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Objectives and MAERB Core Competencies

Objectives and MAERB Core Competencies
Upon completion of this project, the student will be able to: III.C.2. Define asepsis III.C.3. Discuss infection control procedures III.C.7. Match types and uses of personal protective equipment (PPE) III.C.8. Differentiate between medical and surgical asepsis used in ambulatory care settings, identifying when each is appropriate IV.C.6. Differentiate between subjective and objective information XI.C.1. Describe personal protective equipment XI.C.10 Identify principles of body mechanics and ergonomics. XI.C.11. Discuss critical elements of an emergency plan for response to a natural disaster or other emergency XI.C.12. Identify emergency preparedness plans in your community XI.C.13. Discuss potential role(s) of the medical assistant in emergency preparedness XI.C.5. State principles and steps of professional/provider CPR XI.C.6. Describe basic principles of first aid XI.C.7. Describe fundamental principles for evacuation of a healthcare setting XI.C.8. Discuss fire safety issues in a healthcare environment
Course Outcomes Addressed: 1. Practice infection control by using medical and surgical asepsis and standard precautions. 3. Obtain, assess, and document vital signs, visual acuity, and other diagnostic tests as pertaining to physical exams. 7. Recognize and respond to medical emergencies in medical office and community.
Goal: The student will explore the clinical skills, procedures, and policies of the medical profession.
Grade Allocation: See attached rubric.
Bryant & Stratton College Medical Assisting Program Competency Project for MAERB Core Curriculum AHLT 130 Clinical Procedures
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Project Part 1 (MAERB Competencies – III.C2; III.C.3; III.C.7; III.C.8; and XI.C.1): Due Week 3
1. Define infection control procedures in the medical office / ambulatory setting and write a reflection of how you will use this information in your practice as a medical assistant. 2. Based on the information you learned from classroom discussions, assigned readings, and research; identify at least 4 types of personal protective equipment. Evaluate their value for your use as a medical assistant.
3. Based on the information you learned from classroom discussions, assigned readings, and research; define asepsis. Validate (prove) the importance of asepsis in a clinical setting.
4. Based on the information you learned from classroom discussions, assigned readings, and research; differentiate between medical and surgical asepsis used in ambulatory care settings. Determine which technique (medical or surgical asepsis) would be employed during the following procedures. In those procedures requiring surgical asepsis, indicate which of the following reasons necessitate the use of surgical asepsis (ex. caring for broken skin, the penetration of a skin surface, or entering a body cavity that is normally sterile.) In addition, indicate the correct personal protective equipment (PPE) for each procedure and reflect upon its use in your practice as a medical assistant. a. Administering oral medication b. Inserting sutures c. Taking an oral temperature d. Applying an elastic bandage to the forearm for support e. Performing a needle biopsy f. Removing a sebaceous cyst g. Obtaining a PAP smear h. Inserting a urinary catheter i. Inserting an IUD (Intrauterine Device) j. Applying a dressing to an open wound
Bryant & Stratton College Medical Assisting Program Competency Project for MAERB Core Curriculum AHLT 130 Clinical Procedures
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Project Part 2 (MAERB Competency – IV.C.6): Week 5
1. Reflect upon your knowledge of subjective and objective information obtained during a medical history. Define subjective and objective information. Analyze the following physical examination report and create a table indicating the subjective and objective information that is presented:
Physical Examination Report: Appendicitis
Patient Name: Jonathan Jones MR#: 44579
Attending Physician: Ajay Shah, M.D. ROOM #: 527-A
Chief Complaint: Abdominal pain.
History of Present Illness: The patient is a 27-year-old male complaining of right lower quadrant abdominal pain, nausea, and vomiting. The initial onset of the pain was about 48 hours prior to presentation. The pain was progressive in nature and began radiating to the back. Late yesterday, the patient drank some Alka-Seltzer and went to bed. He was awakened during the night by the pain and began vomiting. The patient states the pain is constant and has localized to the right lower quadrant. His last bowel movement yesterday afternoon was normal. He has a history of irritable bowel syndrome. However, he states that this pain is different than the pain he has had in the past.
Past Medical History: Irritable bowel syndrome, last exacerbation six months ago. The rest of the past medical history is unremarkable.
Past Surgical History: Tonsillectomy and adenoidectomy in early childhood. Umbilical hernia repair at age four.
Medications: None.
Allergies: No known drug allergies.
Social History: The patient is employed as a computer programmer. He is married and has no children. He has smoked a half pack of cigarettes daily for the last ten years. He drinks alcohol rarely.
