OLYMPIC COLLEGE MEDICAL ASSISTING PROGRAM MEDA 137 Spring, 2012 Laboratory Procedures for Medical Assistants Instructor:

Connie Lieseke, CMA (AAMA), PBT, MLT (ASCP) Office: HOC 135 E-mail: clieseke@olympic.edu Phone: 475-7741 Fax: 475-7365 Office Hours: Tuesday and Thursday: 9:00-10:00 and 12:30-2:00 and Wednesday 12:30-2:00. Other hours available by prior arrangement (through email) only. Course Description: Introduction to the clinical laboratory, including: specimen collection procedures, microbiology specimen collection and analysis, urinalysis, hematology and chemistry theory and testing, immunology theory and testing procedures, quality control and quality assurance, OSHA bloodborne pathogens and other laboratory safety issues, infection control, CLIA regulations, laboratory terminology, X-rays and preparation for other diagnostic procedures. Prerequisites: Acceptance into the Medical Assisting Program, including documented required immunizations, successful completion of MEDA 168 and MEDA 136. Credits: This course is a 4 credit course. Class Times: MEDA 137 meets Monday, Wednesday and Friday from 8:00-9:50 or from 10:00-11:50. Additional information for this class will also be posted online. Learning Outcomes: Upon completion of this course, successful students will: 1. Demonstrate understanding of the OSHA guidelines for bloodborne pathogens and the CLIA regulations related to laboratory testing. 2. Demonstrate knowledge of proper labeling and disposal of biohazardous and chemical wastes. 3. Properly apply the principles of Quality control and Quality Assurance . 4. Demonstrate use of a laboratory directory to complete a laboratory requisition, complete with diagnosis codes and a Medicare ABN if necessary. 5. Demonstrate adequate venipuncture and capillary puncture skills and proper labeling and handling of specimens after collection. 6. Demonstrate how to properly collect, analyze and report urinalysis results. 7. Explain the collection procedures for an occult blood test, as well as demonstrate understanding theory of the process, and perform the test accurately. 8. Successfully obtain a throat culture specimen and perform a strep screen test using this specimen.

9. Differentiate the different types of microbiology collection procedures, culture preparations and antibiotic sensitivities. 10. Explain the significance of the various departments in a laboratory. 11. Perform a spun microhematocrit test correctly, and demonstrate understanding of the significance of the results obtained. 12. Demonstrate understanding of the principles and performance of a hemoglobin determination, and perform the test accurately. 13. Explain the clinical significance of an erythrocyte sedimentation rate and perform the testing procedure correctly. 14. Explain the principles and procedure for a semen analysis. 15. Recognize different types of blood cells on a stained blood smear, and demonstrate understanding of the clinical significance of relative numbers of white blood cells present. 16. Perform a blood glucose measurement using a hand held instrument, and demonstrate understanding of the significance of the results. 17. Perform a blood test for mononucleosis. 18. Perform a urine pregnancy test. 19. Demonstrate knowledge of blood typing theory. 20. Understand the principles of a gram stain. Correctly identify the different types of bacteria present on a stained smear. 21. Correctly use a microscope to focus on a specimen. 22. Demonstrate how to operate a centrifuge. 26. Demonstrate understanding of reference ranges for blood tests, and how to troubleshoot erroneous results. Recognize the most common laboratory tests, their significance and their abbreviations. Also recognize and demonstrate appropriate follow through for abnormal laboratory results. 27. Demonstrate how to properly instruct patients for preparation prior to lab testing or other various diagnostic procedures. 28. Chart procedures and results related to assignments as directed. 29. Use effective communication skills to build an atmosphere of trust with each patient. Required Text: Clinical Procedures for Medical Assistants, Eighth edition by Kathy Bonewit-West, published by Saunders, 2012. Student Mastery Manual to Accompany Clinical Procedures for Medical Assistants, Eighth edition by Kathy Bonewit-West, published by Saunders, 2012. Additional Items Required: (2) 1 inch 3 ring binders: One will be to submit your completed skills competency sheets, and the additional binder will be used for submission of the group project. (For the group project, it will also be necessary to have one more binder for each group.) (Binder #2) In addition, you are required to wear scrubs and appropriate footwear to each class, and you are required to purchase and use the lab coat that is stocked in the bookstore for this course. (The same lab coat was required for MEDA 168)

