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CCOG for MA 124 Fall 2022

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Course Number:
MA 124
Course Title:
Medical Office Clinical Procedures (Lab)
Credit Hours:
2
Lecture Hours:
0
Lecture/Lab Hours:
0
Lab Hours:
60

Course Description

Provides an opportunity to practice and demonstrate competency in procedures covered in MA 123. Corequisites: MA 123.

Addendum to Course Description

Students will be able to perform clinical duties as related to the physicians office.
 

Intended Outcomes for the course

Upon completion of the course students should be able to:

  1. Perform clinical competencies as required by the accrediting agency in a medical setting.
  2. Apply techniques that ensure sterility and quality control in a medical setting.
  3. Prepare patients for physical examinations and procedures, including surgical and diagnostic procedures, and assist the physician.
  4. Apply general knowledge of vital signs, documentation, medications, medication administration, specimen collection, and EKG in the medical setting.
  5. Apply therapeutic, respectful, and professional communication techniques.
  6. Demonstrate professionalism with patient interviews and interactions. 
  7. Apply patient-centered communication techniques and teach back method of confirming patient understanding. 

Outcome Assessment Strategies

ASSESSMENT STRATEGIES FOR THE OUTCOME:
Students will demonstrate these learning outcomes by these tasks conducted individually and in cooperation with other students:

The goal of this course is to provide students with the clinical skills and communication skills to work in ambulatory care. Both clinical skills and patient communication skills are incorporated within each competency and students will be coached by faculty during practice. Students will apply information obtained from previous courses and clinical lecture in order to meet the patient-centered communication standards and principles. Student performance will be measured by utilizing a clear set of competencies for each clinical skill. 

Student will answer theoretical and application questions in their clinical lab workbook. Individual competency testing will take place after completion of lab work and hands on practice. All clinical lab skills will be demonstrated by the instructor and students will be supervised by faculty as they work towards becoming competent.  

Structured lab will be held weekly. Students will work through a clinical lab workbook throughout the term. Each section of the workbook will contain readings, pre-lab work, and critical thinking discussion questions. 

Lab work must be completed by the assigned due date. Students will received corrected lab work from course instructor the same day is is due. Critical thinking questions will be reviewed during lab with students in a discussion format. 

Clinical competencies include the following; 

  • Vital Signs
  • Aseptic Technique and Infection Control
  • Handling of Equipment
    • Setting up sterile trays 
  • Injection Procedures
  • Electrocardiography
  • The Physical Examination
    • Distance Vision Acuity Testing
    • Color Vision Screening
    • Audiometry testing 
  • Dressings and Bandages
  • Spirometry 

Students will demonstrate the following skills during clinical lab:

  1. Perform clinical competencies as required by the accrediting agency in a medical setting.
  2. Apply techniques that ensure sterility and quality control in a medical setting.
  3. Prepare patients for physical examinations and procedures, including surgical and diagnostic procedures, and assist the physician.
  4. Demonstrate the ability to instructor and prepare a patient for a procedures or treatment. 
  5. Apply general knowledge of vital signs, documentation, medications, medication administration, specimen collection, and EKG in the medical setting.
  6. Measure and record the following; blood pressure, temperature, pulse, respirations, height, weight, BMI, length (infant), head circumference (infant), and pulse oximetry. 
  7. Perform the following electrocardiography and pulmonary function testing. 
  8. Perform patient screening using established protocols for audiometry and distance vision acuity testing and color vision. 
  9. Apply the "six rights" to proper medication administration. 
  10. Select proper sites for administering parenteral medication.
  11. Demonstrate ability to administer parenteral and oral medications.
  12. Calculate the proper dosages of medication for administration. 
  13. Apply communication techniques and behaviors in the clinical setting that are therapeutic, respectful, and professional.
  14. Apply professionalism in patient interviews and interactions with health care professionals and the general public.
  15. Apply the teach back method of confirming patient understanding.
  16. Apply communication, clinical skills and teamwork in a mock clinic setting, utilizing competency skills completed in the program, including venipuncture, capillary puncture, point-of-care testing, and clinical skills from this course.

