LINCOLN MEMORIAL UNIVERSITY

SCHOOL OF NURSING AND ALLIED HEALTH

MEDICAL TECHNOLOGY PROGRAM

 

MEDT 302: Introduction to Laboratory Methods and Techniques II

Spring Semester               1 Credit Hour

 

 

INSTRUCTOR:         Dr. Bill Engle, Th.D., MT (ASCP)

                                    Office:   208 Farr-Chinnock Hall

                                    LMU Telephone:    1-800-325-0900, ext. 6471

                                    Home Telephone:    (606) 337-5201

                                    E-mail:       bengle@lmunet.edu

                                    Office Hours:        Tuesday:       8:00 am to 11:00 am

                                                                                    2:00 pm to 3:00 pm

 

                                                                Thursday:     8:00 am to 11:00 am

 

 

                                    Instructor will be available for student conference during                                                            office hours and also by appointment as needed.

                           

 

PREREQUISITE:      Acceptance in the Medical Technology Program

 

 

COURSE DESCRIPTION:    MEDT 302 provides a practical introduction to medical microbiology laboratory techniques and builds a foundation for subsequent courses.  This course includes specimen collection, microscopic methods, susceptibility testing, laboratory safety, microbiology media, staining techniques, and the basics of the  identification of microbes that are commonly encountered in the clinical laboratory. 

 

 

TEXTBOOK:     Delost, Maria D.  (1997).  Introduction to Diagnostic Microbiology:

                             A Text and Workbook.   St. Louis:  C.V. Mosby Company.

 

 

 

METHODS OF INSTRUCTION:                Lectures

                                                                        Demonstrations

                                                                        Student Laboratory Practice

                                                                        Assigned Readings

                                                                        Case Studies

 

COURSE OBJECTIVES: Upon completion of MEDT 302, the student will be responsible for attaining the following objectives:

 

1.   Apply elements of laboratory safety in the Microbiology Department.

2.   Describe the major routes of infection, and identify the signs and symptoms of

      bacterial infection.

3.   Follow proper protocol for  specimen collection and transport, as outlined in class.

 

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  4.  Discuss the uses and composition of the following microbiology media:

                Sheep blood                          MacConkey                          XLD,  SS                Campy blood agar

                Chocolate                              EMB                                       GN broth                V agar

                Thayer-Martin                      Hektoen                                 Thio broth             Trypticase soy broth

 

  5.   Select the agar that will support growth of Gram-positive cocci, Gram-negative

        bacilli, anaerobes, and fastidious bacteria.

  6.   Properly streak agar plates to obtain isolated colonies.

  7.   Describe the colony appearance of the major enterics  (as indicated by the instructor)

        on selective media.

  8.   Perform the oxidase test, and discuss its use to differentiate enterics from

        non-enterics.

  9.   Prepare smears from stock cultures and/or clinical specimens.

 10.  Properly stain and accurately interpret Gram stains.

 11.  Perform direct methods of examinations, including wet mounts and KOH preps.

 11.  Define and practice proper skin prep for collection of blood cultures.

 13.  Discuss the principle and purpose of the catalase test, and be able to interpret results.

 14.  State the principle and purpose of the coagulase test; differentiate between bound

        and free coagulase,  

 15.  Explain how to differentiate between Staphylococcus and Micrococcus.

 16.  Describe lab characteristics of the genus Streptococcus, and identify Lancefield

        grouping for beta strep.

 17.  Identify biochemical tests that will help you differentiate between Entercoccus and

        non-Entercoccus.

 18.  Be able to differentiate between Streptococcus pneumoniae and viridans

        Streptococcus via colony morphology and biochemical tests.

 19.  Describe the morphology and biochemical characteristics of Haemophilus.

 20.  Explain the consequences of a microorganism being beta-lactamase positive.

 21.  Discuss the proper methods of specimen collection and processing for Neisseria

        gonorrhea.

 22.  Identify the microbes that are commonly associated with bacterial meningitis.

 23.  Describe two modes of microbial resistance to antibiotics.

 24.  Differentiate between broad-spectrum and narrow-spectrum antibiotics.   

 25.  Demonstrate a micro-broth dilution, and determine the MIC.

 26.  Interpret Kirby-Bauer susceptibility tests.

 27.  Compare and contrast the automated identification systems of Vitek and Microscan.

 28.  Demonstrate proper technique when using the microscopes in student lab;  always

        remove the oil from the objective when finished, and maintain a neat, clean working

        area.

