Document Sample
					______NORTH SEATTLE COMMUNITY COLLEGE ______________________2011
                                          Medical Assisting Program

                             TABLE OF CONTENTS

Handbook forms cover sheet to turn in required paperwork.

1. Medical Assisting Information

      AMA Description of Medical Assisting
      The American Association of Medical Assistants
      Washington State Society of Medical Assistants
      CMA Credential
      CMA Exam content outline
      Scope of Practice, Creed, and Code of Ethics

2. Student Resources

      Net ID
      Faculty Emails
      Student Services Offices telephone numbers
      Internet Resources
      Exam Preparation
      Study Tips

3. Program Information

      Special Circumstances
      Associate of Applied Science in Medical Assisting
      Policies (MANDATORY READING)
      Important Notes for Theory and Lab Courses
      Clinical Guidelines
      Safe Practices
      HIV/AIDS Statement
      Liability Statement


       #1 Risks and Hazards Acknowledgment
       #2 & #3 Heath Requirements
       #4 Applicant Attestation
       #5 Release of Information
       #6 Student Health Care Responsibility
       #7 Handbook Acknowledgement (on last page of handbook, sign after reading)

4.    Medical Assisting Externship- Turn in externship preparation form and
Confidentiality Statement (included in this packet) to Program Coordinator (Michaelann)
during the quarter before your externship. Get externship preparation form from

       Steps to Graduation
       Parting notes
       Health Care Assistant Certificate Information

It is vitally important that you thoroughly read all program materials and ask
questions to clarify anything. For the quality of your education and your safety
during program participation, it is required we follow the laws and guidelines of all
governing, accrediting and educational bodies. It is expected you are familiar with
the handbook contents.


Handbook and Program Forms                                Medical Assisting
                                                                & related programs.
Not applicable to Non-Intent Students

Within your FIRST quarter, complete the requirements and the papers
for the following items. Turn in entire set of forms, no partials accepted, with
checklist on top, the forms in numbered order beneath, to the Health and Human
Services division. Do not turn them into the classroom! (You will complete forms
for externship requirements later.)

In order for you to register for your clinical classes in the program, you will need to
have completed and submitted your forms. Please do not wait until the last week of
the quarter. Schedule your health requirement appointment(s) soon.
You do not have to wait for the second or third HepB immunization to complete the
packet. Either submit proof of your first immunization or sign the waiver form.
You can add proof of the second and third HepB when completed. Please remember
that TB tests must be updated each year and proof must be submitted to the division
for your file. This is your responsibility; you will not be able to register for your
externship if your TB is out of date.

All forms are in the program handbook. (#’s 2, 3 and 4 do not apply to Reception,
Medical Office Administration or Medical Transcription; or to those taking non-lab
classes only) Attach all forms in order and submit to the division, not the classroom.

                             During First Quarter ____________________

1._____Signature Page for Informed Acknowledgement of Risks and Hazards

2._____Physician Statement with attached immunization records.

3._____Immunization Record (attached to Physician Statement)

4._____Applicant Attestation

5._____Release of Information

6._____Student Health Care Responsibility Statement

7._____Handbook Acknowledgement and Attestation Form

   Section 1:


Visit the following sites to get more
information on Medical Assisting. This

will also help you with certain
assignments in the modules, to help you
understand your new career and to study
for the CMA exam.

      Section 2:


Visit the following sites to get more
        information about NSCC

              resources. These sites are an
              invaluable resource, be sure you
              review each link!

Section 3:



      On February 14, 1966, a local organization known as the King County
      chapter of the American Association of Medical Assistants (AAMA) was
      formed in Seattle. This chapter gained the endorsement of the King
      County Medical Society and the Washington State Medical Association
      by its affiliation with the national AAMA organization. An advisory
      committee was selected and two-year Medical Assisting program was
      developed for the Seattle Community College District. The first
      students graduated from the two-year program in March 1970 and
      received their Associate of Applied Science degrees (AASD) as
      professional Medical Assistants.

      Over time, North Seattle Community College has updated the
      curriculum in keeping with the AAMA guidelines and by keeping up-to-
      date in the medical field, improving the instruction of course offerings
      including clinical and laboratory classes.

      For the 2002-2003 academic year, the program was restructured to a
      self-paced, modular format. This was in response to the increasingly
      large number of students who need flexible hours due to work and/or
      personal commitments. The content and quality of the former program
      was carefully preserved, just rearranged. The curriculum was adapted
      to the order of the comprehensive textbook of Medical Assisting that is
      primarily utilized in the program and to meet all requirements and
      guidelines of our accrediting bodies, our professional organization and
      the college. The new format should allow for students to move forward
      at their own pace and allow for more individual instructor time for
      students needing additional assistance.

