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Summary: This article discusses topics and skill sets covered on the ASCP PBT examination.

The American Society for Clinical Pathology (ASCP) is a national association of pathologists and laboratory medical professionals. It was founded in 1922 and its function is to promote and oversee the industries of pathology and laboratory medicine by setting professional standards and offer education in the field. Its educational contribution mainly consists of continuing education, textbooks and reference materials, conferences, and workshops.

This organization is a society that consists of medical personnel such as pathologists, laboratory scientists, assistants in these fields, histotechnologists, cytotechnologists, histolic technicians, medical lab technicians, and phlebotomists.

The ASCP offers various certifications in several related fields. One of these is phlebotomy. The organization administers a comprehensive phlebotomy certification exam. The ASCP phlebotomy certification is a well respected one in the field. The title it confers is PBT which stands for phlebotomy technician.

General Exam Skill Areas

The ASCP phlebotomy certification exam description describes a number of generalized skill areas that are then applied to the specific phlebotomy topics that are covered in the exam. These include problem solving and decision making, knowledge, technical skills, communication and documentation, and teaching and training responsibilities. These general skill categories are tested on the exam, which covers the following specific phlebotomy related topics:

Circulatory System

The student’s knowledge and skills concerning the heart and arteries, capillaries, veins, composition/function of blood, plasma/serum, and cellular elements such as RBC, WBC, and platelets is tested. This counts for 5% of the ASCP phlebotomy certification exam score.

Specimen Collection

Specimen collection involves the skills of venipuncture, skin puncture, and arterial puncture. Skill areas tested here include patient identification, patient assessment and preparation, site selection, techniques, and common tests. This section counts for 55% of the exam.

Specimen Processing and Handling

Counting for 15% of the total exam grade, this section deals with specimen types and sustainability, neonatal screening, routine specimens, unusual specimens such as trace metal elements, accessioning, chain of custody specimens, labeling, transport and storage, temperature, time, light, terminology and equipment.

Point of Care Testing

This section of the exam counts for 6%. This section tests the student’s knowledge of the following areas related to point of care testing: hemoglobin and hematocrit, urinalysis, basic chemistry such as glucose and electrolytes, coagulation such as ACT, PT, and bleeding time.

Non-Blood Specimens

This exam area counts for 7% of the exam grade. It covers the following skill and knowledge areas related to non-blood specimens such as urine and stool: patient preparation, patient collection, physiology, processing and handling, and terminology.

Phlebotomy Laboratory Operations

This part of the exam counts for 12% and covers the following areas: quality control techniques and equipment, quality improvement, interpersonal relations (such as age specific communication), personal, equipment, and laboratory/hospital safety, infection control with regard to protective equipment, disposal of contaminated equipment, and hand hygiene, coding and billing, patient confidentiality, and laboratory terminology.

Exam Prerequisites

This exam has a number of eligibility requirements. However, there are a number of alternate ways to satisfy these prerequisites. The following background and educational experiences are acceptable to the ASCP as criteria:

1. A high school diploma and completion of phlebotomy educational program that is certified by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS).
2. A high school diploma and completion of an accredited two-part phlebotomy program in the U.S. and Canada. This two part program must consist of 40 clock hours of classroom training and 100 clock hours of clinical training that includes 100 successful unaided blood collections including venipunctures and/or skin punctures.
3. A high school diploma and completion of one year of work experience as a phlebotomy technician in an accredited laboratory. Clinical experience in skin punctures and venipunctures must be part of this work experience.
4. A high school diploma along with completion of and RN or LPN program. These latter two types of certification are common ones to achieve, but other allied health degrees or certifications may also suffice here. The important point is that they include phlebotomy training. Again they must include the 100 solo blood collections involving skin punctures and venipunctures. In these cases the applicant must submit a notarized copy of their state license to practice to the ASCP. Also, the allied health program which they have completed must be accredited.
5. Medical Technician/Medical Laboratory Scientist or Medical Lab Technician certifications given by the ASCP.
6. Donor Phlebotomy Technician (ASCP) technician certification along with completion of the 100 successful solo venipuncture and skin puncture blood collections within the last 5 years.

These are some of the things to expect on the ASCP PBT certification exam. Phlebotomy certification is something that employers like to see on a resume, and this ASCP phlebotomy certification is well regarded in the field. Use study guides and consider taking a phlebotomy practice test to prepare for the exam.

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