Des Moines Area Community College
Course Information – EFFECTIVE Aug. 2009
Acronym/Number MAP 347
Title
Historical Ref. MEDA 465
Medical Office Procedures I
Credit Breakout
3
2
2
0
0
(credit
lecture
lab
practicum
work experience)
PREREQUISITE(S):
COURSE DESCRIPTION:
Introduction to medical office clinical skills. Students will use critical thinking skills to
incorporate cognitive knowledge in the performance of psychomotor and affective domains
during practice of patient communication, obtaining vitals, measurements, vision, hearing,
pulmonary function testing, patient preparation, assisting physician, patient histories,
documentation, medical and surgical asepsis, sterilization techniques, minor surgical procedures,
compliance: OSHA, HIPAA, ADA. Patient education will include wellness, stress reduction,
preventative medicine, and treatment compliance with instructions according to patient needs.
COURSE COMPETENCIES:
Upon completion of this course the student will be able to:
1.
Assess a patient' s vital signs.
1.1
Explain the physiology pertaining to each of the vital signs.
1.2
State adult and pediatric normal ranges for each vital sign.
1.3
List variable’s affecting each of the vital signs.
1.4
Describe characteristics for each vital sign.
1.5
Locate arteries on the body where pulse rate can be obtained.
1.6
Explain factors that determine arterial blood pressure.
1.7
Identify organs affected by hypertension.
1.8
List the equipment for taking vital signs.
1.9
Describe methods for care of equipment used in measuring vital signs.
1.10
Obtain and record vital signs.
2.
Use appropriate mensuration techniques.
2.1
Weigh a patient on a balance scale, adult and pediatric.
2.2
Measure circumference of the chest on inspiration and exhalation.
2.3
Measure the circumference of the head.
2.4
Measure patient height.
2.5
Correctly record measurements on patient chart and growth chart.
2.6
Define and perform BMI.
2.7
Compute and analyze BMI from patient measurements.
2.8
Prepare and analyze growth charts.
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3.
Complete a patient history.
3.1
Differentiate between subjective and objective information.
3.2
State three reasons for obtaining a medical history.
3.4
Define the six components of a patient history.
3.5
Discuss the importance of maintaining an ongoing record of physical problems
for each patient.
3.6
State the importance of correct documentation and confidentiality of the patient’s
medical record.
3.7
Obtain patient’s chief complaint, history of present illness, past history, family
history, and social and occupational history.
3.8
Complete a review of the body systems.
3.9
Adopt communications to patient ability to understand.
3.10
Use effective and correct verbal and written communications.
3.11
Recognize and respond to verbal and non-verbal communications.
3.12
Use medical terminology pronouncing medical terms correctly to communicate
information, obtain patient history, record data and observations.
3.13
Discuss importance of recognizing different forms of communication that may be
observed in people from different cultures.
3.14
Report relevant information to others succinctly and accurately.
3.15
Use reflection, restatement and clarification techniques to obtain a patent history.
3.16
Demonstrate use of components of documentation: factual, timely, legible, dated,
signed.
4.
Prepare a medical record.
4.1
List eight components included in the traditional medical record.
4.2
Identify the components of the Problem Oriented Medical Record (POMR).
4.3
State three advantages of the Problem Oriented Medical Record.
4.4
Discuss the differences between the Problem Oriented Medical Record and the
traditional medical record.
4.5
Demonstrate how to change an entry in the medical record.
4.6
Explain purpose and advantages of advanced directives; living will, power of
attorney and treatment preferences.
4.7
Describe where patients obtain necessary forms for advance directives. State
who needs to witness these forms, and where should they be stored.
4.8
Discuss the stages of grief, death and dying.
4.9
Document accurately in patient record.
4.10
Document patient care, patient response and patient education.
5.
Prepare a patient for a physical examination.
5.1
List the purposes for the general physical examination.
5.2
Define three basic categories of diagnoses used by the physician.