      Historically, North Seattle Community College Medical Assisting
      graduates have enjoyed a job placement rate of 85-99% in physician’s
      offices, clinics, hospitals, insurance companies, labs, and other related
      paramedical organizations. Additionally, our Medical Assisting
      graduates score in the 90th percentile in the Certification Exam (CMA)
      administered three times per year by the American Association of
      Medical Assistants. Our curriculum is planned to prepare the student
      for the successful completion of this national examination.


      The North Seattle Community College Medical Assisting Program is
      accredited by the Commission on Accreditation of Allied Health
      Education Programs (CAAHEP), on recommendation of the Curriculum
      Review board of the American Association of Medical Assistant’s
      Endowment (AAMAE). CAAHEP, 1361 Park Street, Clearwater, Florida 33756.
      Graduates of this program are also eligible for the Washington State
      Health Care Assistant (HCA) certificate at levels A, C, and E, obtainable
      through an employer. The state certificate does NOT constitute
      “certified” medical assistant. The CMA credential is obtained through a
      national exam; the advisor has details and forms.

      The modular program allows students to enter or graduate in any
      quarter. All modular classes are self-paced and may be taken in any
      quarter. Students may take any number of course modules as desired
      (plan with advisor) and take longer than the usual one and one half
      years to complete the program if needed. Students study theory
      portions through reading a text and completing assignments as listed in
      a course packet of material as well as by computer (some internet
      assignments). Students are encouraged to study at the college where
      MA instructors will be in the classrooms during scheduled hours to
      assist and answer questions; students will have the option of studying
      theory elsewhere. Students must practice the “hands-on” procedures in
      the classroom with an instructor and quizzes/exams and competency
      check offs must be performed at school during designated times.
      Instructors, classrooms and equipment will be available according to a
      scheduled time frame of day and evening times. Students are
      encouraged to establish a regular schedule each quarter to foster
      successful completion and to complete as much of the work as possible
      at the college where assistance and guidance is available.

      In addition to the various fees charged by the college, students will
      have additional expenses.

      Incorporated throughout the program is instruction in additional areas
      that are vital in the medical field. Examples of these areas include
      safety, hygiene, communication, computation, human relations,
      professionalism, work habits and job search skills.

      CAAHEP – Commission on the Accreditation of Allied Health Education
      AAMA – American Association of Medical Assistants
      CMA – Certified Medical Assistant (national)
      HCA – Health Care Assistant (Washington State only)


We, the faculty of the Medical Assisting Program at North Seattle
Community College, believe our program should fulfill the needs of our
changing society and be responsive to the advisory committee,
community and student surveys, local and national trends, and
recommendations of the American Association of Medical Assistants

We believe the program should maintain a professional/technical
emphasis in the course offerings; the opportunity for externship
(unpaid) in a clinical setting during the final quarter of the Medical
Assisting Program will facilitate the development of entry-level
competencies in the students.

We believe admission to the program should be open to all, regardless
of race, ethnicity, color, religion, national origin, gender, sexual
orientation, age, or marital status, who demonstrate a sincere desire to
enter the field of Medical Assisting or upgrade their skills, and who meet
the requirements established by the faculty within State of Washington

We believe the faculty should respond to the individual differences of
students in planning and implementing curriculum and that instruction
should consist, wherever possible, of a broad mix of learning
experiences that meet the need of the wide variety of learning styles as
well as multiple intelligences.

We believe that learning should occur in a collaborative atmosphere
where students and faculty together assume responsibility for learning.
We believe that the program should provide a climate that is conducive
to learning, stimulates creative and productive participation and fosters
positive attitudes and behaviors.

We believe the program should provide students with learning
experiences that allow application of scientific concepts and principles
as well as technical skills and attitudes needed to perform effectively as
a Medical Assistant.

We believe graduates of our program should be prepared to function
effectively as integral members of the health care team and be of
positive assistance to the physician in their practice of medicine in any
medical setting.

