Curriculum Committee – January 2017 MAST 2215 – Medical Laboratory Techniques Page 1 of 13 CTAG: CTMA004-011 I. COURSE TITLE: Medical Laboratory Techniques COURSE NUMBER: 2215 CATALOG PREFIX: MAST II. PREREQUISITES: MAST 1101, MAST 1115, and BIOL 2205 III. CREDIT HOURS: 3 LABORATORY HOURS: 1 (2 Contact) IV. COURSE DESCRIPTION: An introduction to diagnostic laboratory procedures performed in the physician’s office and medical laboratory science. Principles of laboratory procedures will be studied by observation, discussion, and practice in the laboratory sessions with emphasis on collection, proper handling, including blood and body fluid restrictions, and identification of specimens, basic hematology procedures, routine urinalysis, rapid strep, pregnancy tests, and venipuncture for competency. This course follows CAAHEP/AAMA accreditation standards in place for Medical Assistants. V. GRADING: To satisfactorily complete this course, the student must achieve a grade of B or above according to the following system: LECTURE HOURS: 2 OBSERVATION HOURS: 0 A = 90-100 B = 80-89 (a minimum grade of “B” is required for program continuation) C = 70-79 D = 60-69 F = 0-59 VI. ADOPTED TEXT (S) Kinn's The Medical Assistant with Student Study Guide and Procedure Checklist Manual & ICD-10 Supplemental Package Young 13th Edition ISBN: 978-0-323-35320-5 VII. COURSE OBJECTIVES: At the completion of this course, the student will accomplish the following objectives: Define, spell, and pronounce the terms listed in the vocabulary. Discuss the role of the clinical laboratory in patient care and the medical assistant’s role in coordinating laboratory tests and results. Describe the divisions of the clinical laboratory, and give an example of a test performed in each division. Describe the Clinical Laboratory Improvement Amendments (CLIA) and how they influence laboratory testing. Differentiate between the three CLIA regulatory categories. Compare and contrast the agencies that govern or influence practice in the clinical laboratory, including the CDC, OSHA, EPA, CLSI, and CAP. Discuss purpose of Safety Data Sheets List techniques to minimize physical, chemical, and biologic risks in the clinical laboratory. Describe the essential elements of a laboratory requisition. Explain chain of custody, and illustrate why it is important. MAST 2215 – Medical Laboratory Techniques Page 2 of 13 Discuss specimen collection, including importance of sensitivity to patients’ rights. Discuss 8 steps in collecting and informing patient of results. Explain the differences and similarities between quality assurance and quality control. Convert between Greenwich time and military time. Name the Fahrenheit temperature and Celsius temperature of three important pieces of laboratory equipment. Name the metric units used for measuring liquid volume, distance, and mass. Name the parts of a microscope, and describe their functions. Describe the safe use of a centrifuge. Demonstrate the proper use of the microscope. Understand the purpose of routine urinalysis. Describe the physiology of urine formation. Explain the various means and methods used for collection of urine specimens. Describe the components of the physical and chemical examination of urine. Recognize and correctly identify the formed elements found in urine sediment. Prepare urine specimen for microscopic evaluation. Understand the significance of casts, cells, crystals, and miscellaneous findings. Instruct a patient in the collection of a timed urine specimen. Instruct a patient in the collection of a clean-catch midstream urine specimen. Perform a complete urinalysis. Demonstrate the proper use and care of testing equipment. Describe glucose testing using the Clinitest method. Perform pregnancy testing. Demonstrate a method of drug testing on a urine specimen. List means by which urine could be adulterated before drug testing. Demonstrate a method of detecting the presence of adulterating substances in a urine sample for drug testing. Describe methods for determining fertility and menopause using CLIA-waived urine tests. Define, spell, and pronounce the terms listed in the vocabulary. List the equipment needed for venipuncture. Explain the purpose of a tourniquet. Explain how to apply a tourniquet and three consequences of improper application. Describe the types of sharps used in phlebotomy. Discuss the use of sharps with engineered sharps injury protection. Explain why one chooses a syringe for blood collection rather than an evacuated tube. Explain why the stopper colors on evacuated tubes differ. State the correct order in which