PLAR candidate may find it beneficial to review the following material in preparation for the assessment. The resources may be referred to, but are not required to PLAR the course. Saskatchewan Polytechnic (current edition). PROC 184 – Basic Specimen Processing course
manual, Saskatoon, SK: Saskatchewan Polytechnic Saskatoon Campus
Prior Learning Assessment and Recognition Ph lebotomy Program Page 26
Phlebotomy Applied Certificate Program
Appendices
Prior Learning Assessment and Recognition Ph lebotomy Program Page 27
Appendix A – Employment validation form
Phlebotomy applied certificate program
Prior Learning and Assessment and Recognition (PLAR)
Employment Validation Form
An essential part of prior learning and recognition is documentation that serves as evidence for the
Saskatchewan Polytechnic assessor that the employee/candidate has acquired skills and knowledge as they relate to the specific learning outcomes for the course(s) they are seeking credit. This
Employment validation form together with the appropriate employer validation checklist(s)
(Appendix B) provides an indirect, authenticated account of the employee/candidate’s performance in industry.
Employee/PLAR candidate: _________________________________________
(please print)
Employment information: (please print)
Employer: _________________________________________________
Employer address: __________________________________________
Employer phone number: ______________ Fax: _________________
Employer email: ____________________________________________
Dates of employment: _______________ to: ___________________ (dd/mm/yy) (dd/mm/yy)
Employment description: Full-time Hours per week: ___________
Part-time Hours per week: ___________
Job description (may be attached):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Employer’s signature ___________________________ Date __________
Note to employee/PLAR candidate:
The information on this form must be completed and signed by your employer/supervisor or designate indicating the job description, place, and length of employment. This form, together with the appropriate
signed and dated employer validation checklist(s) (Appendix B) should be returned to our PLAR
assessor at Saskatchewan Polytechnic.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 28
Appendix B – Employer validation checklists
Employer validation checklist: ETHC 185 – Professional Practices 1
Phlebotomy Student name:
ETHC 185 Student ID:
Professional Practices 1 Date:
Completion date: __________________
Note to validator: PLAR can be used to formally recognize learning that has already taken place. In the Medical Diagnostic programs at Saskatchewan Polytechnic Saskatoon Campus it is felt that recent
employment experience may constitute sufficient application of critical skills to meet the learning outcomes for Professional Practices 1.
Below is a list of learning outcomes the candidate is required to achieve in completing ETHC 185 (Professional Practices 1). For each step in the learning outcomes please rate the candidate’s
performance by placing a √ in the appropriate descriptor column (1, 2, 3, 4, none). For this validation if a parameter has not been performed by the candidate or is not a task that is performed at your
laboratory, please place a √ in the “none” column and provide a comment in the space provided at the
end of this document.
Please validate each of the learning outcomes for ETHC 185
then sign below and include with the employment validation form.
ETHC 185 – Professional Practices 1
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
1. Demonstrates interpersonal communication by:
Seeking out and listening to colleagues and clients such as:
o approaching colleagues with questions about procedures and protocols
o following advice or direction given
o seeking advice when appropriate
Using effective verbal communication strategies such as:
o asking questions when information is not clear
Prior Learning Assessment and Recognition Ph lebotomy Program Page 29
ETHC 185 – Professional Practices 1
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
Using technology appropriately to facilitate communication such as:
o communicating appropriately while using the phone (i.e.
