Southern State Community College Curriculum Committee – March 2014 MAST 2215 – Medical Laboratory Techniques Page 1 of 13 I. COURSE TITLE: Medical Laboratory Techniques COURSE NUMBER: 2215 CATALOG PREFIX: MAST II. PREREQUISITES: MAST 1101, MAST 1115, and BIOL 1104 III. CREDIT HOURS: 3 LABORATORY HOURS: 1 (2 Contact) IV. COURSE DESCRIPTION: LECTURE HOURS: 2 OBSERVATION HOURS: 0 An introduction to diagnostic laboratory procedures performed in the physician’s office and medical laboratory science. Principles of laboratory procedures will be studied by observation, discussion, and practice in the laboratory sessions with emphasis on collection, proper handling, including blood and body fluid restrictions, and identification of specimens, basic hematology procedures, routine urinalysis, rapid strep, pregnancy tests, and venipuncture for competency. This course follows CAAHEP/AAMA accreditation standards in place for Medical Assistants. V. ADOPTED TEXT (S): Kinn's The Medical Assistant with Student Study Guide and Procedure Checklist Manual & ICD-10 Supplemental Package Young 12th Edition ISBN: 9780323280341 VI. COURSE OBJECTIVES: At the completion of this course, the student will accomplish the following objectives: 1. 2. Define, spell, and pronounce the terms listed in the vocabulary. Discuss the role of the clinical laboratory in patient care and the medical assistant’s role in coordinating laboratory tests and results. 3. Describe the divisions of the clinical laboratory, and give an example of a test performed in each division. 4. Describe the Clinical Laboratory Improvement Amendments (CLIA) and how they influence laboratory testing. 5. Differentiate between the three CLIA regulatory categories. 6. Compare and contrast the agencies that govern or influence practice in the clinical laboratory, including the CDC, OSHA, EPA, CLSI, and CAP. 7. List techniques to minimize physical, chemical, and biologic risks in the clinical laboratory. 8. Describe the essential elements of a laboratory requisition. 9. Explain chain of custody, and illustrate why it is important. 10. Explain the differences and similarities between quality assurance and quality control. 11. Convert between Greenwich time and military time. MAST 2215 – Medical Laboratory Techniques Page 2 of 13 12. Name the Fahrenheit temperature and Celsius temperature of three important pieces of laboratory equipment. 13. Name the metric units used for measuring liquid volume, distance, and mass. 14. Describe the proper use of pipets. 15. Explain how dilutions are prepared. 16. Name the parts of a microscope, and describe their functions. 17. Describe the safe use of a centrifuge. 18. List quality-control measures necessary to ensure sterilization with an autoclave. 19. Demonstrate the proper use of the microscope. 20. Define, spell, and pronounce the terms listed in the vocabulary. 21. Understand the purpose of routine urinalysis. 22. Describe the physiology of urine formation. 23. Explain the various means and methods used for collection of urine specimens. 24. Describe the components of the physical and chemical examination of urine. 25. Recognize and correctly identify the formed elements found in urine sediment. 26. Instruct a patient in the collection of a timed urine specimen. 27. Instruct a patient in the collection of a clean-catch midstream urine specimen. 28. Perform a complete urinalysis. 29. Demonstrate the proper use and care of testing equipment. 30. Describe glucose testing using the Clinitest method. 31. Explain the principle of lateral flow technology used in pregnancy testing. 32. Perform pregnancy testing. 33. Explain the principle of lateral flow technology in drug testing on urine. 34. Demonstrate a method of drug testing on a urine specimen. 35. List means by which urine could be adulterated before drug testing. 36. Demonstrate a method of detecting the presence of adulterating substances in a urine sample for drug testing. 37. Describe methods for determining fertility and menopause using CLIA-waived urine tests. 38. Define, spell, and pronounce the terms listed in the vocabulary. 39. List the equipment needed for venipuncture. 40. Explain the purpose of a tourniquet. 41. Explain how to apply a tourniquet and three consequences of improper application. 42. Describe the types of sharps used in phlebotomy. 43. Discuss the use of sharps with engineered sharps injury protection. 44. Explain why one chooses a syringe for blood collection rather than an evacuated tube. 45. Explain why the stopper colors on evacuated tubes differ. 46. State the correct order in which various types of tubes should be collected. 47. Describe how to insert a needle properly into the vein and how it should be removed. 48. List, in order, the steps of a routine venipuncture. 49. Describe and name the veins that may be used for blood collection. 