Phlebotomy

I.     Course Prefix/Number: MLT 107

       Course Name: Phlebotomy

       Credits: 4 (3 lecture; 3 lab)

II.    Prerequisite

Admission to the Phlebotomy Certificate program or MLT program or consent of Program Chair.

III.   Course (Catalog) Description

Course provides in-depth study of current phlebotomy techniques.  Focus is on skills necessary to properly obtain blood specimens for laboratory testing. Content includes safety precautions, collection equipment, venipuncture and skin puncture techniques, and special collection procedures.

IV.   Learning Objectives

Upon successful completion of this course the student will be able to:

  1. Discuss the role of the phlebotomists in the health care delivery system.
  2. Describe and utilize laboratory safety and infection control policies and procedures.
  3. Demonstrate knowledge and understanding of the anatomy and physiology of body systems.
  4. Describe equipment and supplies needed to collect blood by venipuncture and skin puncture.
  5. Discuss collection tubes and corresponding anticoagulants.
  6. Explain the importance of proper specimen collection in relation to a Quality Assurance Program.
  7. Describe legal and ethical implications of patient testing.
  8. Demonstrate proper collection of blood by venipuncture.
  9. Demonstrate proper collection of blood by skin puncture methods.
  10. Discuss and describe special collection procedures.
  11. Demonstrate knowledge of common laboratory tests and their specimen requirements.
  12. Demonstrate knowledge and understanding of blood borne pathogens.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at
www.oakton.edu/studentlife/student-handbook.pdf

VI.   Sequence of Topics

  1. The Health Care Setting
    1. Types of facilities
    2. Departments
    3. Laboratory
    4. Role of the phlebotomist
  2. Anatomy and Physiology
    1. Anatomic position
    2. Body planes
    3. Body directional terms
    4. Body systems
  3. Circulatory System
    1. Vascular system
    2. The blood
  4. Safety
    1. Safety issues
    2. Infection control
    3. First aid procedures
    4. Blood borne pathogens
  5. Collection Equipment and Supplies
    1. General equipment
    2. Venipuncture equipment
      1. Tourniquet
      2. Needles
      3. Evacuated tube system
      4. Tube additives
      5. Order of draw
    3. Skin puncture equipment
      1. Lancets
      2. Collection devices
      3. Warming devices
      4. Order of collection
  6. Blood Collection
    1. Physiologic factors
    2. Test status
    3. Site selection
    4. Complications
  7. Venipuncture
    1. Routine venipuncture procedure
    2. Syringe and butterfly procedures
    3. Failure or inability to collect blood
  8. Skin Puncture Procedures
    1. Routine procedure
    2. Blood smear preparation
    3. Indications for use
    4. Tests that cannot be performed by skin puncture
  9. Special Blood Test Procedures
    1. Forensic specimens
    2. Blood bank specimens
    3. Blood alcohol specimens
    4. Blood cultures
    5. Glucose tolerance
    6. Newborn screening
    7. Bleeding time
  10. Arterial Blood Gases
  11. Quality Assurance
    1. Specimen Handling and Processing
  12. Nonblood Specimens and Tests
    1. Urine collection
    2. Stool
    3. CSF and other body fluids
    4. Throat culture

VII.  Methods of Instruction

Classroom lectures, discussion of case studies, reading assignments, tape series, and laboratory demonstrations will be used to present theory and techniques.

Performing phlebotomies in the student laboratory is a course requirement.  This means you will practice drawing each other’s blood in lab. This will be used to develop student skill and accuracy in blood drawing.


Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

  1. Course is taught face-to-face, hybrid or online course.
  2. Participate in all sessions and activities. Since late arrivals disrupt the class, you should be prepared to begin on time.
  3. Attend all lectures and laboratory sessions.
  4. Complete reading assignments, study questions, worksheets, and any other specific assignments for class.
  5. Complete lab assignment each week.
  6. You will need to successfully perform the following minimum number of procedures in lab or you will receive an incomplete or failing grade:
    • 16 venipunctures – 2 single, 2 syringe, and 12 multiple tube
    • 16 finger sticks
    • 1 bleeding time
    • 20 sticks on the fake arm

    These draws must be documented on the Phlebotomy Draw Sheet and the Fake Arm Draw Sheet. These sheets must be kept up to date and will be checked periodically. A fellow student or instructor must verify each phlebotomy procedure.

    If you miss class the day of a scheduled procedure listed in #6 above, you must arrange to make up the procedure within one week. If the missed puncture is not made up within one week, points will be deducted. Also, you will be responsible to find a classmate that is willing to have the procedure performed on them.

  7. Students will be evaluated three times throughout the semester on venipuncture and skin puncture skills.
  8. Complete all assigned Media Lab modules.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Garza, D., Becan-McBride, K.  Phlebotomy Handbook Blood Specimen Collection from Basic to Advanced, 9th Ed.  Upper Saddle River, NJ: Pearson, 2015.

X.    Methods of Evaluating Student Progress

  1. Student progress will be evaluated through
    1. satisfactory completion of written tests covering both classroom theory and laboratory procedures;
    2. the satisfactory completion of all laboratory procedures;
    3. completion of all homework assignments.
  2. Points will be deducted for late assignments. All study questions must be turned in to pass this course even if no points will be earned. Points will be deducted for incomplete/late assignments as follows:
    Incomplete (one answer missing) – 1 point
    Incomplete (more than two answers missing)   – 2 points
    Late (handed in next class session) - 1 point
    Late (handed in 2 classes later) – 2 points
    Late (handed in >2 classes later) – 4 points
  3. The final grade will be based on the total number of points earned on the quizzes, laboratory work, homework assignments, attendance and class participation.
  4. Course Grading Breakdown (Tentative):
    Exam 1 100 points
    Exam 2 100 points
    Exam 3 100 points
    Exam 4 100 points
    Quizzes 70 points
    Tube Test 40 points
    Cumulative Final Exam 120 points
    Study Questions 40 points
    Homework 30 points
    Venipuncture Evaluation (3 at 10 points each) 30 points
    Skin Puncture Evaluation (3 at 10 points each) 30 points
    Lab Practical 40 points

    Total Points Possible   800 points
    Points Earned  Grade Equivalent
    736 – 800 A
    672 – 735 B
    608 – 671 C
    560 – 607 D
    Below 560 F

XI.   Other Course Information

Health Status Change Policy Statement – Any change in health status of currently enrolled students, resulting in the inability to meet the course/program objectives and standards as outlined in the Essential Skills requirement policy will require documentation and medical approval for the student to return to clinical, theory, and lab-which require lifting without restrictions.

  1. Any change in health status must be reported to the Chair of the department.  Examples may include but are not limited to, back injury, pregnancy, infection such as shingles, fractures, etc.
  2. Students must provide documentation of care by an Illinois licensed physician or an Illinois certified nurse practitioner and submit a medical release without restrictions before returning to clinical/class.
  3. Releases from physicians or nurse practitioners must state that the student “can return to the laboratory and clinical facility without any work restrictions.”

A change in health status must be reported to the Chair of the department.  Failure to submit a medical release or information regarding a change in health status within 30 days is grounds for immediate dismissal from a Health Career Program.



If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at www.oakton.edu/title9/.

Resources and support for LGBTQ+ students can be found at www.oakton.edu/lgbtq.