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In 2001, California enacted phlebotomy licensure following a public health outcry about an on-the-job trained phlebotomist that re-used needles. [15] [16] California has two levels of phlebotomy licensure: Certified Phlebotomy Technician I (CPT I) – authorized to perform skin puncture and venipuncture blood collection. [17]
Phlebotomy is the process of making a puncture in a vein, usually in the arm, with a cannula for the purpose of drawing blood. [1] The procedure itself is known as a venipuncture , which is also used for intravenous therapy .
Small bench analyzers or fixed equipment can also be used when a handheld device is not available—the goal is to collect the specimen and obtain the results in a very short period of time at or near the location of the patient so that the treatment plan can be adjusted as necessary before the patient leaves. [8]
An internship is a period of work experience offered by an organization for a limited period of time. [1] Once confined to medical graduates, internship is used to practice for a wide range of placements in businesses, non-profit organizations and government agencies.
Blood analysis is an important diagnostic tool available to clinicians within healthcare. Blood is most commonly obtained from the superficial veins of the upper limb. [1] The median cubital vein, which lies within the cubital fossa anterior to the elbow, is close to the surface of the skin without many large nerves positioned nearby.
The training, knowledge base, and skill sets of both paramedics and emergency medical technicians (both competed for the job title, and 'EMT-Paramedic' was a common compromise) were typically determined by what local medical directors were comfortable with, what it was felt that the community needed, and what could actually be afforded.