Students completing this course will satisfy core curriculum requirements from the Medical Assisting Education Review Board (MAERB), meet standards of accrediting body, the Commission on Accreditation of Allied Health Education Programs (CAAHEP):

ANATOMY & PHYSIOLOGY

I.P.1.            Measure and record: a. blood pressure; b. temperature; c. pulse; d. respirations; e. height; f. weight; g. length (infant); h. head circumference (infant); i. pulse oximetry

I.P.2.            Perform: a. electrocardiography; d. pulmonary function testing

I.P.3.            Perform patient screening using established protocols

I.P.4.            Verify the rules of medication administration: a. right patient; b. right medication; c. right dose; d. right route; e. right time; f. right documentation

I.P.5.            Select proper sites for administering parenteral medication

I.P.6.            Administer oral medications

I.P.7.            Administer parenteral (excluding IV)medications

I.P.8.            Instruct and prepare a patient for a procedure or treatment

I.P.9.            Assist provider with a patient exam

I.P.10.           Perform a quality control measure

APPLIED MATHEMATICS

II.P.1.            Calculate proper dosages of medication for administration

II.P.2.            Differentiate between normal and abnormal test results

II.P.3.            Maintain lab test results using flow sheets

II.P.4.            Document on a growth chart

INFECTION CONTROL

III.P.3.           Perform handwashing

III.P.4.           Prepare items for autoclaving

III.P.5.           Perform sterilization procedures

III.P.6.           Prepare a sterile field

III.P.7.           Perform within a sterile field

III.P.8.           Perform wound care

III.P.9.           Perform dressing change

CONCEPTS OF EFFECTIVE COMMUNICATION

V.P.1.           Use feedback techniques to obtain patient information including: a. reflection; b. restatement; c. clarification

V.P.2.           Respond to nonverbal communication

V.P.3.           Use medical terminology correctly and pronounced accurately to communicate information to providers and patients

V.P.4.           Coach patients regarding: a. office policies; b. health maintenance; c. disease prevention; d. treatment plan

V.P.5.           Coach patients appropriately considering: a. cultural diversity; b. developmental life stage; c. communication barriers

ADMINISTRATIVE FUNCTIONS

VI.P.5.          File patient medical records

VI.P.8.          Perform routine maintenance of administrative or clinical equipment

VI.P.9.          Perform an inventory with documentation

LEGAL IMPLICATIONS

X.P.2.           Apply HIPAA rules in regard to: a. privacy; b. release of information

X.P.3.           Document patient care accurately in the medical record

XII.P.2.          Demonstrate proper use of: a. eyewash equipment, b. fire extinguishers

XII.P.3.          Use of proper body mechanics

XII.P.4.          Participate in a mock exposure event with documentation of specific steps

Affective CAAHEP Core Curriculum

ANATOMY & PHYSIOLOGY

I.A.1.            Incorporate critical thinking skills when performing patient assessment

I.A.2.            Incorporate critical thinking skills when performing patient care

I.A.3.            Show awareness of a patient’s concerns related to the procedure being performed

APPLIED MATHEMATICS

II.A.1.           Reassure a patient of the accuracy of the test results

CONCEPT OF EFFECTIVE COMMUNICATION

V.A.1.          Demonstrate: a. empathy; b. active listening; c. nonverbal communication

V.A.2.          Demonstrate the principles of self-boundaries

V.A.3.          Demonstrate respect for individual diversity including: a. gender; b. race; c. religion; d. age; e. economic status; f. appearance

V.A.4.          Explain to a patient the rationale for performance of a procedure

LEGAL IMPLICATIONS

X.A.1.           Demonstrate sensitivity to patient rights

X.A.2.           Protect the integrity of the medical record

Course Content (Themes, Concepts, Issues and Skills)

The following list outlines the concepts, themes, and issues you need to understand and be able to use appropriately. You will have the opportunity to demonstrate your understanding in written and oral form, individually and in groups.

  • VITAL SIGNS

This module will give the student the skill in obtaining and recording vitals signs. Have an understanding of the procedures and an awareness of the significance of the results. The student should demonstrate ability to obtain and record patient's temperature, pulse and respiration accurately. Obtain and record patients blood pressure reading accurately. Perform height and weight measurements accurately and use a BMI table to graph results. 