polite, professional)
o generating accurate computerized reports
Using effective written communication skills such as:
o writing neat and legible documents
o producing clear, organized and understandable written
documents
Following instructions well (verbal and written)
Demonstrating effective teamwork skills such as:
o working well with others involved in the same task, respecting their knowledge, skills and opinions
Demonstrating effective cooperative skills in dealings with others such as:
o offering to help/assist coworkers when own work is
completed
2. Demonstrates critical thinking skills by:
Performing appropriately in situations involving time
constraints, deadlines and unexpected events such as:
o using time effectively
o organizing work with limited assistance
Demonstrating effective behaviours in critical situations (identifies problems and offers solutions by:
o remaining calm and continuing to look for solutions even in stressful situations
Completes tasks, assignments and projects that involve new
skills in a timely and thorough manner by:
o approaching new challenges in a logical and enthusiastic manner
3. Demonstrates conflict resolution techniques by:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 30
ETHC 185 – Professional Practices 1
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
Identifying their problem and unmet needs
Meeting and describing their problems and needs
Listening and considering the other person’s point of view
Negotiating a solution – willing to compromise
Following up on the solution
Asking for mediation/help if required
Comments: ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________ Signature: ___________________________ Date: _______________________________
Prior Learning Assessment and Recognition Ph lebotomy Program Page 31
Employer validation checklist: INFC 180 Infection Control and Safety
Phlebotomy Student name:
INFC 180 Student ID:
Infection Control and Safety Date:
Completion date:
Note to validator: PLAR can be used to formally recognize learning that has already taken place. In
the Medical Diagnostic programs at Saskatchewan Polytechnic Saskatoon Campus it is felt that recent employment experience may constitute sufficient application of critical skills to meet the learning
outcomes for Infection Control and Safety.
Below is a list of learning outcomes the candidate is required to achieve in completing INFC 180
(Infection Control and Safety). For each step in the learning outcomes please rate the candidate’s performance by placing a in the appropriate column (yes or no). Candidate is expected to achieve a
“yes” on all criteria. For this validation if a parameter has not been performed by the candidate provide a
comment in the space provided at the end of this document.
Please validate the learning outcome for INFC 180
then sign below and include with the employment validation form.
INFC 180 – Infection Control and Safety
Yes: Criteria met
No: Criteria not met Ye
s
No
Follow “Standard Precautions” and “Isolation Procedures” by demonstrating the following performance assessments.
Performance Test 1 (Removing gloves)
Uses one hand to pinch the wrist edge of the other glove
Pulls the glove downward, turning it inside out as it is removed and holds it in the gloved hand
Puts two finders of ungloved hand under the top edge of the other
glove, keeping the outer surface of the glove away from skin
Pulls the glove downward, turning it inside out, so that the glove being held is enclosed in the glove being pulled off
Discards gloves in appropriate garbage
Washes hands
Performance Test 2 (Removing gown)
Unties gown, waist ties first and neck ties last
Pulls neckline forward as neck is untied
Removes arms without touching outer surface of gown
Prior Learning Assessment and Recognition Ph lebotomy Program Page 32
INFC 180 – Infection Control and Safety
Yes: Criteria met
No: Criteria not met Ye
s
No
Folds gown with outer surface in
Puts gown in appropriate laundry container or hangs it in appropriate area
Washes hands
Performance Test 3 (Hand washing)
Removes jewellery (rings, watches, bracelets, etc.)
Adjusts water flow and temperature
Wets hands thoroughly
Applies enough soap to give a lather
Scrubs all parts of hands including front, back, thumbs, nail beds, between fingers and wrists
Holds hands down, but not under water while scrubbing and adds more water if lather is not sufficient
Scrubs for a minimum of ten seconds.
Lowers hands under running water and allows water to flow from wrists
to fingers
Dries hands on paper towel
Uses paper towel to turn taps off
Comments: ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________ Signature: _______________________________ Date:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 33
PLAR Employer Validation Checklist: PRAC 110 – Venipuncture Practicum
Phlebotomy
PRAC 110
Venipuncture Practicum
Student name:
Student ID:
Date:
Completion date: _____________________
Note to Validator: PLAR can be used to formally recognize learning that has already taken place. In the Medical Laboratory Assistant Program at Saskatchewan Polytechnic Saskatoon Campus it is felt that recent
employment experience in a laboratory may constitute sufficient application of critical laboratory assistant skills to
meet the learning outcomes for the Venipuncture Practicum.
Below is a list of competencies the candidate is required to achieve in completing PRAC 110 (Venipuncture Practicum). For each step in the competencies please rate the candidate’s performance by placing a in the appropriate descriptor column (1,2,3,4, none). For this validation if a parameter has
not been performed by the candidate or is not a task that is performed at your laboratory, please place a in the “none” column and provide a comment in the space provided at the end of this document.
Please validate each of the competencies as well as the Professionalism Rubric for PRAC 110 then sign below and include with the employment validation form.
