Phlebotomy Technician (PER 9065A)

Phlebotomy Technician (PER 9065A)
Non-Credit Certification Preparation Course
Course Description: This prep course is designed for individuals interested in becoming ASCP board certified
as a phlebotomy technician. The course includes 40 hours of classroom instruction and 100 hours (to be
arranged) of clinical rotations for practical experience. Learn proper blood drawing, safety procedures, basic
anatomy and physiology, special procedures, quality management and legal issues involved in blood collection.
Instructor: Trina Heinz
Clinical Coordinators: Diane Praxel (KRH) and Trina Heinz (NVH)
Application Procedure: In order to enroll in the course, applicants must submit a complete Phlebotomy
Technician Program Application. Course registration is limited to 10 students.
Deadline: The deadline for application for the course is Tuesday, December 17 at 5:00 p.m. The first 10
applicants submitting complete application packets with payment will be accepted. Incomplete applications
will not be accepted.
Course Fees:
Course Tuition:
$765 (Course instruction, use of KRMC and NVH facilities, lab supplies and worker’s
compensation and student liability insurance)
Background Check:
49 (Required process detailed in application materials)
Required Textbook: 110 (Estimate – text is available in the FVCC Bookstore)
$924 (The total cost does not include vaccinations or optional exam review book.)
Classroom Sessions: Class meets two or three times per week on a varying schedule. See specific dates below.
Prior to applying you must determine that you can attend every class period listed below. Attendance at every
class is mandatory. NO make-up classes will be offered. Classroom hours will take place in the KRMC
Laboratory Conference Room (Lab Basement).
Planned classroom dates: Monday - Thursday evenings from 6:00-9:00 p.m.
o January 22, 23, 27, 28, 29
o February 5, 6, 10, 11, 12, 19, 20, 24, 25
Clinical Rotations: Additionally, 100 clinical hours must be completed by April 14, 2014. Rotation dates
and times will be scheduled individually with the clinical coordinator after the classroom sessions have started.
Clinical rotations will be held on site at KRMC or NVH (NVH clinical rotations may be in Whitefish or
Columbia Falls).
When all above steps have been successfully completed, and there is space available, you will be officially
enrolled in the Phlebotomy Technician course and provided additional details needed to begin. If any
documentation is missing, or the results from the background check prevent enrollment in the program, you will
be notified and receive a refund, less $35 non-refundable administration charge. There is NO refund if you
choose to cancel your registration or withdraw from the course for any reason.
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
First consider…is a career as a Phlebotomist right for you?
Job Description:
A phlebotomy technician draws blood from patients or donors in a hospital, blood bank, or similar
facility for analysis or other medical purposes. He or she may be responsible for assembling equipment,
such as a tourniquet, needles and disposable containers for needles, blood collection devices, gauze,
cotton and alcohol on a work tray, according to the requirements for specified tests or procedures. The
phlebotomist verifies and records the identity of the patient and converses with the patient to ease the
patient’s anxiety of the procedure. In a standard blood draw, the phlebotomist will apply a tourniquet to
the arm, locate an accessible vein, swab the puncture area with antiseptic, and insert a needle into the
vein to draw blood into a collection tube or bag. S/he then withdraws the needle, applies treatment to the
puncture site, and labels and stores the blood container for subsequent processing. The phlebotomist
may conduct interviews, take vital signs, and draw and test blood samples to screen donors at a blood
bank.
Phlebotomists work with a wide age range of patients, from infants to the elderly. Many people are
uncomfortable having blood drawn and it is the job of the phlebotomist to put the patient at ease.
Phlebotomists are in direct communication with both patients and doctors so it is beneficial for them to
possess good interpersonal skills and to enjoy working with people. Phlebotomists are sometimes
responsible for handling phone calls from patients and doctors, scheduling appointments, and delivering
or picking up specimens.
The U.S. Bureau of Labor lists phlebotomists as technicians and categorizes them with Clinical
Laboratory Technologists and Technicians. Four major certifying agencies offer phlebotomy
certification in the United States. However, certification is not required as a practicing phlebotomist,
except in the states of Louisiana and California.
Working Conditions
Phlebotomists and patients are at risk of blood borne diseases and other communicable diseases and
infections. They wear vinyl or latex gloves, face masks, head caps and coats and must follow rigid
safety standards to ensure the safety of themselves and their patients. The tools and equipment used by
phlebotomists also require special handling and disposal methods. A thorough understanding of
procedure and safety standards is demonstrated through recognized certification. Phlebotomists
generally follow a standard work schedule so they typically work 40 hours across five days and may be
required to work shifts. Phlebotomists spend a lot of time walking and standing. The exact salary of a
phlebotomist varies across the states and specific location, but the median annual salary nationwide is
reported as $29,814 per year. The median annual salary in the Flathead valley is $21,000 per year.
