ERIE COMMUNITY COLLEGE
NORTH CAMPUS
COURSE OUTLINE
A.
Unit Code and
Suggested Course Title:
2188
ML 225 Lab for ML 224
B.
Curriculum/Program:
Clinical Laboratory Technology
C.
Catalog Description:
Laboratory exercises on hospital and capillary collection specimens include use of point of
care instrumentation, introduction to state-of-the-art instruments, special procedures,
coagulation testing and case studies of a variety of blood dyscrasias using critical thinking
skills. Venipuncture training on simulated arms is also included. Affective evaluations must
be satisfactory.
Prerequisites: ML 215, ML 217
Co-requisite: ML 224, ML 227
S (N)
D.
Duration of
Instructional Period:
150 minutes, 1 class meeting per week, 15 weeks
E.
Academic Credit Hours:
Lab Hours:
Contact Hours:
1.5
3.0
3.0
(0-3-1.5)
F.
Suggested Text/
Clinical Hematology – Theory & Procedures,
by Turgeon
Lab Manual
Safety glasses, lab coat
Course Materials:
G.
Course Outcomes:
Upon completion of this course, the student will be able to:
1.
2.
3.
4.
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Correctly perform multiple automated hemoglobin determinations within 50
minutes and obtain values within specified range of hospital results
Correctly perform all routine and specialized tests within 50 minutes and obtain
results correlating to hospital values
Identify normal/abnormal parameters of the procedures performed
Relate major disease states causing abnormal parameters of the procedures
performed
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5.
6.
7.
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9.
10.
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12.
13.
14.
15.
G.
Use appropriate QC for lab tests as indicated
Review usage of the blood smear as a check of RBC indices, white blood cell and
platelet count values
Complete case study portfolios on selected dyscrasias of the erythrocytic,
leukocytic and coagulation systems
Identify follow-up/additional tests required for confirmation of diagnosis in the
anemias, leukemias, and coagulation systems
Perform venipuncture on simulator arms safely and properly within 10 minutes
Perform micro collection methods safely and properly within 15 minutes
Perform PT/INR, APTT on the Fibrometer, CoaguChek, Alere and Thromboscreen
instruments and other selected coagulation tests
Perform the platelet count, calculate and record using proper format
Perform all laboratory tests with maximum accuracy and integrity and report them
in a concise manner using appropriate units, proper hospital forms/computer entry
and with minimal supervision
Log-in all samples into logbook record
Strictly follow lab safety rules, privacy requirements on all procedures on and off
campus
Program Competencies:
Upon graduation with an Associates in Applied Science Degree in Clinical Laboratory
Technology, the graduate will be able to:
a.
b.
Perform all of the routine tests in a modern clinical laboratory. (1-3, 5, 6, 8-15)
Identify direct causes of technical or instrumental problems and make appropriate
corrections using present strategies. (1-3, 5, 6, 8-15)
c. Collect and prepare human samples for analysis. Store and transport samples using
appropriate preservation methods. Specimens may include blood, urine, and other
body fluids. (1, 2, 9-12, 14, 15)
d. Following prescribed procedures, performs routine analytical tests in chemistry,
hematology/hemostasis, immunology, immunohematology, and microbiology. (1-3,
5, 6, 8-15)
e. Calculate the results of tests performed if necessary. (1, 2, 6)
f. Operate equipment or instruments necessary for routine analytical tests. Recognize
instrument malfunction and take appropriate action. (1, 2, 5, 6, 7, 9-15)
g. Perform, record, and evaluate quality control procedures required for the tests
assayed. (1-3, 5, 6, 8-13)
h. Recognize abnormal or unusual test results and follow institutional procedures for
reporting critical values. (1-6, 8-13)
i. Report results in writing, orally or by computer, conforming to established procedures.
(1-3, 5, 7, 10-14)
j. Perform and record routine instrument checks and maintenance procedures. (1, 2,
13,14)
k. Observe established safety measures. (1-15)
l. Maintain the work area in clean, orderly, well-labeled condition. (1-3, 5-15)
m. Perform related work as assigned. (1-14)
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n.
I.
Demonstrate behavior consistent with acceptable professional conduct standards, such
as appearance, quality of work, quantity of work, human relation skills, leadership
skills, written, and verbal communication skills. (1-15)
SUNY General Education Ten Knowledge Areas:
Not applicable to course offering in Health Science Division.
J.
ECC Learning Outcomes (LO):
1.
2.
3.
4.
5.
K.
Communication (1-5, 7-15)
Critical Analysis and Reasoning (1-4, 6-8)
Information Literacy (1-14)
Scientific Reasoning (1-3, 6-13)
Quantitative Reasoning (2, 7, 12)
Student Learning:
K1. Evaluation of Student Learning: Course outcomes may be met by chapter quizzes,
homework assignments, hourly examinations containing case studies, Board of Certification simulated
final exam that is comprehensive and cumulative and/or a final paper/ research project that will be
calculated/ weighed accordingly.
The methods of evaluation will be consistent with the level of the course and meet criteria as
set forth by the Accreditation Agencies to include cognitive levels I, II and III, as well as
affective and psychomotor skills appropriate to the course.
Achievements of objectives will be measured by:
A.
Written examinations, quizzes
50%
B.
Laboratory exercises
50%
1.
Students must report lab test results in a concise and accurate format
2.
Case study portfolios for normal, reactive, and malignant states maintained
in an indexed lab manual
3.
Lab competencies
Lab exercise-Unknown – Depending upon the procedure, each student receives
from 1-3 unknown blood samples/week. Grading is based on accuracy obtained as
compared to hospital reported value given constraints of instrument variation and
manual vs. automated methodologies. Concise, accurate and neat reporting
following established procedures is essential.
