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Phlebotomist

PHLEBOTOMIST

SPECIFIC TASKS/RESPONSIBILITIES

Phlebotomy: Performs phlebotomy on individuals as directed by laboratory management staff. Selects proper type of anticoagulants and amount of blood to be drawn. Uses needle and syringe, laboratory management staff. Selects proper type of anticoagulants and amount of blood to be drawn. Uses needle and syringe, Vacutainer, or butterfly techniques; and labels, as appropriate.

OUR REQUIREMENTS INCLUDE:

Collects and processes a variety inpatient and outpatient specimens:  Performs specimen collection during daily ward rounds.  Ensures patient is eligible to receive healthcare prior to specimen collection and laboratory testing. Ensures patients are properly identified and laboratory requisitions are completely and properly filled out. Enters all required information into automated Laboratory Information System, Composite Health Care System (CHCS). Incumbent obtains patients information regarding medication history, when applicable to laboratory testing, and documents information in CHCS.

Determines type of specimen to be collected, i.e., urine, serum or plasma. Contacts physicians for additional information or patient history in order to ensure proper testing and interpretative data is received. Incumbent has authority to order additional lab tests according to lab policy. Determines that conditions necessary for accurate testing are present; (for example, lipid tests require the patient be fasting).

Instructs patients, which requires a great deal of interpersonal skill and tact, on proper collection procedures for test such as clean catch urine, midstream urine, fasting, glucose tolerance test, 24 hour urine test, 2-hour post prandial, pregnancy tests, etc. Directs patient to other clinics after obtaining specimens.

Performs a wide variety of tests including, but not limited to: blood glucose measurements which may include using hexokinase, glucose oxidase, or glucose dehydrogenase enzymes; use of urine multiparameter strips to test for the presence of proteins, glucose, ketones, hemoglobin, bilirubin, urobilinogen, acetone, nitrite and leucocytes or for testing of pH and specific gravity or to test for infection by different pathogens; use of rapid antibody screening to test for human immunodeficiency virus (HIV); testing urine for presence of the beta subunit of HCG (human chorionic gonadotropin) to determine pregnancy; performing patient throat swabs to collect sample of mucus to test for the presence of Group A Streptococci (GAS) to assist in the diagnosis of bacterial pharyngitis (strep throat). Performs special procedures to include, but not limited to the administration of oral products such as Glucola for glucose tolerance testing using point of care analyzer according to SOP.

Draws and/or collects blood samples and properly labels tubes, ensuring quantity of sample is sufficient for tests to be performed. Inspects samples to identify visual need to recollect. Prepares containers for collection, i.e., measures, adds appropriate amount of acid or other chemical preservative for pre-collection requirements, measures and records total volume on receipt of specimen. Ensures specimens are collected in proper tube, i.e., correct anticoagulant, no anticoagulant, sterile vs. non-sterile, etc. Centrifuge specimens and aliquot samples into proper shipping container. Ensures that samples are properly labeled. Exercises extreme care and precision in handling, processing and shipping specimens to reference labs for specialized testing as many samples are irretrievable if lost.

Uses knowledge of pre-analytic processing procedures to identify and resolve specimen errors, retrieve samples from archive or other storage for additional testing or otherwise assist in meeting the testing requirements of the laboratory sections.  Incumbent is delegated with administrative and technical authority to independently determine which patient samples are sent to commercial reference laboratories for testing based upon turnaround time required by the physician, type of test ordered, and cost.

Receives lab specimens from clinics, wards and patients. Ensures all specimens are properly identified with required demographics, (last name, first name, family member prefix, sponsor's social security number), assure the proper paper work and correct specimen (i.e., type, amount, etc.) is submitted with all information required on each lab slip. Places electronic orders using hand written orders. Notifies the appropriate provider, (physician, physician assistant or nurse practitioner), clinic, wards, or health clinic when specimens are incorrectly identified or submitted. Enters all specimen and patient data into CHCS and will place specimens on the automated chemistry track system for samples to be centrifuged and transported to the laboratory sections for testing. Files all laboratory results in the appropriate folder for medical records to ensure timely and accurate lab results reporting to providers, wards and clinics.

Processes a wide variety of laboratory specimens collected in the clinic or received from outlying sites for shipment to reference laboratories. Physically processes, packages, and ships all specimens. Determines how specimens must be processed and stored utilizing appropriate federal and regulatory agency reference materials. Operates centrifuge to separate specimens; refrigerates or freezes specimens as required; packs specimens in lightproof containers and sends by courier or mail. Consults with receiving laboratories to ensure specimens arrive within required time limits and in usable condition for test being performed. Follows all regulatory and legal requirements for Chain of Custody of specimens when necessary (i.e., drugs, overdose cases, blood alcohol determination, etc.). Records result of shipped laboratory tests into CHCS and distribute copies to appropriate requesting centers.

Collects or receives blood tube specimens for Human Immunodeficiency Virus (HIV) testing using existing knowledge and pertinent reference material, independently determines suitability of samples and rejects samples that do not meet minimum standards. Coordinates and schedules with patient and patients' physician appropriateness of re-testing. Prepares sample for shipment by centrifuging sample and separating serum and subsequently transfers the serum to coded shipping tubes to be sent to contract testing lab. Researches and conducts problem solving for any samples without physician orders or any testing orders without samples submitted. Contacts physician or patient, as appropriate. Receives HIV test results via electronic data, transfers and records test results in CHCS. Notifies Chief, Preventive Medicine of all confirmed HIV positive results. Maintains strict confidentiality of all HIV results.

Performs laboratory support duties:

  • Receives patients, visitors and laboratory telephone calls with a high level of customer service. Determines nature of inquiry and directs the inquiry to the appropriate section or provides information from own knowledge or from materials located in office files, records, or duplicates results file. Takes and relays message. Maintains cleanliness and orderliness of the section at all times. Informs doctors, nurses and attendants of specimen collection requirements and responsible section.
  • Maintains supply inventory, orders, and restocks supply area. Ensures supplies are properly labeled as to receipt, opened, and expiration dates. Performs other tasks ancillary to collection, receiving, and shipping functions such as receiving and signing for dry ice, monitoring refrigeration and freezer temperatures, and other similar tasks.
  • Performs a variety of other support and clerical duties, e.g., compiling and gathering data for reports, maintains the reception desk/area in a neat and orderly manner and faxing patient reports.
  • Provides instruction and training to enlisted military medical laboratory technician students and new employees.
  • Performs function verification and maintenance procedures on simple laboratory equipment and instrumentation such as laboratory centrifuges, refrigerators, freezers, computers and peripherals.

REQUIRED:

  • Must be a U.S. citizen.
  • The Phlebotomist shall have training as a phlebotomist from a credentialed program or a training program that includes phlebotomy training in their curriculum such as Emergency Medical Technician program, Medical Assistant program or Medical Laboratory Technician training program.
  • Must have at least one year of phlebotomy experience. Blood donor phlebotomy experience is preferred.
  • Must have and maintain current certification in Basic Cardiac Life Support (BCLS).
  • Able to read, write, and speak English well enough to effectively communicate with patients, other Health Care Providers and employees of the Medical Treatment Facility (MTF)
  • All contract HCPs shall be required to meet Continuing Medical Education (CME) requirements. They will not be  reimbursed for these costs. The COR may approve contractor HCPs to attend MTF CME classes on a space available basis provided it does not interfere with the work schedule. Attending MTF CME classes shall be done on the contract HCPs own time

 

BENEFITS

• Paid Vacation, Paid Sick Leave, Paid Holidays

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