various types of tubes should be collected. List, in order, the steps of a routine venipuncture. Describe and name the veins that may be used for blood collection. Explain the reasoning behind choosing a winged infusion set (butterfly) over an evacuated tube. Perform venipuncture using evacuated tube method. Perform a venipuncture using a winged infusion set. Perform a venipuncture using syringe method. List situations in which capillary puncture would be preferred over venipuncture. Discuss proper dermal puncture sites. Describe containers that may be used to collect capillary blood. Perform a capillary puncture. Explain why the first drop of blood is wiped away when a capillary puncture is performed. Discuss problems associated with venipuncture and possible solutions. MAST 2215 – Medical Laboratory Techniques Page 3 of 13 Discuss why specimens may have to be recollected. Describe major cause(s) of hemolysis. Collect a capillary sample in a microhematocrit tube and in a capillary tube. Explain the consequences of an accidental needlestick. Describe a plan of action after an accidental sharps exposure. Be familiar with chain of custody procedures. Discuss patient education and legal and ethical issues related to blood collection. Describe handling and transport methods for blood after collection Name three main functions of blood. Describe the appearance and function of the erythrocyte. Describe the appearance and function of the granular and the agranular leukocyte. Differentiate between T cells and B cells. Describe the appearance and function of the thrombocyte. Explain the process of clot formation. Identify the anticoagulant of choice for hematology testing. Explain the purpose of a microhematocrit. Accurately perform a microhematocrit. Explain the role of hemoglobin in the body. Determine the level of hemoglobin present in a given blood sample. Identify the tests included in a CBC. Explain the principle behind automated blood cell counting. Describe the RBC indices and how they are calculated. Explain the reasons for performing a differential. Describe the appearance of the five different types of leukocytes seen in a normal Wright-stained differential. Describe the appearance of the normal erythrocyte. Prepare and stain a blood smear using Wright’s stain, completing each step in proper sequence. Observe a differential smear, and identify various blood cells from a prepared slide. Cite the reasons for performing an erythrocyte sedimentation rate test. Describe the sources of error for the erythrocyte sedimentation rate test. Determine an erythrocyte sedimentation rate. Describe the tests performed to assess coagulation. Explain how to determine a PT. Perform a CLIA waived PT/INR test and measure accurate results. Use of flow sheets to maintain lab test results. Differentiate between the ABO blood groupings and the Rh blood grouping. Describe medical assistants responsibility for legal preparation of patient for blood transfusion. Secure a capillary blood sample, and determine the ABO and Rh grouping of the sample. Describe the methodology behind the clinical chemistry testing methods used in the physician’s office laboratory. Explain the reasons for testing blood glucose, blood cholesterol, hemoglobin A1c, thyroid hormone levels, and liver enzymes. Perform a glucose test using a U.S. Food and Drug Administration (FDA)–approved glucose monitor. Perform a cholesterol test using an FDA-approved cholesterol monitor. List five typical chemistry panels, the reason for performing each panel, and the individual tests performed in those panels. Define, spell, and pronounce the terms listed in the vocabulary. Cite the protocols for specimen collection. Identify the elements needed for microbial growth. MAST 2215 – Medical Laboratory Techniques Page 4 of 13 Describe the bacterial structures used in identification. Compare bacteria with viruses. Compare bacteria with fungi, parasites, and protozoa. Describe the unusual characteristics of chlamydia, rickettsia, and mycoplasma. Describe the collection of a stool specimen for ova and parasite testing. Describe various bacterial morphologies. Describe the equipment needed in a microbiology laboratory. Describe the different growth media used for culturing. Describe the preparation of a bacterial smear. List the steps of the Gram stain. Compare and contrast the throat culture for Streptococcus pyogenes with the rapid strep test. Describe the method used for antimicrobial susceptibility testing. Describe three microbiology tests that use a rapid identification technique. Explain how pinworm testing is done and