1. Tips, Tools, and Tricks for PCT and EKG Programs
W. Lynne Clarke, Ed.D., RN
W.L. Clarke Consulting
Graniteville, SC

2. Beginning a Program Parent/student information meetings
School board approved “Informed Consent”
Establish clinical contracts with area healthcare facilities
Establish relationship with testing agency:
National Healthcare Association (nhanow.com)
National Center for Competency Testing
(ncctinc.com)
Acquire equipment

3. C.N.A. Skills in Common With PCT
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

4. 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

5. EKG Skills – Dysrhythmia Recognition
Teach basic cardiac anatomy
Teach basics – waves, complexes, intervals, etc.
Teach EKG paper measurements
Teach steps to interpret
Use technology resources to show relationship between mechanical and electrical activity
Go over each type of dysrhythmia – have students complete reference chart
Use sample 6 – second strips to have teams work to identify.

6. Basic Cardiac Anatomy Resources Anatomy and Physiology Coloring Books
nhlbi.nih.gov
Anatomy OpenHeart info app for iPad
Dissect pig hearts

7. 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

8. Example

9. Phlebotomy Preanalytical errors Venipuncture sites Order of the Draw
Tube additives

10. 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!

11. 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”.
Creates a more realistic practice situation than using expensive practice arms.

12. Cardio Chek

13. Phlebotomy Resources www.wlclarke.weebly.com
Center for Phlebotomy Education, Inc.
$699 for 3 videos
Basic Venipuncture
Preventing Pre-Analytical Errors
Skin Puncture And Newborn Screening

14. Other resources Lifeinthefastlane.com Vhlab.umn.edu
Great EKG resources
Vhlab.umn.edu
Wlclarke.weebly.com
Live Binder
Access Code ARJHSPCT

15. Parent Meeting Explain duties of PCT or EKG Tech
Explain classroom, clinical and lab experiences
Give out required school and clinical site forms
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
Critical thinking
Hands-on application

16. 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
Must be on file at school
Sample document on my web site

17. Clinical Contracts
Contract must be specific to include invasive procedures if doing PCT program
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 in your area, ask for a Word copy of that contract and change it for your use.
For free liability insurance contact your local Boy Scout Council

18. Clinical Sites County Health Department Labs Doctor’s Offices
Hospitals

19. Alternate 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

20. Certification Test Preparations
Contact them to find out the rep for your area
Obtain approval for you program from agency
Print test plan
Consider ordering test preparation materials

21. Acquire Equipment BP cuffs – students should purchase Moore Medical

22. Acquire Equipment Phlebotomy
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

23. Acquire Equipment Phlebotomy

24. Acquire Equipment - Phlebotomy
Talk with local labs, hospitals and MD offices for expired or unused supplies

25. Acquire Equipment Blood Glucose Monitors
Get name of representative for type of monitor used by your local providers.
Contact the rep for that company and BEG!

26. Textbooks? I have not found a good, single textbook so…
I used 3 books:
- a C.N.A. text
- a Phlebotomy text
- an EKG text

27. Test Prep Students fail tests for 3 reasons: Don’t know material
Don’t read question – not good at multiple choice questions
Not familiar with terminology

28. Daily Reviews
Put 5-10 multiple choice questions on Power Point and make it a bell ringer

29. 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

30. 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

31. Contact Info
W. Lynne Clarke
204 Marshall St.
Graniteville, SC 29829