Official Course Description:   MCCCD Approval:  06/22/99
HCE275      19996-20015	LAB	1 Credit(s)	4.50 Period(s)
Clinical Medical Assisting Externship
Practicum in clinical medical assisting. Application of clinical skills, procedures, and knowledge derived from medical assisting courses. Prerequisites: HCC101, HCC103, HCC105, HCC107, HCC109, HCC140, HCC142, HCC151, HCC153, HCE104, HCE109, HCE110, HCE162, HCE221, HCE222, HCE251, HCE261, and permission of program coordinator.

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MCCCD Official Course Competencies:
HCE275   19996-20015	Clinical Medical Assisting Externship

1.	Apply ethical guidelines and legal concepts to clinical practice. (I)
2.	Establish cooperative working relationships with health care team members. (II)
3.	Demonstrate effective communication techniques within a variety of clinical situations. (III).
4.	Apply principles of standard precautions. (IV)
5.	Obtain vital signs, height, weight, patient medical history and document accordingly. (V)
6.	Assist clinicians in performing specific clinical procedures. (VI)
7.	Prepare and administer medications under the supervision of the clinician. (VII)
8.	Collect and process specimens. (VIII)
9.	Obtain, prepare and mount standard electrocardiograms. (IX)
10.	Recognize and respond to emergencies. (X)

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MCCCD Official Course Outline:
HCE275   19996-20015	Clinical Medical Assisting Externship

I. Ethics and Legalities A. Patient rights 1. Confidentiality 2. Informed consent B. Professional behavior C. Federal and state laws D. Scope of practice E. Documentation II. Working Relationships A. Team concepts B. Initiative and responsibility C. Time management and prioritizing D. Problem solving techniques III. Communication Techniques A. Patient and family considerations 1. Aware of cultural diversity 2. Use appropriate medical terminology 3. Verbal and nonverbal cues B. Management of difficult situations 1. Impaired 2. Confused 3. Angry and emotionally stressed IV. Standard Precautions A. Personal protective equipment B. Biohazard disposal C. Correct handling of equipment V. Collection of Patient Data A. Vital signs B. Height and weight C. Patient history D. Documentation VI. Assist with Specific Procedures A. Preparation of treatment area and equipment B. Preparation of patients C. Procedures 1. Routine examinations 2. Minor surgeries 3. Other D. Sterilize and process equipment and supplies VII. Medications A. Preparation 1. Classification, therapeutic effects, adverse reactions, and contraindications 2. Calculate dose correctly 3. Select equipment 4. Prepare dosage B. Administration 1. Oral 2. Parenteral C. Patient education D. Documentation VIII. Collect and Process Specimens A. Collection 1. Routine phlebotomies 2. Hematology 3. Urinalysis 4. Pregnancy 5. Fecal occult blood 6. Glucose testing 7. Cultures B. Specimen handling C. Quality assurance IX. Electrocardiography A. Electrode placement B. Lead selection C. Mounting techniques X. Emergency Responses A. Activate emergency medical system B. Manage telephone emergencies C. Provide immediate care D. Maintain emergency equipment and supplies

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