when it must be performed. Discuss the purpose of immunology testing. Describe three rapid immunology tests that could be done in the POL. Discuss legal and ethical issues in laboratory testing. A. LEARNING OBJECTIVES Objectives meeting AAMA/CAAHEP Entry Level content: See attached addendum VIII. COURSE METHODOLOGY: Class will include a variety of learning experiences which may include but not limited to: lecture, discussion, journaling, group work, audio-visual materials, critical thinking exercises, chapter and workbook assignments, publisher supplemental materials, computer assisted learning, student presentation, student projects, research paper, skill demonstration, skill competency, practical scenarios, human patient simulation, tests/exams, and other as assigned by the instructor may be utilized as appropriate to meet the course objectives. Students are expected to apply information and knowledge gained in this course to other health science courses, including practicum assignments. IX. COURSE OUTLINE: Unit 9: Diagnostic Procedures Chapter 44 Assisting in the Clinical Laboratory Chapter 45 Assisting in the Analysis of Urine Chapter 46 Assisting in Blood Collection Chapter 47 Assisting in the Analysis of Blood Chapter 48 Assisting in Microbiology and Immunology SAMPLE Calendar Outline: WEEK 1 WEEK 2 Orientation; Ch44 Assisting in the Clinical Laboratory Discuss End of Chapter Exercises - Warm-Up for Critical Thinking, Review Workbook as study companion while reading chapter; discuss WB Content Review. Review Critical Thinking, Chapter Review and Self Assessments LAB: Microscope – Use; Caring for Micro EXAM Ch 44 (Turn in Chapter Assignments) MAST 2215 – Medical Laboratory Techniques Page 5 of 13 WEEK 3 WEEK 4 WEEK 5 WEEK 6 WEEK 7 WEEK 8 WEEK 9 Ch 45 Assisting in the Analysis of Urine; CLIA; lab guidelines; critical values; LAB: Screen and follow up test results; accurate documentation of same; Quality Control – Urine HCG. Review End of Chapter – Critical Thinking and WB CBE: Microscope EXAM Ch 45 (Turn in Chapter Assignments) Ch 46 Assisting in Blood Collection; Urinalysis – End of Chapter and Workbook LAB: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, Clini-Test, 24-hour Urine Collection, Urine Sediment for Micro and Slide Prep Review Critical Thinking, Chapter Review and Self Assessments CBE: Screen/Follow-up Test Results and appropriate documentation Ch 46 Assisting in Blood Collection (cont); Urinalysis – End of Chapter and Workbook LAB: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour Urine Collection, Urine Sediment for Micro and Slide Prep Review Critical Thinking, Chapter Review and Self Assessments CBE: Screen/Follow-up Test Results and appropriate documentation EXAM Ch 46 (Turn in Chapter Assignments) Ch 47 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue CBE: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer Ch 47 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue CBE: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer Ch 47 Assisting in the Analysis of Blood; Phlebotomy – End of Chapter and Workbook Video; Biohazardous Waste; Sharps Protocol LAB: Finger stick; Microhematocrit, Hemocue Review Critical Thinking, Chapter Review and Self Assessments LAB: Finger stick; Microhematocrit, Hemocue CBE: CC Urine, Color/Clarity/Specific Gravity, Reagent Dipstick, 24-hour urine collection, Urinometer EXAM Ch 47 (Turn in Chapter Assignments) Ch 48 Assisting in Microbiology and Immunology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge Ch 48 Assisting in Microbiology and Immunology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Blood Cultures, Centrifuge MAST 2215 – Medical Laboratory Techniques Page 6 of 13 WEEK 10 WEEK 11 WEEK 12 WEEK 13 WEEK 14 WEEK 15 WEEK 16 X. Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Centrifuge Ch 48 Assisting in Microbiology and Immunology; Hematology – End of Chapter and Workbook; LAB: Peripheral Blood Smear, Bleeding Time Venipuncture: Vacutainer and Butterfly, Blood Cultures, Centrifuge Review Critical Thinking, Chapter Review and Self Assessments LAB: Peripheral Blood Smear, Bleeding Time, Blood Cultures, Venipuncture: Vacutainer and Butterfly, Centrifuge EXAM 48 (Turn in Chapter Assignments) CBE Finger Stick and Venipuncture LAB / CBE: As needed LAB: Throat Culture, Naso-pharyngeal Swab (Verbal), Guiac Card x3 (Take Home Instructions/Performance), O & P Specimen (Verbal) Review Critical Thinking, Chapter Review and Self Assessments LAB: HCG, MonoSpot, Blood Typing, PKU (Verbal), Wound Culture (Verbal) Clinical Chemistry CBE: Cultures LAB /CBE: As needed LAB: Glucose Testing, Fingerstick – GTT, Blood Cholesterol CBE: Glucose Testing, Fingerstick – GTT, Blood Cholesterol LAB / CBE: As needed LAB INVENTORY AND CLEANUP; LAB EQUPMENT CHECK; QA Reports & Presentations (Ch 48) FINAL EXAM OTHER REQUIRED BOOKS, SOFTWARE AND MATERIALS: It is highly recommended that students have a home computer, printer (minimum computer requirements recommended for Blackboard Instruction), internet access and a personal USB storage device and a medical dictionary. Other as determined by instructor (refer to instructor requirements). 