* The candidate must have completed a minimum of 50 venipuncture collections within the last year in order to PLAR this course (PRAC 110)*
Please verify the candidate has performed a minimum of 50 venipuncture collections within the last year:
If yes, continue with employer validation checklist
If no, return form to candidate indicating in the comment section that this criteria was not met
Yes or No
PRAC 110 – Venipuncture Practicum 4: Exceeds the completion of work in an organized fashion within acceptable time
frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time
frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic
concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty
understanding basic concepts.
None: Has no experience with the outcome. 4
3
2
1
No
ne
Competency 1: Performs venipuncture collection to obtain
appropriate samples for laboratory analyses.
The candidate shall perform to the following standards:
Perform six venipuncture collections within one hour
Demonstrate knowledge for performing:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 34
PRAC 110 – Venipuncture Practicum 4: Exceeds the completion of work in an organized fashion within acceptable time
frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time
frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic
concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty
understanding basic concepts.
None: Has no experience with the outcome. 4
3
2
1
No
ne
o Blood cultures
o Legal alcohols
o Glucose tolerance administration
o Intervenous therapy collections
Pre-procedural:
o Identifies self by name
o Requests patient consent
o Asks for spelling of last name & date of birth
o Checks inpatient wristband (when applicable)
o Explains each procedure to the patient (e.g. tourniquet, alcohol,
puncture, etc.)
Tourniquet:
o Is applied in proper place and tightened appropriately
o Application does not exceed 1 minute
o Is removed before needle removal
Demonstrates aseptic techniques by:
o Cleansing site in concentric circles
o Cleansing palpating finger
o Allowing alcohol to air dry without drying with gauze/cotton
Anchors vein appropriately
Vacutainer holder is held appropriately, firmly and is stable during insertion and removal of tubes
Needle insertion:
o Bevel facing up
o Smooth quick insertion
o Needle angle and depth are correct
o Needle adjustments are made appropriately
Chooses appropriate tubes and follows correct order of draw
Obtains all required specimen tubes successfully
o Fills all tubes to appropriate level
Prior Learning Assessment and Recognition Ph lebotomy Program Page 35
PRAC 110 – Venipuncture Practicum 4: Exceeds the completion of work in an organized fashion within acceptable time
frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time
frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic
concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty
understanding basic concepts.
None: Has no experience with the outcome. 4
3
2
1
No
ne
o Ensures specimens are fully and appropriately mixed
Needle Removal
o Tube is removed prior to needle removal
o Dry cotton is placed on puncture site, needle is withdrawn and appropriate pressure is applied
Labels specimen in front of patient
Demonstrates patient care techniques:
o Releases fist once blood flow is established
o Ensures puncture site has stopped bleeding
o Asks patient if they want a Band-Aid
o Responds appropriately to adverse patient reactions
o Thanks patient
Ensures collection time, date and phlebotomist initials are recorded
Demonstrates safe work practices
o Utilizes personal protective equipment
o Applies standard precautions
o Safety engineered device (SED) is applied immediately using a
one-handed technique
o All sharps are discarded immediately in a sharps container utilizing multi-sample holder appropriately
o Tube tops are bleached
o Performs all steps required for phlebotomy safely and independently
Transport of specimens
o Prepares and transports all specimens to analysis area according
to laboratory protocol
Identifies errors in procurement
o Identifies and reports errors in specimen procurement
o Identifies corrective action for procurement errors
Meets the legal and ethical requirements of practice and protects the
patient’s right to the established level of care
Prior Learning Assessment and Recognition Ph lebotomy Program Page 36
PRAC 110 – Venipuncture Practicum 4: Exceeds the completion of work in an organized fashion within acceptable time
frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time
frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic
concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty
understanding basic concepts.
None: Has no experience with the outcome. 4
3
2
1
No
ne
Demonstrates effective interpersonal communication skills with
patients, co-workers and other health professionals in the workplace
Conducts professional practice according to established protocols, safety guidelines and existing legislation
Interacts in a professional and competent manner, using effective listening, verbal and written communication in dealing with laboratory
colleagues, patients, students, clients, and other health professionals
Comments:
Signature: _______________________________ Date:
The Professionalism Rubric evaluates professional skills required to be successful in the workplace and is
based on Employability Skills identified by the Conference Board of Canada. The completion of the
Professionalism Rubric is a part of the Employer Validation Checklist for PRAC 110.
