Bergen Community College Division Of Health Professions .

Bergen Community CollegeDivision of Health ProfessionsMedical Office Assistant ProgramCourse SyllabusMOA240 Clinical Office PracticeSemester and year: SpringCourse Number: MOA-240Meeting Times and Locations:Instructor:Office Number:E-Mail:Office Hours:Catalog Course DescriptionThis course enables the student to develop competence in examination room techniques.Special emphasis is placed on preparing the patient for examination, taking vital signs,preparing for sterilization and injection procedures, taking electrocardiograms, performing firstaid and emergency procedures and caring for supplies and equipment in the physician's office.Credits: 4 Credits3 Lecture Hours3 Laboratory Hours90 Total Clock HoursPrerequisite: MOA140, MOA141, MAT040Required Textbook:Clinical Procedures for Medical Assistants and Student Manual by Kathy Bonewit. NinthEdition. Philadelphia: W.B. Saunders Company.Course OutlineI.Asepsis and OSHAA. List the parts of the infectious cycleB. List the infectious agentsC. Identify means of transmissionD. Compare natural and acquired immunityE. Preform standard universal precautionsF. Identify OSHA’s reports and formsG. Identify and demonstrate work practice controls and engineering controls1

II.Vital SignsA. Identify the four vital signsb. Demonstrate obtaining vital signsc. List factors which effect vital signsd. Recognize diseases which are associated with vital signsIII.CardiologistA. Identify the diseases of cardiologyB. Recognize risk factors of diseasesC. List the procedures performed in a cardiology officeD. Perform spirometer testingIV.ElectrocardiographyA. Perform the procedure of ElectrocardiographyB. Identify artifacts and interferenceC. Record an ElectrocardiogramD. Compare the hearts electrical pathway to the wave formV.Administration of MedicationsA. List the routes of medicationsB. List the 7 rights of administrating medicationC. Identify the different forms medications are administeredD. Perform the administration of medicationsE. Recognize the signs and symptoms of adverse reactionsF. Identify the different measuring systemsG. Compare the negative and positive reactions of Tuberculosis testingH. Advise and prepare a patient for allergy testingVI.SterilizationA. List sterile fields rulesB. Identify surgical instrumentsC. Sanitize instruments using a ultrasound cleanerD. Preform envelope wrapping of instrumentsE. Properly load and run the autoclaveF. List reasons for improper sterilizationG. Open a sterile packageH. Perform sterile gloving techniquesI. Set up a sterile surgical tray2

J. Pass a sterile instrumentK. Transfer a sterile instrument to a sterile fieldL. Remove sterile glovesVII.Assisting with minor surgical proceduresA. List procedures performed in a surgical officeB. Recognize the effects of anesthesiaC. Describe the different kinds of local anesthesiaD. List the different kinds of wounds and phases of wound healingE. Identify types and sizes of suturesF. Preform suture removalG. Educate the patient to identify signs and symptoms of infected woundsH. Preform pre and post-operative patient care instructionsVII.The Physical ExaminationA. Identify equipment and supplies used during the physical examinationB. Prepare the patient: instructions, gowning, positionsC. Use proper body mechanicsD. Preform height, weight, vision, and hearing testingE. Instruct the patient for hemocult testing and colorectal screeningVIII.Specialty Examination: Urology, Gynecology, PediatricsA. Instruct patient for self-tactical examinationB. Instruct patient for self-breast, pelvic, and mammography examinationC. Identify the physical and physiological development of a childD. Record growth charts of childrenF. Record vaccination charts in pediatricsIX.RadiologyA. Identify the different radiology diagnostic proceduresB. List the different contrast material used for proceduresC. Identify safety precautions during radiology proceduresD. List the positions for a chest x-rayLearning ObjectivesUpon successful completion of this course, the student will be able to:3

1. Accurately use medical terminology and develop competency in the use of commonlyused abbreviations for patient care2. Identify diseases, risk factors, signs and symptoms3. Practice medical asepsis and infection control4. Perform vital signs (Temperature, Pulse, Respirations, Blood Pressure)5. Measure height and weight of an adult6. Measure height, weight, head and chest circumference of an infant7. Sketch pediatric charts (Growth charts, vaccination records)8. Perform vision and hearing testing9. Record electrocardiography10. Illustrate disinfection and sterilization techniques11. Apply minor office assisting principles12. Administer oral, injectable, and instillation, medications13. Identify the 7 rights of administration medication14. Interpret medication orders correctly15. Demonstrate examination positions used in the medical office and practicebiomechanicsAttendance Policy:Student must be present for 90% of class time. If the student falls below 90% the grade willdrop 10%. Students with attendance problems should contact the class instructor. Studentswho are late for 5 classes will be considered as 1 absent class.Phones are prohibited during class timeStudent will be asked to leave the laboratory class and be marked as absent (Missing clinicallaboratory practice time)Evaluation Procedures:Final grade will be determined by:Test Policy:All tests are mandatory. Tests will be made up at the next scheduled class. Documentation ofabsences must be provided to make up the test without penalty of subtraction of 11 points.The following criteria will be utilized in determining final grades for this course:Students must pass both the chapter tests and clinical competencies to pass the course.Chapter tests50 percent and must maintain a 70% passing rateClinical competency 50 percent and must maintain a 70% passing rateClinical class participation: Students who do not participate will have their grade dropped 10%4

