PCT151 Patient Care Technician 2

Patient Care Technician 2 (PCT151)

Course Description:                                      

This is a course that prepares the student for the phlebotomist and EKG technician role in a healthcare situation.  The student will be instructed on techniques and skills related to preparing and monitoring patients for relevant procedures and gain understanding of infection control measures. Within this course the students are required to successfully complete 48 hours of preceptorship experience, in which they must demonstrate adequate skills related to phlebotomy and EKG techniques, which is required for the student to be eligible to take the Patient Care Technician Certification Exam.  This exam will be taken in the last week of the course.

 

Prerequisite/Co-requisites:  Anatomy & Physiology II

This course must be taken prior to PCT2 or concurrent with the course.  A withdraw or course grade below C will not permit graduation.

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Prerequisite: PCT 101

This course must be completed with a grade of C prior to registration for PCT151.

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Credit Hours:                              6 Credit Hours                        (4 Lecture / 2 Lab)

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Contact Hours/Week:                                4 Lecture and 6 Lab for 15 weeks

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Additional Course Requirements:

1.  CPR Certified BLS (Basic Life Support -Adult, Infant, and Children); current from PCT101

2.  Completed Background and Drug Screening from PCT101.  Random or Suspected Background and Drug Screen may be required if any changes are suspected.

3.    Documentation on file in Health Science Secretary Office of Physical that identifies physical and mental ability to perform PCT skills.

4.  Documentation on file in Health Science Program Secretary Office of Negative PPD two step skin test or x-ray findings negative for active TB; current from PCT101.

5.  Documentation of Influenza and DTaP vaccine by November 1^st; current from PCT101.

6.   Declination of immunization or refusal for screening will be cause for administrative withdraw from course.

 

Text and supply Information Available in Bookstore

 

Required Supplies: (From PCT 101)

• Uniform (red scrub outfit)
• White Leather Shoes
• Wrist watch with second hand
• Resource Kit
• Basic Life Support Certification (BLS)
• PCT Certification Fee (Paid from course fees – PCT2)

 

NOTE: Phlebotomy and EKG Certifications will be given at student request at beginning of course.  Certification fees for Phlebotomy and EKG are at the student expense.

 

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 Student Learning Outcomes

At the completion of the course the student will:

• Demonstrates basic technical skills necessary to function as a phlebotomy and EKG technician.
• Provide Professional Care to Clients Incorporates Principles and Skills in Providing Care.
• Demonstrate Behaviors That Maintain and Respect Client Rights and Promote Clients’ Independence, Regardless of Race, Religion, Life-style, Sexual Preference, Disease Process, or Ability to Pay.
• Use Effective Communication Skills in Order to Function As a Member of the Health Care Team.
• Use Procedures and Techniques to Prevent the Spread of Microorganisms.
• Demonstrates the Ability to Identify and Use Safety and Emergency Procedures.
• Deliver Sensitive Care to the Patient and the Family.
• Demonstrate Knowledge of and Is Responsive to the Laws and Regulations That Affect His/Her Practice Verify Eligibility to Take the Patient Care Technician Certification Which Includes Satisfactory Completion of Patient Care Technician 1 Course and Patient Care Technician 2 Course.
• Complete the Appropriate Exam in Week 15 of the Course.

 

Student Learning Performance Objectives:

The following list of student learning performance objectives will be addressed in the course. During clinical rotations, and at the completion of the course, students demonstrate the following:

1.     Provide Patient Care and Preparation Related to Phlebotomy and EKG

• Conduct appropriate introduction to the patient.
•  Explain the phlebotomy procedure to be performed to the patient.
• Review the requisition for testing requirements and patient identity.
•  Receive implied or informed consent from the patient.
• Determine venipuncture site accessibility based on patient age and condition.
• Verify patient compliance with testing requirements (e.g., fasting, medication, basal state).
• Prepare the patient
• EKG monitoring (e.g., patient history, cardiac medications, patient positioning).
• Halter monitoring
• Stress testing
• Telemetry monitoring
• Apply electrodes on patients
• EKG monitoring
• Halter monitoring
• Stress testing
• Telemetry monitoring
• Pediatric patients
• Patients with special considerations (e.g., right-sided heart, posterior chest, amputations)
• Respond to signs and symptoms of cardiopulmonary compromise.
• Monitor patient condition during stress testing.
• Respond to complications during stress testing.
• Verify patient understanding of monitor procedures.

 

2.     Utilize Infection Control Measures in Patient Care

• Use universal, standard, and transmission-based precautions.
• Dispose of biohazardous materials properly, as dictated by OSHA (e.g., sharps containers, red bags).
• Follow exposure control plans in the event of occupational exposure.
• Wear personal protective equipment while following standard precautions (e.g., gloves, gowns, masks, shoe covers).
• Perform aseptic technique.
• Perform sterile technique.