Prior Learning Assessment and Recognition Ph lebotomy Program Page 37
PLAR Employer Validation Checklist: PROC 181 – Specimen Collection and Handling
Phlebotomy
PROC 181 Specimen Collection and Handling
Student name:
Student ID:
Date:
Completion date: _____________________
Note to Validator: PLAR can be used to formally recognize learning that has already taken place. In the
Medical Diagnostic programs at Saskatchewan Polytechnic Saskatoon Campus it is felt that recent employment experience in a laboratory may constitute sufficient application of critical laboratory skills to meet the learning
outcomes for Specimen Collection and Handling.
Below is a list of learning outcomes the candidate is required to achieve in completing PROC 181 (Specimen
Collection & Handling). For each step in the learning outcomes please rate the candidate’s performance by placing a √ in the appropriate descriptor column (1, 2, 3, 4, none). For this validation if a parameter has not
been performed by the candidate or is not a task that is performed at your laboratory, please place a √ in the
“none” column and provide a comment in the space provided at the end of this document.
Please validate each of the learning outcomes for PROC 181 then sign below and include with the employment validation form.
The candidate must have performed a minimum of 50 venipuncture collections
within the last year in order to PLAR this course (PROC 181)*
Please verify the candidate has performed a minimum of 50 venipuncture collections within the last year:
If yes, continue with employer validation checklist If no, return form to candidate indicating in the comment
section that this criteria was not met
Yes or No
PROC 181 – Specimen Collection & Handling
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
1. Collect blood samples by venipuncture.
The candidate shall perform venipuncture collections to the following standards:
Pre-procedural:
o Identifies self by name
o Requests patient consent
o Asks for spelling of last name, date of birth & checks inpatient
wristband
Prior Learning Assessment and Recognition Ph lebotomy Program Page 38
PROC 181 – Specimen Collection & Handling
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
o Explains each procedure to the patient (e.g. tourniquet, alcohol,
puncture, etc.)
Tourniquet:
o Identifies self by name
o Requests patient consent
o Asks for spelling of last name, date of birth & checks inpatient
wristband
Demonstrates aseptic techniques by:
o Cleansing site in concentric circles
o Cleansing palpating finger
o Allowing alcohol to air dry without drying with gauze/cotton
Anchors vein appropriately
Vacutainer holder is held appropriately, firmly and is stable during insertion
and removal of tubes
Needle insertion
o Bevel facing up
o Smooth quick insertion
o Needle angle and depth are correct
o Needle adjustments are made appropriately
Chooses appropriate tubes and follows correct order of draw
Obtains all specimens successfully
o Fills all tubes to appropriate level
o Ensures specimens are fully and appropriately mixed
Needle removal
o Tube is removed prior to needle removal
o Dry cotton is placed on puncture site, needle is withdrawn and
appropriate pressure is applied
Labels specimen in front of patient
Demonstrates patient care techniques
o Releases fist once blood flow is established
o Ensures puncture site has stopped bleeding
o Asks patient if they want a Band-Air (if applicable)