5.3
Describe four major methods of examination used by the physician.
5.4
Describe the role of diagnostic testing as a component of the physical
examination process.
5.5
Discuss the purposes for positioning, gowning, and draping a patient for a
physical exam.
5.6
Identify procedures associated with specialty exams.
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6.
Assist with a physical examination.
6.1
Identify the equipment used in the physical examination.
6.2
Demonstrate positions used during a physical examination.
6.3
Describe the sequence of a comprehensive physical examination.
6.4
Discuss the role of the Medical Assistant when assisting with the physical
examination.
6.5
Demonstrate care of equipment used during the physical examination.
6.6
Discuss and give examples of guidelines to use in preparing and providing
patient education in areas of treatment, preventative care, health and wellness.
6.7
Demonstrate effective patient teaching skills.
6.8
Identify community resources for health care information and patient referrals.
6.9
Explain the rationale for performance of a procedure to the patient.
6.10
show awareness of patients’ concerns regarding their perceptions related to the
clinical procedure being performed.
7.
Explain methods of infection control.
7.1
Identify five classifications of microorganisms capable of causing disease.
7.2
List six factors essential for the development of an infectious process.
7.3
Compare direct/indirect transmission of an infectious disease.
7.4
Describe the body' s natural defense mechanisms to control or prevent infection.
7.5
Describe medical/surgical asepsis.
7.6
List procedures used to accomplish medical/surgical asepsis.
7.7
Differentiate between sanitization, disinfection, and sterilization.
7.8
Discuss the procedures employed when working with contaminated equipment
and supplies.
7.9
Explain the role of hand washing in the prevention of the spread of infectious
disease.
7.10
Demonstrate the proper procedures for hand washing.
8.
Prepare items for sterilization.
8.1
Describe five methods of sterilization.
8.2
Explain the importance of sanitization prior to sterilization.
8.3
Explain why instruments and supplies are sterilized before use in a specific
procedure.
8.4
Describe materials appropriate for wrapping materials for sterilization in the
autoclave.
8.5
Demonstrate packaging procedures for instruments and supplies
prior to sterilization.
9.
Sterilize items in the autoclave.
9.1
Describe the process of sterilization using the autoclave.
9.2
Describe the structure of the autoclave.
9.3
List the components of the sterilization cycle to assure items are sterile.
9.4
Demonstrate proper technique for loading the autoclave, completing a cycle,
unloading/storing sterile materials.
9.5
Perform quality control measures with autoclave biological indicators.
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9.6
9.7
List five causes of insufficient sterilization.
Explain the importance of quality control measures to be used with sterilization
of instruments and supplies.
10.
Assist with Surgical Procedures.
10.1
Identify and state purpose of the following instruments and equipment used in a
surgical procedure:
10.2
Describe the use of cryotherapy, electrosurgery, laser surgery and cautery in the
clinical office.
10.3
List pre-operative and post-operative issues to be addressed with the patient and
care giver to include the use of consent forms and patient education procedures.
10.4
Demonstrate proper use of sterilization indicators.
10.5
Obtain informed consent forms.
11.
Set up a surgical tray using correct aseptic techniques for various sterile procedures
preformed in an office.
11.1
Differentiate between medical and surgical asepsis used in ambulatory care
settings, identifying when each is appropriate.
11.2
Demonstrate a medical aseptic hand washing and the surgical scrub.
11.3
Demonstrate the use of sterile transfer forceps to maintain a sterile field.
11.4
Demonstrate the process for setting up a tray using a pre-packaged set of surgical
instruments, and by using the transfer forceps and multiple use containers.
11.5
Demonstrate the technique for opening sterile packages.
11.6
Demonstrate the technique for pouring sterile solutions.
11.7
List the instruments and supplies needed for various surgical procedures
performed in the office.
11.8
Explain the purpose of correct positioning of instruments on the surgical tray.
12.
Assist the physician with surgical or other sterile procedures.
