Fall 2014 Southern Maine Community College South Portland, Maine 04106 Medical Assisting Department Title: Clinical Procedures I Credit Hours: 3 Instructor: Nina Huntington , RN, MS Co-Instructor: Patricia Buchanan, MA, M.Ed. Instructor E-mail: nhuntington@smccme.edu pbuchanan@smccme.edu Phone : 741-5775 (Nina) Office location: HSC room 204E (Nina) Catalog Number: MDAS-160 Total Contact Hours: 45 Semester: Fall 2014 Office Hours: By appointment Course Syllabus Course Description: This beginning Clinical Procedures course will cover a limited number of procedures necessary for the medical office. Included in this course will be discussion of disease transmission and infection control cycle, beginning surgical asepsis, vital sign procedures, obtaining patient history data, assisting the physician in a general physical examination, minor surgery procedures, first aid, and CPR. Prerequisite(s): MDAS-100, BIOL 132 or 135-36; Co-Requisites: MDAS-105; BIOL 138 or BIOL 136 Learning Goals: Interpret and maintain medical records drawing upon foundation knowledge from medical terminology and anatomy & physiology Utilize safe work practices by understanding the transmission of disease cycle and by demonstrating standard precautions to reduce the transference of pathogenic organisms Understand facility protocol and procedures to manage functions of the front and back office Demonstrate academic subject matter for entry-level Medical Assisting Understand the role of the medical assistant in an ambulatory care setting and the health care community Demonstrate safe work practices and follow health and safety policies and procedures Course Objectives: On completion of this course the student will: Perform medical asepsis and surgical asepsis hand washing Learn infection control techniques Practice Standard / Universal Precautions including proper dispose of biohazardous materials Demonstrate knowledge of OSHA Bloodbourne pathogen standard Proper sanitation and wrapping of surgical instruments for autoclaving Demonstrate competency in setting up and assisting in minor surgical procedures Indentify and state the purpose of commonly used medical instruments and equipment Demonstrate accurate vital signs, including adult height and weight 1 Fall 2014 Learn to take a proper patient history-interviewing a patient for present illness/chief compliant Learn how to assist with medical specialty testing Identify components and proper usage of the medical record Set up and assist the physician with procedures related to the physical examination. Maintain confidentiality Learn proper documentation of clinical lab skills Outside work and hours: The expectation is you spend 2 hours per semester credit- this is a 3 credit course- so 6 hours per week or a total of 96 hours for the 16 week semester. This time should be spent on the following: Reading/studying Homework Assessments- testing Research Project All other relevant assignments Teaching Procedures: Lecture / Discussion Audiovisual Materials Clinical demonstration(s) E-mail Communication Reading assignments Special Class Discussions Discussion board- via Blackboard Homework/Quizzes/Exams ( in-class-timed-online via Blackboard or take-home format) Course Outline: WEDNESDAYS & FRIDAYS READING ASSIGNMENTS IN CLASS 9:00-10:50 AM Week 1 Wednesday, August 27th Friday, August 29th Lecture: Chapter 22: Infection Read chapter 22 Control Cont. Chapter ControlLecture-labs 22: Infection Week 2 Wednesday, Cont. Chapter Control-labs 22: Infection 2 HOMEWORK/EXAMS DATES REFLECT WHEN EXAMS ETC. WILL BE AVAILABLE VIA BLACKBOARD Homework chapter 22- Fall 2014 September 3rd Friday, September 5th Blood Borne Pathogens Training / Read Chapter 24 Certificate Videos & quiz Test # 1 : Chapter 22-in-class Blood-Bourne pathogen DVDs series and quiz (inclass) - Week 3 Wednesday, September 10th Friday, September 12th Week 4 Wednesday, September 17th Chapter 24: Vital Signs: lecture Continue with chapter 24-lecture &labs Continue with chapter 24-labs Take home Quiz : chapter 24 Read Chapter 23 V/S challenge collected Friday, September 19th Chapter 23: Patient History and Documentation –lecture Week 5 Wednesday, September 24th Continue chapter 23Patient interviews- sim lab Friday, September 26th Continue chapter 23 Patient interviews- sim lab Open lab for V/S Open lab for V/S Week 6 Wednesday, October 1st Peer assessments and review of Read patient sim lab interviews Chapter 31 Friday, October 3rd Lecture: Chapter 31 : Assisting with Minor Office/ Ambulatory 3 