 Completion of worksheets and study questions in lab manual.
 Competencies-Checklist evaluation(s) – varies as to the testing procedure, class size
and time constraints.
 Completion of case study portfolios with indexed lab manual.
Values and attitudes are recognized as important components of the Medical Office
Practice/Medical Office Assisting profession because those traits, as well as, knowledge
and skills, influence performance. The affective evaluation for this course includes the
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following areas: time management, workload management, facilities management, and
professionalism.
K2. Assessment of Student Learning: Student knowledge and competency in this course will be
evaluated through the administration of questions that typify those commonly asked on BOC
certification exam formats. These will be included on assessments based on expected course
outcomes.
L.
Library Resources:
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M.
I.
Anderson’s Atlas of Hematology
Hoffbrand, Victor Essential Hematology
Harmening, Denise Clinical Hematology and Fundamentals of Hemostasis
Carr, Jacqueline Clinical Hematology Atlas
Gulati, Gene Blood Cells
Ciesla, Betty Hematology in Practice
Lichtman, William Hematology
Turgeon, Mary Louise Clinical Hematology
Lanzkowsky, Philip Manual of Pediatric Hematology and Oncology
McKenzie, Shirlyn Clinical Laboratory Hematology
Rodak, Bernadette Hematology Clinical Principles and Applications
Clinical Laboratory Science (periodical)
Clinics in Laboratory Medicine (periodical)
CMA Today (periodical)
Laboratory Medicine (periodical)
Medical Laboratory Observer ( periodical and journal)
New Zealand Journal of Medical Laboratory Science (journal)
Mcpherson, Richard A. – Henry’s Clinical Diagnosis and Management by
Laboratory Methods
Topical Outline:
week(s)
ALLIED HEALTH FORMS – PPD; Safety protocol form signature; Normal
1
differential review; Instructor’s briefing and completion of student case study report forms
Venipuncture; Case studies: Non-malignant increases : Eosinophilia, Basophilia,
Monocytosis, Granulocytic Left, Shift w/Dohle bodies
II.
III.
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COMPETENCY: Venipuncture review and Competency
Non-malignant increases; Case studies continued; Fingerstick – Hgb, Hct
1
ERYTHROCYTES: Reticulocyte Count, Calculate %, Absolute retic. count,
Corrected retic. count, and RPI, Evaluate BM response
1
4
IV.
CASE STUDIES: Red cell Morphology and Inclusions; Case Studies Slides# 160, 168, 1
32, 013, 198, 1
#321 Demo: Slide #1606 Malaria, Babesia
Demo: Slide #101-104 Cord Blood
V.
CASE STUDIES - THE ANEMIAS: MICROCYTIC ANEMIAS – Case Studies
Slides: #85, 8, 3.8, Thal Trait;
MACROCYTIC ANEMIAS - Slides: MACPA, #23, #307; Demo: Slide #28 Cold
Agglutinin, Demo: Slide #302 Pancytopenia
VI.
CASE STUDIES - THE ANEMIAS – HEMOLOBINOPATHIES: SICKLE
CELL DISEASE: Solubility testing/Sickledex kit & Hct, Hgb. Competency
Electrophoresis samples for review; Review Power Point for RBC Morphology
competency; Demo: C/C, S/C, S/D
1
COMPETENCY: Power Point - Red cell Morphology, Inclusions and the
Anemia;
ESR Review; Start Case Studies – Lymphocyte variants/atypical, reactive
1
LEUKOCYTES - NON-MALIGNANT DISORDERS
Case Studies:
GRANULOCYTIC: Pelger Huet, Granulocytic Leukemoid response/shift to the left;
LYMPHOID: Infectious Mononucleosis, Plasma Cells; Other:
Slide #1113 Multiple Myeloma
1
IX.
CASE STUDIES - MALIGNANT DISEASES - THE ACUTE LEUKEMIAS:
Case Studies – AML Myeloid, *Slides #20, 189, 800, SL120-125, AR18, 276
Case Studies – ALL Lymphoid, * Slides #AW 3-9, 22, 880, 1952 – Pre B-ALL
(*number varies with size of class and time constraints)
1
X.
THE CHRONIC LEUKEMIAS: Case Studies – CML *Slides *88, 36, 851, PV
Case Studies – CLL *Slides #169, 59, 3-7 ; Review for WBC Competency
(number varies with size of class and time constraints)
1
XI.
COMPETENCY - Power Point: Normal and abnormal white cells,
inclusions and diseases –
Platelet evaluation thrombocytosis, thrombocytopenia
1
HEMOSTASIS & COAGULATION:
4
VII.
VIII.
XII.
1.
2.
3.
4.
5.
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Fibrometer – PT & APTT
Coagu-Chek and Alere Instruments - fingerstick PT/INR
Fingerstick Thrombotic platelet count/make blood smear/stain/plat.estimate
D-Dimer – Slide Agglutination.
ThromboScreen PT/APTT
5
1
XIII.
Continue: Fibrometer, CoaguChek and D-Dimer Add: AlereINR/PT (fingerstick)
Rotate through stations
XIV. Continue: Coagu-Chek Instrument - fingerstick: PT/INR,
fingerstick: Thrombotic platelet count, make and stain the smear, platelet estimate
Alere Instrument- fingerstick : PT/INR
XV.
N.
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Finish up
Proposal Prepared by:
Date Prepared:
Date Last Updated:
CLT/MA Faculty
April 2014
March 2008
6