Phlebotomy Technician
Enrollment Packet
Thank you for your interest in the Phlebotomy Technician Program at Great Oaks. Diamond Oaks,
Live Oaks and Scarlet Oaks offer the 120 hour Phlebotomy Technician Program that runs for 20
weeks. This information packet is designed to answer any questions that arise in the enrollment
process for the Phlebotomy Technician Program. Included in this packet of information you will
find requirements for the program, class schedule, class rules, and all the forms needed to register.
Please feel free to contact us if you have additional questions.
Adult education staff campus contact information:
Great Oaks: Diamond Oaks Campus:
6375 Harrison Avenue, Cincinnati, Ohio 45247
Colleen Baldwin 513-612-7003
Adult Education Supervisor 513-612-7019
Office Hours: Afternoons and evenings
Great Oaks: Live Oaks Campus
5956 Buckwheat Road, Milford, OH 45150
Katie Bailey 513-612-4908
Adult Education Supervisor 513-612-4916
Office Hours: Afternoons and evenings
Great Oaks: Scarlet Oaks Campus
303 Scarlet Oaks Drive, Cincinnati, OH 45241
Necoal Smith 513-612-5705
Adult Education Supervisor 513-612-5897
Office Hours: Mornings and afternoons
CLASS SCHEDULE
The Phlebotomy Program is a total of 120 hours: 20 weeks and the certification exam.
Diamond Oaks Campus
Tuesday & Thursday - 6:30 pm to 9:30 pm
Information Sessions: Second Wednesday every month @ 7:00pm (except July)
Session I Classes: August 8, 2017 – January 4, 2018
Session II Classes: January 25, 2018 – June 12, 2018
Phlebotomy Technician Program
Live Oaks Campus
Monday & Wednesday - 6:30 pm to 9:30 pm
Information Sessions: Second Wednesday every month @ 5:30pm (except July)
Session I Classes: August 9, 2017 – January 10, 2018
Session II Classes: January 29, 2018 – June 20, 2018
Scarlet Oaks Campus
Saturdays - 9:00 am to 3:30 pm
Information Sessions: Second Wednesday every month @ 5:30pm
Session I Classes: August 12, 2017 – January 27, 2018
Session II Classes: February 3, 2018 – June 30, 2018
GETTING STARTED
Eligibility:
The Phlebotomy Technician program is academically challenging and includes content such
as anatomy, physiology, cardiovascular systems, and math. The ability to study and
memorize information is necessary to be successful. Therefore, students must maintain
90% attendance and 70% academic grade level to successfully complete the course.
Cost
The current cost for the Phlebotomy Technician Program is $1,410.00. Included in this fee
is the tuition, books and the certification test fee. Full payment is due upon registration.
Cash, check or a credit card is accepted. Fees are subject to change.
Scrubs must be worn to every class and clinical experience. A white lab coat is
recommended with a red scrub top and black scrub pants. A clean, full-back, solid color
(white or black) gym shoe is required. The cost of the scrubs is not included in the student
tuition.
Financial aid: Financial aid through Great Oaks is not available for part time programs.
Please see page 9 for financial assistance resources.
THE FOLLOWING MUST BE SUBMITTED WITH YOUR PAID REGISTRATION.
You may register by phone with a credit card if you have already turned in all required paperwork,
or in person at Diamond Oaks, Live Oaks and Scarlet Oaks.
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Phlebotomy Technician Program
REGISTRATION/ENROLLMENT REQUIREMENTS
Listed below are all the registration/enrollment requirements for the Phlebotomy Technician
Program at Diamond Oaks, Live Oaks and Scarlet Oaks.
It is recommended that you begin working on these items as soon as possible. They are due when
you register for class. Failure to submit all the requirements may impact your eligibility for
completion status of the Phlebotomy program.
1. A passing score on the ACT WorkKeys test is a requirement for admission into the
Phlebotomy Technician Program. A $50 non-refundable fee is required for testing. To
schedule testing, call Scarlet Oaks at 771-8881.
