Download Concentration - Career and Technical Education

ECG/Phlebotomy
Student’s Name _________________________________________________________
School _______________________ Instructor _________________________________
Course Title: ECG/Phlebotomy
WVEIS Code 0720
Course Description: Upon successful completion of this course students will master
competencies consistent with entry-level career responsibilities in the areas of ECG
Technician and Phlebotomist. Course components will focus upon an introduction to the
health care delivery system, legal responsibilities, infection control and safety,
communication, quality assurance, as well as theory and procedures related to the
performance of phlebotomy and electrocardiography. Current technology will be utilized
to master course standards. Students are provided the opportunity to participate in a
Career and Technical Student Organization (CTSO).
Level of Competence:
1 – No mastery
2 – Limited mastery; constant supervision needed
3 – Average or good mastery; some supervision needed
4 – Almost complete mastery; little supervision needed
5 – Complete mastery; no supervision needed
Level of
Competence
Content Standards and Objectives
1
Health Care Delivery System
Describe the various hospital departments
and their major functions in which the health
care worker may interact in his/her role.
Identify the health care providers in hospitals,
clinics and physician’s office.
Describe the organizational structure of the
overall hospital structure.
Define the role of the clinical lab and the
electrocardiography department in health
care.
Define the phlebotomist’s role in clinical
laboratory medicine.
Discuss the roles of clinical laboratory
personnel and their qualifications for these
professional positions.
Define the ECG technician’s role in the
clinical facility.
Discuss the roles of the ECG technician and
qualifications for the career option.
Define professionalism as it relates to a
phlebotomist and ECG technician.
2
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
2
3
4
Laboratory and ECG Departments in a Health Care System
List the types of laboratory procedures
performed in the various sections of the
Clinical Laboratory and ECG Departments.
Describe how laboratory testing and
cardiography is used to assess body
functions and disease.
Define medical terminology and
abbreviations commonly used in the
laboratory and cardiography department.
Legal Terminology Associated with Phlebotomy
Define negligence, malpractice, assault,
battery, liability, and Respondent Superior.
Compare and contrast legal responsibilities
and action of sample scenarios.
Identify the scope of practice of the
phlebotomist and ECG technicians.
Describe common ethical standards within
the health care profession.
Infection Control and Safety
Identify policies and procedures for
maintaining safety in the laboratory and
during ECG procedures.
Identify and discuss the modes of
transmission of infection and methods of
prevention.
Discuss the universal precautions outlined by
the Centers for Disease Control (CDC).
Perform proper infection control techniques,
such as hand washing, gowning, gloving,
masking, and double bagging.
Define and discuss hospital-acquired
infections.
Describe the electrical, radiation, biological
hazards and fire safety procedures used in
the hospital, including the clinical laboratory.
Diagram the following hazard symbols:
Radiation, biohazard, toxic or poison,
carcinogen, corrosive, flammable, and NFPA
chemical hazard.
Identify and properly label biohazard
specimens.
Describe the safety measures that should be
followed at all times by a phlebotomist when
collecting or transporting a patient’s
specimen.
Communication, Personal and Patient Interaction
Compare and contrast legal responsibilities
and action of sample scenarios.
Be able to explain the importance of
maintaining patient confidentiality.
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
Describe the proper manner for greeting and
interacting with a patient.
Explain the major points in interviewing a
patient or a patient’s representative in
preparation for obtaining specimens.
Describe instructions to be given to patients
in preparation for routine blood collection,
glucose testing, bleeding times and other
procedures normally performed by the
phlebotomist.
Describe instructions to be given to patients
in preparation for various electrocardiography
procedures.
Describe and discuss techniques for dealing
with family and visitors during the collection
of specimens and electrocardiography
procedures.
Describe the Patient’s Bill of Rights as it
applies to the clinical laboratory personnel
and ECG technicians.
Discuss the importance of appearance and
grooming for phlebotomists and ECG
technicians.
Discuss the telephone within the context of
extra-laboratory communication.
List and define rules of telephone etiquette
appropriate for the clinical setting.
Discuss the role of the computer within the
laboratory and ECG department.
Quality Assurance in Laboratory Testing
Describe the system for monitoring quality
assurance in the collection and transportation
of laboratory testing.
Identify policies and procedures used in the
clinical laboratory to assure quality in
obtaining of blood specimens.
Specimen Transport and Specimen Processing
Describe the laboratory criteria for identifying
an appropriate request for specimen
collection.
Relate legal responsibilities of the laboratory
and phlebotomist to the need for physicians’
request for all specimen collecting and
testing.
Identify methods for transporting and
processing blood specimens for routine and
special testing within the health care system.
Explain methods for processing and
transporting specimens for testing at
reference laboratories.
Describe the potential clerical and technical
errors that may occur during specimen
processing.
2
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
Explain the general effects of time on test
quality and patient care in regard to
processing and transporting of specimens.
Describe the conditions that must be met if
blood specimens and laboratory tests are to
be used as legal evidence.
Collection Equipment and Precautions
Identify the various types of additives used in
blood collection, and explain the reasons for
their use.
Identify the evacuated tube color codes
associated with the additives.
List and select the types of equipment
needed to collect blood by venipuncture,
capillary, and arterial punctures.
List the supplies that should be carried on a
phlebotomist’s tray.
Identify special precautions necessary during
blood collections.
Describe substances that can interfere in
clinical analysis of blood constituents.
Identify the mode of action for each
anticoagulant.
Define the following terms and list possible
causes of each of these situations:
Demolished Sample, Short Draw, Clotting in
Whole Blood Tubes, Lipemic, and Icteric.
