MA2220 Examination Room Procedures
Syllabus
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Document date:April 2013
Credits: 3.0
In Class Lecture Hours:90
Out of Class Preparation hours:105.78
Instructor Name:James Misa
E-mail address:
Availability:M-TH 830-1pm\5:30-10pm
Required Text(s):
Booth, Whicker, Wyman, and Wright. Medical Assisting: Administrative and Clinical Procedures including Anatomy and Physiology, 5th Edition. New York: McGraw Hill, 2014.
Booth, Whicker, Wyman, and Wright. Medical Assisting: Administrative and Clinical Procedures including Anatomy and Physiology Student Workbook,5th Edition. New York: McGraw Hill, 2014.
Connect Plus Course Supplement, 5thEdition. New York: McGraw Hill, 2014.
ACTIVSim Computer Simulation, 2ndEdition. New York: McGraw Hill, 2014.
Course Description: Examination Room Procedures will focus on the skills necessary to provide direct patient care in the physician office setting. Emphasis will be placed on proper charting, documentation techniques, patient education, patient interviewing techniques, instruments used for examination, clinical procedures for general and specialized physical examinations. Additional focus will be placed on how to identify surgical instruments, maintain sterility, and the application of heat and cold therapy.
Course Objectives: Upon completion of this course, the student will be able to:
- Identify the skills needed to conduct a patient interview.
- Explain the medical assistant’s role in preparing the exam room.
- Describe the role of the medical assistant in a general physical exam.
- Identify six examination methods used in general physical exam.
- Explain the role of the medical assistant in patient education.
- Describe the types of exams and diagnostic tests performed in various specialties.
- Describe the medical assistant’s role in the various types of exams and diagnostic tests.
- Identify the instruments used in minor surgery and describe their functions.
- Describe ways to test joint mobility, muscle strength, gait and posture.
- Identify various heat and cold therapies.
- Carry out procedures for teaching a patient to use a walker, a cane, crutches and a wheelchair.
- Distinguish between complementary and alternative medicine to conventional medicine.
- Explain x-rays and explain how they are used for diagnostic and therapeutic purposes.
Grading and Evaluation: Student’s grades will be based on classroom work, homework, and tests. The course grade will be computed based on the following:
- Class work and homework10%
- Practical Skills20%
- Tests30%
- Final Exam40%
- Total 100%
Attendance Policy:All students are encouraged to attend class regularly with enthusiasm and to complete all course assignments on a timely basis. Attendance is essential for success in the class, as participation is measured in class, and information covered during class lecture and discussion is essential to understanding the concepts in this course.
Late Work and Makeup Policy: There is no difference between an excused or unexcused absence from class. Any class not attended detracts from the overall instruction being offered. Normally, instructors will make arrangements on the student’s time, outside of class, to make-up tests or other missed work. It is the responsibility of the student to contact each instructor and make appropriate arrangements before the next class meeting to complete any missed work. If a test is not taken within three school days after returning to class, a grade of zero may be recorded. Quizzes that are missed may be scheduled for make-up at the discretion of the instructor.
Class Format: (Degree Course)College coursework assumes that the student will spend adequate time outside of class preparing for classroom instruction, laboratory work, assignments, exams, and projects. Within a degree program or courses that may lead to a degree, significant amounts of outside reading, studying, researching, and preparation are essential for student success. All courses within such a program require mastery of material within the course textbook. Students should read and understand all textbook chapters prior to their being discussed in class. Students should come to class with all assignments complete and ready for discussion. Students must study for exams and quizzes, as well as review the principles required prior to attending laboratory settings. Because of the intense mastery of content required in a degree program and courses that may lead to a degree, students should spend a minimum of two hours outside of class completing assignments, studying, and preparing for every hour they spend in class. The textbook, assignments, projects, quizzes, and/or exams referenced in the course syllabus demonstrate the types of class preparation activities that are completed during this class preparation time.
Accommodation: The Institution makes every effort to reasonably accommodate students who disclose a disability. Should you believe that you require academic accommodation, you must follow the prescribed Institutional process to obtain accommodations. Contact your campus-based Section 504 Liaison or call, toll free, 1-877-604-2121 for guidance. No accommodations will be given without the completion of a formal Student Request for Accommodation form and an ODS (Office of Disability Services) Intake Session.
