COURSE NAME/NUMBER:Clinical Procedures I MEDA 126

HOURS/CREDITS:6 Credits

CLASS LOCATION/TIMES:Location: Building BRoom: 109

Days: T,TH

Time: See class schedule

PREREQUISITES:None

COURSE DESCRIPTION:This course is an introduction to the medical record and proper charting procedures as well as vital signs. Medical asepsis and infection control are also discussed. Emphasis is placed on assisting with the physical exam, injections, vital signs, electrocardiography, pulmonary function testing, and physical medicine.

INSTRUCTOR: Amy Kinshella

OFFICE HOURS/CONTACT INFORMATION:

Office Hours: 7:30-8:00 a.m.; 2:30-3:00 p.m.

(By appointment)

Office Location: Building B, Room

Phone: (425) 235-2352 Ext.5686

Email:

COURSE OBJECTIVES (Course Competencies): Upon successful completion of this course the student will be able to:

  1. Establish a patient’s medical record.
  2. File medical records and documents using an alphabetic system and a numeric system.
  3. List and describe the information contained in the: patient registration record and correspondence.
  4. Identify information contained in the: health history record, physical exam report, progress notes, medication record, consultation report, and home health care record.
  5. Identify the information in the following hospital reports: history and physical, operative, discharge summary, pathology and emergency room.
  6. Identify the information contained in the following: consent to treatment form and release of medical records form.
  7. Describe the organization of a source oriented medical record and a problem oriented medical record.
  8. Explain the difference between a paper-based patient record and an electronic medical record.
  9. List the guidelines that should be followed in recording the chief complaint and ensuring accurate and concise charting.
  10. List and describe the types of progress notes that are charted by the medical assistant.
  11. List examples of subjective and objective findings.
  12. Define terms relative to asepsis.
  13. Recognize diseases caused by pathogenic microorganisms.
  14. Explain the steps in the chain of infection.
  15. Find information according to an MSDS sheet.
  16. Specify potentially infectious body fluids.
  17. List and explain OSHA’s Bloodborne Pathogen Standards.
  18. Demonstrate proper handwashing for medical asepsis.
  19. Define a vital sign and the reason for taking vital signs.
  20. Cite the average body temperatures, pulse rates, respiratory rates and blood pressures for various age groups.
  21. Describe emotional and physical factors that affect body temperature, pulse, respirations and blood pressure.
  22. Obtain and record an accurate patient temperature using three different sites.
  23. Describe pulse rate, volume and rhythm.
  24. Locate and record the pulse at multiple sites.
  25. Demonstrate the best way to obtain an accurate respiration count.
  26. Identify the different Korotkoff phases.
  27. Accurately measure and document blood pressure.
  28. Accurately measure and document height and weight.
  29. Outline the medical assistant’s role in preparing for the physical exam, and assisting during the physical exam.
  30. Name the instruments typically used in a physical exam.
  31. Position and drape a patient in each of the six positions and name a purpose for each position.
  32. Demonstrate proper body mechanic in transferring a patient from a chair to exam table and back.
  33. Outline the sequence of a routine physical examination.
  34. Describe the anatomic structure and major functions of the skin.
  35. Summarize the MA’s role in assisting with orthopedic procedures.
  36. Explain the common diagnostic procedures used in orthopedics.
  37. Apply cold therapy to an injury.
  38. Apply moist heat application to an orthopedic injury.
  39. Properly fit a patient with crutches, and explain the correct mechanics of crutch walking.
  40. Explain the difference between administering, prescribing and dispensing medication.
  41. State the common routes for administering medication.
  42. List and describe the five schedules for controlled drugs and the parts of a prescription.
  43. Explain the purpose of a medication record.
  44. List the guidelines for preparing and administering medication.
  45. Explain why the oral route is most frequently used to administer medication.
  46. State the advantages and disadvantages of the parenteral route of administration.
  47. Identify the parts of a needle and syringe and explain their functions.
  48. State the ranges of both gauge and length of needles for intradermal, subcutaneous and intramuscular injections.
  49. State the purpose of safety engineered syringes.
  50. State which tissue layers of the body are used for intradermal, subcutaneous and intramuscular injections.
  51. List medications commonly administered through the following routes: subcutaneous and intramuscular.
  52. List the active symptoms of active tuberculosis.
  53. Explain the purpose of tuberculin testing.
  54. Explain the significance of a positive reaction to a tuberculin test.
  55. List the diagnostic procedures that might be performed following a positive tuberculin test.
  56. Explain the heart’s conduction system.
  57. State the purpose of electrocardiography.
  58. Identify the following components of the ECG cycle: P wave, QRS complex, T wave, P-R segment, Q-T segment and baseline following the T wave.
  59. List the 12 leads that are included in an electrocardiogram.
  60. Describe the electrical views of the heart recorded by the 12-lead electrocardiograph.
  61. Perform an accurate EKG.
  62. Identify the following types of artifacts and state their causes: muscle, wandering baseline, alternating current and interrupted baseline.
  63. List the reasons for applying a Holter monitor.
  64. List the guidelines for wearing a Holter monitor.
  65. Perform a nebulizer treatment.
  66. List indications for performing spirometry testing.
  67. Describe the patient preparation for spirometry.
  68. Explain the purpose of post-bronchodilator spirometry.
  69. Correctly perform spirometry testing.

PARTICIPATION AND MAKE-UP POLICY: Throughout the Medical Assistant Program, an outstanding work ethic is emphasized and encouraged. Participation and professionalism are essential to your success as a student and as a Medical Assistant. Ten percent of your grade involves participation and professionalism.Participation points will be deducted at a total of 1 point per 60 minutes of class time missed for each subject. Point deductions will be broken down in 15 minute increments. For example: 0-15 minutes = 0.25 points, 16 -30 minutes = 0.50 minutes, etc.

