Showing posts with label Top Health Care Jobs. Show all posts
Showing posts with label Top Health Care Jobs. Show all posts

Monday, July 7, 2014

Health Care Careers: A Day in the Life of a Phlebotomist

By Rick Fromme

Why was the young vampire considered a failure? Because he fainted at the sight of blood. 

Yes, it’s natural to quip about vampires when thinking about venipuncture and phlebotomy.  It’s easy to get — shall we say, “stuck”? — in that mode of thought.  Especially since the previous article I’d posted was among our ongoing “Humerus Я Us,” series, I’m still in a mirthful mode about merry medicine.

But the “point” I want to stress is: Blood testing is a critical component in anyone’s overall health care, whether for assessment, benchmarking, the identification of disease, and other issues.  For aging adults — and that’s a majority of the U.S. population — blood testing is the most critical step to prevent life-threatening issues. From a battery of different blood tests, health care professionals can watch for and catch critical physiological changes before they manifest as heart disease, cancer, diabetes, multiple sclerosis, Alzheimer’s and other debilitating illnesses.

Blood tests can also help one attain a higher quality of life. For example, by monitoring levels of testosterone, estrogen and progesterone, one can take definitive steps to correct a depressive mental state, reduce abnormal obesity, improve memory, increase energy levels, and more.

Of course, the health care specialty that focuses on obtaining blood for these critical tests is phlebotomy. And, as I’d mentioned in my previous blog, “Health Care Jobs Outlook is Jammin’!” one of the top 20 career specialties that’s expected to grow exponentially is phlebotomy.

Medic Red Stewart performs a phlebotomy at a J...
Medic Red Stewart performs a phlebotomy at a JTF-GTMO medical clinic. (Photo credit: Wikipedia)
As with many health care specialties, according to the Bureau of Labor Statistics (BLS), the employment of phlebotomists is projected to grow 27% within the next decade, much faster than the average for all occupations.  

Phlebotomists draw blood for tests, transfusions, research, or blood donations. Some explain their work to patients and provide assistance when patients have adverse reactions after their blood is drawn. Phlebotomists work mainly in hospitals, medical and diagnostic laboratories, blood donor centers, and doctor’s offices.

In a hospital setting, phlebotomists receive orders from the various departments, then take the required tubes in their portable tray. Once in the patient’s room, they carefully identify the patient by their name, medical record number, and date of birth, before drawing the required specimens.  The carefully marked tubes are then returned to the lab and the requisite information for each is inputted into the computer. Then the tubes are delivered to the proper departments such as hematology, coagulation, chemistry, etc., for the techs to then result out the tests.

The actual venipuncture process consists of applying a tourniquet, selecting a vein, cleansing the skin, inserting a needle, and collecting blood for either testing or transfusion purposes.  Upon completion of collection, the needle is withdrawn into a safety device, which prevents re-use of the needle and accidental needle sticks. The needle is then discarded into a biohazard sharps container.


Depending upon a variety of factors that can affect the size and availability of patients’ veins, this process can go smoothly or sometimes needs to be repeated to obtain results. Many seniors, for example, have hard-to-find veins. Children, too, can sometimes prove difficult not only because of the smaller size of their veins, but their outwardly manifested fear factor of the venipuncture procedure itself.

Yet Another Bad Phlebotomy Job
Yet Another Bad Phlebotomy Job (Photo credit: A.Currell)
Or sometimes it simply depends upon a phlebotomist’s skill level. For example, I had to give blood at my doctor’s office last month.  The first person tried two times, but missed or went through my veins altogether. After calling in another med tech/phlebotomist that did the third venipuncture, this one was finally able to obtain the required blood for my lab work.  Good thing, too; I didn’t want to be stuck in the doctor’s office all morning. (Sorry! Couldn’t resist.)


Phlebotomists perform a key diagnostic service in a wide range of health care settings. Depending upon what a patient’s condition is, their ability to obtain proper blood samples could ultimately be life saving. Another good part of the job, many phlebotomists say, is their time spent interacting with patients (and hopefully executing a flawless venipuncture/withdrawl). Especially in a large hospital setting or a major urban laboratory, the range of patients and personalities are quite varied.