Suggested Class Items: It is recommended that you have an additional set of scrubs or other clothing available on campus in case of accidental body fluid exposure. YOU MUST WEAR THE REQUIRED LAB COAT, SCRUBS AND SAFE FOOTWEAR (NO OPEN TOES OR HEELS, AND NO ABSORBENT FOOT COVERS) TO PARTICIPATE IN THE CLINICAL PORTION OF THIS CLASS. IF YOU ARRIVE AT CLASS UNPREPARED, YOU WILL BE ASKED TO LEAVE. Remember, you will be in close proximity with other classmates, and will be role playing as if you are in a real laboratory environment. Those who do not bathe regularly and/or practice appropriate personal hygiene for a healthcare setting may be asked to leave the classroom, and will not be offered an opportunity to make up the points accumulated for that class. Safety is of the utmost importance in the Medical Assisting Curriculum. Since this course involves various invasive procedures and body fluids, the instructor reserves the right to ask any student to leave the classroom at any time if he/she feels that this student poses a threat to his/her self or other students. This may be due to physical or mental issues. The instructor may also require that a student withdraws from the course if there is a safety issue that cannot be resolved. Assessment methods: Clinical Skills Assessments/Competencies, written quizzes, two tests written in multiple choice and essay format, and two practical tests where the students will demonstrate the skills they have learned. Students will be allowed to practice skills numerous times, but students are only allowed two attempts to pass a competency assessment successfully. Failure to pass a competency will result in a 0.0 for the class. Classroom Courtesy: It is expected that all students will treat each other and the instructor with respect and courtesy. Please turn off all cell phones prior to class, and be ready to learn! Foundations for Clinical Practice: This course includes these Foundations for Clinical Practice from the 2008 CAAHEP Medical Assisting Standards for Accreditation: Cognitive: I.C. Cognitive; III. Applied Microbiology and Infection Control #7: Match types and uses of personal protective equipment #9: Discuss quality control issues related to handling microbiological specimens #10: Identify disease processes that are indications for CLIA waived tests. I.P.Psychomotor; I. Anatomy and Physiology #3: Perform capillary puncture #6: Perform patient screening using established protocols #11: Perform Quality Control measures #12: Perform Hematology testing

#13: Perform Chemistry Testing #14: Perform Urinalysis #15: Perform Immunology Testing #16: Screen test results II.P.Psychomotor; II. Applied Mathematics #2: Maintain laboratory test results using flow sheets III.Applied Microbiology/Infection Control #3: Select appropriate barrier/personal protective equipment (PPE) for potentially infectious situations #7: Obtain specimens for microbiological testing #8: Perform CLIA waived microbiology testing I.A. Affective; I. Anatomy and Physiology #2: Use language/verbal skills that enable patients understanding. II.A. Affective; II. Applied Mathematics #2: Distinguish between normal and abnormal test results III.A. Affective; III. Applied Microbiology/Infection Control #1: Display sensitivity to patient rights and feelings in collecting specimens #2: Explain the rationale for performance of a procedure to the patient. #3: Show awareness of patients concerns regarding their perceptions rela ted to the procedure being performed. IV. Concepts of Effective Communication #2: Report relevant information to others succinctly and accurately #4: Explain general office policies #5: Instruct patients according to their needs to promote health maintenance and disease prevention XI. Protective Practices #1: Comply with safety signs, symbols and labels #5: Demonstrate the proper use of the: a. Eyewash b. Fire extinguishers c. Sharps disposal containers Grading Policy: Final grade for this course will be based on: Midterm Exam 50 Final Exam 50 Practical tests (2x50) 100 Quizzes 70 Group Project 50 Safety Survey 20 Out of class assignments 60 Attendance and participation 100
Total Points 500

Attendance: Daily attendance is very important. New information will be presented each class period, and numerous absences will adversely affect your progress and grade. It is the responsibility of the student to sign in each class

period. There will be no make-up available for practical tests, and make-up for quizzes or exams will only be allowed if the instructor has prior notice, and then only at the end of the quarter if the student has shown appropriate attendance and participation. Students who miss more than 20% of the scheduled class sessions will lose one letter grade in the course. Successful completion of this course will require mastery of all clinical skills presented. Note: If you choose to stop coming to class, it is important to officially drop the class through the registrars office. (The final date to drop with a W is listed in the View.) Otherwise, you will receive a grade of 0.0 on your grade transcript for this course. The class will be working with human body fluids, therefore there will be no food or drink allowed in the classroom during lecture or lab sessions. Homework: All text reading should be completed before class each day. The due dates for projects are published in the class calendar. Additional help: You can get additional help with your assignments in several ways. Please get help promptly if you dont understand! Tutoring is available through the Tutoring Center on campus by appointment. Also, I have office hours (see the front page of the syllabus) and can be available at other times by appointment. I also recommend that you exchange phone numbers and/or Email addresses with at least one of your classmates so that you can work together if necessary. This classmate should also be contacted if you miss a class session and need to check on the material covered that day. Students with disabilities: Reasonable accommodations are available for students with documented disabilities. If you are a student with a permanent or temporary disability and would like to request accommodations, please contact the Access Services office in the Humanities and Student Services building, room 204, or call 475-7540 to begin the process. Classroom Policies: No student guests, children or pets are allowed in the classroom. This is non-negotiable. This means that no outside guests are allowed to participate in the clinical procedures for this class. Academic Honesty: It is assumed that students understand the importance of doing their own work. However, if a student is caught cheating, it will result in a zero for the assignment and a possible referral to the disciplinary committee through the dean of student services. Professionalism: All procedures need to be charted for skill competencies and for the practical exams as directed. It is important to portray a professional attitude in all patient interactions. Patient comfort, safety and convenience must be planned for in all procedures, so take time to be organized before you begin any procedure.