Test # 2 : Chapter 24 –online-timed Test #3 : Chapter 23 Part I: take- home format : a) Patient medical history b) Sim lab documentation Part II- online timed Fall 2014 Surgery Week 7 Wednesday, October 8th Friday, October 10th Continue chapter 31 labs Week 8 Wednesday, October 15th Chapter 25: The Physical Examlecture Continue chapter 31 labs Read Chapter 25 Test # 4: Chapter 31- online-timed V/S challenge collected Friday, October 17th Chapter 25 – labs Week 9 Wednesday, October 22nd Chapter 30 : Examinations & Procedures of Body Systems lecture Friday, October 24th Week 10 Wednesday, October 29th Continue with chapter 30-lecturelabs Continue with chapter 30-lecturelabs Friday , October 31st Continue with chapter 30-lecturelabs Read chapter 30 Continue with chapter 30-lecture- Read chapter 32 Week 11 Wednesday, labs November 5th Friday, Chapter 32: Diagnostic Imaging Read chapter 38 November 7th Test # 5: chapter 25online-timed Test # 6: chapter 30 –take home testPart I Part II- onlinetimed Test # 7: chapter 32 –online-timed Project Due-due November 7, 2014 – in class or via emailby midnight Week 12 Wednesday, November 4 Chapter 38: Safety and Regulatory Read chapter 39 Guidelines in the Medical Laboratory-lecture only ( no labs) Fall 2014 12th Friday, November 14th Week 13 Wednesday, November 19th Chapter 39: Introduction Medical Laboratory-lecture to Continue chapter 39-lecture & labs Read chapter 43 Friday, November 21st Week 14 Wednesday, November 26th Chapter 43: Basic Microbiology lecture Friday, November 28th Week 15 Wednesday, December 3rd No classes- college closed Friday, December 5th Week 16Finals Wednesday, December 10th Friday, December 12th Practice for lab final – Patient interviews Final clinical lab exam : pass/ fail Study for clinical lab final Must pass with 80% Final clinical lab exam : pass/ fail Must pass with 80% Continue chapter 43-lecture & labs Test # 9: chapter 43 –online-timed Read chapter 48 Chapter 41: Hematology lecture & labs Test # 10- chapter 41 – online-timed Student Evaluation and Grading Tests / quizzes Final Clinical Lab Documentation-skill labs/ discussion board Vital Sign challenge Project Attendance/participation Grading System: 5 homework Test # 8: Chapters 38 & 39online-timed 40% 15% / 15% 10% 15% 5% V/S challenge collected Fall 2014 4.00 grade points per credit hour (100-94%) A3.67 grade points per credit hour (93-90%) B+ 3.33 grade points per credit hour (89-87%) B 3.00 grade points per credit hour (86-83%) B2.67 grade points per credit hour (82-80%) C+ 2.33 grade points per credit hour (79-77%) C 2.00 grade points per credit hour (76-73%) C1.67 grade points per credit hour (72-70%) D+ 1.22 grade points per credit hour (69-67%) D 1.00 grade points per credit hour (66-60%) F 0.00 grade points per credit hour Required Text and Supplies: Delmar’s Comprehensive Medical Assisting, 2010, 4th or 5th edition; Lindh, W., Pooler, M. Tamparo, C. & Dahl, B. Delmar’s Comprehensive Medical Assisting Student Workbook: 4th or 5th edition Lindh, W., Pooler, M. , Tamparo, C. & Dahl, B. –optional purchase Watch with 2nd hand –to count seconds Stethoscope 1” 3 ring binder Students must complete this course with a C /73% or better. Students will be tested using written exams, assignments and by the performance of laboratory skills. Course Expectations 1. Blackboard will have announcements for all assignments , quizzes or tests – blackboard will identify all due dates ( not the syllabus) 2. Blackboard grade book is a running total and should not be considered the official grade 3. All assignments are due by midnight of the deadline date- a late assignment will automatically receive a zero 4. You must complete documentation for all clinical labs- all documentation will be emailed- pbuchanan@smccmee.edu or if instructed to nhuntington@smccme.edu 5. If you miss a lab- you need to schedule a make-up with an instructor- plan on making up lab after next scheduled class 6. No open-toe shoes in lab 7. On an assignment- if you directly quote an author- you must: a) Cite your author- directly in the body of the paper etc. b) Follow the quote with your interpretation – in other words, why did you use the quote- explain the relevance or context of using the quote: i.e. “When delivering or assisting in delivering emergency care, the medical assistant may be concerned about professional liability.” (Lindh, et al, 2014, p. 161) 6 Fall 2014 i.e. Bloodbourne pathogens are pathogenic microorganisms that are present in human blood and can cause disease