producing multi-skilled students dr. lynne clarke health science department chair a.r. johnson...
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Producing Multi-skilled Students
Dr. Lynne ClarkeHealth Science Department Chair
A.R. Johnson Health Science and Engineering Magnet SchoolAugusta, GA
What does a PCT do?Bedmaking Bathing TransfersCatheter Care ADL’s OxygenFeeding tube care ROMSkin care CPR TED hoseVital signs PPE Infection ControlPost mortem care I & O
Incentive spirometry Handheld nebulizerOstomy care Sterile dressing change Splints PhlebotomyHolter monitors Specimen collection 12 Lead EKG Point of Care Testing
Beginning a Program
• Parent/student information meetings• School board approved “Informed Consent”• Establish clinical contracts with area
healthcare facilities• Establish relationship with National Healthcare
Association• Acquire equipment
Parent Meeting
• Explain duties of PCT• Explain classroom, clinical and lab experiences• Explain that students will be preforming dermal
punctures and venipunctures under supervision in lab and clinical settings
• Explain student immunization requirements – TB, flu, etc.
• Explain course content – – Rote memorization and application
Informed Consent
• Must be board approved for invasive procedures– Usually board attorney is consulted to develop this
document• Must be signed by parent and student
Clinical Contracts
• Contract must be specific to include invasive procedures
• Meet with the person who will be directly responsible for supervising phlebotomy – do they have special requirements or procedures
• If the facility already has a relationship with a college or technical college ask for a Word copy of that contract and change it for your use.
• For free liability insurance contact your local Boy Scout Council
Clinical Opportunities
• You can also bring the clinical opportunity the student:– Offer fasting blood sugar testing to the faculty and
staff– Ask a local lab to run cholesterol testing for faculty
and staff on blood drawn by the students– Ask your hospital or local facility to provide health
screening that your students can assist with
NHA
• Website: nhanow.org• Contact them to find out the rep for your area• Print course objectives• Consider ordering test preparation materials
- under $200
Acquire EquipmentPhlebotomy
• Issue each student a set of basic phlebotomy equipment and a zip lock bag
• Use that equipment to practice on tangerine or banana BEFORE using manikin arm!
• Break skills down into small steps
Acquire EquipmentPhlebotomy
Nasco
Hint: Remove syringes. Cap off one of the tubes. Connect a Normal Saline 250cc or 500cc with IV tubing to the other tube – tint with the “blood” that comes with trainer. Students will get a flashback.
Venipuncture Practice
• Obtain a laboratory requisition form from your local lab. You can make multiple copies or laminate several for reuse.
• Make ID bracelets using generic male and female names and birthdays.
• Have student acting as “patient” strap on Venatech trainer and ID bracelet. Complete a requisition and give it to the student “phlebotomist”.
• This creates a more realistic practice situation than using one of the large, expensive practice arms.
Acquire EquipmentPhlebotomy
• Talk with local labs, hospitals and MD offices for expired or unused supplies
Acquire EquipmentEKG machine
• Contact local hospital or MD office for surplus equipment
• There will be surplus equipment due to changes in health care laws!
• If local agencies do not have surplus then ask for names of reps from companies they deal with – may have to write “mini-grant”
Acquire EquipmentHolter Monitor
• Talk with local MD office or hospital about “broken” machine
• You don’t need a working machine because you won’t be transmitting the test anywhere!
Acquire EquipmentBlood Glucose Monitors
• Get name of representative for type of monitor used by your local providers.
• Contact the rep for that company and BEG!
Textbooks?
I have not found a good, single textbook so…We use 3 books:
- a C.N.A. text- a Phlebotomy text- an EKG text
Teaching Electrocardiology
• Tell them a story• Give them an overview• Give them the hallmark characteristics chart• Do team based drills
• For more specific info see companion Power Point – “What is a PCT and How Can I Train My Students to Be One?”
Test Prep
• Students need lots of practice with multiple choice tests
• Students fail tests for 3 reasons:– Don’t know material– Don’t read question– Not familiar with terminology
ZipGrade
• Are you tired of grading tests?????• Do students forget they had a test by the time
you get it graded and give it back????
• Try ZipGrade app – available for Apple only!
The best thing about the shops at the Canal at the Venice Casino was:
• A. the slot machines• B. the exclusive, expensive shops• C. the cheap taxi fare to get there• D. the chocolate covered strawberries at the
Godiva Chocolate Shop
The best thing about the shops at the Canal at the Venice Casino was:
• A. the slot machines• B. the exclusive, expensive shops• C. the cheap taxi fare to get there• D. the chocolate covered strawberries at the
Godiva Chocolate Shop
Peer Pressure
• Print large poster with heading:
2013-14 ARJ PCT’S
STUDENTS SIGN AS THEY EXIT COMPUTER LAB AND HAVE PASSED THE TEST. NO ONE WANTS TO BE THE PERSON WHO DOESN’T GET TO SIGN!