1. Second year lab kit (from MAST 2240 course) 2. USB storage device for skill recordings – to be turned in at the end of the term XI. EVALUATION: Knowledge of content is evaluated by written exam, student performance of competency based skills, assignments, and work projects per instructor. All exams are comprehensive. A quiz may be given at instructors’ discretion. Competency-based skill performance is required on each skill discussed and demonstrated. After completion of this course, the student will be requested to complete a form to assist in evaluation of course content and instruction. Class participation will be evaluated by the student’s ability to contribute to class discussion. Points will be deducted on all assignments and quizzes for incorrect spelling or grammar. Students must earn a passing average score of 80% on exams and must pass 100% of all competencies with accuracy rate of 85%. Failure in any of these areas will result in failure of the course. No make-up tests will be given. SAMPLE Final Grade Percentage Calculation: MAST 2215 – Medical Laboratory Techniques Page 7 of 13 Chapter Exams Competency Based Exams Coursework/Work Product Final Exam XII. 30% of final grade (passing score required as above) 25% of final grade (passing score required as above) 15% of final grade 30% of final grade SPECIFIC MANAGEMENT REQUIREMENTS: Students registered for the online course must visit the introduction page for specific management requirements. To meet the objectives of the online/hybrid course, the students must visit the course web site by the first day of the semester or they will be dropped from the course. The student must visit and comply with the Online Course Requirements, Instructor Requirements and complete the Online Readiness Checklist available on the SSCC website. Students are strongly advised to complete the Online Success Workshops. Plagiarism – basically, copying someone else’s ideas and/or words and passing them off as yours. This includes copying and pasting material from your peers, books, the Internet, videos, and all copyrighted material without express permission and proper documentation (use quotation marks and citations/footnotes). Honesty and integrity are major elements in professional behavior and are expected of each Health Science Division student. Cheating is considered unacceptable behavior within all Health Science Division courses. Students having academic difficulties should seek guidance assistance from the instructor, academic advisor, or college counselor. Students observed or found to be cheating in any Health Science Division course will be given a “zero” on the test or assignment. A written report of the incident, signed by the instructor and the student, will be placed in the student’s permanent file. This notice will remain on file and in effect for the remainder of the student’s enrollment in the Health Science Division. Should a second incident of cheating occur in any Health Science Division course, the student will be given a failing grade for the course and will be dismissed from the Health Science Division for one year (all re-application guidelines apply) and possibly from SSCC, as per college guidelines. The “zero” grade for dishonesty will not be used as the drop grade in a course in which a drop grade option is given. If a student allows another student to copy or cheat from their work, the same ramifications will be given to that student as well. The student witnessing cheating is morally obligated to report the incident to the instructor. Successful attainment of the objectives of this course will be measured by the student passing all competency-based exams (CBE), written assignments, other as assigned, and a final course grade of A or B. Students will be graded on his/her performance of the competency-based skills listed in the course description. Students must meet the passing average exam score requirement before any other scores will be averaged into the final grade as a score (see XI. Evaluation) Students will be required to complete