in humans. Health Wide Hazards- lack of universal precautions (https://www.osha.gov/SLTC/etools/hospital/hazards/univprec/univ.html- this website should be also listed in your works cited sections – proceeding the title of the website Lindh, Pooler, Tamparo, & Dahl -Delmar’s Comprehensive Medical Assisting-5th ( or 4th) edition- (2010) Delmar Cengage Learning – Clifton Park, New York –proper APA format Note: copyright for 4th edition is 2010 and 5th edition is 2014 8. It is your responsibility to frequently check your SMCC email and blackboard (for announcements ) Clinical skills lab competencies: skills performed in the skills lab will be evaluated for competency, using a skill competency check list {denote with * at the end of this syllabus} These checklists are found either in the blackboard chapter folder- or in a notebook in the MA lab. Clinical Skills Lab practical final: must be passed with a score of 80% or above; anything lower than an 80% will be deemed a Failed Attempt. A student will get the opportunity to repeat the clinical skill final at the discretion of the instructors Students MUST pass all laboratory skills testing in order to continue in the program. If a student fails to pass a laboratory skills test after the second attempt, s/he will receive an “F” for MDAS160 and will be required to repeat the course. Exams: Tests/ quizzes will be posted on blackboard- all tests are online-timed unless specified by instructor. All tests-quizzes must be completed by midnight-due date –failure to complete testquizzes by its deadline will automatically resulted in a zero for a grade If you encounter a technical problem in blackboard immediately email instructor -nhuntington@smccme.edu- Please note that in order for you to retake the test – instructor will have delete any answers completed and you will need to retake the entire test Blackboard will have dates of when a test is available- as well as to when it is due ( not included in the syllabus) – there will be an announcement in class- as well as announcement in blackboard The highest grade that can be earned any assignment, quiz, paper, or test is 100% Misspelled words, terms etc. will results in point reduction, regardless if you got the answer correct The instructor will manually grade all tests –quizzes in blackboard- final grade for each test or quiz will be recorded in blackboard grade book Written Assignments: 7 Fall 2014 Written assignments must be submitted on or before the due date. It is understood that in the event of school closing due to snow, etc. the assignment is due the next class day. All written graded homework/ assignments are expected to be typed. Students will submit all typed assignments in a Microsoft Office format (e.g. Word, Excel, and Publisher). If a student submits an assignment in a format other than what is listed and it cannot be opened by the instructor. The instructor does have the option to consider the assignment late until it is submitted in the appropriate format. All assignments must be submitted through e-mail. Late assignments will automatically result in a zero. The instructor reserves the right to alter the syllabus, exams, assignments, homework to meet the learning outcomes/objectives set forth by the Medical Assisting Department and the National Accrediting body within reason. Attendance Policy- Classes on Campus 1. If course only meets twice a week, students are allowed two (2) absences per course per semester and if course only meets one (1) time per week, student is allowed one (1) absence per course per semester.). For each subsequent absence, the student’s grade will drop a whole letter—i.e. for a student has a B or 83% average- their grade will automatically drop to a 73. An excused absence still requires the student making up any work or labs you have missed. 2. Exceptions to the above are illness documented by a note from a physician or death in the immediate family. These would constitute a written or faxed excused absence. 3. Per school policy, if a student misses 3 consecutive classes s/he will be withdrawn from the course unless student has been in contact with instructor and made arrangements. Three consecutives absences results in a grade of AF (Administrative Failure). 4. If a student must miss a scheduled class time the expectation is that the instructor will be notified before the beginning of the class. If this is not possible, then the expectation is that the instructor will be notified as soon as possible afterwards. 