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
Step by Step Guide to complete your application to the
Non-Credit Phlebotomy Technician program:
1. Read through these application materials carefully. Determine if you can:
o Attend all classroom sessions
o Pay all associated costs up front (academic financial aid is not applicable to this course)
2. Access the Kalispell Regional Healthcare (KRH) website for the Student Affiliate Program at:
http://www.kalispellregional.org/nwhc/student-affiliations/students . It is important that you understand,
before you apply, the KRH requirements that must be met in order for you to participate in clinical
practice in the hospital should you be accepted into this program.
o Carefully read Steps 1 and 1a.
o Ask yourself if there is anything you have read that you cannot comply with should you be
accepted into this program. If not, please proceed.
3. Gather your records of prior immunizations and obtain any additional immunizations required.
These requirements must be met exactly.
o Follow the Immunization Approved Requirements found in the KRH Western MT Student
Checklist/Orientation Manual ( step 1 - KRH website above, page 8)
o All medical documentation of those immunization requirements is required with the application.
Start every series as soon as possible. Some may be completed after acceptance.
Immunizations Options (Prices are approximate and subject to change.)
If you do not have records of the required immunizations or cannot obtain them from your doctor, the
Flathead County Community Health Division (751-8110) can provide the immunizations needed for this
course at a reasonable cost. Below are a list of the immunizations, the approximate cost through the
Community Health Division, and the length of time needed to complete the series. You may qualify for
reduced cost immunizations depending on your age and insurance circumstances. Your application must
include verification that you have at least started each series. You will be expected to complete the series
on schedule and submit verification of each immunization. Current year flu shots are not mandatory but
anyone declining a flu shot will be required to wear a mask at all times that they are anywhere in the
hospital.
Required:
o MMR
$62
o TB
$18
o Varicella
$95
o Hepatitis B $49
o Titers
$36-$40
o Tdap
$49
o Influenza
$25
o Recommended:
o Twinrix
$63
o (Hepatitis A & B)
One month between doses if 2 are needed
Not administered on Thursdays - checked after 48-72 hours.
Series of 2, one month apart
Three needed in series-completed over a 6-month period
Titers determine immunity
Diphtheria, Tetanus and Pertussis in one shot.
Current year – When available
3 over a 6-month period
Flathead City County Health Department  1035 1st Avenue West  Earl Bennett Building – 3rd Floor
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
Step by Step Application Guide – Page 2
4. Take the Compass Academic Assessment for Reading at FVCC Learning Center.
Individuals planning to register for the Phlebotomy course need proof of assessment in reading. This can
be arranged by appointment with the FVCC Learning Resource Center. Call 756-3880 for an
appointment.
The COMPASS (computerized) is an un-timed assessment and takes approximately 1-1/2 to 2 hours to
complete. Scores are printed immediately once testing is finished. Student testing is conducted at 9:00
a.m. and 1:30 p.m. Monday through Friday. You must have an appointment for the testing. It is
important to call and schedule this appointment early to assure a testing date prior to the Phlebotomy
Application deadline.
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Pre-registration is required for the COMPASS test. (Only the reading test is required.)*
To make an appointment, contact the FVCC Learning Center at 406-756-3880 or stop by the FVCC
Learning Resource Center (LRC) Building Room 129.
Please tell the Learning Center staff that this is for the Continuing Education Phlebotomy
Program. (You, therefore, will not need a follow up appointment with an advisor.)
There is no fee for the test.
*You may be asked to take the ASSET test instead. This is also acceptable.
After you complete the assessment, please include a copy of the printed results in your application
packet to the Continuing Education Center to register for the Phlebotomy Technician course.
5. Locate your high school diploma or GED certificate – prepare a copy to include with
your application.
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
Step by Step Application Guide – Page 3
6. Order your background check. Flathead Valley Community College has partnered with Verified
Credentials to manage the background check component of your program requirements.
To access” QualifiedFirst”, go to: https://scholar.verifiedcredentials.com/fvcc
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Enter code for the program you will be attending located above the “Get Started!” button on the
right side of the page.
Phlebotomy Program
WXXDT-99374
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Create an account.
Enter all required information .
Provide supporting documentation.
Track your progress.
Information will automatically be shared with your school.
If you have any questions, the Verified Credentials Client Services Team is ready to assist you. Please
call them at 800.938.6090 or email them at ClientServices@verifiedcredentials.com.
The cost is $49.00 and you must pay for this on-line at the time you request the background check. This
background check will meet all the KRH requirements so do not follow the additional background check links
provided on the Student Affiliate webpage.
