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     prepare requisitions, label specimens accurately and explain methods of storage and transportation of specimens
4.4     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 antisepsic technique.
5.3     demonstrate the use of the autoclave.

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

7.  Vision testing.  The learner will:

7.1     demonstrate the procedure for visual acuity testing     

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

 9.  Urinalysis.  The learner will:

9.1     discuss methods of urine collection
9.2     demonstrate urinalysis using reagent strips 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   explain the purpose of specific hematology, 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   identify the instruments and supplies used in minor office surgery
        12.3   demonstrate the application of the opening of sterile packages
        12.4   demonstrate the procedure for preparing sterile trays for minor office surgery
        12.5   describe wounds types and treatment
        12.6   demonstrate the correct procedure for sharps disposal

13. Pediatric patients.  The learner will:

13.1   identify ways of establishing a rapport with the pediatric 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 Gynecologic 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. Male Health.  The learner will:

         15.1  explain prostate cancer screening                                                                                                                                       15.2   explain testicular cancer screening

16. Colon Procedures. The learner will:

16.1   explain patient preparation for FIT (fecal immunochemical test), colonoscopy and sigmoidoscopy