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Patient Care Technician II
PCT-151
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:
English 101
Pre-Requisite:
Patient Care Technician I
Credit Hours:
7 Credit Hours
Contact Hours/Week:
4 Lecture and 4 Lab for 15 weeks plus 24 hours
clinical preceptorship week 13 and 14.
(4 Lecture / 3 Lab)
Additional Course Requirements:
1.
CPR Certified (Adult, Infant, and Children). This instruction will be
provided first day of course for $25.00 fee if not completed and
documented.
2.
Completion of Certified Background Check and Drug Screen is required
on first day of course for approx. $100.00 fee. This order will be
completed by the student in the computer lab on the first day of class.
This must be completed and reported prior to entry into clinical agencies
if not completed in Patient Care Technician 1 course. A positive test
may result in inability to complete course or sit for state or national
exam.
3.
Documentation on file in Health Science Program Secretary Office of
Hepatitis B immunization series started, positive Hepatitis B Antibody
screening after series completion, or declination signature on file if not
completed in Patient Care Technician 1 course. Declination of
immunization may put the student at risk of being declined to be a
student at the practice institutions and will be cause for administrative
withdraw from course.
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
if not completed in Patient Care Technician 1 course.
Text and supply Information Available in Bookstore
Required supplies:
Uniform (red scrub outfit)
WVNCC Course Picture ID
White Leather Shoes
Wrist watch with second hand
Student Learning Outcomes
At the completion of the course the student will:
1. Demonstrates basic technical skills necessary to function as a phlebotomy and EKG
technician.
2. Provide professional care to clients
3. Incorporates principles and skills in providing care.
4. 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.
5. Use effective communication skills in order to function as a member of the health care
team.
6. Use procedures and techniques to prevent the spread of microorganisms.
7. Demonstrates the ability to identify and use safety and emergency procedures.
8. Deliver sensitive care to the patient and the family.
9. Demonstrate knowledge of and is responsive to the laws and regulations that affect
his/her practice
10. 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.
11. Verify eligibility to take the Phlebotomy Technician Certification or the EKG
Certification Exam if Patient Care Technician Course 1 has not been successfully
completed.
12. 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
a. Conduct appropriate introduction to the patient.
b. Explain the phlebotomy procedure to be performed to the patient.
c. Review the requisition for testing requirements and patient identity.
d. Receive implied or informed consent from the patient.
e. Determine venipuncture site accessibility based on patient age and condition.
f. Verify patient compliance with testing requirements (e.g., fasting, medication, basal
state).
g. Prepare the patient
i) EKG monitoring (e.g., patient history, cardiac medications, patient positioning).
ii) Holter monitoring
h.
i.
j.
k.
iii) Stress testing
iv) Telemetry monitoring
Apply electrodes on patients
i) EKG monitoring
ii) Holter monitoring
iii) Stress testing
iv) Telemetry monitoring
v) Pediatric patients
vi) 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.
i) Respond to complications during stress testing.
Verify patient understanding of monitor procedures.
2. Utilize Infection Control Measures in Patient Care
a. Use universal, standard, and transmission-based precautions.
b. Dispose of biohazardous materials properly, as dictated by OSHA (e.g., sharps
containers, red bags).
c. Follow exposure control plans in the event of occupational exposure.
d. Wear personal protective equipment while following standard precautions (e.g., gloves,
gowns, masks, shoe covers).
e. Perform aseptic technique.
f. Perform sterile technique.
3. Demonstrate Phlebotomy Skills
a. Primary Collections
i) Demonstrate proper insertion and removal techniques for venipuncture.
ii) Perform capillary collection method based on patient age and condition.
iii) Ensure patient safety throughout the collection process.
iv) Perform venipuncture steps in correct order (e.g., evacuated tube system, syringe,
winged collection set).
v) Perform capillary (dermal) puncture steps in correct order.
vi) Recognize common complications from primary collection (e.g., lack of blood flow,
hematoma, petechiae, and nerve injury).
vii) Identify problematic patient signs and symptoms throughout collection (e.g., syncope,
diaphoresis, nausea, seizure).
viii) Follow order of draw
ix) Ensure that tube additives are appropriate for testing requirements.
x) Assemble equipment needed for primary blood collections.
xi) Invert evacuated tubes with additives after collection.
xii) Verify quality of equipment (e.g., sterility, expiration date, manufacturer’s defects).
b. Special Collections
i) Prepare peripheral blood smears.
ii) Perform blood culture collections.
iii) Assist other healthcare professionals with blood culture collections.
iv) Collect blood samples for inborn errors of metabolism (e.g., PKU, galactosemia).
v) Perform phlebotomy for blood donations.
vi) Calculate volume requirements to avoid causing iatrogenic anemia.
c. Processing
i) Label all specimens.
ii) Perform quality control for CLIA-waived procedures.
iii) Transport specimens based on handling requirements (e.g., temperature, light, time).
