THERE IS NO APPLICATION SPECIFICALLY FOR THE HLC 111 PHLEBOTOMY PROGRAM
NO PREREQUISITE CLASSES ARE NEEDED TO TAKE HLC 111 PHLEBOTOMY
ALL STUDENTS REGISTERED FOR HLC 111 PHLEBOTOMY MUST BE
AT LEAST 18 YEARS OF AGE BY THE FIRST DAY OF CLASS
FOR FALL 2017 ENTRY, IF THE STUDENT HAS NEVER HAD HEPATITIS B VACCINES,
AND/OR HAS A NEGATIVE/EQUIVOCAL HEP B TITER, THEN THE DEADLINE DATE
TO RECEIVE THE 1ST HEP B VACCINE IN THE SERIES
IS MON, JULY 10, 2017. SEE SECTION J, 6, E BELOW.
OUR CLINICAL SITES REQUIRE THAT STUDENTS HAVE A COMPLETELY CLEAN BACKGROUND FOR THE LAST 7 YEARS. If the student has ANY items that show up on their background check, the student will not be admitted to the program.
OUR CLINICAL SITES REQUIRE THAT STUDENTS HAVE A COMPLETELY CLEAN DRUG SCREEN - THIS INCLUDES MARIJUANA.
Due to blood and body fluid exposure during skills lab, and because of the health and screening requirements of the healthcare facilities in which students are placed for their externships, all students must comply with the entry requirements (listed below), before being considered eligible to register for the Phlebotomy program.
After you have determined that you would like to enroll in the Phlebotomy program, and are confident you can pass a background screening AND a drug screen, please go through the following steps to be eligible for registration for the Phlebotomy program:
A. If you have never been a student at SRJC before, then you will need to apply to SRJC as a new student by going to the following link and going through the required steps: http://admissions.santarosa.edu/steps-new-students
If you are a current or returning SRJC student, go to step B.
B. Go through your assessment testing:
- For the Phlebotomy program, English placement test result of eligibility for English 1A or higher is highly recommended (See Placement Test pages at https://assessment.santarosa.edu/English-test-description)
- For the Phlebotomy program, completion of HLC 160 Medical Terminology is highly recommended.
- Enroll in other supportive courses to assist you in note taking, study skills, and test-taking skills prior to entry into the Phlebotomy program. Please go to the following link: https://portal.santarosa.edu/SRweb/SR_CourseOutlines.aspx. Type in CSKLS in the 'course prefix/number' box,' and in the 'outline as of' box, choose the current or most recent semester. This list will show all the college skills courses that are available.
C. Go through the college orientation.
D. See a health sciences counselor.
E. Be sure you are at least 18 years of age by the beginning of the Phlebotomy class.
F. Be sure you have completed high school with a diploma, GED or Equivalency by the time you apply for the state Phlebotomy exam.
G. Be sure you are free from the effects of alcohol and drugs while in class, the clinical area, and externships. This will be verified by a drug screen.
H. Be sure you have the physical, emotional, and mental ability to participate effectively in coursework and to work with patients in health care settings.
I. Print out, sign, date and turn in ALL acknowledgement and signature forms found at the end of the Phlebotomy Student Handbook. The Handbook can be accessed by clicking the "Phlebotomy Student Handbook" link on the left of this webpage. The directions on how and where to turn in the forms are in the Handbook.
J. Purchase your health requirement tracker package from CastleBranch by following these steps:
1. Go to www.castlebranch.com For help with CastleBranch, call Client Services at 888-850-4314, or email firstname.lastname@example.org.
2. In the “Place Order” Field, enter XXXX for the Package Code, and click submit. On the next screen, be sure that "Santa Rosa Junior College - Phlebotomy" is listed under "Please Review".
3. Agree to the terms and conditions at the bottom, and click continue.
4. Continue with entering the personal information as requested.
5. Pay the $103.75 Package Fee
6. After registering with CastleBranch, paying the fee, and entering your personal information, you will be given instructions to take your drug test, instructions to complete your background check, and be prompted to scan and upload these required documents:
A. Clean urine drug screen** (CastleBranch will provide the directions on how/where to do this). Typical turn around time is 1-2 weeks, but it can take up to 4 weeks to process, once the student has submitted the drug test.
**PLEASE NOTE: Our clinical sites require a completely clean drug screen, and this includes medical/prescription and/or recreational marijuana. Students who test positive for marijuana, even if they hold a medical marijuana card/prescription, will not be accepted to the program.
B. Clean background check** (done by CastleBranch). Typical turn around time is 1-2 weeks, but it can take up to 4 weeks to process, once the student has submitted the information.
**PLEASE NOTE: Our clinical sites require a completely clean background. If you have questions or concerns about this, please email Katherine Slusser at KSlusser@SantaRosa.edu.
C. Clear health evaluation forms (use 4-page SRJC packet) - Follow these directions to complete the health evaluation packet:
- Click here to see a list of local Sonoma County Health Care Resources
- Click here for the Health Packet in PDF
- Click here for the Health Packet in Word
- The student fills out page 1 and page 4**, and then the student brings ALL 4 pages to the students primary care provider.
- **Please note - On page 4 of the health eval packet, if the student checks "I can meet the technical standards with reasonable accommodations....." then the student MUST make an appointment with the Disability Resources Department (DRD) at SRJC as soon as possible to be evaluated for the need for an accommodation. Go here for more information: https://drd.santarosa.edu/.
- The Phlebotomy program welcomes students with disabilities.
- The provider reads the bottom of page 1, and all of page 2, and fills out, signs, and stamps page 3.