5. Student Lateness: Any student more than ten (10) minutes late for class will be allowed to participate only at the discretion of the instructor. An absence will be assigned for accumulation of two (2) late warnings and apply towards Attendance Policy. 6. Student Leaving Class Early: An absence will be assigned for accumulation of two (2) instances where a student leaves class early and will be applied towards the Attendance Policy. 8 Fall 2014 Try to not schedule any appointments which necessitate you to have leave class or early or arrive late Professionalism: It is expected that you conduct yourself in the lab and the classroom as you would in a medical office. Professional dress attitude and language is expected at all times. Professionalism also includes punctuality, dependability and initiative. Be professionally dressed and ready to possibly go into the lab days this course meets. Code of Professionalism student completes any assignment, test etc. on time students send messages that are written professionally and respectful, with or concerns questions - text message language is inappropriate in any form of professional communication- i.e. email student is ready to go- at the start of class cell phones are off and not used during class opinions that differ from your colleagues or instructors are encourage however, a student will present their view diplomatically Course Sequence: Student MUST finish with a “C” 73% grade or better in all core courses prior to taking advanced core courses or participating in the PRACTICUM. Student is expected to meet all pre-requisites and take core courses in appropriate approved sequence. Dismissal from the program may occur at any point in the semester, if a student violates safety standards, fails to adhere to professional conduct, or fails to meet the requirements of a clinical course or practicum warning, s/he will be dismissed from the Medical Assisting program. CPR Certification Student must show current proof of CPR at the Healthcare Professional Level prior to course completion. American Heart Association CPR- Healthcare Provider will be offered during MDAS-160 ( outside of class scheduled time) . Communication: All students will be expected to set up an email address, keep it current, and are responsible for checking their email for announcements and other communication. Students will have access to computers in SMCC computer labs and library. If the student does not maintain a valid e-mail, 9 Fall 2014 the student is still responsible for all missed information communicated. Students are expected to regularly check the on-line course site utilized by the course for any pertinent information. Snow Policy: Staff and students should listen for specific SMCC announcements for class cancellations or postponement on local TV and radio stations. The following should serve as a guide for Medical Assisting Dept. students. Classes scheduled at SMCC will be held unless officially canceled as per institutional policy. Class absences will be recorded as usual on storm days unless SMCC is officially closed. If a class is cancelled it is expected the student check blackboard for any assignments/information that are posted. The student is responsible for this information even if the class day has been cancelled. Academic Achievement Center: The Academic Achievement Center is located next to the Library. They offer a wide range of services that include study techniques, test taking techniques, math, and writing tutoring. End-of-Course Evaluation: In order to gain access to final course grades, students must complete evaluations for each course attended at SMCC. Evaluations are submitted on-line and can be accessed through the student portal site. Students can access the course evaluation report beginning two weeks before the end of classes. The deadline for submission of evaluations occurs 24 hours after the last day of classes each semester. Instructors will announce when the on-line course evaluation is available. SMCC Student Printing Policy Students can print 100 pages per semester for free. If you print over 100 pages, you will be charged 10 cents per page to your Beacon Bucks account. Left-over pages will roll over to the following semester but will zero out at the end of the academic year. A pilot project tracking public printing has shown that this amount of free printing meets the needs of the vast majority of students. The College’s pay-for-print system monitors printing on all public printers (i.e., those in general access