50. Explain the reasoning behind choosing a winged infusion set (butterfly) over an evacuated tube. 51. Perform a venipuncture using a winged infusion set. 52. List situations in which capillary puncture would be preferred over venipuncture. 53. Discuss proper dermal puncture sites. 54. Describe dermal puncture devices, and discuss safety features they may have. 55. Describe containers that may be used to collect capillary blood. 56. List the steps for capillary puncture. MAST 2215 – Medical Laboratory Techniques Page 3 of 13 57. Explain why the first drop of blood is wiped away when a capillary puncture is performed. 58. Perform a capillary puncture. 59. Collect a capillary sample in a microhematocrit tube and in a capillary tube. 60. Explain the consequences of an accidental needlestick. 61. Describe a plan of action after an accidental sharps exposure. 62. Differentiate whole blood, serum, and plasma, and give an example of a test performed with each. 63. Describe handling and transport methods for blood after collection 64. Define, spell, and pronounce the terms listed in the vocabulary. 65. Name three main functions of blood. 66. Describe the role of the hematology laboratory in patient care. 67. Describe the appearance and function of the erythrocyte. 68. Describe the appearance and function of the granular and the agranular leukocyte. 69. Differentiate between T cells and B cells. 70. Describe the appearance and function of the thrombocyte. 71. Explain the process of clot formation. 72. Identify the anticoagulant of choice for hematology testing. 73. Explain the purpose of a microhematocrit. 74. Accurately perform a microhematocrit. 75. Explain the role of hemoglobin in the body. 76. Determine the level of hemoglobin present in a given blood sample. 77. Identify the tests included in a CBC. 78. Explain the principle behind automated blood cell counting. 79. Describe the RBC indices and how they are calculated. 80. Explain the reasons for performing a differential. 81. Describe the appearance of the five different types of leukocytes seen in a normal Wrightstained differential. 82. Describe the appearance of the normal erythrocyte. 83. Prepare and stain a blood smear using Wright’s stain, completing each step in proper sequence. 84. Observe a differential smear, and identify various blood cells from a prepared slide. 85. Cite the reasons for performing an erythrocyte sedimentation rate test. 86. Describe the sources of error for the erythrocyte sedimentation rate test. 87. Determine an erythrocyte sedimentation rate. 88. Describe the tests performed to assess coagulation. 89. Differentiate between the ABO blood groupings and the Rh blood grouping. 90. Discuss rare blood types and the implication of having a rare blood type when transfusion is necessary. 91. Secure a capillary blood sample, and determine the ABO and Rh grouping of the sample. 92. Describe the methodology behind the clinical chemistry testing methods used in the physician’s office laboratory. 93. Explain the reasons for testing blood glucose, blood cholesterol, hemoglobin A1c, thyroid hormone levels, and liver enzymes. 94. Perform a glucose test using a U.S. Food and Drug Administration (FDA)–approved glucose monitor. 95. Perform a cholesterol test using an FDA-approved cholesterol monitor. 96. List five typical chemistry panels, the reason for performing each panel, and the individual tests performed in those panels. MAST 2215 – Medical Laboratory Techniques Page 4 of 13 97. Define, spell, and pronounce the terms listed in the vocabulary. 98. Cite the protocols for specimen collection. 99. Identify the elements needed for microbial growth. 100. Describe the bacterial structures used in identification. 101. Compare bacteria with viruses. 102. Compare bacteria with fungi, parasites, and protozoa. 103. Describe the unusual characteristics of chlamydia, rickettsia, and mycoplasma. 104. Describe the collection of a stool specimen for ova and parasite testing. 105. Describe various bacterial morphologies. 106. Describe the equipment needed in a microbiology laboratory. 107. Describe the different growth media used for culturing. 108. Describe the preparation of a bacterial smear. 109. List the steps of the Gram stain. 110. Compare and contrast the throat culture for Streptococcus pyogenes with the rapid strep test. 111. Describe the method used for antimicrobial susceptibility testing. 112. Describe three microbiology tests that use a rapid identification technique. 113. Explain how pinworm testing is done and when it must be performed. 114. Discuss the purpose of immunology testing. 115. Describe three rapid immunology tests that could be done in the POL. 116. Discuss legal and ethical issues in laboratory testing. 117. Define, spell, and pronounce the terms listed in the vocabulary. 