12.1
Discuss the techniques and principles of hand washing, sterile gloving, and
handling sterile supplies.
12.2
Describe the Medical Assistant’s role in assisting with a surgical procedure.
12.3
Demonstrate donning and removing sterile gloves.
12.4
Demonstrate the position of instruments in handing to the physician.
12.5
Demonstrate the ability to use proper techniques in a simulated surgical
procedure.
12.6
Describe various types of anesthesia used in the medical office.
13.
Instruct patients on physical therapy.
13.1
Describe the use of moist and dry applications of heat and cold.
13.2
List the effects that occur from local application of heat and cold.
13.3
List contraindications for application of heat or cold.
13.4
Describe the general use of ultrasound.
13.5
Describe the general use of diathermy.
13.6
List the guidelines for safe crutch use.
13.7
Identify conditions that would warrant use of a cane and/or walker.
13.8
Explain to patients how to care for and use special equipment.
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13.9
13.10
14.
Provide written and verbal instructions for patient education.
Demonstrate proper use of assisting patient with wheel chair, walker, single cane
and quad cane.
Assist with specialty exams and procedures.
14.1
Identify materials and equipment needed for female pelvic exam and Pap smear
and wet mount.
14.2
Explain purpose and procedure to assist with a sigmoidoscopy.
14.3
Describe how to instill ear and eye drops.
14.4
Describe how to irrigate the eye and ear.
14.5
Set up and perform pulmonary function testing.
14.6
14.7
14.8
Explain purpose and procedure for urinary catheterization in male and female
patients.
Demonstrate proper use of emergency oxygen equipment.
State the purpose and procedure for special testing and screening as in PKU, lead
poisoning, and occult blood.
15.
Assist patients with special needs.
15.1
Describe ways to help children cope with the fear of medical procedures.
15.2
Discuss appropriate ways of interaction and dealing with patients with special
needs.
15.3
Discuss appropriate ways of interaction and dealing with elderly patients,
patients with physical, mental and emotional disabilities.
15.4
Instruct patients’ according to their needs to promote health maintenance and
disease prevention.
15.5
Describe methods of coordinating care and optimizing rehabilitation for patient
with chronic disease or condition.
15.6
Discuss how the medical assistant can serve as a patient advocate for the patient
with chronic pain, chronic and terminal illness.
15.7
Identify tools to enhance patient education.
15.8
Discuss techniques in patient education that will encourage patient compliance.
15.9
Name symptoms and conditions associated with alcohol and drug abuse.
15.10 Identify alcohol and drug abuse treatment and prevention methods.
15.11 Discuss the impact of stress on health and wellness.
15.12 Identify mechanisms for coping with stress and stress reduction.
16.
Develop patient education material.
16.1
Discuss techniques in patient education that will encourage patient compliance.
16.2
Identify examples of patient education focused on the following.
16.2.1 Treatment of disease or disorder.
16.2.2 Prevention of disease.
16.2.3 Proper compliance of medical treatment.
16.2.4 Health and wellness.
16.3
Instruct patients according to their needs and abilities.
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17.
Utilize critical thinking skills.
17.1
Formulate questions to determine if important information is lacking.
17.2
Reject information that is not accurate, relevant, precise or clear.
17.3
Double check all facts.
17.4
Exam the situation and evaluate the problem without bias or judgment.
17.5
Assess the situation for reason and logic.
17.6
Determine and state the goal to be accomplished.
17.7
Follow steps for implementation/problem solving.
17.8
Evaluate outcomes.
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COMPETENCIES REVIEWED AND APPROVED BY: Diane VanderPloeg
DATE: February 2009
FACULTY:
1. Deborah Odgaard
2.
3.
4.
5.
6.
Effective date: August, 2009
Preparation date
by:
9/00
D. Odgaard
Campus:
extension:
Revision(s):
A
B
C
6297
9/05; 2/09;
U
N
W
OC