Recommendation: Since students are required to take the WorkKeys test, it is
recommended that interested individuals sign up for a FREE practice assessment on
“KeyTrain”. This is an online program to determine if academic skills meet a level 4
benchmark (the required score on the WorkKeys test). Individuals who would like to brush
up on academics BEFORE registering for the program can attend Great Oaks ABLE program
which offers FREE classes OR go to the KeyTrain website that offers practice lessons. (SEE
INSTRUCTIONS ON PAGE 10 TO SIGN ON TO KEYTRAIN).
2. You will need to submit a copy of your high school diploma or GED in order to register
for the Phlebotomy Technician class. If you do not have this information, you will need to
contact your high school and have your transcripts sent to the Great Oaks campus where
you will be attending class. The information should be sent to the secretary of the office of
adult education and they will ensure that it is routed properly.
Diamond Oaks:
Great Oaks, Diamond Oaks Campus
6375 Harrison Avenue
Cincinnati, OH 45247
Attn: Colleen Baldwin
Fax: 513.574.3953
Live Oaks:
Great Oaks, Live Oaks Campus
5956 Buckwheat Road
Milford, OH 45150
Attn: Katie Bailey
Fax: 513.575.0805
Scarlet Oaks:
Great Oaks, Scarlet Oaks Campus
303 Scarlet Oaks Drive
Cincinnati, OH 45241
Attn: Necoal Smith
Fax: 513.771.4932
3. Program Application: Please fill out enclosed program application and submit when you
register/pay for the Phlebotomy program.
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Phlebotomy Technician Program
CLINICAL REQUIREMENTS
1. You are required to have a BCI & I/FBI Background check. These may be obtained at
your local law enforcement agencies, the Hamilton County Sheriff’s office and some BMV
offices in Ohio. The cost varies per location. You may also have the background check
performed at Scarlet Oaks campus. You must show picture identification. Students can go
to:
PLACE:
PHONE:
DAYS & HOURS:
COST:
Scarlet Oaks Adult Education, 303 Scarlet Oaks Drive (Entry 3)
513-771-8881
You must call to make an appointment.
Total Cost is $46.00 (BCI & I - $22, FBI - $24)
PLACE:
PHONE:
DAYS & HOURS:
COST:
Hamilton County Sheriff’s Dept., 1000 Sycamore St., Room 100
513-946-6220
Monday through Friday, 7:00 a.m. - 3:00 p.m.
Total Cost is $66.00 - cash only (BCI & I - $32, FBI - $34)
2. Proof of having started the Hepatitis B virus shot series or proof of completion of the
shot series is required. If you choose not to obtain this vaccination, you will need to sign a
Declination Form which is included in your Enrollment Packet (page 12).
3. A current flu shot is required. This means that you have received the shot within one year
of enrollment. You may obtain records of current shots from your physician, employer, etc.,
if you have already received the shot. If you need a flu shot, you may get one from your
physician, urgent care or other health care provider of your choice. If you are unable to
receive the flu shot due to medical reasons, a signed statement from your physician is
required to be placed in your file. If you have any other questions, please contact your
instructor.
4. A copy of your immunization records showing that you have been given the vaccine for
MMR (Measles, Mumps and Rubella) is required. If you are unable to show proof of the
vaccination, you will need to have a blood test called a “titer” performed by your physician
to show that you have immunity to these illnesses.
5. You will be required to complete a 2-step PPD (TB) test. If you have a current 2-step TB
from your employer or for other reasons, you will need to provide a copy for your file. A
current TB test is within one year of enrollment. If you need to obtain a 2-step TB test, you
may do so with your physician, urgent care or other medical professional or the tests are
available through the Hamilton County Public Health TB Control Clinic.
TB tests may be obtained from your doctor OR the Hamilton County Public Health
Tuberculosis Control Clinic, 513-946-7600, 184 East McMillan Street, Cincinnati, OH, 45219.
The clinic is open Monday, Wednesday and Friday from 7:30 a.m.- 3:45 p.m. They are
closed on Friday if Monday is a holiday. No tests are administered on Thursdays. No
appointment is necessary. Individuals who have experienced a positive reaction to the PPD
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test are required to submit the result of a chest x-ray ($40.00). If an x-ray is needed, call
513-946-7606 for an appointment.
You will be charged $31.50 for each test (if paid in cash) for the two tests (total $63.00) at
the Tuberculosis Control Clinic. The charge is $33.50 per test (total of $67.00) if paid by
MasterCard, Visa, American Express, Discover credit card or debit card.