Student must pass 100% competencies set forth by our accrediting agency.Grading SystemA 90-100B 86-89B 80-85C 76-79C 70-75F0-69MOA Curriculum Competencies:Competencies are performed for either a grade which is determined and explained to the studentprior or for a pass\fail determination by the instructor.The student receives 3 attempts to pass\fail.The student’s grade determination for a grade is 1st attempt 100%, minus points if missing a step,2nd attempt is minus 11 points, 3rd attempt minus 22 points. Any steps not completed foradditional attempts will be minus points. Points are determined by the amount of steps to becompleted based on the total grade determination. Some competencies will be a pass/faildetermined by the instructor.*Student must successfully pass all the psychomotor and affective competencies in order topass the course and progress in the program.MOA Curriculum Competencies:Cognitive DomainII.C.6. Analyze healthcare results as reported in:a. graphsIII.C.1. List major types of infectious agents.III.C.2. Describe the infectious cycle including:a. the infectious agentb. reservoirc. susceptible hostd. means of transmissione. portals of entryf. portals of exitIII.C.3. Define the following as practice within an ambulatory care setting:a. medical asepsisb. surgical asepsisIII.C.4. Identify methods of controlling the growth of microorganisms.III.C.5. Define the principles of standard precautions.III.C.6. Define personal protective equipment (PPE) for :a. all body fluids, secretions and excretions.5

b. bloodc. non-intact skind. mucous membranesIII.C.7 Identify Center for Disease Control (CDC) regulations that impact healthcare practices.XII.C.2. Identify safety techniques that can be used in responding to accidental exposure to:a. bloodb. other body fluidsc. needle sticksd. chemicalsXII.C.5. Describe the purpose of Safety Data Sheets (SDS) in a healthcare setting.XII.C.6. Discuss protocols for disposal of biological chemical materials.XII.C.7. Identify principles of:a. body mechanicsb. ergonomicsPsychomotor DomainI.P.1. Measure and record:a. blood pressureb. temperaturec. pulsed. respirationse. heightf. weightg. length (infant)h. head circumference (infant)i. pulse oximetryI.P.2. Perform:a. electrocardiographyd. pulmonary function testingI.P.3. Perform patient screening using established protocols.I.P.4. Verify the rules of medication administration.a. right patientb. right medicationc. right dosed. right routee. right timef. right documentationI.P.5. Select proper sites for administering parenteral medicationI.P.6. Administer oral medications.I.P.7. Administer parenteral medications. (excluding IV)6

I.P.9. Assist provider with a patient exam.I.P.13. Perform first aid procedures for; a; bleeding; b. diabetic coma or insulin shock; c.fractures; d. seizures; e. shock; f. syncopeII.P.4. Document on a growth chart.III.P.3. Perform handwashing.III.P.4. Prepare items for autoclaving.III.P.5. Perform sterilization procedures.III.P.6. Prepare a sterile fieldIII.P.7. perform within a sterile fieldIII.P.8. Perform wound care.III.P.9. Perform dressing changeIII.P.10. Demonstrated proper disposal of biohazardous materialb. regulated wastesXII.3. Use proper body mechanicsAffective DomainI.A.1. incorporate critical thinking skills when performing patient assessment.Information on Academic and Support structors retain the right to revise the course syllabus as needed.MOA-240 CLASS SCHEDULEDateTopicAsepsisChapter/Pages AssignmentsChapter 2OSHAChapter 2Vital Signs- Temperature and PulseChapter 4Vita Test Asepsisl Signs- Respirations and Blood PressureChapter 47

Introduction to ElectrocardiographyChapter 12Electrocardiography- ProcedureChapter 11Electrocardiography- LeadsChapter 12Electrocardiography- Wave form andinstrumentVital Signs TestChapter 12Cardiologist- SpirometerChapter 12Administration of Medications- Oral andLiquidChapter 11Administration of Medications- InjectionsIM, SQ, IDChapter 11Cardiologist TestAdministration of Medications- LectureChapter 11Sterilization- Wrapping for Autoclave,Opening package, operation of autoclaveChapter 3Minor surgery- sterile gloving, tray set-up,Bandaging, use of cane and walker.Chapter 3Chapter 7 and10Chapter 7 and10Minor surgery- tissue healing, passing asterile instrument, transfer sterile items,suture removalAdministration of Medications testHeight and WeightVisionChapter 5HearingChapter 6Minor surgery and Sterilization TestOB, GYN LecturePhysical Examination, Colon and UrologyProceduresHeight, Weight, Vision and Hearing testChapter 8OB, GYN, Pediatrics test. Practice Procedures.Clinical Competencies Check off: EKGChapter 88Chapter 6Chapter 6

Infant, Length, Weight, Head and Chestcircumference, Lecture and ProceduresPractice Procedures. Clinical CompetenciesCheck off: Vital SignsPractice Procedures. Clinical CompetenciesCheck off: Administration of MedicationsPractice Procedures. Clinical CompetenciesCheck off: Sterilization ProceduresPractice Procedures. Clinical CompetenciesCheck off: Height, Weight, , SpirometerPractice Procedures. Clinical CompetenciesCheck off: Hearing and VisionPractice Procedures. Clinical CompetenciesCheck off: Length, Weight, Head and ChestcircumferencePractice Procedures. Clinical CompetenciesCheck off: Finish Clinical Check offs.Review and Finish Clinical Check offs.Final ExaminationRevised: January 20189

d. means of transmission e. portals of entry f. portals of exit III.C.3. Define the following as practice within an ambulatory care setting: a. medical asepsis b. surgical asepsis III.C.4. Identify methods of controlling the growth of microorganisms. III.C.5