- The student then uploads ALL 4 pages to their CastleBranch account profile.
- The student should keep the original, completed 4 page packet for their records.
D. Two-Step PPD Tuberculosis (TB) skin test** The 1st TB skin test is placed and read, then the 2nd test is placed and read from a week to a month later. (Do not have the MMR immunizations immediately before this test.)
- **Please note: The Quantiferon Gold (TB blood test) is NOT accepted.
- If the student has a history of positive TB skin tests, and/or has received the BCG vaccines, the student must submit the report from a chest xray that was done with in the last 12 months (NOT the xray picture) AND a completed TB clearance/symptom free form that a licensed provider has signed.
E. Positive hepatitis B titer (date of titer can be any date - no recency requirement) OR a complete hepatitis B series with positive titer after last dose (takes 4-6 months to complete).
- First 2 doses must be complete in order to receive the add code (or be placed on the waiting list), and the 3rd dose must be complete before the student will be allowed to begin the onsite externship.
- ***********The last date to be able to receive the 1st Hep B vaccine to be eligible for the fall externship which starts on October 30, 2017, is MONDAY, JULY 10, 2017. There are exactly 16 weeks between 7/10/17 and 10/30/17, which is the minimum time required for all 3 vaccines. (1st vaccine, then the 2nd vaccine is done 4 weeks from the 1st, then the 3rd vaccines is done 16 weeks from the 1st)************
F. Positive varicella (chicken pox*) titer (date of titer can be any date - no recency requirement) OR complete varicella series.
*If you have had chicken pox, either as a child or adult, this does NOT meet the requirement.
G. Complete series of Tdap vaccines (if given more than 10 years ago, booster must have been completed within the last 10 years).
H. Positive titer for measles, mumps and rubella (MMR) (date of titer can be any date - no recency requirement) OR a complete series of MMR vaccines.
I. Current annual flu vaccine, see letters A and B below for specific deadline dates. If the student completes all of the above and is given an add code, then attending the onsite clinical externship is PROVISIONAL upon completion of the flu vaccine requirement by the deadline date.
- Declinations are not accepted unless there is a documented written medical contraindication to the flu shot. Written declinations** will be accepted if provided and signed by a licensed medical professional, and on company letterhead. Flu shot declination statements written by students will not be accepted.
**Please note: If a student provides a valid flu shot declination (as described above), then the student will be required to comply with the clinical agency's “Flu shot declination policy” which usually involves wearing a face mask at all times while onsite during the flu season – September to April.
A. To fulfill the current annual requirement for the class in the Fall semester, the student must obtain the flu shot between August 1st and October 15th of that same Fall semester. October 29th of the same Fall semester is the deadline to submit proof of the flu vaccine, or declination. If the proof is not submitted by that date, the student will be dropped from the class.
**The flu virus is constantly changing. Experts at the Centers for Disease Control (CDC) must pick which viruses (strains) to include in the upcoming years vaccines many months ahead of time, in order for the vaccines to be produced and then delivered on time. This is why obtaining the flu shot only between August 1st and October 29th for the Fall semester is required. If the flu shot is obtained earlier that that, then the strain is from last years batch, and may not be as effective in preventing the spread of the flu, and is not conisered valid by our clinical sites. Source: CDC Flu Facts
B. To fulfill the current annual requirement for class in the Summer semester, the student can obtain the flu shot anytime in the current year's flu season (August to April), but far enough in advance to submit the documentation to be given an add code. It is recommended that the student receive the vaccine in January or February at the latest.
J. CPR/BLS Card - CardioPulmonary Resuscitation (CPR) / Basic Life Support (BLS) - Must include adults, children and infants AND include Automated External Defibrillation (AED).
- Students do not have to have this requirement complete to get an add code.
- During the lecture/skills portion of the class, a Red Cross instructor will come to the class to conduct the training and get all students certified. However, students do not have to participate in this, and can get certified on their own, outside of class.
- Students are responsible for paying the fees associated with the training.
- Before students go to the externship site towards the middle of the semester, students must upload their BLS/CPR card to their CastleBranch account that shows a 2 year, BLS/CPR card that includes adults, infants and children with AED.
- American Red Cross or American Heart Association is accepted.
7. As you submit items to CastleBranch, they will notify you if the item is pending review, approved/met, or rejected. You cannot consider items complete until CastleBranch has accepted and approved each item. For help with CastleBranch, call Client Services at 888-850-4314, or email email@example.com. For further questions, please contact Katherine Slusser, Phlebotomy Coordinator, at KSlusser@SantaRosa.edu or (707) 524-1720 (email is preferred).
K. Once CastleBranch has approved ALL of your items, please email Katherine Slusser, RN, MSN, Phlebotomy Coordinator, at KSlusser@SantaRosa.edu and let her know that you have completed all of the eligibility requirements. At this point:
- Katherine will then check that you have completed all of the items above.
- If ALL items above are complete, and it is during, or past, your Priority Registration period, you will be given an add code. However, if the class is full at the time you send the email, you will be placed on the first-come-first-served waiting list. See this link for more information on Priority Registration: https://admissions.santarosa.edu/priority-registration
****Phlebotomy classes can only take a maximum of 30 students. When the class reaches its registration limit, students will be placed on the first-come-first-served waiting list.
****All students on the wait list are encouraged to come to the first day of class to see if seats open up.
L. Once you receive an add code, please register for the class on your Priority Registration (or open registration) day.
ONCE YOU ARE REGISTERED FOR THE CLASS, GO TO THE LINK ON THE LEFT SIDE OF THIS PAGE CALLED "STEPS AFTER REGISTERING"