I. General Information

1. Course Title:
Clinical Procedures II

2. Course Prefix & Number:
MEDA 1115

3. Course Credits and Contact Hours:

Credits: 3

Lecture Hours: 1

Lab Hours: 4

4. Course Description:

This course covers clinical duties that are performed by the medical assistant.  Emphasis will be on assisting with ambulatory surgery, assisting with specialty examinations, medication administration, providing patient education, assisting in primary care areas of family practice, internal medicine and obstetrics and gynecology.  Students will learn how to obtain appropriate information through effective communication.

5. Placement Tests Required:

6. Prerequisite Courses:

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

Name of Institution	Course Number and Title	Credits
Dakota County Technical College, Rosemount	MDAS 1230 Clinical Procedures II	3
Anoka Technical College, Anoka	MAST 2043 Clinical Procedures II	3

2. Transfer - regional institutions with which this course has a written articulation agreement:

Medical Assistant, Diploma

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Demonstrate interpersonal communication skills	Explain and demonstrate appropriate patient education skills.
Analyze and follow a sequence of operations	Demonstrate the ability to set up a sterile field in the proper order.
Utilize appropriate technology	Perform medical testing procedures accurately and correctly.

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

Expected Outcome	MnTC Goal Area
Apply principles of aseptic techniques and infection control.
Choose to display a professional attitude at all times.
Formulate what is said to the recipient’s level of comprehension.
Determine the need for accurate documentation and reporting.
Set up patients for procedures and examinations.
Demonstrate empathy and be impartial when dealing with patients.
Perform selected tests that assist with diagnosis and treatment.
Determine appropriate methods of patient education related to health promotion and disease prevention.
Prepare and administer medications as directed by physician.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. I. Examinations and Procedures of Body Systems
• Urinary System
• Digestive System
• Sensory System
• Respiratory System
• Musculoskeletal System
• Neurologic System
• Circulatory System
• Blood and Lymph System
• Integumentary System
2. Assisting with Office/Ambulatory Surgery
• Surgical Asepsis and Sterilization
• Sterile Principles
• Methods of Sterilization
• Common Surgical Procedures Performed in Providers’ Offices
• Suture Materials and Supplies
• Instruments
• Supplies and Equipment
• Patient Care and Preparation
• Basic Surgery Setup
• Surgery Process
• Preparation for Surgery
3. Nutrition in Health and Disease
• Nutrition and Digestion
• Types of Nutrients
• Reading Food Labels
• Nutrition at Various Stages of Life
• Therapeutic Diets
• Diet and Culture
4. Medication Administration
• Legal and Ethical Implications of Medication Administration
• The Medication Label
• Medications Measured in Units
• Calculating Adult and Children’s Dosages
• Administration of Medications
• Principles of Intravenous Therapy
• Site Selection and Injection Angle
• Basic Guidelines for Administration of Injections
5. Rehabilitation and Therapeutic Modalities
• The Role of the Medical Assistant in Rehabilitation
• Principles of Body Mechanics
• Transferring Patients
• Assisting Patients to Ambulate
• Assistive Devices
• Therapeutic Exercises
• Therapeutic Modalities
6. Electrocardiography
• Anatomy of the Heart
• The Cardiac Cycle and the ECG Cycle
• Types of Electrocardiographs
• ECG Equipment
• The Electrocardiograph and Sensor Placement
• Standardization and Adjustment of the Electrocardiograph
• Standard Resting Electrocardiography
• Mounting the ECG Tracing
• Myocardial Infarctions
• Cardiac Arrhythmias
• Other Cardiac Diagnostic Tests
• Cardiac Procedures
7. Assisting with Specialty Examinations
• Obstetrics
• Gynecology
• Pediatrics
• Growth and Development
• Measuring the Infant and Child
• Pediatric Vital Signs
• Screening Infants and Children for Vision and Hearing
• Common Disorders and Diseases in Children
• Testicular Self-Examination
• Disorders of the Male Reproductive System
• Assisting with the Male Examination
• Facts About Aging, Societal Bias
• The Medical Assistant and the Geriatric Patient
• Healthy and Successful Aging

2. Laboratory/Studio Sessions

The laboratory sessions will involve practice and production of required work products to demonstrate proficiency of required competencies/skills related to the above outlined topics.

1. Examinations and Procedures of Body Systems
• Urinary Catheterization of Female Patient
• Urinary Catheterization of Male Patient
• Fecal Occult Blood Test Instruction
• Performing Visual Acuity Testing Using Snellen Chart
• Measuring Near Visual Acuity
• Testing Color Vision Using the Ishihara Plates
• Performing Eye Instillation
• Performing Eye Patch Dressing Application
• Performing Eye Irrigation
• Assisting with Audiometry
• Performing Ear Irrigation
• Performing Ear Instillation
• Assisting with Nasal Examination
• Cautery Treatment of Epistaxis
• Performing Nasal Instillation
• Administer Oxygen by Nasal Cannula for Respiratory Distress
• Instruction Patient in Use of Metered Dose Inhaler
• Spirometry
• Pulse Oximetry
• Assisting with Plaster Cast Application
• Assisting with Cast Removal
• Assisting Provider During Lumbar Puncture
• Assisting Provider with Neurologic Screening Examination
2. Assisting with Office/Ambulatory Surgery
• Applying Sterile Gloves
• Chemical Cold Sterilization of Endoscopes
• Preparing Instruments for Sterilization in Autoclave
• Sterilization of Instruments
• Setting Up a Sterile Field
• Opening Sterile Packages of Instruments and Supplies
• Pouring a Sterile Solution into a Cup on a Sterile Field
• Assisting with Office/Ambulatory Surgery
• Dressing Change
• Wound Irrigation
• Preparation of Patient’s Skin Before Surgery
• Suturing of Laceration or Incision
• Sebaceous Cyst Excision
• Incision and Drainage of Localized Infection
• Aspiration of Joint Fluid
• Hemorrhoid Thrombectomy
• Suture/Staple Removal
• Application of Sterile Adhesive Skin Strips
3. Nutrition in Health and Disease
• Provide Instruction for Health Maintenance and Disease Prevention
4. Medication Administration
• Administration of Oral Medications
• Withdrawing Medication from Vial
• Withdrawing Medication from Ampule
• Administration of Subcutaneous, Intramuscular and Intradermal Injections
• Reconstituting a Powder Medication for Administration
• Z-Track Intramuscular Injection Technique
5. Rehabilitation and Therapeutic Modalities
• Transferring a Patient from Wheelchair to Exam Table
• Transferring a Patient from Exam Table to Wheelchair
• Assisting the Patient to Stand and Walk
• Care of the Falling Patient
• Assisting a Patient to Ambulate with a Walker
• Teaching Patient to Ambulate with Crutches
• Assisting Patient to Ambulate with a Cane
6. Electrocardiography
• Perform Single Channel or Multichannel Electrocardiogram
• Holter Monitor Application
7. Assisting with Specialty Examinations
• Assisting with Routine Prenatal Visits
• Assisting with Pelvic Examinations and Pap Tests
• Assisting with Insertion of Intrauterine Device
• Wet Prep/Wet Mount and Potassium Hydroxide (KOH) Prep
• Amplified DNA ProbeTec Test for Chlamydia and Gonorrhea
• Administration of a Vaccine
• Maintaining Immunization Records
• Measuring Infant: Weight, Length, Head and Chest Circumference
• Taking Infant’s Rectal Temperature
• Taking an Apical Pulse on an Infant
• Measuring Infant’s Respiratory Rate
• Obtaining a Urine Specimen from an Infant or Young Child
• Instructing Patient in Testicular Self-Examination