Notice of Non-Discrimination: The Institution does not discriminate on the basis of race, color, national origin, gender, sex, age, or disability in any of its programs or activities. The Institution provides policies and procedures that are compliant with Title IV of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, Section 504 of the Rehabilitation Act of 1973, and Title II of the Americans with Disabilities Act of 1990. Any individual who believes that she or he has been discriminated against has the right to seek relief and to be free from retaliation by members of the learning community.
The following individual has been designated by the Institution to handle all inquiries regarding its non-discrimination policies:
Corporate Director of Student Affairs
4455 South Blvd., Suite 200
Virginia Beach, VA 23452
Toll free (877) 604-2121
OR an individual may contact the Federal Department of Education, Office of Civil Rights at
Academic Dishonesty: The learning process is only effective when students complete all of their own academic work. To support student learning, Centura College/Aviation Institute of Maintenance/Tidewater Tech expects the highest level of integrity from its students. Students should always properly cite sources, complete their own papers, and follow all testing regulations.
Centura College/Aviation Institute of Maintenance/Tidewater Tech takes academic dishonesty very seriously. Academic dishonesty is a violation of the Student Code of Conduct and may have serious consequences. Please refer to the Student Code of Conduct for definitions of academic dishonesty, the conduct process, and potential sanctions.
Course Calendar:
Week/Lesson / Learning Objectives / CorrespondingAssignment
1/1 / Course Introduction
The instructor will review the following:
- The course syllabus, matrix, course assignments, and the textbook
- Classroom rules and expectations
- Identify the benefits of patient education and the medical assistant’srole in providing education.
- Describe factors that affect learningand teaching.
- Implement teaching techniques.
- Choose reliable patient education materials used in the medical office.
Review Chapter 14 Procedures 14-1 and 14-5. Be prepared to perform Lab Skills in class
Complete Case Study Critical Thinking questions and Exam Preparation questions at the end of Chapter 14 in the Textbook
Complete Connect activities on Administering Patient Educational Material and Creating Patient Educational Material
1/2 / Chapter 14 – Patient Education
- Explain how patient education can be used to promote good health habits.
- Describe the types of information that should be included in the patient information packet.
- Describe the benefits and special considerations of patient education prior to surgery.
Read Chapter 9, pages 188 – 200
Review Chapter 9 Procedures 9-1 and 9-2. Be prepared to perform Lab Skills in class
1/3 / Chapter 9 –Examination and Treatment Areas
- Describe the layout and features of a typical exam room.
- Differentiate between sanitization and disinfection.
- List steps to prevent the spread of infection in the exam and treatment rooms.
- Describe the importance of such factors as temperature, lighting, and ventilation in the exam room.
- Identify instruments and supplies used in a general physical exam, and tell how to arrange and prepare them.
Complete the Review, Application, and Case Study exercises for Chapter 9 in Student Workbook
Complete Connect activities on Guidelines for Disinfecting Exam Room Surfaces
Complete the LearnSmart exercises for Chapters 9 and 14
Study for Test 1
Read Chapter 36, pages 685 – 704
1/4 / Test 1: Chapters 9and 14
Chapter 36 –Patient Interview and History
- Identify the skills necessary to conduct a patient interview.
- Recognizethe signs of anxiety; depression; and physical, mental, or substance abuse.
Review Chapter 36 Procedures 36-1 to 36-3. Be prepared to perform Lab Skills in class
Complete Connect activities on Building the Medical Face Sheet and Printing the Face Sheet
Access the OLC in a live EHR program. Refer to Appendix IV at the end of the book for more information and directions.
2/1 / Chapter 36 –Patient Interview and History
- Using the six C’s for writing an accurate patient history.
- Carry out a patient history using critical thinking skills.
Read Chapter 38, pages 724 – 741
Review Chapter 38 Procedures 38-1 to 38-4. Be prepared to perform Lab Skills in class
2/2 / Chapter 38 – Assisting with a General Physical Examination
- Identify the purpose of a general exam.
- Describe the role of the medical assistant in a general physical exam.
- Explain safety precautions used during a general physical exam.