iv) Explain non-blood specimen collection procedures to patients (e.g., stool, urine,
semen, sputum).
v) Handle patient-collected, non-blood specimen.
vi) Avoid pre-analytical errors when collecting blood specimens (e.g., QNS, hemolysis).
vii) Adhere to chain of custody guidelines when required (e.g., forensic studies, blood
alcohol, drug screen).
viii) Prepare samples for transportation to a reference (outside) laboratory.
ix) Coordinate communication between non-laboratory personnel for processing and
collection.
x) Use technology to input and retrieve specimen data.
xi) Report critical values to point of care testing.
xii) Distribute laboratory results to ordering providers.
d. Remove peripheral IVs.
e. Perform dressing changes.
i) Sterile
ii) Aseptic
4. Demonstrate EKG Monitoring Skills
a. Calculate patient heart rate from the EKG tracing (e.g., 6-second method, R to R,
sequencing).
b. Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
c. Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
d. Record leads on a patient
(1) 3- lead
(2) 5-lead
(3) 12-lead
e. Verify the leads recorded on an EKG.
f. Upload a completed EKG to a patient’s electronic medical record.
g. Mount a completed EKG for a patient’s chart.
h. Measure a patient’s heart rhythm from the EKG tracing.
i. Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P
waves, QRS complexes, ST segments, T waves).
j. Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS
duration, QT-interval).
k. Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial,
ventricular, junctional).
l. Identify the major variances to waveforms related to ischemia, injury, or infarction.
m. Respond to potentially life-threatening arrhythmias.
n. Verify EKG machine paper speed (e.g., 25mm, 50mm).
o.
p.
q.
r.
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).
s. Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
t. Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
u. Record leads on a patient
(1) 3- lead
(2) 5-lead
(3) 12-lead
v. Verify the leads recorded on an EKG.
w. Upload a completed EKG to a patient’s electronic medical record.
x. Mount a completed EKG for a patient’s chart.
y. Measure a patient’s heart rhythm from the EKG tracing.
z. Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P
waves, QRS complexes, ST segments, T waves).
aa. Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS
duration, QT-interval).
bb. Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial,
ventricular, junctional).
cc. Identify the major variances to waveforms related to ischemia, injury, or infarction.
dd. Respond to potentially life-threatening arrhythmias.
ee. Verify EKG machine paper speed (e.g., 25mm, 50mm).
ff. Verify EKG machine sensitivity (e.g., h, 1, 2).
gg. Maintain EKG equipment and the work environment.
hh. Recognize pacemaker spikes on an EKG tracing
ii. Calculate patient heart rate from the EKG tracing (e.g., 6-second method, R to R,
sequencing).
jj. Identify artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
kk. Resolve artifacts from the tracing (e.g., wandering baseline, somatic, electrical).
ll. Record leads on a patient
(1) 3- lead
(2) 5-lead
(3) 12-lead
mm.
Verify the leads recorded on an EKG.
nn. Upload a completed EKG to a patient’s electronic medical record.
oo. Mount a completed EKG for a patient’s chart.
pp. Measure a patient’s heart rhythm from the EKG tracing.
qq. Inspect the waveforms of a cardiac cycle for symmetry, direction, and amplitude (e.g., P
waves, QRS complexes, ST segments, T waves).
rr. Measure a patient’s heart conduction from the EKG tracing (e.g., PR-interval (PRI), QRS
duration, QT-interval).
ss. Identify the major classifications of arrhythmias from the EKG tracing (e.g., sinus, atrial,
ventricular, and junctional).
tt. Identify the major variances to waveforms related to ischemia, injury, or infarction.
uu. Respond to potentially life-threatening arrhythmias.
vv. Verify EKG machine paper speed (e.g., 25mm, 50mm).
ww.
Verify EKG machine sensitivity (e.g., h, 1, 2).
xx. Maintain EKG equipment and the work environment.
yy. Recognize pacemaker spikes on an EKG tracing
5. Clinical Preceptorship
1. Complete 24 hours in a setting to successfully complete at least 15
EKG’s on patients.
2. Complete 24 hours in a setting to successfully complete at least 30
venipunctures and 20 capillary draws on patients.
3. Ability to function with a preceptor 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 Patient Care
Technician (with previous completion of Patient Care Technician 1), OR
Phlebotomy Technician, OR EKG Technician Certification Exam.
Upon Completion of this program, students will:
1. Be eligible to graduate with a Certificate in Patient Care Technician.
2. Be eligible to sit for Patient Care Technician certification through the National Center for
Competency Testing (NCCT).
3. Be eligible to sit for separate Certification Exam Long Term Care Registry Exam,
Phlebotomy Technician Certification, EKG Technician Certification,
4. Receive CPR and First Aid certifications.
5. Be eligible to obtain employment at a Health Care Facility or transfer/matriculate to an
Associate or Bachelor Degree Program in Health Care.