exams/competencies at the times designated in the Course Schedule. Students are required to participate in all class activities. To meet the objectives of each course students must attend all scheduled classes. At the beginning of the term all instructors will pass out a “Class Schedule”, which lists all class meetings. If a student must miss class due to extenuating circumstances, as a professional responsibility, the student is expected to inform the instructor via phone, e-mail, or voice message should the instructor not be available. Students will be allowed three (3) class absences. Absences over three times will result in a drop of one letter grade from the final grade; the third absence will reduce a final grade of A to a B, a B to a MAST 2215 – Medical Laboratory Techniques Page 8 of 13 C (therefore removing a student from the program) or may drop the D to an F, requiring repeat of the course. Two instances of significant tardiness and/or leaving early will be considered equivalent to an absence for purposes of this calculation. Faculty may withdraw students who have missed 20% of the total scheduled classes of a course and issue a grade of WI to the student. Students may withdraw from classes up to and including the week before final exams by giving written notice of their intent to withdraw to the Student Services Office. Attendance in class is an important part of the learning process. Excess absence may result in a failure. Faculty may count attendance as part of the grading policy and a failure to officially withdraw may result in a failing grade. Withdrawal from classes may affect the student’s academic status and/or financial aid. See the FEE SCHEDULE section of the College Catalog for the policy on refunds and financial aid. Any student who misses a scheduled competency, either demonstration or checkoff must make an appointment, within one week of return to school, with the instructor to make up this portion of the class. Failure to do so will result in a “Fail” for the competency, therefore failure of the course. It is the students’ responsibility to make arrangements for this. The instructor reserves the right to make changes to the syllabus at any time to fulfill the objectives of the course. Notice of changes will be given at least one class prior to effect of the change. Absence from class shall not excuse a student from being subject to the change. XIII. OTHER INFORMATION: Classroom Conduct: Civility in the classroom is required. As future professionals, students are to conduct themselves in a courteous and respectful manner. Disruptive, rude, sarcastic, obscene, disrespectful speech and/or unprofessional behavior have a negative impact on everyone, and will not be tolerated. Students are reminded the online discussion boards and chat rooms in the online course are considered classrooms and the same rules apply. Students will use these tools in the online classroom for information that pertains to the course; it is not to be used for personal exchanges of a social nature. If you engage in any such conduct you will be asked to leave and you will receive a “zero” for any work completed on that day. The instructor reserves the right to permanently remove a student from the class for inappropriate conduct after consultation with the Department Coordinator and/or Academic Dean. Refer to Student Code of Conduct in the SSCC Academic Catalog and online at sscc.edu. FERPA: Work submitted in this class may be seen by others. Student work may be seen when being distributed, during group project work, or if it is chosen for demonstration purposes. Other instructors may also see your work during the evaluation/feedback process. Student assignments and exams are kept on file for review by various accrediting boards. On occasion papers may be traded with another student or work-study for grading purposes. Student work may be submitted electronically to other entities to determine if references are cited appropriately. Plagiarism is a serious offense. Work submitted by the student must be the student’s own creation. The instructor reserves the right to fail any student who submits plagiarized or duplicated work. A grade of “zero” will automatically be given to the duplicated submissions. The instructor will be the sole judge in such cases. If a student cannot demonstrate conclusively that a work was not copied or plagiarized or, in the case of the original author, was copied without consent, the penalty will stand. Disability Services: Students with disabilities may contact the Disabilities Service Office, Central Campus, at 800-628-7722 