118. Describe typical solutions and medications used in minor surgical procedures. 119. Summarize methods for identifying surgical instruments used in minor office surgery. 120. Outline the general classifications of surgical instruments. 121. Describe the care of surgical instruments. 122. Identify types of sutures and surgical needles. A. LEARNING OBJECTIVES Objectives meet AAMA/CAAHEP Entry Level content Dispose of biohazardous materials Practice standard precautions Perform venipuncture Perform capillary puncture Obtain throat specimen for microbiological testing Perform wound collection procedure for microbiological testing Instruct patients in the collection of a clean-catch, mid-stream urine specimen Instruct patients in the collection of a fecal specimen Use methods of quality control Perform Urinalysis Perform hematology testing Perform chemistry testing Perform immunology testing Perform microbiology testing Screen and follow-up test results MAST 2215 – Medical Laboratory Techniques Page 5 of 13 Maintain laboratory test results using flow sheets Distinguish between normal and abnormal test results Select appropriate barrier/personal protective equipment (PPE) for potentially infectious situations Display sensitivity to patient rights and feelings in collecting specimens Explain the rationale for performance of a procedure to the patient Show awareness of patients’ concerns regarding their perceptions related to the procedure being performed VII. GRADING: Grades are accorded using the following schedule: A = 90 – 100 B = 80 – 89 F = 0 – 79 Must repeat the course Successful attainment of the objectives of this course will be measured by the student passing all competency-based skills, written assignments, and a final course grade of A or B. Students will be graded on his/her performance of the competency-based skills listed in the course description. Students must pass all class tests before the competency score will be averaged into the grade as a score. Honesty and integrity are major elements in professional behavior and are expected of each Health Science Division student. Cheating is considered unacceptable behavior within all Health Science Division courses. Students having academic difficulties should seek guidance assistance from the instructor, academic advisor, or college counselor. A student observed or found to be cheating on a test or assignment in any Health Science Division course will be given a “zero” on the test or assignment. A written report of the incident, signed by the instructor and the student, will be placed in the student’s permanent file. This notice will remain on file and in effect for the remainder of the student’s enrollment in the Health Science Division. Should a second incident of cheating occur in any Health Science Division course, the student will be given a failing grade for the course and will be dismissed from the Health Science Division for one year and possibly from SSCC, as per college guide lines. The “zero” grade for dishonesty will not be used as the drop grade in a course in which a drop grade option is given. If a student allows another student to copy or “cheat off” of their work than the same ramifications will be given to that student as well. The student witnessing cheating is morally obligated to report the incident to the instructor. VIII. COURSE METHODOLOGY: MAST 2215 – Medical Laboratory Techniques Page 6 of 13 This course may use lecture, discussion, video, chapter and workbook assignments, hand-in assignments, computer assignments, work projects, skill demonstration, skill competency, practical scenarios, patient simulation, and written tests as appropriate to the course objectives. Student medical assistants are expected to apply information and knowledge gained in this course to other medical assisting courses, including clinical assignments in MAST 1126, 2225, and 2226. IX. COURSE OUTLINE: Unit 9: Diagnostic Procedures Chapter 51 Assisting in the Clinical Laboratory Chapter 52 Assisting in the Analysis of Urine Chapter 53 Assisting in Phlebotomy Chapter 54 Assisting in the Analysis of Blood Chapter 55 Assisting in Microbiology SAMPLE Calendar Outline: WEEK 1 Orientation; Ch 51 Assisting in the Clinical Laboratory Discuss End of Chapter Exercises - Warm-Up for Critical Thinking, Review Workbook as study companion while reading chapter; discuss WB Content Review.Review Critical Thinking, Chapter Review and Self Assessments LAB: Microscope – Use; Caring for Micro WEEK 2 EXAM Ch 51 (Turn in Chapter Assignments) Ch 52 Assisting in the Analysis of Urine; CLIA; lab guidelines; critical values; LAB: Screen and follow up test results; accurate documentation of same; Quality Control – Urine HCG. Review End of Chapter – Critical Thinking and WB COMPETENCY: Microscope WEEK 3 EXAM