SOUTHWESTERN MICHIGAN COLLEGE
SCHOOL OF NURSING & HUMAN SERVICES
Dowagiac, Michigan
Diagnostic & Lab Procedures Syllabus
Fall Semester 2011
COURSE TITLE: Diagnostic and Lab Procedures COURSE NO.: MEDA 212
SECTION NO.: 1794
CREDITS/CONTACTS: Credit Hours: 4
Lecture hours/weekly: 3
Laboratory hours/weekly: 2
Weekly Contact Hours: 5
FINAL EXAM
INFORMATION: Will be posted online in Moodle
INSTRUCTOR: Shelley Todd
(269) 783-2148 Office telephone number
269 548-8243 Home telephone number; please do not call after 9 p.m.
Office Location: CSB Room 1614A
OFFICE HOURS:
Monday 1:00 p.m. - 3:00p.m.
Tuesday 1:00 p.m. – 3:00 p.m.
Wednesday 10:00 a.m. – 11:00 a.m.
Other times available by appointment
PREREQUISITE: Minimum grade of C in BIOL 214, MATH 101, PSYC 101,
HEED 101, HEED 118 and SPEE 104
COURSE DESCRIPTION: This course is designed to prepare the student to perform basic laboratory and diagnostic procedures, including preparation of patients, appropriated set up for various procedures, collecting and preparing appropriated specimens and expected norms of laboratory test results. This course includes safety and quality control standards.
COURSE OUTCOMES: Upon successful completion of this course, the learner will be able to:
1. Demonstrate proficiency in performing EKG, medical laboratory testing, and patient teaching in student simulations with team members.
2. Demonstrate knowledge of and explain rationale for legal and ethical concerns related to performance of clinical medical assisting including OSHA standards, CLIA laws, mandatory reporting procedures, HIPAA, and patient education, and documentation.
3. List the steps to performing and rationale for clinical medical assistant’s procedures including specimen collection, EKG, and medical diagnostic (lab) procedures.
4. Explain the differences and similarities between quality assurance and quality control
5. Demonstrate knowledge of structure and function of the body systems and appropriate medical terminology as they relate to diagnostic examinations and clinical diagnostic and lab procedures.
TEXTBOOKS: Young & Proctor; KINN’S THE MEDICAL ASSISTANT,
Elsevier/Saunders; 11th Edition
PHLEBOTOMY TRAINING AND REVIEW MANUAL, 2009, Mullins, C. Published by ABP, Inc.
METHOD OF INSTRUCTION: Instructional methods will include lecture, small group discussion,
skill demonstration, and hands-on practice.
EVALUATION METHOD: Tests/Quizzes (7) 35%
Observation/ Interview Assignment 10%
Lab Participation\Practice 15%
Lab Practical 20%
Final Exam 10%
In class assignments\Homework 10%
Total Points 100%
Note:The student must complete the course with no less than (73%) of the total possible points, successfully perform a routine venipuncture and skin puncture, without assistance, and be able to perform a 12-lead ECG without assistance.
Note: Class participation requires the student to perform electrocardiograms and draw blood by venipuncture and skin puncture on each other.
Note: “unassisted and successful” means that the student performed the entire venipuncture and skin
puncture procedure correctly from start to finish according to current CLSI guidelines, without
any help from the instructor or another student, and was able to obtain blood.
GRADING SCALE: The following grading scale will be in effect for this course:
93 / - / 100% / = / A90 / - / 92% / = / A-
87 / - / 89% / = / B+
83 / - / 86% / = / B
80 / - / 82% / = / B-
77 / - / 79% / = / C+
73 / - / 76% / = / C
70 / - / 72% / = / C-
67 / - / 69% / = / D+
63 / - / 66% / = / D
60 / - / 62% / = / D-
0 / - / 60% / = / F
** < 73% IS FAILING**
PROGRESSION POLICY: Progression into the Medical Assistant Program without interruption is determined academically by achieving a minimal grade of "C" (73%). Proficiency is 87% for the clinical component of this class.
