Clinical Procedures II Syllabus

ME 283: Clinical Procedures II

This course summarizes all previous clinical and laboratory courses allowing for additional skill development. Accurate techniques and professionalism are stressed. The course includes administering medication by various injection techniques and respiratory testing. Course work also includes obtaining CPR certification. Medical law and ethical behavior are reviewed also.
Prerequisites

ME 285

Student Learning Outcomes

Based on MAERB 2022 Standards and Guidelines for Medical Assisting Educational Programs.  This course includes the following competencies: 

Cognitive (Knowledge) 

  1. Demonstrate proficiency in clinical and laboratory procedures, including the accurate preparation and administration of medications.
  2. Execute oral medication preparation and administration competently, maintaining precise records of the procedure.
  3. Successfully prepare and administer intradermal, subcutaneous, and intramuscular injections, with meticulous documentation of each procedure.
  4. Conduct respiratory testing, encompassing spirometry and clear communication of procedures to patients, ensuring comprehensive understanding.
  5. Demonstrate proficiency in administering injections using the Z-tract method, while maintaining precise records of the procedure

Psychomotor (Skills) 

I.P.2 Perform the following procedures: 

   a. electrocardiography    

  b. pulmonary function testing    

I.P.3 Perform patient screening following 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 a treatment. 

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

I.P.12 Provide up-to-date documentation of provider/professional-level CPR. 

I.P.13 Perform first aid procedures: 

    a. bleeding  

     b. diabetic coma or insulin shock 

    c. stroke 

  d. seizures 

    e. environmental emergency 

    f. syncope 

III.P.2 Select appropriate barrier/personal protective equipment (PPE).  

III.P.3 Perform handwashing. 

III.P.10 Demonstrate proper disposal of biohazardous material: 

  a. sharps 

   b. regulated waste: 

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

Affective 

A.2 Reassure patients. 

A.3 Demonstrate empathy for patients' concerns. 

A.4. Demonstrate active listening. 

Instructional Materials

Pearson’s Comprehensive Medical Assisting, Fourth Edition, Beaman, Routh, Papazian=Boyce, Sesser, Mills and Maly. Pearson Education, Inc. Upper Saddle River, NJ.

Comprehensive Exam Review for the Medical Assistant, Robyn Gohsman, Pearson Education Inc. Upper Saddle River, NJ 2012.

Course Policies

Student Evaluation:

Students’ grades will be determined by their average grades in each of four areas.  Each area will then be based on the following:                     

Procedure Grades                           100 points (5total 20 points each)
Comprehensive Quizzes   100 points each
Homework  100 points (20 total 5 points each)
Uniform Grade* 100 points total
Check-offs      Various points
Final Examination     100 points

Uniform Grade: The uniform grade consists of the student wearing appropriate attire for the class. All medical assisting students are required to wear medical scrubs during their Clinical classes. The scrubs are to be kept clean and free of tears, stains, excessive wrinkles, and fit properly. Tennis shoes can also be worn with the uniform but they also have to be clean and free of tears. Failure to wear appropriate attire could result in a lower grade.

All Procedures have to be completed by the end of the quarter.  Failure to make-up any missed procedures will result in a failing grade for the quarter.

For medical assistant students in order for he/she to pass the class must receive an average of 70% or above in the given course and obtain an average score on all competency evaluations within the given course.  CAAHEP accreditation requires 100% of all medical assisting graduates pass 100% of all competencies.

Grading Scales

A = 90% - 100%                   

B = 80% -  89%         

C = 70% -  79%           

D = 60% -  69%         

F = below  60% 

 

 

Course Outline

(tentative and subject to change)

WEEK 1

Prep for externship.  Responsibilities to facilities such as: dependability, punctuality, professional conduct, personal appearance, hygiene and following facility policies. Drug cards and journal.  Distribution of forms for externship.

WEEK 2

EKG Review. Knowledge and application.