Ch 52 (Turn in Chapter Assignments) Ch 53 Assisting in Phlebotomy; Urinalysis – End of Chapter and Workbook LAB: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, CliniTest, 24-hour Urine Collection, Urine Sediment for Micro and Slide Prep Review Critical Thinking, Chapter Review and Self Assessments COMPETENCY: Screen/Follow-up Test Results and appropriate documentation WEEK 4 (CONT) Ch 53 Assisting in Phlebotomy; Urinalysis – End of Chapter and Workbook LAB: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour Urine Collection, Urine Sediment for Micro and Slide Prep Review Critical Thinking, Chapter Review and Self Assessments COMPETENCY: Screen/Follow-up Test Results and appropriate documentation MAST 2215 – Medical Laboratory Techniques Page 7 of 13 WEEK 5 EXAM Ch 53 (Turn in Chapter Assignments) Ch 54 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue COMPETENCY: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer WEEK 6 (CONT) Ch 54 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue COMPETENCY: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer WEEK 7 (C0NT) Ch 54 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue COMPETENCY: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer WEEK 8 EXAM Ch 54 (Turn in Chapter Assignments) Ch 55 Assissting in Microbiology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge WEEK 9 (Cont) Ch 55 Assissting in Microbiology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Blood Cultures, Centrifuge Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge WEEK 10 (Cont) MAST 2215 – Medical Laboratory Techniques Page 8 of 13 Ch 55 Assissting in Microbiology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Blood Cultures, Centrifuge Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time, Blood Cultures, Venipuncture: Vacutainer and Butterfly, Centrifuge X. WEEK 11 EXAM 55 (Turn in Chapter Assignments) COMPETENCY: Finger Stick and Venipuncture LAB / COMPETENCY: As needed WEEK 12 LAB: Throat Culture, Naso-pharyngeal Swab (Verbal), Guiac Card x3 (Take Home Instructions/Performance), O & P Specimen (Verbal) Review Critical Thinking, Chapter Review and Self Assessments LAB: HCG, MonoSpot, Blood Typing, PKU (Verbal), Wound Culture (Verbal) WEEK 13 Clinical Chemistry COMPETENCY: Cultures LAB / COMPETENCY: As needed LAB: Glucose Testing, Fingerstick – GTT, Blood Cholesterol COMPETENCY: Glucose Testing, Fingerstick – GTT, Blood Cholesterol WEEK 14 LAB / COMPETENCY: As needed WEEK 15 LAB INVENTORY AND CLEANUP; LAB EQUPMENT CHECK; QA Reports & Presentations (Ch 55) WEEK 16 FINAL EXAM OTHER REQUIRED BOOKS, SOFTWARE AND MATERIALS: At the discretion of the instructor. XI. EVALUATION: Knowledge of content is evaluated by student performance of competency based skills, assignments, and work projects per instructor. All exams are comprehensive. A quiz may be given at instructors’ discretion. Competency-based skill performance is required on each skill discussed and demonstrated. After completion of this course, the student will be requested to complete a form to assist in evaluation of course content and instruction. Class participation will be evaluated by the students’ ability to contribute to class discussion. Points will be deducted on all assignments and quizzes for incorrect spelling or grammar. MAST 2215 – Medical Laboratory Techniques Page 9 of 13 Students must earn a passing average score on exams and must pass all competencies with accuracy rate of 85%. Failure in any of these areas will result in failure of the course. No make-up tests will be given. Sample Grading Scale: Chapter Tests 30% - Passing Score Required as above Competency 25% - Passing Score Required as above Coursework/Work Product – 15% Final Exam 30% XII. SPECIFIC MANAGEMENT REQUIREMENTS: Students will be required to complete a written test at the times designated in the Course Schedule. Students are required to participate in all class activities. To meet the objectives of each course in Medical Assisting, students must attend all scheduled classes. At the beginning of the quarter all instructors will pass out a “Class Schedule”, which lists all class meetings. If a student must miss class due to extenuating circumstances, than the student is expected to call and inform the instructor by either talking with the instructor, e-mail, or leaving a message should the instructor not be available. Students will be allowed two (2) class absences. Absences over two times will result in a drop of one letter grade from the final grade; the third absence will reduce a final grade of A to a B, or may drop the C to an F, therefore having to repeat the course. Two instances of significant tardiness or leaving early will be considered equivalent to an absence for purposes of this calculation. Students may withdraw from classes up to and