ATTENDANCE POLICY: Attendance and punctuality is required. If more than 12 hours of class time are missed, the student will be dropped from the class or assigned a grade of "F". Students are expected to attend all classes and be prompt. College policies related to attendance specifics apply. Kindly schedule any personal appointments on non-class days/times. Any material missed during unattended classes is the responsibility of the student. Students who are absent must contact the instructor. The instructor reserves the right to determine whether a make-up work will be given.
In case of a serious health problem (statement from physician is required) or a death in the immediate family, the student will be permitted to withdraw up until the last identified withdrawal date.
TARDINESS: Tardiness (arriving late) or leaving class early is considered unprofessional and disrespectful to fellow students and the instructor and will result in deduction from attendance and daily participation points. Excessive absence and tardiness will result in grade of "F" for the class. Tardy is defined as arriving late or leaving early without permission from the instructor.
TESTING POLICY: Students are expected to take ALL tests/quizzes on the day and time that they are scheduled. Make-up tests/quizzes are at the discretion of the instructor and MAY BE approved based upon circumstances. Any tests or quizzes missed must be made up within 1 week from the missed test day and must be scheduled prior to the missed day. Any missed tests or quizzes without notice to the instructor will be considered No Show/No Credit. The instructor reserves the right to determine whether a make-up test will be given and the format of the testing method
NOTICE: Representative student work will be used as a part of SMC’s on-going curriculum assessment program.
OTHER COURSE
EXPECTATIONS: The student is expected to have read any assigned materials PRIOR to class. Class participation is strongly encouraged. All writing assignments must be neatly printed or typed according to APA format. The grade of late assignments will be reduced 5% for every day the assignment is late.
NOTICE OF CHANGES: Information in this syllabus was, to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the right, acting within the policies and procedures of Southwestern Michigan College, to make changes in course content or instructional techniques.
CLASSROOM BEHAVIOR: / Students are expected to assist in maintaining a classroom environment that is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in class; students are prohibited from engaging in any form of distraction. Inappropriate behavior in the classroom shall result, minimally, in a request to leave class.ACCEPTABLE USE OF PERSONAL
COMMUNICATION
TECHNOLOGY / All phones, iPods, Blackberries, Palm Pilots, pagers, laptops and other technological devices including devices capable of taking photographs must be turned off or placed on vibrate mode and may not be brought out during class. If you are expecting or receiving an urgent call, you are required to leave the classroom before answering. Violation of this policy will result in your removal from the classroom for the class period. Multiple violations of this policy will be referred to the appropriate dean for disciplinary action. Further details or ramifications of violations may be found elsewhere in this syllabus. The instructor has the right to modify this policy to meet the needs of the course.
HONESTY POLICY: Cheating or plagiarizing will absolutely not be tolerated at Southwestern Michigan College. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. Additional detail regarding cheating and/or plagiarism may be found elsewhere in this syllabus. For more detailed information consult the SMC Code of Student Conduct.
COURSE ASSIGNMENTS:
In Class Assignments\Homework
In class assignments are assignments that take place during class time; they may include discussions, small group work, role playing, problem solving, and in class projects, etc. This work may not be made up. If you are not it class you will not receive the points for the in class assignments for that day.
Homework may be assigned for students to review concepts covered. Even if specific homework is not assigned students should be reviewing course material daily.
Medical Assistant Office Observation/Interview Assignment
Medical Assistant Office Observation/ Interview Assignment Directions
Complete a physician’s office or clinic observation and write a reflection. To complete this assignment:
a. Set up an observation / interview with a physician’s office. Use good telephone technique, ask to speak with the office manager explain to him or her, what you need. After you have completed this step post the following information here in the assignment thread. The name of the office you are interviewing at, the person you spoke with, their telephone number and the date you are going for the observation/interview.
b. Be courteous and polite on the telephone and for the observation / interview. Dress for success—you have one chance to make a good first impression. Come prepared. Will Rogers stated, " You never get a second chance to make a good first impression."
c. During the observation gather information. Go to the observation/interview prepared. What information do you want to learn? Go with at least 10-12 questions that you would like to learn about. Go with a purpose--Remember to be considerate of the interviewer's time. Below are some questions to help get you started. You do not need to use these questions they are to help get you thinking.