- Carry out the steps necessary to prepare the patient for a general exam.
- Carry out positioning and draping a patient in each of the nine common exam positions.
- Apply techniques to assist patients from different cultures and patients with disabilities.
Complete Connect activities on Documenting a Physical Examination and Documenting a Procedure
Access the OLC in a live EHR program. Refer to Appendix IV at the end of the book for more information and directions.
Complete ACTIVSim Simulated Patient Cases for:
- Hypertension
- Asthma Exacerbation
- HIV/AIDS
2/3 / Chapter 38 – Assisting with a General Physical Examination
- Identify the six examination methods used in a general physical exam.
- List the components of a general physical exam.
- Describe follow-up steps after a general physical exam.
Complete the LearnSmart exercises for Chapters 36 and 38
Study for Test 2
Read Chapter 39, pages 743 – 763
2/4 / Test 2: Chapters 36 and 38
Chapter 39 – Assisting in Reproductive and Urinary Specialties
- Carry out the role of the medical assistantin the medical specialty of gynecology.
- Carry out the role of the medical assistant in the medical specialty of obstetrics.
- Identify diagnostic and therapeutic procedures performed in obstetrics and gynecology.
Review Chapter 39 Procedures 39-1 to 39-3. Be prepared to perform Lab Skills in class
Complete ACTIVSim Simulated Patient Cases for:
- GYN Exam
3/1 / Chapter 39 – Assisting in Reproductive and Urinary Specialties
- Relate the role of medical assisting to the medical specialty of urology.
- Identify diagnostic test and procedures performed in urology.
- Recognize diseases and disorders of the reproductive and urinary systems.
Review Chapter 40 Procedures 40-1 to 40-3. Be prepared to perform Lab Skills in class
3/2 / Chapter 40 – Assisting in Pediatrics
- Relate growth and development to pediatric patient care.
- Identify the role of the medical assistant during pediatric examinations.
- Discuss pediatric immunizations and the role of the medical assistant.
- Explain variations of pediatric screening procedures and diagnostic exams.
- Describe common pediatric diseases and disorders and their treatment.
- Recognize special health concerns of pediatric patients.
Complete ACTIVSim Simulated Patient Cases for:
- Diarrhea
Read Chapter 41, pages 793 – 805
Review Chapter 41 Procedures 41-1 to 41-3. Be prepared to perform Lab Skills in class
3/3 / Chapter 41– Assisting in Geriatrics
- Relate developmental changes in geriatric patients to medical assisting.
- Describe common geriatric diseases and disorders and their treatment.
- Identify variations of care for geriatric patients during examinations, screening procedures, diagnostic tests, and treatments.
- Explain special health concerns of geriatric patients.
Complete ACTIVSim Simulated Patient Cases for:
- Depression
Complete the LearnSmart exercises for Chapters 39 – 41
Study for Test 3
Read Chapter 42, pages 807 – 826
3/4 / Test 3: Chapters 39 – 41
Chapter 42 – Assisting in other Medical Specialties
- Describe the medical specialties of allergy, cardiology, dermatology, endocrinology, gastroenterology, neurology, oncology, and orthopedics.
- Identify common diseases and disorders related to cardiology, dermatology, endocrinology, gastroenterology, neurology, oncology, and orthopedics.
- Relate the role of the medical assistant in examinations and procedures performed in the medical specialties of allergy, cardiology, dermatology, endocrinology, gastroenterology, neurology, oncology, and orthopedics.
Review Chapter 42 Procedures 42-1 to 42-3. Be prepared to perform Lab Skills in class
Complete ACTIVSim Simulated Patient Cases for:
- Diabetes
- Skin Condition
- Chest pain
Read Chapter 43, pages 828 – 850
Review Chapter 43 Procedures 43-1 to 43-7. Be prepared to perform Lab Skills in class
4/1 / Chapter 43 – Assisting with Eye and Ear Care
- Describe the medical assistant’s role in eye exams and procedures performed in the medical office.
- Discuss various eye disorders encountered in a medical office.
- Identify ophthalmic exams performed in the physician’s office.
- Summarize ophthalmic procedures and treatments.
