MEDICAL TECHNOLOGY
PROGRAM
MEDT
492: ADVANCED CLINICAL
PRACTICE II
3 Credit Hours Spring Semester
INSTRUCTORS:
Bill
Engle, Th.D., MT (ASCP) Neil
Ilagan, MT(ASCP)
Telephone: 606-337-4288 Telephone: 865-545-7658
Becky
Eagle, MPH, MT(ASCP) James
Taylor, MT(ASCP), SC
Telephone:
865-531-4240 Telephone: 423-586-2302
Rachel Guy, MT(ASCP) Conference Time: Instructors will be
Morristown Hamblen Healthcare available for 30 minutes after clinicals
Telephone:
423-585-1357 as needed for student
conference.
COREQUISITE: MEDT 497--Senior Review
COURSE
DESCRIPTION: This
clinical practice focuses on review of skills in Blood Bank, Hematology, Hemostasis, and
Phlebotomy—all of which were taught during the junior year in Medical
Technology. The goal of this clinical
practice is to help students polish and refine skills in preparation for
entering the work force and taking the national certification exam.
TEXTBOOK: There is no textbook for this clinical practice.
METHODS OF
INSTRUCTION:
Students learn by performing actual laboratory
tests with supervision, and by assuming responsibility for work output within
the department.
COURSE OBJECTIVES:
1. Organize workload according to priority by
doing stats first and fast, and prioritizing other work according to
laboratory policy.
2. Adhere to departmental protocol for the
clinical facility. (“When in Rome,
do as the
Romans do.”)
3. Review quality control protocol for each
shift: day shift, evening shift,
and
MEDT 492--Senior Review
Page
2
4. Perform quality control in the department; be
able to interpret QC and identify
remedies if QC is out of range.
5. Increase clinical experience in reporting
actual results in order to enhance the student’s confidence level.
6. Keep the work area clean and orderly by
disinfecting countertops daily and organizing/refilling supplies.
7. Adhere to all lab safety regulations of the
laboratory.
8. Enhance efficiency by demonstrating “how to
do more than one thing at a time.”
Make every minute count, and be productive for
the employer!
9. Prepare students for adapting to a different
laboratory when they enter the work force.
All M.T. students in this program
have the opportunity to rotate in a large medical center, as well as in a small hospital
laboratory, prior to graduation.
10.
Utilize case studies, problem solving, and abnormal findings to
emphasize a higher level of understanding for these senior
students.
11.
Adhere to established guidelines for “turn-around time” for tests
performed at the clinical site.
12.
Emphasize department management and supervisory functions.
13.
Demonstrate teamwork with student partner and all others in the
department.
14.
Review CRITICAL VALUES/ MED ALERT protocol for the department.
15.
Achieve 100% accuracy in sample ID, and in recording and reporting of
results.
16. In
Blood Bank review, students are responsible for performing the following procedures with 100% accuracy: ABO,
Rh, weak-D, crossmatch, DAT, Fetalscreen, antibody screening, and antibody
identification (single and multiple antibodies).
17. In
Hematology/ Hemostasis review, students
are responsible for performing the following procedures with a minimum of 80%
accuracy: automated CBCs, manual differentials, manual platelet counts, retic
counts, ESR, PT, APTT, and fibrinogen levels.
18.
During the last clincal in Blood Bank and in Hematology, allow students
to choose any procedure or
area in which they feel a need to strengthen skills.
MEDT 492--Senior Review
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AFFECTIVE
DOMAIN OBJECTIVES:
One of the goals of
Medical Technology education is that students develop an understanding of the behavioral standards of
the profession. While cognitive
objectives address mental knowledge and psychomotor
objectives address performance of procedures, affective objectives deal with attitude and behavior. Toward this goal, affective objectives common to all Medical Technology courses are
as follows:
1.
Demonstrate mature behavior by attending classes and clinicals on time.
2.
Present a professional appearance at the hospital by wearing a clean
uniform, lab coat, shoes, and name badge. Keep hair and nails neatly groomed, and
shower
daily. Men should shave
prior to attending clinicals, as stubble is unsightly and unprofessional at the hospital.