 

3.     Demonstrate Phlebotomy Skills

•  Primary Collections
• Demonstrate proper insertion and removal techniques for venipuncture.
• Perform capillary collection method based on patient age and condition.
• Ensure patient safety throughout the collection process.
• Perform venipuncture steps in correct order (e.g., evacuated tube system, syringe, winged collection set).
• Perform capillary (dermal) puncture steps in correct order.
• Recognize common complications from primary collection (e.g., lack of blood flow, hematoma, petechial, and nerve injury).
• Identify problematic patient signs and symptoms throughout collection (e.g., syncope, diaphoresis, nausea, seizure).
• Follow order of draw
• Ensure that tube additives are appropriate for testing requirements.
• Assemble equipment needed for primary blood collections.
• Invert evacuated tubes with additives after collection.
• Verify quality of equipment (e.g., sterility, expiration date, manufacturer’s defects).
•  Special Collections
• Prepare peripheral blood smears.
• Perform blood culture collections.
• Assist other healthcare professionals with blood culture collections.
• Collect blood samples for inborn errors of metabolism (e.g., PKU, galactosemia).
• Perform phlebotomy for blood donations.
• Calculate volume requirements to avoid causing iatrogenic anemia.
• Processing
• Label all specimens.
• Perform quality control for CLIA-waived procedures.
• Transport specimens based on handling requirements (e.g., temperature, light, time).
• Explain non-blood specimen collection procedures to patients (e.g., stool, urine, semen, sputum)
• Handle patient-collected, non-blood specimen.
• Avoid pre-analytical errors when collecting blood specimens (e.g., QNS, hemolysis).
• Adhere to chain of custody guidelines when required (e.g., forensic studies, blood alcohol, drug screen).
• Prepare samples for transportation to a reference (outside) laboratory.
• Coordinate communication between non-laboratory personnel for processing and collection.
• Use technology to input and retrieve specimen data.
• Report critical values to point of care testing.
• Distribute laboratory results to ordering providers.
• Remove peripheral IVs.
• Perform dressing changes.
• Sterile
• Aseptic

 

4. Demonstrate EKG Monitoring Skills

• Calculate patient heart rate from the EKG tracing (e.g., 6-second method, R to R, sequencing).
• Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Record leads on a patient

1. 3- lead
2. 5-lead
3. 12-lead

• Verify the leads recorded on an EKG.
• Upload a completed EKG to a patient’s electronic medical record.
• Mount a completed EKG for a patient’s chart.
• Measure a patient’s heart rhythm from the EKG tracing.
• Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P waves, QRS complexes, ST segments, T waves).
• Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS duration, QT-interval).
• Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial, ventricular, and junctional).
• Identify the major variances to waveforms related to ischemia, injury, or infarction.
•  Respond to potentially life-threatening arrhythmias.
• Verify EKG machine paper speed (e.g., 25mm, 50mm).
• Verify EKG machine sensitivity (e.g., h, 1, 2).
• Maintain EKG equipment and the work environment.
• Recognize pacemaker spikes on an EKG tracing
• Calculate patient heart rate from the EKG tracing (e.g., 6-second method, R to R, sequencing).
• Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Record leads on a patient

1. 3- lead
2.  5-lead
3. 12-lead

• Verify the leads recorded on an EKG.
• Upload a completed EKG to a patient’s electronic medical record.
• Mount a completed EKG for a patient’s chart.
• Measure a patient’s heart rhythm from the EKG tracing.
• Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P waves, QRS complexes, ST segments, T waves).
• Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS duration, QT-interval).
• Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial, ventricular, and junctional).
• Identify the major variances to waveforms related to ischemia, injury, or infarction.
• Respond to potentially life-threatening arrhythmias.
• Verify EKG machine paper speed (e.g., 25mm, 50mm).
• Verify EKG machine sensitivity (e.g., h, 1, 2).
• Maintain EKG equipment and the work environment.
• Recognize pacemaker spikes on an EKG tracing
• Calculate patient heart rate from the EKG tracing (e.g., 6-second method, R to R, sequencing).
• Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
• Record leads on a patient

1. 3- lead
2. 5-lead
3. 12-lead

• Verify the leads recorded on an EKG.
• Upload a completed EKG to a patient’s electronic medical record.
• Mount a completed EKG for a patient’s chart.
• Measure a patient’s heart rhythm from the EKG tracing.
• Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P waves, QRS complexes, ST segments, T waves).
• Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS duration, QT-interval).
• Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial, ventricular, and junctional).
• Identify the major variances to waveforms related to ischemia, injury, or infarction.
• Respond to potentially life-threatening arrhythmias.
• Verify EKG machine paper speed (e.g., 25mm, 50mm).
• Verify EKG machine sensitivity (e.g., h, 1, 2).
• Maintain EKG equipment and the work environment.
• Recognize pacemaker spikes on an EKG tracing

 

5.     Clinical Preceptorship

1.     Complete practice in a setting to successfully complete 5 to 15 EKG’s (depending on certification)

2.     Complete practice in a setting to successfully complete 10 to 30 venipunctures and 20 capillary draws (depending on certification).

3.     Ability to function to demonstrate the skills required to become eligible for certification examination.

4.     Students who successfully complete this course and the clinical preceptorship requirements will be required to sit for the National Patient Care Technician Certification (with previous completion of Patient Care Technician 1