COURSE NAME/NUMBER: Clinical Procedures II
HOURS/CREDITS: 6 Credits
CLASS LOCATION/TIMES: Location: Building B, Room 125
Days: Tuesday & Thursdays
Times: see class schedule
PREREQUISITES: Clinical Procedures I
COURSE DESCRIPTION: This course introduces clinical exams and procedures related to the digestive, urinary, female and male reproductive systems, child health and obstetrics. Phlebotomy will be covered in detail. The class will also review and continue to practice intradermal, subcutaneous and intramuscular injections, vital signs, and charting.
INSTRUCTOR: Lea Hoffman, CMA
OFFICE HOURS/CONTACT INFORMATION:
Office Hours: 7:30-8:00 a.m.; 2:30-3:00 p.m.
(By appointment)
Office Location: Building B, Room
Phone: (425) 235-2352 Ext. 5734
Email:
COURSE OBJECTIVES (Course Competencies): Upon successful completion of this course the student will be able to:
1. Explain the purpose of a fecal occult blood test.
2. Describe the patient preparation for fecal occult blood testing.
3. Explain the purpose of a flexible sigmoidoscopy.
4. Describe the patient preparation for a flexible sigmoidoscopy.
5. Explain the medical assistant’s role in the gastroenterological examination.
6. Develop a fecal occult blood test.
7. Define visual acuity.
8. State the cause and visual difficulty of myopia, hyperopia and presbyopia.
9. Explain the significance of the top and bottom numbers next to each line of letters on the Snellen eye chart.
10. Conduct a visual acuity test using the Snellen chart.
11. Properly irrigate a patient’s eyes.
12. Demonstrate ear irrigations.
13. Understand the purpose of routine urinalysis.
14. Explain why the first voided morning specimen is often preferred for urinalysis.
15. Explain the purpose of collecting a clean-catch midstream specimen and a 24 hour urine collection.
16. List changes that may occur if urine is allowed to remain standing for more than 1 hour.
17. List factors that may cause urine to have an unusual color or become cloudy.
18. Identify the various tests that are included in the physical and chemical examination of urine.
19. List the structures that may be found in a microscopic examination of the urine.
20. Perform a urine pregnancy test.
21. Explain the difference between administering, prescribing and dispensing medication.
22. State the common routes for administering medication.
23. List and describe the five schedules for controlled drugs and the parts of a prescription.
24. Explain the purpose of a medication record.
25. List the guidelines for preparing and administering medication.
26. Explain why the oral route is most frequently used to administer medication.
27. State the advantages and disadvantages of the parenteral route of administration.
28. Identify the parts of a needle and syringe and explain their functions.
29. State the ranges of both gauge and length of needles for intradermal, subcutaneous and intramuscular injections.
30. State the purpose of safety engineered syringes.
31. State which tissue layers of the body are used for intradermal, subcutaneous and intramuscular injections.
32. List medications commonly administered through the following routes: subcutaneous and intramuscular.
33. List the active symptoms of active tuberculosis.
34. Explain the purpose of tuberculin testing.
35. Explain the significance of a positive reaction to a tuberculin test.
36. List the diagnostic procedures that might be performed following a positive tuberculin test.
37. Identify the components of the gynecological, pelvic, breast and six week post partum exam and their purpose.
38. State the purpose of a Pap test.
39. Explain each part of the prenatal record.
40. List and explain the purpose of each procedure included in the initial prenatal examination and each prenatal laboratory test.
41. Distinguish among diagnostic tests that may be done to evaluate the female reproductive system.
42. List the components of the well child exam and the usual schedule for the exams.
43. List the procedures performed by the medical assistant during pediatric office visits.
44. Explain why it is important to develop rapport with the pediatric patient.
45. State the importance of measuring the child’s weight, height (or length) and head circumference during each office visit.
46. Correctly plot data on a growth chart.
47. Describe the immunization schedule of infants and children recommended by the American Academy of Pediatrics.
48. List information that must be recorded in the medical record when administering an immunization. List and describe the equipment needed for venipuncture.
49. Explain how to apply a tourniquet and three consequences of improper application.
50. Explain when one uses a syringe for venipuncture rather than an evacuated tube.
51. List, in order, the steps of a routine venipuncture.
52. Explain the order in which various types of tubes should be drawn, and the purpose for each.
53. Describe and name the veins used for routine venipuncture.
54. Identify possible problems during venipuncture.
55. List four ways to prevent a blood specimen from becoming hemolyzed.
56. Explain when a skin puncture would be preferred over a venipuncture.
57. List and describe the guidelines for performing a finger puncture.
58. Describe proper handling and transport methods for blood after collection.
59. Describe the role of hematology testing in patient care.
60. Identify the tests included in a CBC.
61. Explain the reasons for performing a differential.
62. Prepare and stain a blood smear, and identify various blood cells on the smear.
63. Explain the ABO blood groupings and the Rh blood groupings.
64. Explain the importance of proper patient preparation for a radiologic examination.
65. Describe various positions used for radiological and diagnostic imaging examinations.
66. Explain the function of contrast material.
67. Describe the purpose of fluoroscopy.
68. Explain the purpose of various radiological examinations.
69. Explain how nuclear medicine is used to produce an image of a body part or organ.
70. State the guidelines that might be required for nuclear medicine.
71. Explain the advantages of nuclear medicine.
PARTICIPATION AND MAKE-UP POLICY: Throughout the Medical Assistant Program, an outstanding work ethic is emphasized and encouraged. Participation and professionalism are essential to your success as a student and as a Medical Assistant. Ten percent of your grade involves participation and professionalism. Participation points will be deducted at a total of 1 point per 60 minutes of class time missed for each subject. Point deductions will be broken down in 15 minute increments. For example: 0-15 minutes = 0.25 points, 16 -30 minutes = 0.50 minutes, etc.