including the week before final exams by giving written notice of their intent to withdraw to the Student Services Office. Attendance in class is an important part of the learning process. Excess absence may result in a failure. Faculty may count attendance as part of the grading policy and a failure to officially withdraw may result in a failing grade. Withdrawal from classes may affect the student’s financial aid. See the FEE SCHEDULE section of the College Catalog for the policy on refunds and financial aid. Faculty may recommend that the College withdraw students who have missed more than 20% of the total scheduled classes of a course and issue a grade of WI to the student. Any student who misses a scheduled competency, either demonstration or check- off must make an appointment, within one week of return to school, with the instructor to make up this portion of the class. Failure to do so will result in a “Fail” for the competency, therefore failure of the course. It is the students’ responsibility to make arrangements for this. XIII. OTHER INFORMATION: MAST 2215 – Medical Laboratory Techniques Page 10 of 13 Classroom Conduct: Civility in the classroom is very important. As professionals, we expect students to conduct themselves in a courteous and respectful manner. Disruptive, rude, sarcastic, obscene or disrespectful speech or behavior have a negative impact on everyone, and will not be tolerated. Students need to remember that the online discussion boards and chat rooms in the online course are considered classrooms and the same rules apply. Students will use these tools in the online classroom for information that pertains to the course; it is not to be used for personal exchanges of a social nature. If you engage in any such conduct you will be asked to leave and you will receive a “zero” for any work completed on that day. The instructor reserves the right to permanently remove a student from the class for inappropriate conduct after consultation with the Department coordinator and Academic Dean. FERPA: Work submitted in this class may be seen by others. Others may see your work when being distributed, during group project work, or if it is chosen for demonstration purposes. Other instructors may also see your work during the evaluation/feedback process. Student assignments and exams are kept on file for review by various Accrediting Boards of both the Medical Assisting and Institutional Boards. On occasion papers may be traded with another student or work-study for grading purposes. There is a possibility that your papers may be submitted electronically to other entities to determine if references are cited appropriately. Plagiarism is a serious offense. Work submitted by the student must be the students’ own creation. The instructor reserves the right to fail any student who submits plagiarized or duplicated work. A grade of “zero” will automatically be given to the duplicated submissions. The instructor will be the sole judge in such cases. If a student cannot demonstrate conclusively that a work was not copied or plagiarized or, in the case of the original author, was copied without consent, the penalty will stand. DISABILITIES: Students with disabilities may visit the SSCC homepage and select “Current Students” for detailed information or contact the Disabilities Service Office, at 800-628-7722 or 937-393-3431, extension 2604. MAST 2215 – Medical Laboratory Techniques Page 11 of 13 COMPETENCY BASED SKILLS EXAM -- SKILL CHECKOFF Lab participation is an important factor in lab performance evaluation. Students are to take individual responsibility for learning laboratory procedures BEFORE evaluation by an instructor. The laboratory will be open for individual practice during the hours posted. The initial skills checkoff will be scheduled by the instructor. Follow-up checkoffs will be done according to the procedure listed below. A. Students are required to successfully demonstrate skill mastery within 2 performance exams. Performance skills are weighted. B. If unsuccessful in 2 attempts, an unsatisfactory lab performance will result. Unsatisfactory lab performance at completion of the quarter will result in the grade of "F" for the entire course regardless of the theory grade. C. Only one attempt to perform the same lab procedure may be made each proficiency day. If the lab procedure is not completed successfully, the student will be required to reschedule the proficiency at an available time with the lab instructor before the date it is due. D. Checkoffs are to be scheduled during lab time and at other assigned times as scheduled by instructor. Each student may sign up only once for a skill until all students have had an opportunity to sign up for that skill. E. No books or notes are to be available during skill exam. "Patients" and assistants