6. You will need to obtain a current physical exam. There is a form included in your
Enrollment Packet (page 11) for your physician to fill out. If you have a current physical
exam, meaning you have had an exam within one year of enrollment, please request those
records from your physician for your file.
7. You will need to sign a Confidential Information Agreement before being permitted to
participate in any Career Development Experiences if they are available. These can be
obtained from your instructor.
The Program/Clinical Requirements Form is maintained by your instructor to ensure that you
have submitted the necessary documents to be admitted into the Phlebotomy Technician Program
as well as attend any Career Development Experiences, if they are available.
Great Oaks Purpose
We are Great Oaks—the first choice in providing innovative career training
to empower individuals and communities.
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Phlebotomy Technician Program
This form is to be submitted to the Adult Education Office
PHLEBOTOMY PROGRAM APPLICATION
Name: _________________________________________________________________________________________________________
First
Middle
Last
Address: _______________________________________________________________________________________________________
Number/Street
City
State
Zip
Phone number: (_______) ______________________ Alternate phone number: (______) _________________
Email address: _______________________________________________________________________________________________
Date of birth: _______________________________
Campus: Diamond Oaks ☐
Live Oaks ☐
Scarlet Oaks ☐
I am taking this class for personal use only. ____yes ____no
I declare under penalty that the foregoing is true and correct.
Student Signature____________________________________________________________
IN THE EVENT OF AN EMERGENCY PLEASE CONTACT:
Name: __________________________________________________
Phone: _________________________
Address: ____________________________________________________________
Relationship: __________________
Alternate Contact:
Name: __________________________________________________
Phone: _________________________
Address: ____________________________________________________________
Relationship: __________________
I hereby give consent for the following medical care providers and local hospital to be called.
Doctor: ____________________________________________________
Phone: ___________________________
Hospital: __________________________________________________
Phone: ___________________________
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Phlebotomy Overview of Course Outcomes
The following are Performance Based Outcomes for the Phlebotomy Technician Programs as
approved by the National Healthcareers Association. At the completion of this course, each student
will be eligible to challenge the National certification exam in Phlebotomy.
In order to become nationally certified as a Phlebotomist (CPT) the student will achieve a minimum
passing score of 70% on the certification exam and demonstrate proficiency in performing
Phlebotomy procedures.
At the end of classroom instruction and self-study, the student will:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Understand and define the basics of Phlebotomy.
Know and interact within the hospital structure.
Understand and interpret legal issues.
Participate and incorporate safety awareness and precautions.
Know and practice infection control and prevention procedures.
Use, know and interpret medical terminology.
Know importance of and classify anatomy and physiology.
Examine the function of the circulatory, lymphatic, and immune systems.
Know, identify and describe the use of venipuncture equipment.
Perform routine venipuncture.
Identify and perform dermal punctures.
Recognize and perform corrective procedures for venipuncture puncture complications.
Perform correct blood collections from children and elderly.
Perform correct arterial collection.
Know and understand collections of non-blood samples handling, processing, and
transporting the specimen.
16. Identify and understand special procedures and point-of-care testing.
Training/clinical or external experience* must include a minimum of 30 successful
venipuncture’s and 10 successful capillary sticks. These venipuncture capillary sticks must
be performed on live individuals. Candidates are prohibited from using mannequins to
meet this requirement.
*Clinical or external experience, IF AVAILABLE, is not mandatory for certification.
The 30 successful venipuncture’s and 10 capillary sticks can be performed in class on
students or volunteers.
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Phlebotomy Technician Program
EMPLOYMENT OPPORTUNITIES:
The Great Oaks Phlebotomy Technician program provides support to ASSIST students in
finding employment, but DOES NOT PLACE students into jobs. Students who find
employment are successful in the program, are aggressive about submitting applications
continuously, put their best foot forward in an interview, and have excellent references. Job
openings are hard to predict. During certain times of the year hiring is very active, other
times of the year, employment opportunities are scarce. The instructor of the course does:
1. Provide resources and information about basic job seeking skills; resume writing,
interview skills, how to dress, etc.
