NHA CPT study plan
NHA CPT · Give each week a clear focus.
8 weeks · About 7 hours per week
Safety and Compliance & Specimen Collection
List the OSHA Bloodborne Pathogens requirements that govern phlebotomy practice and state the action each requires before, during, and after a draw
Identify the components of standard precautions and demonstrate, in writing, the correct sequence for donning and doffing gloves, gown, mask, and eye protection
Map each of the CLSI order-of-draw tube types to its additive, required mixing action, and common laboratory use
Distinguish sterile technique from clean technique and name three collection situations that require each
Your checkpoint
A one-page order-of-draw and additive reference sheet, self-quizzed to 100% accuracy from memory
Safety and Compliance & Specimen Collection
Classify the most common preanalytical errors by cause (patient, technique, tube, transport) and write the corrective action for each
Explain the handling requirements for a needlestick or sharps exposure, including immediate care and reporting chain
Select the correct needle gauge and length, evacuated tube, and collection device for adult, pediatric, and fragile-vein scenarios
Describe when and how to perform a capillary (dermal) puncture versus a venipuncture, including site selection limits
Your checkpoint
A 15-item self-written case set covering device selection and needlestick response, scored with rationales for each answer
Patient Preparation & Safety and Compliance
Outline the full patient identification workflow, including two-identifier verification and handling of unidentified or sleeping patients
Sequence the steps of venipuncture from greeting through post-draw care and patient instruction
Identify patient conditions and medications that alter test results or increase bleeding risk, and state the corresponding adjustment
Explain informed consent, refusal, and confidentiality obligations in the collection setting
Your checkpoint
A written step-by-step venipuncture procedure checklist with at least 20 sequential steps, cross-checked against a published procedure standard
Patient Preparation & Specimen Handling, Transport, and Processing
Describe the preparation requirements for fasting, timed, and post-dose collections and state how to verify compliance
Explain how patient positioning, tourniquet time, and hemoconcentration affect specimen integrity
Identify the handling requirements for light-sensitive, temperature-sensitive, and time-critical specimens
List the criteria for specimen rejection and the correct communication path when a specimen must be recollected
Your checkpoint
A specimen acceptance and rejection decision table with at least 12 criteria and the required action for each
Specimen Handling, Transport, and Processing
Describe the centrifugation, aliquoting, and labeling requirements for serum, plasma, and whole-blood specimens
Explain chain-of-custody and legal specimen handling requirements for forensic and drug-testing collections
Identify storage temperature ranges and maximum holding times for the major tube types and special collections
Outline packaging and transport requirements for routine, refrigerated, frozen, and biohazardous specimens
Your checkpoint
A transport and storage matrix covering at least 10 specimen types with temperature, holding time, and packaging notes
Specimen Handling, Transport, and Processing & Specimen Collection
Troubleshoot failed draws: collapse, hematoma, no blood flow, and short draws, with the corrective action for each
Explain the causes and prevention of hemolysis and its effect on common chemistry results
Describe special collection procedures for blood cultures, glucose tolerance testing, and therapeutic drug monitoring
Identify the handling differences for coagulation, blood bank, and microbiology specimens
Your checkpoint
A troubleshooting flowchart for difficult draws with at least 8 decision points and documented rationales
Safety and Compliance & Patient Preparation & Specimen Collection & Specimen Handling, Transport, and Processing
Complete a full-length timed practice exam and record the score by domain
Review every missed item and write the underlying fact or rule it tested
Re-drill the two weakest domains until practice accuracy exceeds 85%
Rehearse the order of draw and rejection criteria until recall is automatic
Your checkpoint
A scored practice exam with a written error log categorizing each miss by domain and cause
Safety and Compliance & Patient Preparation & Specimen Collection & Specimen Handling, Transport, and Processing
Re-test all four domains and confirm each is at or above 85% accuracy
Review the error log and restate the corrected rule for each previously missed item
Practice exam-day logistics, timing strategy, and question-reading technique
Confirm eligibility, identification, and scheduling requirements for the exam
Your checkpoint
A final readiness summary showing domain-by-domain accuracy and a signed list of remaining weak points with a review plan
Milestones
Week 2: Reproduce the complete order of draw and the additive for each tube type from memory with no errors
Week 4: Score at least 75% on a mixed 40-question set drawn from domains 1 through 4
Week 6: Explain the cause and correction for at least 8 specimen-integrity problems without notes
Week 7: Score at least 80% on a full-length timed practice exam, with no domain below 70%
Week 8: Score at least 85% in every domain on the final practice set and complete the error-log review