labs, library printers, the LAC, and technology labs). Each time you log in to the system, the print station displays the remaining print quota. Once the printing quota has been exceeded, users will be charged $0.10 per page on their Beacon Bucks accounts. Color printouts will be charged at 11-page units. This means each color printout will count as 11 pages toward the quota and cost $1.10. Students can add money to their cards using a credit card online. Academic Integrity: Southern Maine Community College requires all students to adhere to high standards of integrity in their academic work. Activities such as plagiarism and cheating are not acceptable and will not be condoned by the College. Students involved in such activities are subject to serious disciplinary action. 10 PLAGIARISM is defined as the use, whether by paraphrase, or direct quotation of a work, published, or unpublished of another person’s ideas, words, statistics, or other creative materials, without full or clear acknowledgement that the work belongs to that other person. CHEATING would include the giving or receiving of unauthorized assistance on quizzes, examinations, and written assignments from any source not approved by the instructor. Fall 2014 STEALING, DESTROYING, or UNAUTHORIZED COPYING of another person’s computer program of files, deliberately preventing another’s access to the college computer system, or impeding the system’s performance in any way are also included in this policy. Plagiarism Statement: Adherence to ethical academic standards is obligatory. Cheating is a serious offense, whether it consists of taking credit for work done by another person or doing work for which another person will receive credit. Taking and using the ideas or writings of another person without clearly and fully crediting the source in plagiarism and violates the academic code as well as the Student Code of Conduct. If it is suspected that a student in any course in which s/he is enrolled has knowingly committed such a violation, faculty member should refer the matter to the College’s Disciplinary Officer and appropriate action will be taken under the Student Code of Conduct. Sanctions may include suspension from the course and a failing grade in the course. Students have the right to appeal these actions to the Disciplinary Committee under the terms outlined in the Student code of Conduct. Add-Drop Policy: Students who drop a course during the one-week “add/drop” period in the fall and spring semesters and the first three days of summer sessions receive a 100% refund of the tuition and associated fees for that course. Please note any course that meets for less than the traditional semester length, i.e., 15 weeks has a pro-rated add/drop period. There is no refund for non attendance. Withdrawal Policy: A student may withdraw from a course only during the semester in which s/he is registered for that course. The withdrawal period is the second through the twelfth week of the fall and spring semesters and the second through the ninth week of twelve-week summer courses. This period is pro-rated for shorter-length courses. To withdraw from a course, a student must complete and submit the appropriate course withdrawal form, available at the Enrollment Service Center (no phone calls please). The designation “w” will appear on the transcript after a student has officially withdrawn. A course withdrawal is an uncompleted course and may adversely affect financial aid eligibility. Failure to attend or ceasing to attend class does not constitute withdrawal from the course. There is no refund associated with a withdrawal. ADA Statement: ADA (Americans with Disabilities Act): Southern Maine Community College is an equal opportunity/affirmative action institution and employer. For more information, please call 207-741-5798. If you have a disabling condition and wish to request accommodations in order to have reasonable access to the programs and services offered by SMCC, you must register with the Disability Services Coordinator, Sandra Lynham, who can be reached at 741-5923. Further information about services for students with disabilities and the accommodation process is available upon request at this number. Course policies about online testing are modified to suit each individual’s accommodations. MDAS 160 SKILLS LIST * denotes student demonstration of competency Chapter Skills listed Procedure Cognitive 11 Psychomotor Affective Fall 2014 22 24 12 *Medical Asepsis Hand Wash # 22-1 Correct Use of Alcohol-Based