WEEK 3

Preparing and administering medications.  Explain risks involved, the need for extreme accuracy and flawless technique.  Discuss categories of medication, schedule of controlled medications, potential patient reactions to medications and observing the patient for reactions.  Using appropriate equipment.  Discuss different injections, locations of administration, correct angle, correct tissue, and know the medication and its use, Demo / Lab / Check off of ID and Sub Q injections.  Chart all injections correctly. **

WEEK 4

Injections continued with discussion and Demo/Lab/ Check off of IM and IM Z-track injections.  Chart all injections correctly. Read chapter 21 Medication and Pharmacology pages 360-387.  Do Chapter 21 Application Questions pages 388-390. Mathematical worksheets on drug calculations.

WEEK 5

Using the peak flow meter.  Discuss respiratory testing explaining the importance of patient assessment to determine understanding.  Documentation materials for office and patient stressing accuracy.  Care and cleaning of equipment.  Demo / Lab / Check off using peak flow meter.  Read Chapter 19 Diagnostic Testing pages 293-312. Do Chapter 19 Application Questions pages 312-313.

WEEK 6

Chapters 3 Medical Terminology, Read chapter pages 21-32.  Do Chapter 3 Application questions pages 32-34.  Chapter 4 Basic Anatomy and Physiology. Read chapter pages 36-66.  Do Chapter 4 Application questions pages 67-70, Chapter 5 Basic Pathophysiology of the Body Systems and Diagnostic Procedures and Treatment, Read Chapter pages 72-86.  Do Chapter 5 Application Questions pages 86-90. Chapter 6 Basic Nutrition.  Read Chapter pages 92-97.  Do Chapter 6 Application Questions pages 97-98

WEEK 7

Chapter 7 Verbal, Nonverbal, and Written Communications, Read Chapter pages 102-117.  Do Chapter 7 Application questions pages 117-118. Chapter 8 Human Relations, Read Chapter pages 120-125.  Do Chapter 8 Application Questions pages 125-126. Chapter 9 Medical Law and Ethical Considerations, Read Chapter pages 130-138.  Do Chapter 9 Application Questions pages 139-140, Chapter 10 HIPAA, Reach Chapter 10 pages 142-144.  Do Chapter 10 Application Questions pages 144-145.

WEEK 8

Chapter 11 Administrative Functions, Read Chapter 11 pages 150-162.  Do Chapter 11 Application Questions pages 162-164. Chapter 12 Electronic Technology, Read Chapter 12 pages 166-169.  Do Chapter 12 Application Questions pages 169-170. Chapter 13 Basic Practice Finances, Read Chapter 13 pages 172-186.  Do Chapter 13 Application Questions pages 186-187. Chapter 14 Managed Care and Insurance, Read Chapter 14 pages 189-200.  Do Chapter 14 Application Questions pages 201-202

WEEK 9

Chapter 15 Diagnostic and Procedural Coding, Read Chapter 15 pages 204-211.  Do Chapter 15 Application Questions pages 211-212. Chapter 16 Blood-Borne Pathogens and Infection Control, Read Chapter 16 pages 216-226.  Do Chapter 16 Application Questions pages 226-227. Chapter 17, Patient Preparation and Education, Read Chapter 17 pages 229-254.  Do Chapter 17 Application Questions pages 225-256. Chapter 18 Exam Room Equipment, Examinations, and Procedures, Read Chapter 18 pages 258-289.  Do Chapter 18 Application Questions pages 289-291. Chapter 20 Laboratory Procedures, Read Chapter 20 pages 315-356.  Do Chapter 20 Application Questions pages 357-359, Chapter 22 Safety and Emergency Practices, Read Chapter 22 pages 392-411.  Do Chapter 22 Application Questions pages 411-413

WEEK 10-11

Make up/Review/Final Exam/COMPREHENSIVE

Communication

Emails will be responded to no later than 48 hours or by the end of business on Monday for mail received over the weekend.

College Policies

Academic Honesty Policy
The college has a firm policy against academic dishonesty, including cheating or plagiarism. Students guilty of academic dishonesty will be administratively dropped from the course with a grade of ‘F’ and subject to disciplinary action, which may include suspension and dismissal. 

Please refer to the Academic Honesty Policy for detailed information.

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This syllabus is subject to change.