o Responds appropriately to adverse patient reactions
o Thanks patient
Prior Learning Assessment and Recognition Ph lebotomy Program Page 39
PROC 181 – Specimen Collection & Handling
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
Ensures collection time, date and phlebotomist initials are recorded
Demonstrates safe work practices
o Utilizes personal protective equipment
o Applies standard precautions
o Safety engineered device (SED) is applied immediately using a one-
handed technique
o All sharps are discarded immediately in a sharps container utilizing
multi-sample holder appropriately
o Tube tops are bleached
o Performs all steps required for phlebotomy safely and independently
Transport of specimens
o Prepares and transports all specimens to analysis area according to
laboratory protocol
Identifies errors in procurement
o Identifies and reports errors in specimen procurement
o Identifies corrective action for procurement errors
Meets the legal and ethical requirements of practice and protects the
patient’s right to the established level of care
Demonstrates effective interpersonal communication skills with patients,
co-workers and other health professionals in the workplace
Conducts professional practice according to established protocols, safety
guidelines and existing legislation
Interacts in a professional and competent manner, using effective listening,
verbal and written communication in dealing with laboratory colleagues,
patients, students, clients, and other health professionals
2. Collect blood samples by capillary puncture.
The candidate shall perform a capillary collection to the following standards:
Pre-procedural:
o Identifies self by name
o Requests patient consent
o Asks for spelling of last name, date of birth & checks inpatient
wristband
o Explains each procedure to the patient (e.g. tourniquet, alcohol,
puncture, etc.)
Demonstrates aseptic techniques by:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 40
PROC 181 – Specimen Collection & Handling
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
o Cleansing site in concentric circles
o Allowing alcohol to air dry without drying with gauze/cotton
Performs an appropriate “squeeze” technique
o Fills all tubes to appropriate level
o Ensures specimens are fully and appropriately mixed (no clots detected)
Demonstrates patient care techniques:
o Ensures puncture site has stopped bleeding
o Asks patient if they want a Band-Aid (if applicable)
o Responds appropriately to adverse patient reactions
o Thanks patient
Ensures collection time, date and phlebotomist initials are recorded and
marks the requisition as a capillary collect5ion
Demonstrates safe work practices
o Utilizes personal protective equipment
o Applies standard precautions
o All sharps are discarded immediately in a sharps container
o Disinfects all blood droplets
o Performs all steps required for phlebotomy safely and independently
Transport of specimens
o Prepares and transports all specimens to analysis area according to
laboratory protocol
Identifies errors in procurement
o Identifies and reports errors in specimen procurement
o Identifies corrective action for procurement errors
Meets the legal and ethical requirements of practice and protects the
patient’s right to the established level of care
Demonstrates effective interpersonal communication skills with patients,
co-workers and other health professionals in the workplace
Conducts professional practice according to established protocols, safety
guidelines and existing legislation
Interacts in a professional and competent manner, using effective listening,
verbal and written communication in dealing with laboratory colleagues,
patients, students, clients, and other health professionals
3. Demonstrate knowledge of the procedures for collecting and handling
laboratory specimens other than blood to include:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 41
PROC 181 – Specimen Collection & Handling
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
The collection and handling of urine for common laboratory analyses
The collection and handling of feces for common laboratory analyses
The collection and handling of sputum for common laboratory analyses
The collection and handling of seminal fluid specimens for common
laboratory analyses
The handling of laboratory specimens typically collected by medical/nursing
staff
4. Manage the receipt, distribution and storage of laboratory specimens
The candidate shall demonstrate knowledge of the receipt, distribution and
storage of laboratory specimens by:
Identifying who must initiate a laboratory request
Assisting with the receipt of specimens in the laboratory
Assisting with the accessioning of specimens
Assisting with the preparation of serum and plasma samples
Preparing aliquot samples with supervision
Discussing the procedure for unsuitable specimens (e.g. unlabelled,
mislabelled, wrong specimen collected, NSQ, etc.)
Discussing the distribution of specimens to appropriate testing areas
Discussing the storage and retention of specimens
5. Describe the transportation of laboratory specimens.
Demonstrate knowledge of current legislation concerning transportation of
biological specimens
(If candidate is able to provide copies of TDG certification and WHIMS training
they have met the criteria for learning outcome 5)
Comments:
Signature: _______________________________ Date:
Prior Learning Assessment and Recognition Ph lebotomy Program Page 42
PLAR Employer Validation Checklist: PROC 184 – Basic Specimen Processing
Phlebotomy
PROC 184 Basic Specimen Processing
Student name:
Student ID:
Date:
Completion date:
___________________________
___________________________
___________________________
___________________________
Note to Validator: PLAR can be used to formally recognize learning that has already taken place. In the Medical Diagnostic programs at Saskatchewan Polytechnic Saskatoon Campus it is felt that recent
employment experience in a laboratory may constitute sufficient application of critical laboratory skills to meet the learning outcomes for Basic Specimen Processing.