2. Provides information about where to look for employment
3. Provides any job leads to the class as they arise
Barriers to Employment
Great Oaks wants every student to be successful not only in the class, but also in gaining
employment after obtaining a certification for those who employment as a goal. For that
reason, we would like to make students aware of potential barriers to employment.
Individuals with the following are less likely to obtain employment even after successful
completion of the course:




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Color Blindness: this condition prevents individuals from being able to distinguish
a wide range of color coded wires that are used to accurately place them on patients.
Most health care facilities use the color coded system.
Felony: Health care institutions are less likely to hire convicted felons in patient
contact occupations.
Certain learning disabilities: If you have a learning disability, please let your
instructor know immediately so we can determine the best way for you to learn in
the program. If you have a learning disability for which you will require
accommodations on the National Certification Test, you will be required to provide a
written diagnosis. You are also encouraged to contact the testing agency to find out
1) if they will provide that accommodation and 2) will this particular learning
disability hinder employment opportunities.
Smoking is a potential barrier to employment. Most phlebotomy employers now
hire non-smokers only and do a blood test or swab upon hiring to check for nicotine.
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Phlebotomy Technician Program
FINANCIAL ASSISTANCE RESOURCES
Below are a few resources that may be able to assist you in finding financial help with your tuition.
SOUTHWEST EDUCATIONAL OPPORTUNITY CENTER*
Clermont College
4200 Clermont College Drive
Batavia, Ohio 45103
513-732-8961
Contact: Claudia Cates, [email protected]
www.clc.uc.edu/weoc
*you do NOT need to be a resident of Clermont County to use this service
OHIO BENEFITS
www.ohiobenefits.org
Select Quick Check to see if you qualify for financial assistance.
OHIO MEANS JOBS – HAMILTON COUNTY (formerly SuperJobs)
Office of Workforce Development
1916 Central Parkway
Cincinnati, Ohio 45214
513 946-7200
www.omj-cinham.org
www.Jfs.ohio.gov
UNITED WAY OF GREATER CINCINNATI
Dial 211 for a referral to the agency that can best help you.
www.uwgc.org
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Phlebotomy Technician Program
Free Online Tutorial for Workeys (KeyTrain) Test
To get a personal account set up with ACT Career Ready 101 for Workeys (KeyTrain) test
tutorial, please email the following information to Aaron Yancey at [email protected]:
Full Name: first and last
Birthday: month, day, and year
You will then receive a user name and password via email along with instructions on how to
log-in and use the tutorial. Expect to receive this within 3 business days.
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Phlebotomy Technician Program
This form is to be submitted to the Adult Education Office.
PHYSICAL FORM
Name:__________________________________________________________________________________________________
First
Middle
Last
Address:_______________________________________________________________________________________________
Number/Street
City
State
Zip
Temperature:_______________
Pulse:___________________
Blood Pressure:_____________
Height:__________________
Respiration:_________________
Weight:_________________
Is this person free of communicable disease? YES________
NO________
Have you noted any physical or emotional condition(s) which might prevent this person from
fulfilling his/her duties as a Phlebotomy Technician? YES________
NO________
If so, please describe:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
2-Step TB TEST FORM
Step 1
Date Given:______________ Site: _____Right FA _____Left FA
Nurse:______________________________
Date Read:_______________ Results: ______0 mm
_______mm
Nurse:______________________________
Comments:_______________________________________________________________________________________________
Step 2
Date Given:______________ Site: _____Right FA _____Left FA
Nurse:______________________________
Date Read:_______________ Results: ______0 mm
Nurse:______________________________
_______mm
Comments:________________________________________________________________________________________________
_______________________________________________________________
Signature and Title
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__________________________________
Date
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Phlebotomy Technician Program
This form is to be submitted to the Adult Education Office.
Declination Statement
I understand that due to my exposure to blood or other potentially infectious materials during
clinical, I may be at risk for acquiring Hepatitis B Virus (HBV) infection. I am declining to have the
Hepatitis B vaccination at this time. I understand that by declining this vaccine I continue to be at
risk of acquiring Hepatitis B, a serious disease.
Name (PRINT):___________________________________________________________________________
Signature:_________________________________________________________________________________
Date:________________________________________
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