Family History: Both parents are alive and well. One sister has Down syndrome.
Bryant & Stratton College Medical Assisting Program Competency Project for MAERB Core Curriculum AHLT 130 Clinical Procedures
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Review Of Systems: Negative except for complaint of pain in the right lower quadrant.
Physical Examination:
General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78. Pulse 68 and regular. Temperature 38.56° C. (101.4 ° F.)
HEENT: Normocephalic, atraumatic. Pupils were equal, round, reactive to light. Ears clear. Throat normal.
Neck: The neck is supple with no carotid bruits.
Lungs: The lungs are clear to auscultation and percussion.
Heart: Regular rate and rhythm.
Abdomen: Bowel sounds are normal. There is rebound tenderness, with maximal discomfort on palpation in the right lower quadrant.
Extremities: No clubbing, cyanosis, or edema.
Laboratory Data: Hemoglobin 14.6, hematocrit 43.6, WBC 13,000. Sodium 138, potassium 3.8, chloride 105, C02 24, BUN 10, creatinine 0.9, glucose 102. Urinalysis was negative.
Diagnostic Studies: Flat plate and upright films of the abdomen revealed a localized abnormal gas pattern in the right lower quadrant with no evidence of free air.
Impression: Appendicitis.
Plan: The patient will be admitted, kept NPO, and an appendectomy will be performed by Dr. Rogers in the morning.
Ajay Shah, M.D.
Reference: Erlich, A. and Schroeder, C.L. (2005). Electronic Classroom Manager to Accompany Medical Terminology for Health Professions (5th ed.). Clifton Park, NY: Thomson Delmar Learning.
Bryant & Stratton College Medical Assisting Program Competency Project for MAERB Core Curriculum AHLT 130 Clinical Procedures
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Project Part 3 (MAERB Competencies – XI.C.7; XI.C.8; XI.C.10; XI.C.11; XI.C.12; and XI.C.13): Due Week 10
1. Define fire safety issues in a healthcare environment and the critical elements of an emergency plan for response to a natural disaster or other emergency. Using the information obtained from classroom discussions, assigned readings, and independent research, reflect upon the significance of having an emergency plan in the medical environment and write a brief justification for having an emergency plan. Create an emergency plan that will sufficiently address both the situations in Dr. Carl Smith’s medical office. ? A fire occurs in the office while Dr. Smith is treating patients. ? A tornado is reportedly moving in the direction of the office during office hours.
Explain in a written summary the fundamental principles involved when the evacuation of a healthcare setting is required. Analyze how these principles differ according to the healthcare setting, and compare and contrast the evacuation of a small medical office with that of a large multi-physician ambulatory care center. Explain how you would move patients that are unable to ambulate independently. Include protocols for lifting and for moving large numbers of patients efficiently.
2. Create a chart to illustrate the comparison.
3. Research and identify emergency preparedness plans currently established for three organizations in your community. Provide documentation of your findings in a written report along with a copy of pamphlets/documents from the various organizations. Reflect upon the potential role(s) of the medical assistant in emergency preparedness and indicate particular activities you could perform in an organization’s plan. Why are you qualified to perform these activities? Be sure to identify and properly cite the resources used for your project.
4. Construct a personal life-long learning plan that will allow you to become better prepared to assist in natural disasters and other emergencies in the healthcare setting and community (i.e. volunteer opportunities, additional training and certifications, membership in disaster management organizations, etc.)
Bryant & Stratton College Medical Assisting Program Competency Project for MAERB Core Curriculum AHLT 130 Clinical Procedures
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Project Part 4 (MAERB Competencies – XI.C.5; and XI.C.6): Due Week 13
1. Based on the information you learned from classroom discussions, assigned readings, and research and create a triage manual for a medical office for the following emergencies. In the manual, include a table of contents that orders each situation alphabetically and provide a separate guide that identifies the emergencies in a list form from most severe to least severe. List the steps that must be taken to control or manage each situation. What immediate actions should be taken by the medical assistant in responding to each condition? Assess the equipment, supplies, and medication necessary for further assessment and treatment by the physician. Reflect upon the role of a medical assistant if the physician is not readily available (what should he/she do?). What patient education can be used in each situation? ? Patient with severe bleeding from an open wound ? Patient fainting ? Patient unresponsive, no pulse, and not breathing ? Patient with partial facial paralysis ? Patient with probable broken arm ? Patient with confusion, disorientation and slurred speech ? Patient with severe chest pain ? Patient with an anaphylaxis reaction ? Patient having a seizure ? Patient with a second degree burn
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