Below is a list of learning outcomes the candidate is required to achieve in completing PROC 184 (Basic
Specimen Processing For each step in the learning outcomes please rate the candidate’s performance by
placing a √ in the appropriate descriptor column (1, 2, 3, 4, none). For this validation if a parameter has not been performed by the candidate or is not a task that is performed at your laboratory, please place a
√ in the “none” column and provide a comment in the space provided at the end of this document.
Please validate each of the learning outcomes for PROC 184 then sign below and include with the Employment Validation Form.
PROC 184 – Basic Specimen Processing
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
Competency 1: Demonstrate specimen accessioning and aliquoting skills.
The candidate shall perform specimen accessioning and aliquoting skills to the
following standards:
Centrifuging
- Uses centrifuge appropriately
- Solution is completely separated
- Precipitate has not been disturbed
- Supernatant does not contain precipitate
- Centrifuges appropriate samples
- Centrifuges samples at an appropriate time and speed
Pipetting
- Uses transfer pipette to remove supernatant
- Holds pipette properly and securely
Prior Learning Assessment and Recognition Ph lebotomy Program Page 43
PROC 184 – Basic Specimen Processing
4: Exceeds the completion of work in an organized fashion within acceptable time frames, and displays the ability to apply concepts at an advanced level.
3: Consistently completes routine work in an organized fashion within acceptable time frames, and displays a good understanding of basic concepts.
2: Slow and/or disorganized and displays a lack of understanding in some basic concepts.
1: Consistently fails to complete routine work, disorganized and displays difficulty understanding basic concepts.
None: Has no experience with the outcome 4
3
2
1
No
ne
- Pipette tip does not disturb precipitate
- Consistently holds pipette tip against receiving vessel when transferring solution
- Uses a clean pipette for each transfer
- No bubbles are in aliquot
- Correct sample is transferred
Accessioning /Data entry
- All data is entered onto the accessioning log
- All tests are recorded accurately and in the correct department
- Accession number is accurately recorded on the requisition
Demonstrates safe work practices
- Utilizes personal protective equipment
- Uses biohazard safety shield correctly
- Samples are transported in a tube rack
- Discards pipettes/glassware appropriately
- Disposes of waste according to lab protocol
- Cleans work station
- Consistently follows laboratory protocols, (i.e. PPE, hand hygiene, disposal, etc.)
Patient Identification
- Patient information is printed clearly
- Patient information is recorded in ink
- All patient information is completely legible
- All patient information is corded fully and accurately in the accession log or through LIS
- Patient information is accurate on all samples
Labeling
- Accession number is accurately recorded on all appropriate samples
- Stat, Urgent and ASAP priority is indicated on samples as appropriate
- Appropriate sample type (i.e. anticoagulant, plasma or serum) is accurately indicated on each aliquot/sample as required
- Appropriate tests requested are recorded on the sample to be tested (primary/aliquot)
Prior Learning Assessment and Recognition Ph lebotomy Program Page 44
Comments:
Signature: _______________________________ Date: ___________________________________
Prior Learning Assessment and Recognition Ph lebotomy Program Page 45
Professionalism Rubric
Candidate: _____________________________________________ Date: _______________________
Scoring For each skill below: 1 – Skill is consistently demonstrated 0.5 point – Skill is usually
demonstrated 0 – Skill is rarely demonstrated
Category Skill 1 Skill 2 Skill 3 Skill 4 Score
1.0. Demonstrates
communication
skills.
1.1. Reads and comprehends
information presented in a variety of forms. (e.g. reads
requisitions)
/1
1.2. Follows directions (oral
and written).
/1
1.3. Asks relevant questions.
/1
1.4. Writes and speaks so
others comprehend. (e.g. provides clear instructions
to patients/colleagues.)
/1 /4 2.0. Demonstrates
organizational skills.
2.1. Locates and gathers
information using available resources. (e.g. LIS, RIS,
PACS, procedure manuals,
history records, technology, reference books, patient.)
/1
2.2. Organizes materials and
documents. Maintains a clean, organized
workspace.
/1
2.3. Demonstrates effective
time management.
/1
2.4. Demonstrates ability to
multi-task.
/1 /4 3.0. Demonstrates
professional
behaviours.