List the effects of the tourniquet, hand
squeezing, and heating pads on capillary and
venipuncture.
Define the following terms and list
appropriate first aid for each of these
circumstances: Petechiae, Hematoma,
Infection, Syncope, Emesis, Osteomyelitis,
and Sepsis.
Identify a winged infusion set.
Define situations appropriate for the use of a
winged infusion needle.
Identify a syringe and explain when you
would use this technique.
Specimen Collection Procedures
Define “chain of custody” as it relates to
blood specimens collected to rule out illegal
drug use.
Define the following terms: TDM, Peak
Levels, Trough Levels, Random Sampling,
Toxic Levels, Untramuscularly, and
Intravascular.
List the steps used in specimen collection
techniques for glucose testing: 2 hour,
random, fasting, and glucose tolerance
testing.
2
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
Correctly time and label specimen.
List the steps in the procedure for blood
alcohol specimen collection.
Describe the phlebotomist’s role in the
collection of urine specimens for routine
urinalysis, culture and sensitivity, and timed
specimens.
Perform a multi-draw venipuncture.
Appropriately approach the steps in a skin
puncture procedure.
Appropriately identify the patient.
List and perform the steps in a skin puncture
procedure.
List and perform the steps in a venipuncture.
Appropriately collect, label, and transport
specimens for the following analyses: cold
agglutinins, type, and antibody screen, cross
match and blood cultures.
Circulatory System
Describe the structures of the heart.
Explain the pumping action of the heart.
Diagram and describe the flow of blood
through the heart.
Distinguish between systemic and pulmonary
circulation.
List the components of the conduction
system.
Give the sequence of impulse origination of
the conduction system.
State four properties of the cardiac cells.
Name the four chambers of the heart.
Name the four valves of the heart, give their
location, and describe how they function.
Define blood and lists its components.
Label each blood vessel.
Identify structures of the heart valves, blood
vessels, and conduction system on
diagrams.
Basic Electrophysiology
Trace the electrical conduction pathway of
the heart and explain the location where they
are in relation to the heartbeat.
Explain each of the conduction pathway
component’s relationship to the heartbeat.
Label the waveforms and segments of the
heartbeat.
List causes of dysrhythmias.
Define isoelectric line.
Electrocardiography
Explain the difference between
electrocardiogram and electrocardiograph.
Explain the reasons for performing an ECG.
2
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
Explain the universal marking codes for a
manual 12 lead ECG and the auto 12 lead.
Diagram the limb, augmented, and chest
leads of an ECG.
Recognize and correct problems associated
in the performance of an ECG tracing.
Describe and list the placement of ECG
electrodes on the body.
Explain the guide used in interpreting ECG
strip.
Electrocardiography Paper
Describe the ECG paper.
Give the recording speed of the ECG paper.
Explain how the time and voltage of the ECG
tracing is determined.
Calculate the rate of patient’s heartbeat on
an ECG tracing.
Electrocardiography Machine
Clean and maintain ECG machine.
List the supplies and other equipment used in
performance of an ECG.
List the parts of an ECG machine and give
the purpose of each.
Define the difference between electrode and
sensor.
Leads
Describe the 12 leads in a tracing and
explain the difference between unipolar and
biopolar.
Identify the color of the limb and chest leads
for a standard 12 lead ECG.
Describe the principle of Einthoven’s triangle
and diagram the three leads used.
List the augmented limb leads and be able to
diagram on a chart.
Name the precordial or chest leads in order
and explain what they measure.
Explain Einthoven’s Law and what it detects.
List the frontal and horizontal leads of an
ECG.
Electrocardiograph Technique
Describe the universal standard of ECG
measurement.
Identify the patient using proper procedure.
Identify yourself and explain procedure to the
patient.
Document patient’s medication history and
vital signs.
Incorporate relaxation methods to make the
patient comfortable.
Place the patient into the proper recording
position.
2
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
2
Prepare the patient’s skin before placement
of leads.
Recognize and place sensors in proper
positions on the patient.
Connect the cable wires to sensors in proper
sequence.
Acquire ECG tracing using universal
standards.
Recognize, describe and correct artifacts on
the ECG tracing.
Describe how to identify the tracing after
completion.
Document any variation from a normal
tracing or any information useful to the
interpreting physician.
Document any physical or extrinsic situation
that could alter ECG vector or standard lead
placement.
Quality Assurance in the Performance of an ECG
Verify information on ECG tracing.
Recognize and remove artifacts.
Identify proper supplies and equipment.
Describe the documentation of variation from
normal ECG tracing.
Correct standardization of voltage.
Prioritize time and follow proper sequence of
events.
Utilization of ECG Tracing
Identify lethal arrhythmias.
Describe proper reporting of lethal
arrhythmias immediately to a nurse or
physician for diagnosis and treatment.
List criteria for a normal ECG.
Describe utilization of the components of
rhythm strip analysis.
Define the following terms associated with
the ECG training: normal sinus rhythm, sinus
arrhythmia, sinus arrest, bradycardia and
tachycardia.
Technology
Integrate the use of software, hardware, and
the Internet to practice and master standards
identified in the course.
Utilize the Internet as a resource/research
tool.
Student Organization
Participate in Health Occupations Students of
America (HOSA) or SkillsUSA/Vocational
Industrial Clubs of America
(SkillsUSA/VICA).
Apply parliamentary procedure in
organization meetings.
3
4
Date
5
Comments
Level of
Competence
Content Standards and Objectives
1
Demonstrate team membership skills, such
as cooperation and leadership.
Take part in local, state, and national health
care and education projects.
2
3
4
Date
5
Comments