If you must be absent, make arrangements beforehand to have a fellow student obtain any handouts and reading assignments you miss. You are also responsible for getting assignments from a fellow student by phone or email when you are absent in order to complete an assignment on time. Students missing three (3) or more consecutive class days due to illness are required to submit a note from their healthcare provider certifying they physically are able to return to the classroom. The full attendance policy is outlined in your medical assistant packet.
PROFESSIONALISM points are based on the mid-term and final quarterly professional behavior evaluation in addition to the student’s daily professional behavior.
NATURE OF THE COURSE: To accommodate a wide variety of learning and personal styles many different instructional approaches may be used including: lecture, group discussion, demonstrations, interactive exercises, role playing, video programs, computer based training, student research, self directed learning projects and collaborative teaching with Program Instructors
COURSE OUTLINE: See attached document
GRADING: Grades are based on the following weighted categories and assigned the corresponding decimal grade:
COURSE OUTLINE: See attached document
GRADING: Grades are based on the following weighted categories and assigned the corresponding decimal grade:
Professionalism/Participation 10%
Homework 10%
Quizzes 15%
Mid-Term/Final 25%
Competencies 40%
TEXT: Bonewit-West, Kathy. Clinical Procedures for Medical Assistants, Eighth Edition. St. Louis, Elsevier, 2011.
Bonewit-West, Kathy. Clinical Procedures for Medical Assistants Study Guide, Eighth Edition. St. Louis, Elsevier, 2011.
ADDITIONAL MATERIALS:
Pens: black ink; no erasable or gel pens
Calendar for assignments
USB Drive to store work
RESOURCES:
Activity CD-ROM and DVDs
http://evolve.elsevier.com/Bonewit/
www.rtc.edu/library
EMERGENCY INSTRUCTIONS FOR INCLEMENT WEATHER: In case of weather closure of the RTC Campus, class will be cancelled. Call the school at (425) 235-2352 and choose option 9 for weather closure information. Information will also be available on the website (www.RTC.edu) and local television and radio stations.
CLASSROOM MANAGEMENT POLICIES:
Renton Technical College recognizes and values diversity between students on campus, including cultural diversity, diversity of age, life style, race, religion, and financial backgrounds. Students are expected to listen respectfully to others and conduct themselves professionally in the classroom, at clinical sites, and at all campus related activities.
Certain behaviors will not be tolerated. Students engaging in those behaviors will be asked to leave the classroom and appropriate disciplinary steps will be taken. Students will also lose all their professionalism points for the day. Examples are:
· Unprofessional or disruptive behavior
· Sleeping in class
· Inappropriate attire
· Foul language
· Sexual harassment
Cheating and Plagiarism: As outlined in the Allied Health Department Handbook, Renton Technical College has a zero tolerance policy towards cheating and plagiarism. On a paper or presentation, if wording is taken directly from any source without giving credit to the source, the student will receive a zero (0) on that paper or presentation. When there is doubt, the instructor will make the final judgment on whether plagiarism has occurred.
Disciplinary action includes, but is not limited to, the student receiving a zero (0) on a test, paper or presentation up to and including immediate expulsion from the program.
Reading Assignments: The student is responsible for reading all assigned material prior to the lecture. Much more can be gained from the classroom discussion if there is some basic familiarity with the content.
Quizzes: There will be quizzes given approximately once a week. A Pop Quiz could be given at any point when the instructor needs to evaluate how much information is being assimilated by the students. Pop Quizzes cannot be made up. The first time an absence occurs 10% of the total possible points will be deducted from the quiz; the second absence 30% will be deducted and the third absence 50%will be deducted from the quiz. Students will not receive credit for a pop quiz if they are absent. The student must make arrangements with the instructor outside of class time to make up a quiz. Arriving more than 10 minutes late for a quiz will be considered an absence.
Mid Term and Final: There will be a mid-term given after which the student and instructor will meet and discuss progress as necessary. A final exam will be given during the last week of the quarter. You will lose one letter grade for every day the final examination is not taken from the date it is offered to the rest of the class. The mid-term and cumulative final will be proctored and may be administered in any form (written, oral, online, etc.).
Homework: is due on the assigned date and must be complete to earn homework points. Incomplete homework must be submitted within one school day of the due date to receive points. If a student is absent on the day homework is due the homework is considered late and must be submitted the day the student returns to earn points. Points are earned as follows:
Submitted on time and complete 10 points
Submitted late and complete 5 points
Note: Information contained in this syllabus is subject to change.
Allied Health Grading Scale 2013
Decimal Grade / Grade Percent / Letter Grade Equivalent4.0 / 100 / A
3.9 / 99
3.8 / 98 / A-
3.7 / 97
3.6 / 96
3.5 / 95
3.4 / 94 / B+
3.3 / 93
3.2 / 92
3.1 / 91 / B
3.0 / 90
2.9 / 89
2.8 / 88 / B-
2.7 / 87
2.6 / 86
2.5 / 85
2.4 / 84 / C+
2.3 / 83
2.2 / 82
2.1 / 81 / C
2.0 / 80
1.9 / 79 / C-
1.8 / 78
1.7 / 77
1.6 / 76
1.5 / 75
1.4 / 74 / D+
1.3 / 73
1.2 / 72
1.1 / 71 / D
1.0 / 70
0.9 / 69 / D-
0.8 / 68
0.7 / 67
0.0 / 66 or less / F
Note: Students must earn at least a grade or 2.0 (80%) in each course to continue in the Medical Assistant Program.
7
Clinical Procedures Il
MEDA 127
Revised December 2012