hand rub (ABHR) *Removing Contaminated Gloves Transmission- Based Precautions: Donning a gown, gloves and mask (PPE)- Isolation technique Sanitization of Instruments *Measuring an Oral Temperature – electronic/digital thermometer 22-2 *Measuring Aural temperature-Tympanic Thermometer (TY) *Measuring a temperature- Temporal Artery (TA) Thermometer *Measuring a radial pulse *Measuring an Apical Pulse *Measuring – respiration rate *Measuring blood pressure – sphygmomanometer/ stethoscope - using Systolic Palpation Method (SPM) *Measuring Height scale with measuring bar *Measuring Weight- 24-2 Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts 22-3 22-4 22-5 24-1 24-3 24-7 24-8 24-9 24-10 24-11 24-12 Fall 2014 23 31 13 balance-beam scale *Proper documentation of parenteral or oral medication Taking a Patient Medical History – proper documentation of form Assessing Chief Compliant- Present Illness Proper SOAPER documentation *Applying Sterile Gloves 23-1 Describe Comprehends Analysis Concludes Comprehend Applies Illustrates Reads Reports Awareness Receiving Perception Assembles Organizes Willingness to use active listening 31-1 *Preparing instruments for autoclave Sterilization of Instruments (Autoclave) *Setting up and Covering a Sterile Field *Opening Sterile Packages of Instruments and Supplies and Applying them –Sterile Field *Pouring sterile solutions into a sterile cup- onto a sterile field Assisting with Office/Ambulatory Surgery Wound Irrigation 31-3 Preparation of patient’s Skin before 31-11 31-4 31-5 31-6 31-7 31-8 31-10 Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Fall 2014 25 surgery Suturing of laceration of incision repair – must create physician’s preference card Sebaceous Cyst Excision Incision & Drainage of Localized Infection *Suture / Staple removal Application of sterile adhesive closure strips – Steri- Strips Assisting with physical exam Supine-horizontal position Dorsal recumbent position Lithotomy position Semi-Fowlers position-45 degrees 14 31-12 31-13 31-14 31-17 31-18 25-1 5th-P.633Figure 256 4th- p. 603 Figure 255th-P.634Figure 257 4th- p. 603 Figure 251 5th-P.634Figure 258 4th- p. 603 Figure 251 5th--P.634Figure 259 4th- p. 604 Figure 251 Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Fall 2014 30 15 High Fowler’s position 5th-P.634Figure 2510 4th- p. 604 Figure 251 Prone position 5th--P.635Figure 2512 4th- p. 605 Figure 251 Sim’s or lateral 5th--P.635position Figure 2513 4th- p. 605 Figure 251 Assisting with a 30-2 Neurologic Screening Examination *Performing Visual Acuity Testing Using a Snellen Chart Measuring Visual Acuity- Jaegar card Testing colorblindness- Ishihara Plates 30-3 Performing Eye Instillation 30-6 Performing eye irrigation Performing Ear irrigation Performing ear instillation Assisting with Nasal Examination *Instructing Patient in use of Metered-DoseInhaler use with spacer 30-8 30-4 30-5 30-9 30-11 30-12 30-16 Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Fall 2014 33 39 43 *Spirometry –Peak Flow meter *Pulse- Oximetry (pulse-ox ) *Fecal Occult Blood test Urinary Catheterization- male Urinary Catherizationfemale *Proper documentation of parenteral or oral medication Assisting patient to ambulate with walker- Teaching patient to ambulate with a walker 30-18 30-21 30-22 30-23 33-5/ 33-6 Teaching patient to ambulate with crutches Assisting patient to ambulate with a cane *Proper documentation of parenteral or oral medication Using the microscope 39-1 Describe Comprehends Analysis Concludes Comprehend Applies Illustrates Describe Comprehends Analysis Concludes Comprehend Applies Illustrates *Obtaining a Throat CultureQuick Strep A 43-3 Comprehend Applies Illustrates *Wet-Mount and Hanging Drop Slide Preparation 43-2 *Proper documentation of parenteral or oral medication Describe Comprehends Analysis Concludes *Proper documentation of parenteral or oral medication 16 30-17 Reads Reports Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Reads Reports Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Awareness Imitation Practice Habit/Mastery/ Valuing Perception Performs Practices Reproduce Adapts Describe Comprehends Analysis Concludes Reads Reports Fall 2014 41 Microhematocrit Determination – 41-2 Comprehend Applies Illustrates Awareness Imitation Practice Habit/Mastery/ Valuing Learning domains –Bloom’s Taxonomy of Learning Domains www.nwlink.com/--donclark/hrd/bloom.html Revised by Nina Huntington and Patricia Buchanan August 11, 2014 17 Perception Performs Practices Reproduce Adapts