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§ 1034. Certification of Phlebotomy Technicians.

17 CA ADC § 1034BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 17. Public Health
Division 1. State Department of Health Services
Chapter 2. Laboratories
Subchapter 1. Service Laboratories
Group 2. Clinical Laboratory Regulations
Article 1.5. Licensure of Clinical Laboratory Personnel (Refs & Annos)
17 CCR § 1034
§ 1034. Certification of Phlebotomy Technicians.
(a) The education, training and experience required for certification in phlebotomy shall be as follows:
(1) For a person to be eligible for certification as a Limited Phlebotomy Technician, he or she shall:
(A) Be a high school graduate or have achieved a passing score on the general educational development (GED) test or documentation of equivalent education pursuant to Section 1031.4(c)(6)(B); and
(B) Have completed a minimum of 20 hours basic didactic instruction pursuant to Section 1035.1(e)(1) from a phlebotomy training program approved by the department; and
(C) Have completed a minimum of 25 skin punctures, performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations, in a clinical setting on patients, under the supervision of a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, or licensed clinical laboratory scientist, who will certify in writing with a signed certificate that this training has been completed; and
(D) Apply to the department for certification as a Limited Phlebotomy Technician pursuant to Section 1031.4(c).
(2) For a person with no on-the-job experience in phlebotomy to be eligible for certification as a Certified Phlebotomy Technician I, he or she shall:
(A) Be a high school graduate, or have achieved a passing score on the general educational development (GED) test or documentation of equivalent education pursuant to Section 1031.4(c)(6)(B); and
(B) Have completed a minimum of 40 hours didactic instruction pursuant to Section 1035.1(e) from a phlebotomy training program approved by the department; and
(C) Have completed a minimum of 40 hours practical instruction from a phlebotomy training program approved by the department pursuant to Section 1035.1(f), which instruction shall include completion of a minimum of 10 skin punctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations and 50 venipunctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations; and
(D) Have passed a written examination in phlebotomy administered by a certifying organization approved by the department pursuant to Section 1031.7; and
(E) Apply to the department for certification as a Certified Phlebotomy Technician I pursuant to Section 1031.4(c).
(3) For a person who has less than 1040 hours on-the-job experience in phlebotomy to be eligible for certification as a Certified Phlebotomy Technician I, he or she shall:
(A) Be a high school graduate or have achieved a passing score on the general educational development (GED) test or documentation of equivalent education pursuant to Section 1031.4(c)(6)(B); and
(B) Have completed a minimum of 40 hours didactic instruction pursuant to Section 1035.1(e) from a phlebotomy training program approved by the department; and
(C) Have a letter signed by a licensed physician and surgeon or licensed clinical laboratory bioanalyst directing the laboratory employing the person attesting his or her completion of a specified number of hours of on-the-job experience in phlebotomy within the previous five years, which shall include the activities listed in Section 1035.1(f) and completion of a minimum of 10 skin punctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations and 50 venipunctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations; and
(D) Have passed a written examination in phlebotomy administered by a certifying organization approved by the department pursuant to Section 1031.7; and
(E) Apply to the department for certification as a Certified Phlebotomy Technician I pursuant to Section 1031.4(c).
(4) For a person who has 1040 hours or more of on-the-job experience in phlebotomy to be eligible for certification as a Certified Phlebotomy Technician I, he or she shall:
(A) Be a high school graduate or have achieved a passing score on the general educational development (GED) test or documentation of equivalent education pursuant to Section 1031.4(c)(6)(B); and
(B) Have completed a minimum of 20 hours advanced didactic instruction pursuant to Section 1035.1(e)(2) from a phlebotomy training program approved by the department; and
(C) Have a letter signed by a licensed physician and surgeon or licensed clinical laboratory bioanalyst directing the laboratory employing the person attesting his or her completion of a specified number of hours of on-the-job experience in phlebotomy within the previous five years which shall include the activities listed in Section 1035.1(f) and completion of a minimum of 10 skin punctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations and 50 venipunctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations; and
(D) Have passed a written examination in phlebotomy administered by a certifying organization approved by the department pursuant to Section 1031.7; and
(E) Apply to the department for certification as a Certified Phlebotomy Technician I pursuant to Section 1031.4(c).
(5) For a person to be eligible for certification as a Certified Phlebotomy Technician II, he or she shall:
(A) Be a Certified Phlebotomy Technician I who holds a current, valid certificate from the department or who meets certification requirements as a Certified Phlebotomy Technician I pursuant to Section 1034(a)(4)(A)-(D) and who has at least 1040 hours on-the-job experience in phlebotomy in the previous 5 years as certified in writing by the director(s) of the laboratory(ies) employing the person; and
(B) Have completed a minimum of 20 arterial punctures performed pursuant to the Business and Professions Code Section 1220(d)(1) or (d)(2)(A) that fulfill all sampling requirements of all clinical laboratory tests or examinations and performed under the general overall responsibility of a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, respiratory care practitioner or a licensed clinical laboratory scientist, who will certify in writing that this person has completed this practical instruction; and
(C) Apply to the department for certification as a Certified Phlebotomy Technician II pursuant to Section 1031.4(c).
