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ASCP Structured Training Documentation Form (Route 2) 2015 free printable template

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PHLEBOTOMY STRUCTURED TRAINING DOCUMENTATION FORM (ROUTE 2) PART I (To be completed by Applicant) Applicants Name Last Four Digits of Applicants Social Security # Address Email Address () Daytime
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ASCP Structured Training Documentation Form (Route 2) Form Versions

How to fill out ASCP Structured Training Documentation Form Route

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How to fill out ASCP Structured Training Documentation Form (Route 2)

01
Begin by gathering all necessary personal and educational information.
02
Fill out your full name, contact details, and ASCP ID number at the top of the form.
03
Indicate the specific training route you are pursuing (Route 2).
04
List all relevant training programs and experiences in chronological order.
05
Provide detailed descriptions of each training program, including duration, location, and specific skills or competencies gained.
06
Ensure that you have documentation to support any claims of training or competencies.
07
Review the form for completeness and accuracy before submitting.
08
Submit the completed form along with any required supporting documents to the appropriate ASCP office.

Who needs ASCP Structured Training Documentation Form (Route 2)?

01
Individuals applying for certification through Route 2 of the ASCP.
02
Candidates who have completed structured training but do not meet the direct experience requirements.
03
Educational institutions or training programs that require documentation of structured training for their trainees.
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ASCP certification credentials are listed with the designation “(ASCP)” after the category initials for US certification and “(ASCPi)” after the category initials for International certification as follows: Medical Laboratory Scientist, MLS(ASCP) International Medical Laboratory Scientist, MLS(ASCPi)
Limited phlebotomy technician (LPT) is authorized to do skin puncture blood collection only. Certified phlebotomy technician I (CPTI) is authorized to do venipuncture and skin punctures. Certified phlebotomy technician II (CPTII) is authorized to do venipuncture, arterial puncture, and skin punctures.
American Society for Clinical Pathology (ASCP) – The pass rate for the PBT offered by the ASCP exam was 90% as of 2017. – The PBT certification exam is a computer adaptive exam that is tailored to your ability level.
The Phlebotomy Technician exam is computer-adaptive, so depending on your performance, the difficulty of your test will increase or decrease as you go on. The first question is judged to be of medium difficulty, and depending on your performance, the next question may be easier or harder.
What is the passing score? To pass, candidates must score at least 400, which is the minimum passing score. The highest score is 999.
The Phlebotomy Technician exam contains 80 multiple-choice questions and has a time limit of 2 hours. The questions on the exam are theoretical, procedural, or some mixture of the two. The theoretical questions are used to assess your knowledge, while procedural questions are used to assess your skillset and technique.

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The ASCP Structured Training Documentation Form (Route 2) is a standardized form used by pathology trainees to document and report their clinical experiences and competencies throughout their training program.
Pathology trainees undergoing structured training as part of their certification process are required to file the ASCP Structured Training Documentation Form (Route 2).
To fill out the ASCP Structured Training Documentation Form (Route 2), trainees should carefully follow the provided instructions, accurately inputting details about their clinical experiences, types of cases encountered, and competencies achieved during their training.
The purpose of the ASCP Structured Training Documentation Form (Route 2) is to facilitate the assessment and verification of a trainee's clinical experiences and competencies, ensuring they meet the necessary requirements for certification.
The ASCP Structured Training Documentation Form (Route 2) must report information such as the type of clinical experiences, specific cases encountered, competencies achieved, dates of training activities, and evaluations by supervising faculty.
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