If you must be absent, make arrangements beforehand to have a fellow student obtain any handouts and reading assignments you miss. You are also responsible for getting assignments from a fellow student by phone or email when you are absent in order to complete an assignment on time. Students missing three (3) or more consecutive class days due to illness are required to submit a note from their healthcare provider certifying they physically able toreturn to the classroom. The full attendance policy is outlined in your medical assistant packet.

PROFESSIONALISM points are based on the mid-term and final quarterly professional behavior evaluation in addition to the student’s daily professional behavior.

NATURE OF THE COURSE: To accommodate a wide variety of learning and personal styles many different instructional approaches may be used including: lecture, group discussion, demonstrations, interactive exercises, role playing, video programs, computer based training, student research, self directed learning projects and collaborative teaching with Program Instructors.

COURSE OUTLINE: See attached document

GRADING: Grades are based on the following weighted categories and assigned the corresponding decimal grade:

Professionalism 5%

Participation 5%

Homework10%

Quizzes15%

Mid-Term/Final25%

Competencies40%

COURSE OUTLINE: See attached document

TEXT:Bonewit-West, Kathy, Clinical Procedures for Medical Assistants, Eighth edition. Saunders/Elsevier, St. Louis, MO, 2012.

Bonewit-West, Kathy, Study Guide to Accompany Clinical Procedures forMedical Assistants, Seventh edition. Saunders/Elsevier, St. Louis, MO, 2012.

RESOURCES:

EMERGENCY INSTRUCTIONS FOR INCLEMENT WEATHER: In case of weather closure of the RTC Campus, class will be cancelled. Call the school at (425) 235-2352 and choose option 9 for weather closure information. Information will also be available on the website ( and local television and radio stations.

CLASSROOM MANAGEMENT POLICIES:

Renton Technical College recognizes and values diversity between students on campus, including cultural diversity, diversity of age, life style, race, religion, and financial backgrounds. Students are expected to listen respectfully to others and conduct themselves professionally in the classroom, at clinical sites, and at all campus related activities.

Certain behaviors will not be tolerated. Students engaging in those behaviors will be asked to leave the classroom and appropriate disciplinary steps will be taken. Students will also lose all their professionalism points for the day.

Examples are:

  • Unprofessional or disruptive behavior
  • Sleeping in class
  • Inappropriate attire
  • Foul language
  • Sexual harassment

Cheating and Plagiarism: As outlined in the Allied Health Department Handbook, Renton Technical College has a zero tolerance policy towards cheating and plagiarism. On a paper or presentation, if wording is taken directly from any source without giving credit to the source, the student will receive a zero (0) on that paper or presentation. When there is doubt, the instructor will make the final judgment on whether plagiarism has occurred.

Cheating occurs on a quiz, mid-term or final the student will not receive credit and wil be subject to disciplinary action.

Disciplinary action includes, but is not limited to, the student receiving a zero (0) on a test, paper or presentation up to and including immediate expulsion from the program.

Reading Assignments: The student is responsible for reading all assigned material prior to the lecture. Much more can be gained from the classroom discussion if there is some basic familiarity with the content.

Quizzes: There will be quizzes given approximately once a week. A Pop Quiz could be given at any point when the instructor needs to evaluate how much information is being assimilated by the students. Pop Quizzes cannot be madeup. The first time an absence occurs 10% of the total possible points will be deducted from the quiz; the second absence 30% will be deducted and the third absence 50%will be deducted from the quiz. Students will not receive credit for a pop quiz if they are absent. The student must make arrangements with the instructor outside of class time to make up a quiz. Arriving more than 10 minutes late for a quiz will be considered an absence.

Mid Term and Final: There will be a mid-term given after which the student and instructor will meet and discuss progress as necessary. A final exam will be given during the last week of the quarter. You will lose one letter grade for every day the final examination is not taken from the date it is offered to the rest of the class. The mid-term and cumulative final will be proctored and may be administered in any form (written, oral, online, etc.).

Homework: is due on the assigned date and must be complete to earn homework points. Incomplete homework must be submitted within one school day of the due date to receive points. If a student is absent on the day homework is due the homework is considered late and must be submitted the day the student returns to school to earn points, unless a copy of the homework is submitted via email before class starts. Points are earned as follows:

Submitted on time and complete10 points

Submitted late and complete 5 points

Note: Information contained in this syllabus is subject to CHANG

Allied Health Grading Scale 2012

Decimal Grade / Grade Percent / Letter Grade Equivalent
4.0 / 100 / A
3.9 / 99
3.8 / 98 / A-
3.7 / 97
3.6 / 96
3.5 / 95
3.4 / 94 / B+
3.3 / 93
3.2 / 92
3.1 / 91 / B
3.0 / 90
2.9 / 89
2.8 / 88 / B-
2.7 / 87
2.6 / 86
2.5 / 85
2.4 / 84 / C+
2.3 / 83
2.2 / 82
2.1 / 81 / C
2.0 / 80
1.9 / 79 / C-
1.8 / 78
1.7 / 77
1.6 / 76
1.5 / 75
1.4 / 74 / D+
1.3 / 73
1.2 / 72
1.1 / 71 / D
1.0 / 70
0.9 / 69 / D-
0.8 / 68
0.7 / 67
0.0 / 66 or less / F

Note:Students must earn at least a grade or 2.0 (80%) in each course to continue in the Medical Assistant Program.

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Clinical Procedures I

MEDA 126

Revised January 2013