(b) Performance of phlebotomy by a person certified by the department shall be limited as follows:
(1) A Limited Phlebotomy Technician shall perform skin punctures only when he or she:
(A) Maintains a current, valid certification with the department as a Limited Phlebotomy Technician; and
(B) Performs skin punctures under the supervision of a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, licensed clinical laboratory scientist or a designee. A designee shall be licensed or certified under Chapter 3 and shall be accountable to the laboratory director for skin punctures and other duties related to blood collection performed by the Limited Phlebotomy Technician. The supervisor shall review the work of the technician at least once a month and be accessible to the location where the technician is working to provide on-site, telephone, or electronic consultation when blood is being collected; and
(C) Is shown to be competent to perform skin punctures after employment without direct and constant supervision before being allowed to perform skin puncture on patients. Documentation of competency shall be done at least annually; and
(D) Has completed at least three hours per year, or six hours every two years, of continuing education in phlebotomy related courses from a provider of continuing education approved pursuant to Article 2.5; and
(E) Has posted at the work location in the laboratory employing the person, a current, valid state certificate as a Limited Phlebotomy Technician. When performing skin punctures away from the posted location, the Limited Phlebotomy Technician shall carry a current, valid identification card issued by the department attesting the person's name, certificate type and effective dates of certification as a Limited Phlebotomy Technician.
(2) A Certified Phlebotomy Technician I shall perform skin punctures and venipunctures only when he or she:
(A) Maintains a current, valid certification with the department as a Certified Phlebotomy Technician I; and
(B) Performs skin punctures and venipunctures under the supervision of a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, licensed clinical laboratory scientist or a designee. A designee shall be a person licensed or certified under Chapter 3 and shall be accountable to the laboratory director for skin punctures, venipunctures and other duties related to blood collection performed by the Certified Phlebotomy Technician I. The supervisor shall review the work of the technician at least once a month and be accessible to the location where the technician is working to provide on-site, telephone, or electronic consultation as needed; and
(C) Is shown to be competent to perform skin puncture and venipuncture after employment without direct and constant supervision before being allowed to perform skin punctures or venipunctures on patients. Documentation of competency shall be done at least annually; and
(D) Has completed at least three hours per year, or six hours every two years, of continuing education in phlebotomy related courses from a provider of continuing education approved pursuant to Article 2.5; and
(E) Has posted at the work location of the laboratory employing the person, a current, valid state certificate as a Certified Phlebotomy Technician I. When performing skin punctures or venipunctures away from the posted location, the Certified Phlebotomy Technician I shall carry a current, valid identification card issued by the department attesting the person's name, certificate type and effective dates of certification as a Certified Phlebotomy Technician I.
(3) A Certified Phlebotomy Technician II shall perform skin punctures and venipunctures only under conditions pursuant to Section 1034(b)(2), and shall be limited to performing arterial punctures only when a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, licensed clinical laboratory scientist or a respiratory care practitioner is present at the location during performance of an arterial puncture, and when he or she:
(A) Maintains a current, valid certification with the department as a Certified Phlebotomy Technician II; and
(B) Is shown to be competent to perform arterial punctures after employment by direct, personal observation and documentation of his or her expertise in arterial punctures by a licensed physician and surgeon, licensed physician assistant, licensed clinical laboratory bioanalyst, registered nurse, licensed clinical laboratory scientist or a respiratory care practitioner. Documentation of competency shall be done at least annually; and
(C) Has completed at least three hours per year, or six hours every two years, of continuing education in phlebotomy related courses from a provider of continuing education approved pursuant to Article 2.5; and
(D) Has posted at the work location in the laboratory employing the person, a current, valid state certificate as a Certified Phlebotomy Technician II. When performing arterial punctures, skin punctures, or venipunctures away from the posted location, the Certified Phlebotomy Technician II shall carry a current, valid identification card issued by the department attesting the person's name, certificate type and effective dates of certification as a Certified Phlebotomy Technician II.
Note: Authority cited: Section 1224, Business and Professions Code; and Section 100275, Health and Safety Code. Reference: Sections 1206, 1208, 1212, 1220, 1242, 1242.5, 1246 and 1269, Business and Professions Code; and Section 120580, Health and Safety Code.
HISTORY
1. Amendment filed 7-2-73 as an emergency; effective upon filing (Register 73, No. 27). For prior history, see Register 72, No. 32.
2. Certificate of Compliance filed 10-24-73 (Register 73, No. 43).
3. Amendment filed 1-18-74; effective thirtieth day thereafter (Register 74, No. 3).
4. Amendment filed 12-12-75; effective thirtieth day thereafter (Register 75, No. 50).
5. Repealer and new section filed 1-9-2003; operative 4-9-2003 (Register 2003, No. 2).
This database is current through 11/3/17 Register 2017, No. 44
17 CCR § 1034, 17 CA ADC § 1034
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