Complete the Review, Application, and Case Study exercises for Chapter 43 in Student Workbook
4/2 / Chapter 43 – Assisting with Eye and Ear Care
- Describe disorders of the ear encountered in a medical office.
- Recall various hearing and other diagnostic ear tests.
- Summarize ear procedures and treatments.
Review Chapter 50 Procedures 50-1 and 50-2. Be prepared to perform Lab Skills in class
4/3 / Chapter 50 – Diagnostic Imaging
- Explain what x-rays are and how they are used for diagnostic and therapeutic purposes.
- Compare invasive and noninvasive diagnostic procedures.
- Carry out the medical assistant's role in x-ray and diagnostic radiology testing.
- Discuss common diagnostic imaging procedures.
- Describe different types of radiation therapy and how they are used.
- Explain the risks and safety precautions associated with radiology work.
- Relate the advances in medical imaging to EHR.
Complete the Review, Application, and Case Study exercises for Chapter 50 in Student Workbook
Complete the LearnSmart exercises for Chapters 42, 43, and 50
Study for Test 4
4/4 / Test 4: Chapters 42, 43, and 50
Chapter 44 – Assisting with Minor Surgery
- Define the medical assistant’s role in minor surgical procedures.
- Describe surgical procedures performed in an office setting.
- Identify the instruments used in minor surgery and describe their functions.
- Describe the procedures for medical and sterile asepsis in minor surgery.
Review Chapter 44 Procedures 44-1 to 44-9. Be prepared to perform Lab Skills in class
Complete ACTIVSim Skills Practice for:
- Wrap for Autoclave
- Run Autoclave
5/1 / Chapter 44 – Assisting with Minor Surgery
- Discuss the procedures used in a medical office to sterilize surgical instruments and equipment.
- Summarize the medical assistant’s duties in preoperative procedures.
- Describe the medical assistant’s duties during an operative procedure.
- Implement the medical assistant’s duties in the postoperative period.
- Routine Check-up after lumpectomy
Read Chapter 54, pages 1104 – 1124
Review Chapter 54 Procedures 54-1 to 54-5. Be prepared to perform Lab Skills in class
5/2 / Chapter 54 – Physical Therapy and Rehabilitation
- Discuss the general principles of physical therapy.
- Relate various cold and heat therapies to their benefits and contraindications.
- Recall hydrotherapy methods.
- Name several methods of exercise therapy.
- Describe the types of massage used in rehabilitation therapy.
- Compare different methods of traction.
- Carry out the procedures for teaching a patient to use a cane, a walker, crutches, and a wheelchair.
- Model the steps you should take when referring a patient to a physical therapist.
Complete the Review, Application, and Case Study exercises for Chapter 54 in Student Workbook
Complete the LearnSmart exercises for Chapters 44 and 54
Begin to Study for Cumulative Final Exam
5/3 / Review for Cumulative Final Exam / Study for Cumulative Final Exam.
5/4 / Cumulative Final Exam
Out-of-Class Academic Activity Matrix
College-level coursework assumes that significant time will be required outside of class for preparation and assignments. The Centura College corporate education team in conjunction with campus level program coordinatorsdesigned this course with the amount of time to be completed in order for a successful experience within the course, and that time is detailed below.
Type of Assignment / Out-of-Class Activity in Course / Completion Time Formula / Total Out-of-Class Time in Course
Textbook Reading and Note taking / 229Pages / 3 minutes per page of reading and note-taking / 11.45 hours
Textbook Exercises and Workbook Review Exercises / 94 Sets of Exercises / 20 minutes per set / 31.33 hours
Workbook Application and Case Study Exercises / 24 Sets of Exercises / 45 minutes per set / 18 hours
Connect and OLC Activities / 8 Activities / 1 hour per activity / 8 hours
Lab Simulation Practice / 12Simulations / 30 minutes per simulation / 6 hours
LearnSmart Activity / 12 Activities / 45 minutes per activity / 9 hours
Exam Preparation / 4 Exams –10 Chapters / 1 hour per chapter of study time / 10 hours
Final Exam Preparation / 1 Exam – 12 Chapters / 1 hour per chapter of study time / 12hours
Total Out of Class Time / 105.78 hours
MA 2220 COMPETENCY CHECK OFF