Keep in mind that drawing someone’s blood, inserting a needle into their skin while the patient is conscious, is a fairly intimate process. There’s a certain unspoken trust level between the phlebotomist and patient. The patient/donor is trusting the phlebotomist to puncture their skin, obtain accurate and requisite amount of samples as rapidly as possible, while at the same time entrusting the phlebotomist to cause as little pain as possible during the procedure. 


Job Requirements & Training

True Blood
True Blood (Photo credit: Lori Greig)
To become a phlebotomist, one must have a high school diploma or G.E.D. Coursework is required, usually at community colleges, private colleges and even some hospitals. The training varies, typically three to six months. There are clinical hours one must also obtain; oftentimes these are encompassed in the program.  You should always look for an accredited program.


Upon completion, especially if one’s completed an accredited course track, then she or he can oftentimes get certified immediately. Or, after working for a requisite amount of hours, one can take the certification test. By becoming credentialed, phlebotomists demonstrate their competence to carry out their responsibilities, which in turn, allow them increased job prospects, higher salaries, and to gain the respect of other health care professionals. There are different certifying bodies such as The American Society for Clinical Pathology (ASCP), American Society for Phlebotomy Professionals (ASPT) and National Phlebotomy Association. Getting accredited is highly recommended to best further one’s career opportunities.

If a would-be phlebotomist is training at a health care facility, their coursework and training is usually variable, based on a combination of education, experience and on-the-job training.

In this article, I discussed the highly favorable job outlook for phlebotomists, described what their various
responsibilities are (predominately in a hospital setting), described the process of venipuncture, and also talked about educational requirements and credentialing. If you found this article useful, please feel free to share and repost it. If you have any questions or comments, as always, I’m eager to read them.

Combined Nuvola apps dict.png + VampireSmiley....
Combined Nuvola apps dict.png + VampireSmiley.png for use in enwiki novel stub tpl (Photo credit: Wikipedia)
Here’s something to sink your teeth into: From what many of my phlebotomist associates tell me about people’s "vain" attempt at humor, most don’t like being referred to as vampires. 

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may also reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube

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Tuesday, April 8, 2014

A Day in the Life of a Dentist

By Rick Fromme

English: A Dentist and her Dental assistant
 A Dentist and her Dental Assistant (Photo credit: Wikipedia)
Here’s something you can sink your teeth into: Some of you may recall one of my recent blogs, “Health Care Job Outlook is Jammin’” wherein I listed the Bureau of Labor Statistics’ assessment of various medical/health care professions that are expected to grow between now and 2022.  Despite the fact the new Affordable Care Act only provides insurance coverage for children’s dental needs, heading up the BLS’ list were dentists.

Today, most dentists work in some type private practice environment. While every private practitioner has her/his own way of doing things, several of my dentist colleagues say they begin every day with a preparatory staff meeting at 7:45 each morning.

The entire staff is included: front desk staff, hygienists, and dental assistants. During this 45-minute meeting, they discuss the patients they’re going to see that day to review the procedures they’re doing on each one. This allows the staff to review any questions about a patient’s condition, medical history, discuss any challenges they may encounter during today's procedures ... even review billing issues. Additionally, each patient's overall treatment needs are discussed, as in scheduling necessary follow up appointments, or just routine cleaning and maintenance. The remainder of the early hours are for room/equipment prep and set up prior to seeing patients starting about 8:30 a.m.

