How can I train my students to be one? - PowerPoint Presentation

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How can I train my students to be one?

What is a patient care tech?

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Contact Info

Please feel free to contact me with questions/comments/suggestions!

Lynne Clarke, RN, Ed.D.

Wlclarke.weebly.com

wlclarke58@gmail.com

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PCT Skills – common to CNA

Bedmaking Bathing Transfers

Catheter Care ADL’s Oxygen

Feeding tube care

I & O

ROM

Skin care CPR TED hose

Vital signs PPE Consent

Infection Control Plan of Care HIPAA

Post mortem care Report abnormal findings

Emotional support Assess pain/edema

Admission/Discharge/Transfer

Assist with prosthetic/orthotic devices

Beginning and ending procedures

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PCT Skills

12 Lead EKG Basic Arrhythmia recognition

Holter monitor Emergency response

Stress testing

Monitor patient during blood transfusion

Phlebotomy Point of care testing

Specimen collection Remove peripheral IV’s

Aseptic/Sterile dressing change Splints

Ostomy Care

Oxygen administration Handheld nebulizer

Assist patient to take prescribed meds

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EKG Skills – Dysrhythmia Recognition

Teach basic cardiac anatomy

Teach basics – waves, complexes, intervals, etc.

Teach EKG paper measurements

Teach steps to interpret

Tell

the story

Correlate the story to the heart’s conduction system

Use technology resources to show relationship between mechanical and electrical activity

Go over each type of dysrhythmia – correlation to the story. Give out hallmark chart

Use sample 6 – second strips to have teams work to identify.

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Basic Cardiac anatomy

Resources

Anatomy and Physiology Coloring Books

nhlbi.nih.gov

Anatomy OpenHeart info app for iPad

Dissect pig hearts

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waves, complexes, intervals, etc.

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EKG paper

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waves, complexes, intervals, etc.

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Rate calculation methods

Method 1 – R to R Method Can only be used for regular rhythms.

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steps to interpret

Rate: fast or slow

Rhythm: regular or irregular or regularly irregular

P-wave: regular, upright, round

QRS Complex: less than 0.12 sec., constant

PR interval: within 0.12 – 0.20 sec., constant

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Escape vs. “take-over”

Escape – when the “level” above fails to generate an impulse

“Take- over”- when the level below generates an impulse before the top level has a chance

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The Story – School System

Education System

Board of Education

Building Principal

Teachers

Students

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The Story correlation

Education System

Intrinsic rate

Cardiac Conduction System

Board of Education

60-100

Sinoatrial node (SA node)

Building Principal

40-60

Atrioventricular

node (Av node)

Teachers

20-40

Bundle of His

Students

20-40

Perkinje

fibers

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Correlation Examples

1

st

Degree Heart Block

Building Principals take a long time to pass on

information to the teachers and students

3rd Degree Heart Block

Building Principals refuse to pass on any information to

the teachers and students

PVC’s

One or two students are “acting a fool”

Ventricular Fibrillation

All of the students are “acting a fool” (police might use

taser

)

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Electrical and mechanical correlation

Resources

HeartCharts App for iPad

You Tube: Cardiac dysrhythmia heartbeat dances

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Types of dysrhythmias – correlate to the story

Give out hallmark chart

Encourage students to add their own notes to the chart

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ID the strip Game

Form teams

Give out copies of six-second strips

Allow students to use hallmark charts to attempt to identify strip

Keep score and give “prizes”

Encourage students to keep strips to use as study examples

High tech

– put every strip into Power Point and use notability

Low tech –

use large post-it note paper on white board

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Example

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Example

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EKG Skills

Must know lead placement, patient preparation, patient education for the following:

12 Lead

Telemetry Monitoring

Stress testing

Holter monitoring

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Emergency Actions

Recognize lethal dysrhythmias

Asystole, ventricular tachycardia, ventricular fibrillation

Call 911, CPR, AED

Mock code resource –

Mind-forge Education Service – Electrocardiogram Module

You can use this software to make an inexpensive rhythm generator on your laptop

Available from

www.speakcomputers.com

for about $20.00

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Other resources

Lifeinthefastlane.com

Great EKG resources

Vhlab.umn.edu

Wlclarke.weebly.com

Live Binder

http://www.livebinder.com/play/play?id=1493572

Access Code ARJHSPCT

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Phlebotomy

Preanalytical errors

Venipuncture sites

Order of the Draw

Tube additives

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Pre-analytical Errors

70% of ALL medical care is based on clinical laboratory tests!

Pre-analytical tests occur BEFORE the specimen ever reaches the lab

Errors can result in patient treatment mistakes!

www.labresultsforlife.org

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Venipuncture sites

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Order of Draw

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Tube additives

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Phlebotomy Equipment

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.

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Phlebotomy 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.

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Cardio Chek

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Resources

www.wlclarke.weebly.com

http://library.med.utah.edu/WebPath/TUTORIAL/PHLEB/PHLEB.html

Center for Phlebotomy Education, Inc.

www.phlebotomy.com

$699 for 3 videos

Basic Venipuncture

Preventing Pre-Analytical Errors

Skin Puncture And Newborn Screening