Clinical Office Procedures

1.  Medical asepsis.  The learner will:

1.1     describe the types of micro organisms and their growth requirements
1.2     explain the infection process cycle and the body's protective mechanisms
1.3     describe the application of medical asepsis in the medical office.

2.  Vital signs.  The learner will:

2.1     assemble the equipment for taking vital signs
2.2     demonstrate the procedure for taking temperature, pulse, respirations, and blood pressure
2.3     record vital signs on progress notes.

 3.  Physical examination.  The learner will:

3.1     demonstrate the procedure for taking height, weight, body draping and positioning
3.2     identify and assemble the equipment, instruments, and supplies for physical examination
3.3     demonstrate safe bending , lifting, and carrying techniques

 4.  Laboratory specimens.  The learner will:

4.1     define the relationship between the medical office and clinical laboratory
4.2     identify laboratory requests and reports
4.3     demonstrate the collection of specimens
4.4     prepare requisitions, labels, and explain methods of storage and transportation of specimens
4.5     explain patient preparation for specific laboratory tests and the arrangements for patients being sent to external testing and treatment facilities.

 5.  Sterilization and disinfection.  The learner will:

5.1     demonstrate sanitization procedures
5.2     explain microbial control, sterilization, disinfection, and antisepsis
5.3     demonstrate the use of the autoclave and chemical sterilization.

6.  Heat and cold.  The learner will:

6.1     explain the local effects, purposes, and factors affecting the application of heat and cold
6.2     describe the types of equipment used for moist, dry, hot and cold applications
6.3     explain the purpose and application of ultrasound treatment.

7.  Eye and Ear treatments.  The learner will:

7.1     demonstrate the procedure for visual acuity testing
7.2     demonstrate the procedure for performing eye instillations and eye irrigations
7.3     demonstrate the procedure for performing ear instillations and ear irrigations

8.  Cardiopulmonary and x-ray examinations.  The learner will:

8.1.  explain basic x-ray examination techniques and patient preparation
8.2.  explain the purpose of electrocardiography and Holter monitor electrocardiography
8.3.  prepare requisitions for diagnostic procedures including x-ray, ECG, EEG, CAT scan, MRI, and ultrasound.

 9.  Urinalysis.  The learner will:

9.1     discuss methods of urine collection
9.2     demonstrate urinalysis using reagent strips, prepare microscopic specimens, and  perform pregnancy tests
9.3     explain the instruction and arrangements for patients going to outside facilities for testing

10.  Hematology, Chemistry, Serology, and Blood typing  The learner will:

10.1   demonstrate the procedure for obtaining capillary blood using the lancet and microlet methods
10.2   demonstrate the procedures for haemoglobin and blood glucose testing
10.3   explain the purpose of specific haematology, chemistry, and serology blood tests, and identify blood types

11. Microbiology.  The learner will:

11.1   identify disease-causing micro organisms explain the stages of infection
11.2   explain the procedure for completing requisitions and transporting cultures and smears
11.3   state the methods used in the medical office to prevent cross-infection

12. Minor Office Surgery.  The learner will:

12.1   describe the guidelines for surgical asepsis
12.2   demonstrate the preparation of the patient and the examination room
12.3   identify the instruments and supplies used in minor office surgery
12.4  demonstrate the application of sterile gloves, the opening of sterile packages, the utilization of sterile transfer forceps, pouring of sterile solutions, and applying a sterile dressing
12.5   demonstrate the procedure for preparing sterile trays for minor office surgery
12.6   describe wounds types, wound healing, and wound treatment
12.7   demonstrate the correct procedure for sharps disposal

13. Pediatric patients.  The learner will:

13.1   identify ways of establishing a rapport with the paediatric patient
13.2   demonstrate the procedure used for carrying, weighing and measuring an infant
13.3   explain growth patterns and recommended immunization schedules

14. Obstetrical and Gynaecologic patients.  The learner will:

14.1   demonstrate the preparation of pelvic examination trays and specimen collection
14.2  prepare requisitions for Pap Smear and microbiology specimens and discuss specimen transport to outside laboratories
14.3    explain scheduled prenatal examinations and postnatal care procedures

15. Colon Procedures. The learner will:

15.1   explain fecal occult blood testing
15.2   explain proctoscopy and sigmoidoscopy examinations and patient preparation