Certificate of Completion
Phlebotomy Technician I
(No On-The-Job Experience)
The student named above has successfully completed 20 hours of Basic Didactic, 20 hours of Advanced Didactic, and 40 hours of practical phlebotomy training in a clinical setting including; a minimum of 50 venipunctures, 10 skin punctures and the student has observed 2 (two) Arterial punctures as required by the State of California pursuant to CCR, title 17, section 1034 (a)(2). Start Date:
Completion Date:
Phlebotomy Instructor Date Phlebotomy Program Director: Gianina Ludusan, RN Date www.PhlebotomyUSA.com
9221 Venice Blvd
Los Angles, CA 90034
Raquel Miranda
03/14/2023 03/14/2023
06/01/2022
03/10/2023
The following represents a list of instruction and competencies that have been achieved by the student listed on the front side of this certification. A. Infection control
B. Standard precautions
C. Safety
D. Anatomy, physiology, medical terminology of body systems E. Patient and specimen identification
F. Proper selection and preparation of skin puncture site G. Proper selection of antiseptic
H. Proper selection of tubes and additives
I. Proper order of the draw
J. Proper post puncture care
K. Appropriate disposal of sharps and waste
Start Date:
I. Basic Phlebotomy Curriculum
A. Advanced infectious disease control and biohazards B. Anticoagulation theory
C. Pre-analytical errors in collection, transportation and storage D. Anatomical site selection and patient preparation E. Risk factors and responses to complications
F. Corrective actions related to test requisitions G. Communication, interpersonal relatins, professional conduct H. Ethic and legal implications
I. Quality assurance
J. Legal issues
K. Observation of arterial puncures
= Completed with Comptentence O = Not Competent
Instructor Signature:
II. Advanced Phlebotomy Curriculum
III. Practical Training in a Clinical Environment
IV. 50 Successful Venipunctures on Live Patients
V. 10 Successful Skin Puncture on Live Patients
Instruction Completed
Completion Date:
Instruction
40 Hours
50 Successful
10 Successful
Completed
06/01/2022 03/10/2023