or 937-393-3431. MAST 2215 – Medical Laboratory Techniques Page 9 of 13 Tutoring Services: Please refer to Student Code of Conduct in the SSCC Academic Catalog and online at sscc.edu. Inclement Weather: In the event of campus delay (when this class start time is impacted by said delay) the class will begin at the scheduled campus opening time to complete any remaining class time permitted. MAST 2215 – Medical Laboratory Techniques Page 10 of 13 ADDENDUM: VII. COURSE OBJECTIVES: A. LEARNING OBJECTIVES Objectives meeting AAMA/CAAHEP 2013 Entry Level content: FOUNDATIONS FOR CLINICAL PRACTICE CONTENT AREA I: Anatomy & Physiology Psychomotor (Skills) I.P Anatomy & Physiology I.P.2 2. Perform: MAST 2215 I.P.2.b b. venipuncture MAST 2215 I.P.2.c c. capillary puncture I.P.4 4. Verify the rules of medication administration: MAST 2215 I.P.10 10. Perform a quality control measure I.P.11 11. Obtain specimens and perform: MAST 2215 I.P.11.a a. CLIA waived hematology test (ex: perform/document Hct/Hgb) MAST 2215 I.P.11.b b. CLIA waived chemistry test (ex: perform/document blood glucose) MAST 2215 I.P.11.c c. CLIA waived urinalysis MAST 2215 I.P.11.d d. CLIA waived immunology test (ex: perform/document hCG/rapid strep) MAST 2215 I.P.11.e e. CLIA waived microbiology test (perform/document chlamydia testing) CONTENT AREA II: Applied Mathematics Psychomotor (Skills) II.P: Applied Mathematics MAST 2215 II.P.2 2. Differentiate between normal and abnormal test results (ex: reagent strip, lab result, vision/audiometer responses) MAST 2215 II.P.3 3. Maintain lab test results using flow sheets Affective (Behavior) II.A Applied Mathematics MAST 2215 II.A.1 1. Reassure a patient of the accuracy of the test results CONTENT AREA III: Infection Control Psychomotor (Skills) III.P. Infection Control MAST 2215 III.P.8 8. Perform wound care III.P.10 10. Demonstrate proper disposal of biohazardous material MAST 2215 III.P.10.a a. sharps MAST 2215 III.P.10.b b. regulated wastes MAST 2215 – Medical Laboratory Techniques Page 11 of 13 COMPETENCY BASED EXAM (CBE) -- SKILL CHECKOFF Lab participation is an important factor in lab performance evaluation. Students are to take individual responsibility for learning laboratory procedures BEFORE evaluation by an instructor. The laboratory will be open for individual practice during the hours posted (one hour required weekly to meet course requirements). The initial skills CBE will be scheduled by the instructor. CBE will be performed according to the procedure listed below: A. Students are required to successfully demonstrate skill mastery within 2 CBE. Performance skills are weighted. The second attempt is not awarded 100 points, a 10 point deduction will be assessed after competency scoring. B. If unsuccessful in 2 attempts, an unsatisfactory lab performance will result. Unsatisfactory lab performance at completion of the semester will result in the grade of "F" for the entire course regardless of the theory grade. C. Only one attempt to perform the same lab procedure may be made each proficiency day. If the lab procedure is not completed successfully, the student will be required to reschedule the CBE at an available time with the lab instructor before the date it is due. D. CBE are to be scheduled during lab time and at other assigned times as scheduled by instructor. Each student may sign up only once for a skill until all students have had an opportunity to sign up for that skill. E. No books or notes are to be available during CBE. "Patients" and assistants may not give clues or any verbal assistance during the CBE. Before beginning the CBE, each student testing needs to: Make arrangements for an assistant if needed (per instructor). Make arrangements for a patient if needed (per instructor). Be ready to start at the appropriate time. Present peer review papers, and have names on all documents, to give to evaluating instructor. Present checkoff papers, and have names on all documents, to evaluating instructor. Place peer review and checkoff papers in order of performance (per instructor). F. Students are instructed not to watch others being evaluated. CBE sheets are to be given to the instructor at the beginning of the evaluation. Upon satisfactory completion, each sheet will be signed by student, partners and instructor, and scores will be calculated. CBE must be successfully completed in the lab before a student is permitted to perform them in the clinical setting. H. All written lab assignments must be satisfactorily completed and submitted on due date to pass the fundamentals skills course. MAST 2215 – Medical Laboratory Techniques