  • ASEPTIC TECHNIQUE AND INFECTION CONTROL

This module will acquaint the student with the importance of cleanliness and asepsis in a medical office. It will help the student develop proficiency in hand washing. It will help the student gain competency in putting on sterile gloves. The student will demonstrate and state the importance of cleanliness and medical asepsis. Perform a cleansing hand wash suitable for between patients. Put on sterile gloves without contaminating them.

  • HANDLING OF EQUIPMENT

This module will acquaint the student with various medical/surgical equipment in the medical office. It will help the student develop competency in preparation of equipment for sterilization. It will assist the student in differentiation between instruments which must be sterile and those which must be "clean". The student will identify common medical/surgical instruments and give their uses. Students will prepare items for sterilization and disinfection. The student will decipher which instruments need to be sterilized versus those which can be merely "cleaned".

  • INJECTION PROCEDURES

This module gives the student knowledge of and skill in preparing and administering subcutaneous, intramuscular and intradermal injections. The student will understand a physician's order to administer and injection. Prepare an injection from an ampule, single or multiple dose vial. Identify the correct route and site of administration. Administer medication by subcutaneous, intradermal, and intramuscular routes.

  • ELECTROCARDIOGRAPHY

This module gives the student understanding of the electrocardiograph (ECG), its operation and relationship to the patient. Development of proper technique in obtaining ECG's. An understanding of artifacts, how they relate to the ECG and how to identify and avoid them. Practice performing ECG's in a professional, respectful, and patient-centered manner. Students will receive feedback and grading on three practice ECG's prior to competency. 

  • PHYSICAL EXAMINATION

This module will give the student an understanding and competency in visual acuity testing with the Snellen chart. Screening test for color blindness. Screening test for audio perception. Positioning and draping patients for examination. Prepare examination trays and assist the physician as requested.

  • DRESSINGS AND BANDAGES

This module will give the student knowledge of and skill in preparing and /or applying dressings and bandages. The student will apply sterile dressings. Apply bandages to the finger, hand, foot, arm and leg neatly and with enough tension that they will remain in place.

  • SPIROMETRY

This module gives the student an understanding of a respiratory test and how to interpret basic spirometry results. The student will perform at least 3 spirometry exams, interpret them correctly and provide the physician with a legible and professional readout.

Related Instruction

Computation
Hours: 25

  1. Perform clinical competencies as required by the accrediting agency in a medical setting
  2. Apply techniques that ensure sterility and quality control in a medical setting.
  3. Prepare the patient for physical examinations and procedures, including surgical and diagnostic procedures and assist the physician.
  4. Apply general knowledge of vital signs, documentation, medications, medication administration, phlebotomy, specimen collection, and EKG in the medical setting.

  • Student calculating vital signs; using multiplication and division skills to determine pulse rate,respiratory rate. Used in all patient assessment modules.
  • Student calculating conversions to arrive at appropriate medication dosages, reading prescriptions, and entering that input into the EMR.
  • Student explaining to patients how much medication to take by converting to household measurements.
  • Student calculation of Body Mass Index of patient
  • Student input and calculate Spirometry testing based on height, weight, temperature and barometric pressure
  • Student calculate parental injections by converting doctors orders into a medical dose that will be administered to the patient via hypodermic needle
  • Student apply naegele's rule to calculate pregnancy due dates
  • Student performe and measure distance vision acuity using the Snellen Chart

Communication
Hours: 25

  1. Apply therapeutic, respectful, and professional communication techniques.
  2. Demonstrate professionalism with patient interviews and interactions. 
  3. Apply patient-centered communication techniques.  
  4. Apply the teach back method of confirming patient understanding.

Student will utilize each other as mock patients and demonstrate the following;

  • Maintain professional demeanor and appearance 
  • Apply patient-centered communication techniques while performing the following;
    • vital signs
    • spirometry
    • electrocardiograph
    • distance, near and color vision screening
    • audiometry screening
    • injection techniques
    • physical exams
  • Apply the "teach back method" necessary for patient education 
  • Demonstrate the ability to create a "shame free" environment for patients
  • Apply open-ended interview techniques to solicit patient information