On average, a typical workload is about 20 patients per day. While each private practice dentist may have her/his own way of scheduling procedures (reserving one or two days per week for more involved procedures), many prefer to mix up their days, thus providing variation for both the dentist and his/her staff. These procedures can run the gamut:
teeth
X-ray of teeth (Photo credit: jfraser)


  • Examining X-rays
  • Cleaning
  • Removing Decay
  • Filling Cavities
  • Tooth Extraction
  • Full Mouth Restoration (root canals, crowns and bridge work, veneer work)
  • Minor Surgical Procedures
  • Realigning Tempo Mandibular Joint (TMJ)
  • Treating Gum Disease
  • Performing Surgery (to correct facial and dental deformities caused by accidents or birth defects)
  • Cosmetic Work (brightening and straightening teeth)
  • Making Models & Taking Measurements for Dentures (and other procedures) 
  • Procedural Follow Up
  • Patient Education


During a typical day, a general dentist may do one to two crowns, 10-20 fillings, extract a few teeth, perhaps do a basic root canal, and also check and examine about 15 patients that had their teeth cleaned with the hygienists.

Dentists also administer various anaesthetics (see below) and prescribe antibiotics and other medications. Since restorative dental procedures and cosmetic dentistry have become more popular over the years, a typical may include doing some of those procedures as well.

Depending upon a dentist's staff, most dental offices schedule three to four patients within the same time period. This way, two patients are seen by dental hygienists having their teeth cleaned -- usually followed by a brief evaluation by the dentist -- while the other two patients are in rooms with dental assistants followed by dental treatments with the dentist.

Some patients choose to have a comprehensive exam to establish an ongoing treatment plan. A full set of X-rays are taken, the patient's gingivitis and tongue are examined, the bone structures are evaluated, and even the function of their TMJ (Tempo Mandibular Joint) is assessed. The dentist will derive a plan and outline any procedures necessary on how to create a fully functioning, healthy mouth and furthermore, how to keep it healthy.  Likewise, if there are needs to be addressed such as broken, decayed or missing teeth, cosmetic options, etc., those can be discussed and planned as well.

Laughing Gas (novel)
Laughing Gas (novel) (Photo credit: Wikipedia)
Dentists and their staff, not unlike some other medical practices, need to be aware of their patients’ general health industry. They also need to be prepared to treat patients’ possible stress and anxiety before having a procedure. This is not only to protect the patient’s overall health, but also provide peace of mind and comfort. The diminution and/or prevention of pain is an integral part of many dental procedures today including a variety of topical anaesthetics, laser drills, electronically delivered anaesthesia, nitrous oxide (laughing gas), intravenous sedation, oral sedation, and even general anaesthesia (typically not done in a dentist’s office).

Like general practice physicians and many other doctors/health care specialists, dentists treat and interact with wide diversity of the population regarding sex, age, ethnicity, background, state of health, etc. Each patient’s mouth is different, which means the dentist has to provide specific treatments for each individual. This, in turn, makes workdays varied and interesting, even while looking into people’s oral cavities all day. A typical day usually ends with writing and reviewing the charts of each patient seen that day.

Dentists periodically meet with supply representatives, talk on the phone with lab technicians, perform accounting and bookkeeping tasks, and oversee/manage their staff. They may also teach at local or regional dental schools or sit on health-related committees/boards. Essentially, a dental practice is similar to a small business that must run efficiently to fulfil its goal of treating patients.

In addition to a steady income and the nice lifestyle, dentistry offers flexibility, which is something many other doctorate-level practices don’t. Private practitioner dentists have the option of working either full- or part-time.  Similarly, they can choose their own hours and structure their lives based on their personal proclivities and professional needs. Many choose to work four or four-and-a-half days per week. In their off hours, some dentists pursue other profitable activities outside of their practice.  For example, the founder of the international animatronics and dark rides firm, Sally Corporation, which is headquartered in downtown Jacksonville, Florida, was founded by a local dentist/inventor. He'd first built a "female" talking robot head, which he called "Sally," to instruct his patients about the importance of in-home brushing and flossing. One thing lead to another and now Sally Corporation is known the world over.

In this article, I discussed a typical work day/week of a private practice dentist. I outlined the various procedures a dentist (and his/her staff) does, discussed anaesthetic options most widely used prior to various procedures, and gave an overview of the advantages a private dental practice provides regarding lifestyle and practice options.  If you found this article useful, please leave a relevant comment below and feel free to share and repost it.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may reach Rick by connecting with him on Facebook, Twitter, Google+, LinkedIn and YouTube. 



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