Producing Multi-skilled Students

Dr. Lynne ClarkeHealth Science Department Chair

A.R. Johnson Health Science and Engineering Magnet SchoolAugusta, GA

Wlclarke.weebly.comwlclarke58@gmail.com

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 Contracts

• Where?– County Health Department– Labs– Doctor’s Offices– Hospitals

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

NHA

NCCT

Acquire EquipmentBP cuffs – students should purchase

Moore Medical

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!

ZipGrade Answer Sheet

ZipGrade Answer Sheet

Daily Reviews

• Put 5-10 multiple choice questions on Power Point and make it a bell ringer

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!

Communication Plans

• Remind app