7. Complete the following forms. They are included in this packet and some are also available to print
from the Student Affiliate Website:
o Phlebotomy Technician Non-Credit Program Application
o NWHC Information Security Agreement
o Background/Sexual Offender Check Release Authorization Form (to also permit KRMC/NVH
access to the record)
o Student Checklist/Requirement Verification – top section only
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
Phlebotomy Technician Non-Credit Program Application
Please print all information legibly in ink:
First: _____________________________ Middle: ______ Last: __________________________________
Mailing Address: _________________________________________________________________________
City: ________________________________________________ State: _______ Zip: _________________
Phone (day): ______________________ (evening): __________________ (cell): _________________
E-mail: ______________________________________  Male or  Female Date of Birth: ___/___/___
Emergency Contact_______________________________ Emergency Phone # _______________________
DISABILITY ACCOMODATIONS - FOR YOUR INFORMATION
Disability accommodation information will be confidential and used only in accordance with federal regulations
issued pursuant to Section 504 of the Rehabilitation Act of 1973 and Americans with Disabilities Act. If you
would like assistance with an accommodation for a disability, please contact our Disabilities Office at
406-756-3880 or TDD 406-756-3881.
SAFETY AND SECURITY (MUST BE COMPLETED)
Have you ever been subject to discipline, suspension or probation at any institution or post secondary education
(beyond high school) for reason not related to academic performance? Yes___ No___
If yes, please attach explanation.
KRH STUDENT AFFILIATE REQUIREMENTS (MUST BE COMPLETED)
I have read and understand the paperwork, documentation and requirements of the KRH Student Affiliate
Program, and will submit the Student Personal Information Form electronically to KRH upon acceptance.
(Step 2 on KRH website.)
BACKGROUND CHECK HAS BEEN ORDERED (MUST BE COMPLETED)
I have completed a background check request through the FVCC Verified Credentials process.
I hereby certify, to the best of my knowledge, all the statements and answers on this form are true.
Applicant’s Signature: ______________________________
Date: __________
FVCC does not discriminate of the basis or race, color, national origin, sex, age or handicap in admission or access to , or treatment or employment in,
education programs or activities, Inquiries concerning Title VI, IX and Section 504 may be referred to: Vice President of Instruction and Student
Services; Blake Hall, R. 137; 777 Grandview Drive; Kalispell, MT 59901; (406) 756-3894; or the Montana Human Rights Commission; 1236 6th Ave;
P.O. Box 1728; Helena, MT 59624; (406) 444-2884 / (800) 542-0807.
*****************************************Office Use Only*************************************************
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Completed Packet Received – Date:
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13
Application Checklist
Enrollment for the Phlebotomy Technician Course will take place on a first-come, first-registered basis with
eligibility established by a completed application packet as described below. Please turn the following
documentation (along with this checklist) and payment in to the FVCC Continuing Education Center as soon as
possible and no later than December 17, 2013. Only 10 applications will be accepted.
Use this checklist to make sure you have a complete application.
FVCC will not accept partial applications.
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Phlebotomy Technician Non-Credit Program Application
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NWHC Information Security Agreement
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Background/Sexual Offender Check Release Authorization Form (to also permit KRMC/NVH
access to the record)

Student Checklist/Requirement Verification – complete the top section only
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Copy of proof of high school completion or GED certificate
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COMPASS Assessment Results meeting criteria:
Reading: __ (>74) (Or ASSET Assessment – Reading:___ (>40)
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Copy of proof of Immunizations and proof of immunity by titer:
 MMR(2)  TB(2)  Varicella  Hepatitis B  Tdap  Flu See Immunization Approved
Requirements included in the Student Orientation Manual for specific details. (Each series must be started
prior to applying.)
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Completed Background Check request online
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Check made out to FVCC for $765
(This fee covers the cost of the course instruction, use of KRMC and NVH facilities, lab supplies and
worker’s compensation and student liability insurance.)
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Application Checklist
When all above steps have been successfully completed, and there is space available, you will be officially
enrolled in the Phlebotomy Technician course and provided additional details needed to begin. If any
documentation is missing, or the results from the background check prevent enrollment in the program, you will
be notified and receive a refund, less $35 non-refundable administration charge.
THERE IS NO REFUND IF YOU CHOOSE TO CANCEL YOUR REGISTRATION OR
WITHDRAW FROM THE COURSE FOR ANY REASON.
The Continuing Education Center
777 Grandview Drive, Kalispell
Arts & Technology Building
(406) 756-3832 or ceinfo@fvcc.edu
Revised 10/29/13