 29.  Follow instructions of the instructor closely, and be able to accept constructive

        criticism, if needed;  it is given only to help you.

 30.  Read the assignment in the textbook before coming to class, and be prepared to

        discuss the topics of the day, as indicated on the Tentative Lecture Outline, which

        is appended at the end of this syllabus.

 

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EVALUATION METHOD:      The grading scale in this course is as follows:

 

                A             =              90-100%

                B+           =              87-89%

                B             =              83-86%

                B-            =              80-82%                   Medical Technology students are required

                C+           =              77-79%                   to maintain an average of 80% or above

                C             =              73-76%                   in order to pass this course.

                C-            =              70-72%

                D             =              60-69%

                F              =              Below 60%

               

 

Assignment of the final grade will be based upon the following:

 

            Exam I                                     =          20% of grade

            Exam II                                    =          20% of grade

            Exam III                                   =          20% of grade

            Lab Quizzes                             =          15% of grade

            Comprehensive Final Exam       =          25% of grade

                                                                                                                                                                                           

 

Class attendance is expected.  Exams and quizzes must be taken on assigned day unless prior arrangements are made with instructor.  If a student misses an exam or a quiz, a make-up exam or quiz will be offered, but the format will be at the instructor’s discretion.                                                                                                              

Disability Statement:   Any student with a disability requiring special accommodation(s) should make an appointment with the Vice-President for Student Affairs (LMU extension 6393) to discuss specific needs.

 

Academic Integrity:   It is the aim of the faculty of Lincoln Memorial University to foster a spirit of complete honesty and a high standard of integrity.  The attempt of any student to present work that he/she has not honestly performed is regarded by the faculty and administration as a very serious offense, which renders the offender liable to severe consequences and possible suspension.  Please see LMU Undergraduate Catalog, page 39.

 

 

UNITS OF INSTRUCTION:

 

            UNIT I:           Introduction to the Hospital Microbiology Department

                                    Biosafety in the Microbiology Lab

                                    Specimen Collection and Transport

                                    Specimen Processing

 

            UNIT II:         Methods of Microbiology Examination

                                    Methods of Identification

                                    Clinical Specimens

                                    Staphylococcus and Streptococcus

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UNITS OF INSTRUCTION  (continued):

 

 

            UNIT III:        Neisseria

                                    Haemphilus

                                    Enterobacteriaceae

                                    Miscellaneous Gram Negative Bacteria

 

 

 

Tentative Lecture Schedule:

 

 

Date                                         Topic                                                   Assigned Reading

 

1/13/04                                    Welcome to Class

                                                Discussion of Syllabus

                                                Discussion of Course Requirements

 

1/20/04                                    Introduction to Clinical Microbiology     Chapter 1

                                                Safety in the Microbiology Lab             Chapter 2

 

1/27/04                                    Specimen Collection                                         Chapter 3

                                                Specimen Transportation

                                                Specimen Processing

 

2/03/04                                    EXAM #I

 

 

2/10/04                                    Microscopic Examinations                                Chapter 4

 

2/17/04                                    Methods of Identification                                  Chapter 5

 

2/24/04                                    Clinical Specimens                                            Chapter 22

 

3/02/04                                    Staphylococcus and Micrococcus                     Chapter 7

                                                Streptococci and Related Organisms                 Chapter 8

 

3/9/04                                      EXAM  # II

                            

3/16/04                                    Neisseria                                                         Chapter 9

                                                Haemophilus                                                   Chapter 12

 

3/23/04                                    Spring Break

 

                                                                                                                                               

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Tentative Lecture Schedule  (continued):

 

 

3/30/04                                    Enterobacteriacae                                          Chapter 10

 

4/06/04                                    Nonfermentative Gram-neg bacilli                     Chapter 11

                                                Miscellaneous Gram-neg bacilli             Chapter 13

 

4/13/04                                    EXAM  # III

 

4/20/04                                    Susceptibility Testing                                         Chapter 6

 

4/27/04                                    Review for Final Exam

 

 

            The time and date of the comprehensive exam is to be announced.

 

 

                                   

 

 

 

 

 

 

 

 

 

 

DATE OF REVISION:         January, 2004