may not give clues or any verbal assistance during the tests. Before beginning the skill, each student testing needs to: a. get own assistant if needed. b. get own patient if needed. c. be ready to start at the appropriate time. d. present peer review papers and have name on all of them and give to evaluating instructor. e. present checkoff papers and have name on all of them and give to evaluating instructor. f. place peer review and checkoff papers in order of performance. F. Students are asked not to watch others being evaluated. Skill checkoff sheets are to be given to instructor before evaluation. Upon satisfactory completion, scores will be calculated and each sheet will be signed by student, partners and instructor. Skill checkoffs must be successfully completed in the lab before a student is permitted to perform them in the clinical setting. H. All written lab assignments must be satisfactorily completed and submitted on due date to pass the fundamentals skills course. MAST 2215 – Medical Laboratory Techniques Page 12 of 13 PROTOCOL FOR PEER CHECK OFFS Each skill that is designated as a peer check off should be completed in the following way: 1. 2. 3. 4. 5. 6. 7. 8. 9. Practice, perform and document the skill with a lab partner from your lab group. Get feedback from your lab partner about your performance of the skill. Practice until you feel comfortable and have mastery of the skill. Have lab partner sign name and date to your skill sheet, indicating you have performed the skill correctly. Perform the skill for/with another classmate from each of the OTHER lab groups (2 other people-a total of 3). Have each of the other peers sign your skill/lab sheet as well, indicating you have correctly performed the skill. Students are not to sign off on a skill for others unless they feel certain that it has been performed correctly. Turn in or show signed lab sheets with accurate documentation to each Lab Instructor at time of competency performance or by the deadline date as designated by instructor. Please address all questions regarding specific peer check offs to the instructor from whom the assignment was obtained. MEDICAL ASSISTING LAB POLICIES Required Lab: The purpose of the Practice Lab is to allow the student a simulated patient care experience in order to become familiar with the required psychomotor skills for a course. Students are required to arrange time for 2 hours practice lab time outside of class weekly for practice of competency skills only. The student is scheduled for supervised practice labs during class with an instructor according to the requirements of a course. Attendance at supervised labs is required. Specific lab objectives written for each lab session must be satisfactorily achieved in order to successfully complete the course. Open Lab: The lab is available for self-directed student practice during the hours not utilized for instruction. The student should use the Open Lab Practice to become proficient in a skill BEFORE requesting an evaluation of the skill by the instructor. Students should sign in and out of the lab. The "sign-in" book is located on the counter of the lab and requests date, time, name, and procedure. Equipment and Lab Maintenance: All equipment and supplies should be returned to the appropriate place after they are used for practice. No equipment may be removed from the lab at any time. Students are expected to leave MAST 2215 – Medical Laboratory Techniques Page 13 of 13 the laboratory in order, which means cleaning up lab surfaces with appropriate solutions, making and straightening beds and returning models and equipment to appropriate spaces. All students are responsible for maintaining order in the lab as follows: See that the room is in order at the end of each class. 1. Beds neat and in proper place 2. Bed side furniture in proper place 3. All equipment and supplies returned to proper place 4. Mannequins secured in beds, chairs, or on carts 5. Lights off PROPER WASTE AND BIOHAZARDOUS WASTE DISPOSAL Regular trash: Equipment packaging materials and instructional papers, food and drink containers, paper towels, newspapers, etc., lightly soiled gloves, band aids, cotton balls, gauze, used alcohol pads, feminine hygiene products from patients with no known bloodborne disease (excluding obstetrical waste), needleless syringes, empty medicine vials, unbroken/uncontaminated glass bottles or vials, empty iv bags and tubing. Infectious waste (Red Bags): Cultures, bloody gloves, pathological wastes, discarded vaccines, medicine vials (partially filled), laboratory wastes that were in contact with infectious agents, laboratory wastes that were in contact with blood or body fluids. Sharps container (Red Plastic Container) Needles and syringes, lancets, slides, broken glass, razors, scalpel blades, guidewires, ampules.