Phlebotomy Application Deadline: March 26, 2010 SEATS ARE LIMITED Phlebotomy Training Program Training Program Fees: Application Request Form 2010 $35 non-refundable application processing fee. $1200 Tuition Phlebotomy Program (Includes Units 1-4) Name:_____________________________ $800 Stony Brook Students and Alumni - Address:___________________________ Goal: To provide students with a working “Seats are limited”. knowledge of blood collection procedures, City:______________________________ techniques, equipment, specimen requirements Refund policy available upon request State:______ ZIP:___________________ and point of care testing. The course includes a three week clinical rotation for the practice of In addition, students completing the clinical Daytime Phone:_____________________ phlebotomy. portion of phlebotomy will be expected to pay a Cell Phone: _____________________ nominal fee for their malpractice insurance. All Unit 1 (May 24-28, 2010 consists of basic students are required to have an updated (This number will be used to contact you for an anatomy and physiology, medical terms and physical examination that complies with the abbreviations and cardiopulmonary resuscita- standards set forth by the School of Health interview.) tion (CPR). Technology & Management. (Financial aid is E-Mail Address:________________________ unavailable through the University.) Units 2 and 3 (June 1-11, 2010) consist of a COMPLETED physical examination must be comprehensive background in theory and prin- on record before start of class. ciples of blood collection, including thirty ( ) Check if you are a Stony Brook Student hours of laboratory practice for blood collec- How to Apply: or Alumni tion procedures. Please contact the School of Health Technology and Management at (631) 444- Unit 4 (June-July) involves placement in a 3925, or mail the attached request form for Return application request form to: clinical setting for 100-120 hours of phlebot- an application packet. omy practice for those students who success- fully completed Units 1,2 and 3. Completed applications must be accompa- nied by a non-refundable check or money Department of Clinical Laboratory The Phlebotomy Program consists of 60 hours Phlebotomy Lecture, 30 hours Labo- order for $35 made payable to IFR # Sciences 910084. Applicants who have met the pro- ratory Practice, and 100—120 hours of gram prerequisites will be invited for an School of Health Technology & Clinical Rotation. interview. Management Books and lab coats are purchased by the When accepted to the program, a money Stony Brook University student. order or certified check for the program will be due by May 3, 2010. Make check Stony Brook, NY 11794-8205 Following the successful completion of Units 1 payable to, “IFR # 910084”. Attn: Phlebotomy Training Program -4, students will be eligible to take a national PAYMENT MUST BE RECEIVED BY certification examination for phlebotomy (ASPT/ASCP). MAY 3, 2010, OR YOUR SEAT WILL * APPLICATION DEADLINE BE FORFEITED. MARCH 26, 2010 Accreditation: Location: American Society for Phlebotomy Classroom instruction will be held at the Technicians (ASPT) Application will not be processed unless fee is included. The Divi- Health Sciences Center at Stony Brook sion of Diagnostic and Therapeutic Sciences reserves the right to Program Prerequisites: University. Clinical instruction will be held limit registration and cancel any course with insufficient registration. at various clinical sites in Nassau and Changes in day, hours or room assignments may be made when High school diploma or GED equivalent necessary. Eighteen years of age or older Suffolk Counties. This form may be duplicated Minimum GPA of 80 on a scale of 100; 2.5 on Web Site Address: www.hsc.stonybrook.edu a scale of 4.0. PROGRAM INSTRUCTOR: Kathleen Finnegan, MS, MT(ASCP)SH, CPT (ASPT) Chair, Clinical Associate Professor The Department of Clinical Laboratory Sciences Program Stony Brook University Clinical Laboratory Sciences of the DIRECTIONS TO School of Health Technology & HEALTH SCIENCES CENTER Management By car: Long Island Expressway (I-495) east to Presents exit 62N; follow Nicoll’s Road (Route 97) north for 9 miles. Entrance to Stony Brook University A Program In Hospital Medical Center/Health Sciences Center Phlebotomy Training is at the South Entrance, right onto East Loop Road. Visitors may park in the UH Garage which is to the left off East Loop Road for a fee CLASSROOM INSTRUCTION: of $7.50 per day. Students accepted into the program will be eligible to pay a discounted fee May 24 through June 11, 2010 for parking. The main entrance to University Monday through Friday Hospital is on Level 5. Information desk 9:00 a.m. to 4:00 p.m. personnel will direct you to the classroom in the Health Sciences Center Health Sciences Center. Stony Brook University CLINICAL INSTRUCTION: Each student will be assigned three weeks of By Train: The Long Island Rail Road (LIRR) phlebotomy practice during June and July. Port Jefferson line to Stony Brook. University bus service to the Health Sciences School of Health Technology & Management Hours to be determined by the clinical site. Department of Clinical Laboratory Sciences Center is available on the campus side of the Department of Clinical Laboratory Sciences station. Division of Diagnostic & Therapeutic Sciences School of Health Technology & Management Stony Brook University Stony Brook, NY 11794-8205 Stony Brook, New York 11794-8205 TEL: (631) 444-3925 The State University of New York at Stony Brook is an Equal Opportunity FAX: (631) 444-8821 and Affirmative Action educator/employer. If you are in need of a disability Stony Brook University -related accommodation, please contact the Department of Clinical Laboratory Sciences at (631) 444-3925.
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