3.
Treat patients with kindness and respect; address them by title and surname;
speak politely and
courteously to them.
4.
Exhibit professionalism and ethics by adhering to confidentiality and
honesty in the laboratory and classroom.
5.
Demonstrate a desire to learn by asking pertinent questions and
completing assignments on time.
6.
Accept constructive criticism from instructors without becoming
defensive; this is given only to help you.
7.
Demonstrate initiative by volunteering to do procedures in clinicals. Never be satisfied with less than the best you can
do!
8.
Maintain amicable working relationships with each other, with
instructors, and with all personnel at the clinical sites.
9.
Keep the work area neat and clean.
10. Exercise care when reporting laboratory results. Report verbal results politely to
authorized personnel only, as defined by the S.O.P. of
the facility. Double-check
computer entries for
accuracy before accepting results and sending the report to
the physician.
11. Never report any result of which you are
unsure. No result is better than a wrong result!
12. If you finish your work early, offer to help
a co-worker. Medical Technology is team work.
MEDT
492--Senior Review
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EVALUATION METHOD:
This clinical rotation
is graded as PASS or
FAIL in accordance with departmental policy. ALL
SECTIONS OF MEDT 492 MUST BE COMPLETED SATISFACTORILY BEFORE A PASSING GRADE
WILL BE ASSIGNED. LECTURE AND CLINICAL
ARE INTERDEPENDENT. (See M.T. Student
Handbook.)
With ultimate regard for
safety, students are not required to drive to clinicals if it is snowing.
However, any absence must be made up at the instructor’s convenience. Students are responsible for notifying the
clinical affiliate if they are unable to attend clinicals for any reason; telephone numbers are listed on the first
page of this syllabus.
This is the final
clinical practice before graduation, and entry-level competency must be
demonstrated upon completion of MEDT 492. If
there is any procedure in the department that the student doesn’t feel
comfortable performing, every effort will be made to remedy this during
clinical review. Additional time will be
provided to the student, if needed.
UNITS OF INSTRUCTION:
BLOOD BANK CLINICAL REVIEW (January 21st--February 27th):
(1) Daily quality control requirements; management functions in
Blood Bank,
to include maintaining inventory of RBCs and FFP, proper
way to package
blood for shipment, how to obtain blood in an emergency,
signing out blood for transfusion,
blood utilization review, record keeping
requirements, calibration of
thermometerss, alarm checks, and competency testing (Tech-Check)..
(2) Organization of
workload; type and crossmatch (I.S. & AHG);
type and screen
for surgery, prenatal profiles.
(3) Antibody panels (single and multiple
antibodies);
use of various typing sera, e.g., anti-K,
anti-Fya, anti-Jka, anti-E, etc., with proper QC at time of
use.
(4) Cord bloods, Fetalscreen,
and RhIg; HDN: ABO, Rh, or other blood group.
(5) Transfusion reaction
investigation; therapeutic phlebotomy
(6) STUDENT”S
CHOICE: With what do YOU need more
practice?
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492 --Senior Review
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HEMATOLOGY/
HEMOSTASIS CLINICAL REVIEW (March 3rd--April 23rd):
except for Spring
Break & Good Friday
(1) Quality control
requirements for all three shifts: 7-3,
3-11, and 11-7;
Levey-Jennings
charts; use and proper maintenance of automated cell counter and slide stainer; histogram and
scatterplot review.
(2) Demonstrate
organization of workload; perform cell
ID and differentials; practice phlebotomy skills to keep up-to-date,
including review of NBN protocol and collection of PKU and bilirubin.
(3) Bone marrow smear
review to recall development of all cell lines;
anemia and
leukemia slide challenges.
(4) Practice manual
procedures: platelet count, ESR, retic
count, and blood smears;
demonstrate how to change a light bulb in the Hematology
microscope.
(5) Coagulation
Review: PT, APTT, fibrinogen, FDP and/or
D-Dimer; review pipetting and reconstituting reagents; use and proper maintenance of automated coag analyzer.
(6) STUDENT’S
CHOICE: With what do YOU need more
practice?
DATE OF REVISION: January, 2004