3.1. Demonstrates empathy and
respect for patients and/or patient information.
/1
3.2. Acts with honesty and
integrity.
/1
3.3. Upholds health region’s
confidentiality policy.
/1
3.4. Takes responsibility for
one’s actions.
/1 /4 4.0. Demonstrates
positive
behaviours.
4.1. Complies with Medical Diagnostics Department
attendance regulations.
/1
4.2. Complies with Medical Diagnostics dress code.
/1
4.3. Displays interest and effort towards learning
new skills.
/1
4.4. Conducts self in a confident positive manner.
/1 /4 5.0. Demonstrates
initiative and
adaptability.
5.1. Takes initiative and pursues procedures or extra tasks.
/1
5.2. Takes responsibility for learning.
/1
5.3. Requests and responds professionally to
feedback received. /1
5.4. Demonstrates ability to problem solve.
/1 /4
6.0. Demonstrates
safe work practices.
6.1. Utilizes personal protective
equipment.
/1
6.2. Incorporates all steps
required for a safe and successful outcome.
/1
6.3. Performs tasks within
scope of practice.
/1
6.4. Applies infection control
and/or safety measures.
/1 /4 7.0. Demonstrates
teamwork.
7.1. Works cooperatively within the health care system.
/1
7.2. Respects the contributions and concerns of
preceptors, facilitators and other health care
professionals. /1
7.3. Respects the diversity and differences of
others.
/1
7.4. Collaborates and shares ideas with team members.
/1 /4
Prior Learning Assessment and Recognition Ph lebotomy Program Page 47
Instructions for Completion:
The Professionalism Rubric evaluates professional skills required to be successful in the workplace and is based on Employability Skills identified by the Conference Board of Canada. Each Category is marked out of a total of 4 points. Pass mark for the Rubric is 60%. Each Skill within the category will be scored 1 if skill is consistently demonstrated, 0.5 if skill is usually demonstrated or 0 if skill is
rarely demonstrated. Definitions: Consistently- reliably, unfailingly, constantly;
Usually- typically, frequently, ordinarily; Rarely- seldom, infrequently
A comment is required when a rating of zero is recorded. Record the date the rubric was reviewed with Learner.
Additional Comments:
Assessor name & contact information (print) Signature
Date:
© SaskPolytech March 2015
Prior Learning Assessment and Recognition Ph lebotomy Program Page 48
Appendix D – Exam Proctor form
Challenge exam: Proctor form – Prior Learning Assessment
If you wish to write a challenge exam off-campus, please return this completed form to your Saskatchewan Polytechnic PLAR Assessor. Request this at Step 4 – Action Plan of the PLAR process.
Upon approval of the program head, the details and resources for the exam will be supplied to the exam proctor. You can write the exam under secure conditions when it is convenient to both of you.
Program Head
Medical Diagnostics Department programs
Saskatchewan Polytechnic, Saskatoon Campus
PO Box 1520
Saskatoon, SK S7K 3R5
The exam proctor/supervisor should be a professional
(teacher, RCMP, RN, secretary, clergy, etc.) and must be a non-relative.
Exam proctor/supervisor
Name: _________________________________________________________________
Occupation: _____________________________________________________________
Place of employment: _____________________________________________________
Address: _______________________________________________________________
Postal Code: ____________________________________________________________
Business phone: _________________________ Home phone: ___________________
Email address: ___________________________________________________________
Student’s name: (please print) _____________________________________________
List course(s) ___________________________________________________________
________________________________________________________________________ Signature: __________________________ Date_______________________________
Prior Learning Assessment and Recognition Ph lebotomy Program Page 49
Appendix E – Cover page
Evidence file for: ____________________________________________ (course code and name)
Name: ___________________________________________________
Address: _________________________________________________
Residence phone: __________________________________________
Business phone: ___________________________________________
City/town: ________________________________________________
Province, Postal Code: ______________________________________
Saskatchewan Polytechnic candidate #: ________________________
Email address: ____________________________________________
I attest that the enclosed evidence are correct and have been compiled by
myself. I attest that I am the person named in this application and the
evidence unless otherwise signified.
Signature: ____________________ Date: ___________________