1. What clinical skills do you use the most? (Blood pressure, patient temperature, measure height and weight, collecting specimens, administration of medication, preparing medical equipment, preparing the room)
2. What is a typical day like for you?
3. What type of basic laboratory tests are performed in this office?
4. What types of basic diagnostic tests are performed in this office?
5. What patient education is covered the most? (related to tests, medicine, diet, exercise, other)
6. How do you respond to patient needs?(fear, pain, serious diagnosis)
7. What tips can you share with me on working with a variety of people?
8. What is one piece of advice you could offer me as I go though my education to become a medical assistant.
d. Write a two page observation reflection report or complete a two page brochure on your experience. Think about what you learned from this experience that will help you sharpen your skills for the future.
e. Report observation/interview experience to the class in a round table discussion.
f. Send a Thank you note expressing appreciation for this experience. Mention one or two things you learned from your visit. A copy of this note must be given or e-mailed to your instructor.
Lab Participation Assignments
These will be handed out it class
The Lab Practical Assignment
Access the student resource for Kinn’s The Medical Assistant visit http://evolve.elsevier.com/kinn
Look under:
Medical Assisting Competency Challenge
Clinical Skills
Diagnostic Testing
Practice each of the following skills until you can complete them perfectly.
- Performing a Capillary Puncture and Spun Microhematocrit You need to be able to complete the performing a capillary puncture part of this assign.
- Performing a Venipuncture Using the Evacuated Tube Method
Patient Testing
- Performing an Electrocardiogram
The student must perform these three procedures until competency is attained. A student cannot be allowed to perform a procedure in an externship or workplace until competency is attained. The student will be given two attempts to perform at competency level if time permits during the course. Each skill is assigned point-values, which includes critical steps and essential steps. There will be a point-deduction penalty for students who must repeat or who did not attend class for their assigned evaluation time. Therefore attendance in all skills lab procedural class is a must.
Procedure 53-4, Procedure 53-2, and will be used as a Rubric
COURSE OUTLINE:
COURSE OBJECTIVES: Upon completion of this course the student will be expected to meet the following objectives:
UNIT 1: PRINCIPLES OF ELECTROCARDIOGRAPHY
1. Define and utilize medical terminology related to electrocardiography.
2. Describe in detail the anatomy and physiology of the heart.
3. Learn the flow of blood through the heart.
4. Describe in detail the conduction system of the heart.
5. Learn correct lead placement for a 12 lead ECG.
6. Perform a 12 lead ECG without assistance.
7. Identify common ECG interferences and their resolution.
8. Identify the characteristics of each part of the ECG waveform during a normal heart rhythm.
9. Learn to recognize potentially life-threatening cardiac rhythms.
10. Discuss pacemakers, AEDs, cardiac diagnostic tests and holter monitoring.
UNIT 2: ASSISTING WITH DIAGNOSTIC IMAGING
1. Define and utilize medical terminology related to diagnostic imaging.
2. Discuss diagnostic imaging modalities.
3. Discuss scheduling and sequencing of diagnostic imaging procedures.
4. Correctly identify the principal components of an x-ray machine.
5. Describe precautions to ensure the safety of staff and patients during x-ray procedures.
6. Describe and identify the different radiographic positions.
7. Describe the procedure for x-ray examination.
8. Discuss the role of the medical assistant with regard to patient education in preparation for an x-ray examination.
9. Explain the legal responsibilities associated with ownership, retention, and transfer of diagnostic images.
UNIT 3: ASSISTING IN THE CLINICAL LABORATORY
1. Define and utilize medical terminology related to assisting in the clinical laboratory.
2. Discuss the role of the clinical laboratory in patient care.
3. Describe the divisions in the clinical laboratory.
4. Explain the safety standards and governing agencies that govern or influence practice in the clinical laboratory, i.e. OSHA, CLSI (formerly NCCLS), CDC, CAP, EPA.
5. Discuss patient privacy and security issues as related to HIPAA.
6. Discuss procedures and equipment associated with specimen processing.