Page 12 of 13 PROTOCOL FOR PEER CHECK OFFS Each skill that is designated as a peer check off should be completed in the following way: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Practice, perform, record, and document the skill with a lab partner from your lab group. Get feedback from your lab partner about your performance of the skill. Feedback is to be a constructive, professional evaluation (i.e., no smiley faces, etc). Practice until you feel comfortable, perform until consistently error free (achieve mastery of the skill). Have lab partner sign name and date to your skill sheet, indicating you have performed the skill correctly. Perform and record the skill for/with another classmate from each of the OTHER lab groups (2 other people-a total of 3). Continue to practice independently for proficiency after peer reviews are complete. Have each of the other peers sign your skill/lab sheet as well, indicating you have correctly performed the skill. Peer Evaluators are not to sign off on a skill for others unless they feel certain that it has been performed correctly. Turn in or show signed lab sheets with accurate documentation to each Lab Instructor at time of CBE or by the deadline date as designated by instructor. Address all questions regarding specific peer check offs to the instructor from whom the assignment was obtained. Turn in your USB device containing all lab and skill video recordings at the end of the term. MEDICAL ASSISTING LAB POLICIES Required Lab: The purpose of the Required Practice Lab is to allow the student a simulated patient care experience in order to become familiar with the required psychomotor skills for a course. To meet program requirements (ODE), students are required to arrange time for one (1) hour practice lab time outside of class weekly for practice of competency skills only. The student is scheduled for supervised practice lab during class with an instructor according to the requirements of a course. Attendance at supervised labs is required. Specific lab objectives written for each lab session must be satisfactorily achieved in order to successfully complete the course. Open Lab: Students are required to complete one hour lab practice outside the regularly scheduled class time to meet course requirements. The lab is available for self-directed student practice during the hours not utilized for instruction. The student should use the Open Lab Practice to become proficient in a skill BEFORE requesting an evaluation of the skill by the instructor. Students must record each lab session, and remember to sign in and out of the lab. The "sign-in" book is located on the counter of the lab and requests date, time, name, and procedure. MAST 2215 – Medical Laboratory Techniques Page 13 of 13 Equipment and Lab Maintenance: All equipment and supplies should be returned to the appropriate place after they are used for practice. No equipment may be removed from the lab at any time. Students are expected to leave the laboratory in order, which means cleaning up lab surfaces with appropriate solutions, making and straightening beds and returning models and equipment to appropriate spaces. If stations have been prepared for instruction, they are to be kept clean, clutter-free and safely out of traffic flow. All students are responsible for maintaining order in the lab as follows: 1. 2. 3. 4. 5. 6. See that the room is in order at the end of each class. All equipment and supplies returned to proper place. Mannequins secured in beds, chairs, or on carts and draped. Bed side furniture in proper place. Beds neat and in proper place. All lights are turned off. PROPER WASTE AND BIOHAZARDOUS WASTE DISPOSAL Regular trash: Equipment packaging materials and instructional papers, food and drink containers, paper towels, newspapers, etc., lightly soiled gloves, band aids, cotton balls, gauze, used alcohol pads, feminine hygiene products from patients with no known bloodborne disease (excluding obstetrical waste), needleless syringes, empty medicine vials, unbroken/uncontaminated glass bottles or vials, empty IV bags and tubing. Most, but not all, waste will be safe for regular trash. Infectious waste (Red Bags): Cultures, bloody gloves, pathological wastes, discarded vaccines, medicine vials (partially filled), and laboratory wastes that were in contact with infectious agents, laboratory wastes that were in contact with blood or body fluids. Sharps container (Red Plastic Container) Needles and syringes, lancets, slides, broken glass, razors, scalpel blades, guidewires, ampules.
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