Weather cancellation policy: If you think the college may be closed due to weather or some other condition, go to www.oc.ctc.edu to check. If the school is closed for the day, there should be something posted on this site prior to 6:30 am. You can also call the main campus number at 792-6050 and there will be a recording to advise if the college is closed. Cleanup: This class is fun and messy! I will pass out a schedule for clean-up. Please take your turn, and think about the safety of those following us in the classroom. Grading Scale: GRADE 4.0 3.9 3.8 3.7 3.6 3.5 3.4 3.3 3.2 3.1 3.0 2.9 2.8 2.7 2.6 2.5 2.4

PERCENT 95-100 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79

GRADE 2.3 2.2 2.1 2.0 1.9 AND ON 0.0

PERCENT 78 77 76 75 74 62 and below

MEDA 137 LABORATORY PROCEDURES SPRING 2012 (This calendar is subject to change as needed. Mondays will be primarily lecture and/or testing for this course. Wednesday and Friday will include performance of clinical procedures) Week 1: Chapter 15, 17, 2 Introduction to the clinical laboratory, bloodborne pathogens, HIV and Hepatitis, lab safety, calibration, QA and QC, universal and standard precautions, CLIA regulations, venipuncture practice, Medicare Medical Necessity, Requisitions, Clinical Chemistry instrument introduction, UDAS collections and testing Week 2: Chapter 17 QUIZ, Specimen collection guidelines, venipuncture theory, technique and practice, erroneous lab results, reference ranges, capillary puncture practice, lab requisitions and reports, medicare medical necessity continued, Blood cultures, bleeding times, blood typing and crossmatch procedures Week 3: Chapter 18 QUIZ, Hematology, discussion of manual WBC counts, blood smears and cell identification, microscope use, spun microhematocrit and ESR, hemoglobin determination, venipuncture and capillary puncture practice. Week 4: Chapter 20 PRACTICAL #1 and competency testing, Medical microbiology, microscope use, general culture collection procedures, throat culture collection, strep screen testing, gram stain theory, slide prep for gram stains, STD testing, hanging drop slides and wet mounts, specimen inoculation, blood cultures, venipuncture Week 5: Chapter 9 and Chapter 19 MIDTERM EXAM!!, Clinical chemistry, centrifuge operation, cholesterol testing, PKU testing, glucose testing, common chemistry lab tests requested and their significance, quality control and calibration, plasma versus serum, chemistry erroneous results discussion, specimen growth, automated chemistry testing, venipuncture and capillary practice Week 6: May 2-6 Chapter 9 and Chapter 16 QUIZ, Urinalysis theory and practice, 24 hour urine collection role play, urine microscopy, venipuncture and capillary puncture Week 7: Chapter 13 and Chapter 14 QUIZ, X-ray theory and role playing, special procedures and patient preparations, job opportunities in the clinical lab, Laboratory ICD9 codes, occult blood and other colon procedures, wound culture collection, stool culture collection, venipuncture practice, coagucheck procedures. No class May 11th.

Extra Credit Opportunity: Sometime in Week 6 or 7; 10 points, in the evening at a diagnostic imaging facility. More details TBA Week 8: Chapter 19 QUIZ and competency testing, Antibody/Antigen theory, mononucleosis testing, pregnancy testing, capillary punctures, venipuncture practice, X-ray and special procedures role playing, coagucheck machine use continued. Out of class activity assigned for Friday- May 18th WSSMA convention. No class on Friday. Activity will be posted on Angel. Week 9: QUIZ, Continuation of week 7, venipuncture and capillary practice if needed Week 10: NO SCHOOL May 28th for Memorial Day QUIZ, telephone report procedures, venipuncture practice, PKU role play, group presentations, complete all competencies, final review. Finals: 8:00 class, Monday, June 4th 8-10 am, 10:00 class, Wednesday, June 6th 8-10 am. Practical #2, Written Final

Group Project:

Due Wednesday, May 30th

You are all assigned to a group to prepare a presentation for the class. The topics for each group are listed below. You will have an opportunity to provide confidential input about the participation of all group members. These presentations must include at least one prop, (a visual display tool such as an overhead, powerpoint, poster, etc.) as well as some sort of outline for the class to use for notes. They need to be well organized, and explain the clinical significance of the test assigned, the specimen requirements, test specifics, and any special handling or preparation requirements for the patient. The normal (reference) ranges must also be provided. This presentation should be approximately five minutes in length, and will not be allowed to go past ten minutes. This project is worth 50 points to each group member. This project needs to be in your own words; not cut and paste from the internet/text. Group #1: Cardiac Enzymes Group #2: BUN/Creatinine/ and Microalbumin Group #3: Electrolytes Group #4: Iron/TIBC/Ferritin Group #5: KOH and Wet Mount Prep

Group #6: ESR and CRP

MEDA 137 Spring 2012 Statement of Understanding I have read this syllabus and understand what the reading assignments are, what clinical skills I will be responsible for, the hygienic expectations for the class, when the examinations are scheduled, and the criteria for grading. I understand that I will only be allowed two times to demonstrate required competencies for credit. I also understand the safety requirements for this course, and I am aware that if I am involved in an unsafe environment, it may result in removal from the classroom.

Signature_____________________________Date________

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