New York Institute of Technology
Department of Physician Assistant Studies
Course:
Credits:
Course Coordinator:
Instructors:
Phone:
Office Hours:
Office:
PHAS 327 - Clinical Skills III
2
Frank A. Acevedo, M.S., PA-C
PA Faculty
516-686-3820
As Posted
Room 365, NYCOM II
Course description:
In this course students will develop, practice, and assess selected diagnostic and
therapeutic skills including: suturing, Foley catheter insertion, phlebotomy, starting IV's,
injections, nasogastric tubes, and intubations prior to entry into their clinical clerkships.
The knowledge base for these procedures will be provided. Students will perform
appropriate diagnostic and/or therapeutic tests on models or classmates.
Prerequisite: Permission of PA Program Chair
Objectives:
Students will:
1. Apply universal precautions when dealing with blood and body fluid components.
2. Explain the rationale for the performance of certain diagnostic procedures.
3. Recognize the indications for selected medical surgical procedures.
4. Perform various medical diagnostic/therapeutic procedures to include:
a) Suturing/Suture removal
b) Insertion of Foley catheters
c) 12 lead Electrocardiograms
d) Injections, intravenous access, arterial blood gases
e) Intubation
5. Explain and manage potential complications associated with the performance of
routine medical surgical procedures.
Required Text(s):
None
Class Handouts
Professional Journals:
Journal of the American
Academy of Physician Assistants
Journal of Family Medicine
Physician Assistant
Postgraduate Medicine
Use of Technology:
All students must have access to a computer and an Internet Provider. Use of the NYIT
computer facilities will meet this requirement for those without their own computers.
Useful Websites:
http://www.hms.harvard.edu/admissions/tours/virtual/skillab.htm
 Virtual Clinical website
http://www.sciencekomm.at/journals/medicine/internal.html
 Journals of Internal Medicine
http://www.fpnotebook.com/ER52.htm
 Search for Various Procedures in Detail
http://www.vh.org/Providers/ClinRef/FPHandbook/Chapter01/061.html
 Rapid Sequence Intubation
Required Equipment:
Provided during laboratory sessions.
Special Dress Requirements:
Males and females are to wear shorts; females are to wear a halter top, bathing suit top, or
sports bra. As a requirement of this course students will be broken down into pairs and
will have to perform selected components on one another.
Evaluation Methodology:
Students will be evaluated by multiple choice/fill-in examinations and practical
examinations that are based on lectures, laboratories, handouts, and assigned readings.
Course Requirements:
1. Class Attendance & participation - Attendance is required, missing class will result in
a grade penalty. Students must be prepared for each class and be able to answer
directed questions. Students are allowed to miss two classes. If a student misses two
classes their final grade will be reduced by one full grade, those students missing
more than three classes will be asked to withdraw from the class.
2. A practical midterm and final examination.
3. A cumulative practical final examination that will include all elements from PHAS
325 and PHAS 326 as well as the procedures from this course in an OSCE format.
4. Appropriate attire (see Student Handbook).
Evaluation Criteria:
1. Class Attendance and Participation
2. Written Midterm Examination
3. Written Final Examination
4. Practical Midterm Examination
5. Cumulative Final Practical Examination
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Percent of Grade:
5%
10%
15%
25%
45%
2
PHAS 327 - Clinical Skills III
Lecture
No.
Date/Time
1
3
2
3
4
2
5
3
6
3
7
3
D:\308874083.doc
02/05/16
Topic
Universal Precautions
 Blood Bourne Pathogens
 Tuberculosis
 Hepatitis
 HIV Infection
 Safe Clinical Practice
Aseptic Techniques
 Scrubbing
 Dressing Changes
 Sharp Disposal
 Sterile Fields
GI Instrumentation
 Indications/Complications
 Nasogastric Tube Insertion
 Sengstaken-Blakemore Tubes
 Feeding Tubes
 Verifying Position
Wound Healing/Suturing
 Primary, Secondary and Tertiary
Intention Healing
 Burns
 Local Wound Care
Wound Healing/Suturing
 Mattress Stitches
 Simple Interrupted Stitches
 Skin Staples
 Suture Removal
Midterm Examinations Written &
Practical
GU Instrumentation
 Indications/Complications
 Assessing Needs
 Foley Catheter Sizes
 Stents
EKG Instrumentation
 Indications/Complications
 12 Lead EKG
 Rhythym Strips
 Holter Monitors
 Cardiac Pacing
Reading
Assignments
Lecturer
Acevedo, PA-C
PA Faculty
3
Lecture
No.
8
Date/Time
3
9
3
10
3
11
3
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Topic
Reading
Assignments
Lecturer
Respiratory Instrumentation
 Indications/Complications
 Intubation
 Oral Airways
 Ventilators
Injections, Venipuncture, Intravenous
Techniques, Arterial Blood Gasses
 Indications/Complications
 Vein Selection
 Catheter Selection
 Intravenous Fluids and Pumps
 Fluid Warmers
 Arterial Puncture
Immobilization Techniques
 Indications/Complications
 Splints
 Traction
 Casting
Central Venous Access
 Indications/Complications
 Internal and Subclavian Selection
 Swan Ganz Catheters
 Arrow Ports
Final Examinations Written &
Practical
4