We believe the program should fully qualify those completing it to
successfully pass the Certified Medical Assisting (CMA) exam that is
offered three times a year by the AAMA (information is provided to
students early in the program)


      Upon completion of the program, the student should be able to:

1. Perform the entry-level competencies for a Medical Assistant as established
by the American Association of Medical Assistants which include (but are NOT
limited to):

                    Display professionalism

                    Communicate effectively with and to patients, other staff and
                     physicians, both orally and in writing

                    Perform administrative duties including technology literacy,
                     preparation and maintenance of patient records and

                    Perform clinical duties such as assist with patients, practice
                     sterile and laboratory procedures, and have knowledge of

                    Apply and be current in legal concepts and regulations

                    Manage the office safely and effectively

                    Provide instruction to patients regarding office practices and
                     promotion of health and disease prevention

                    Manage finances including billing, accounts receivable and
                     medical coding.

2. Use resources effectively in continuing own self-development.

3. Accept responsibility for his/her own actions.

4. Integrate the work habits emphasized in the program into the student’s own

5. Encourage the student to embrace lifelong learning, both professionally and


a. Advanced Placement into Courses

This is primarily for applicants who have already completed a
portion of a Medical Assisting program at another school and want
to transfer to NSCC to complete their chosen program of study
without having to repeat all courses taken at another institution.
Students coming from another CAAHEP or ABHES program should
provide transcripts and related course descriptions to the medical
assisting program coordinator for evaluation. Using the Entry-Level
Competencies, Knowledges and Skills list of the AAMA, equivalent
courses that have been completed elsewhere will be determined for
acceptance for credit. Each learning objective in the course
syllabus for the particular course as well as each entry-level
competency, knowledge and skill for that course must be met to
grant advanced standing and accept the incoming credits.

b. Transfer of Credit and Granting Credit from Previous

1. Courses from another community or public technical college
may be transferred to NSCC through the usual process and as
evaluated by the Credentials Evaluators at the college. Generally,
relevant and equivalent general education (academic) courses are
accepted and posted to your NSCC transcript. Vocational courses
(technical) are typically not evaluated by the Credentials Evaluators
but can be evaluated by the MA program coordinator. Evaluation
for acceptance of transfer vocational credits is based on
documentation of Entry-Level Competencies, Knowledges and
Skills list of the AAMA. For incoming credit to be equivalent to any
MA modular course, each learning objective on the course syllabus
as well as each entry-level competency, knowledge and skill for
that course must be met to transfer the credit. Official transcripts
should be brought to the MA program coordinator for evaluation.

2. Transfer of credit from alternative or non-traditional sources and
granting credit for previous education may be evaluated by the MA
program coordinator. This would include, but not be limited to,
formal education recorded in clock hours, military training, other
medical training, etc. Evaluation for acceptance of credits is based
on documentation of the Entry-Level Competencies, Knowledges
and Skills for the relevant course. Each learning objective on the
course syllabus as well as each entry-level competency, knowledge
and skills for that course must be met in order to grant credit for
equivalent learning. Compile documentation and submit materials
in a clear and logical fashion to the MA program coordinator for

          c. Credit for Experiential Learning

          This option is primarily for working, experienced Medical Assistants
          who lack the formal training required for credentials and/or
          employer requirements but possess thorough, hands-on
          knowledge. Using the Entry-Level Competencies, Knowledges and
          Skills of the AAMA, each item is evaluated based on documentation
          of experience. The applicant must provide a record verifying at
          least one year of experience in each relevant competency,
          knowledge and skill as well as each learning objective from the
          course syllabus. Documentation may include certificates or
          diplomas of training by employer, letters or other documentation of
          employment stating performance of each item, etc. The MA
          program coordinator will evaluate the documents and identify the
          NSCC modular courses that have been satisfied by the applicant’s

          d. Course Challenge

          At this time, the only course challenge available is for medical
          terminology. As stated in the college catalog, a student must have
          completed 9 credits in residence, complete the appropriate form
          and pay the challenge fees. Take the receipt to the Health-Medical
          division and schedule the exam. On the day of your challenge
          exam, you will be allowed 2 hours to complete it. The MA program
          coordinator will grade the exam and notify you of the results. A
          minimum passing score of 77% is required and this will grant 3
          credits of medical terminology to be posted on the student’s
          transcript. If a student does not score 77% or above they may
          study and take another challenge exam at a later time. Fees are
          not refundable regardless of the outcome and must be paid for
          each attempted exam.

   AAS Degree Info


1. Academic Standards

             All students are subject to the Academic Standards of the Seattle
             Community College District and North Seattle Community College
             and are expected to adhere to these policies. These standards are
             found in the college catalog and the current quarter schedule of

2. Grading Policies

          a. An overall grade point average of 2.0 or higher is needed for
             successful completion of the program.

          b. A 2.0 GPA or higher is required for the college certificate.
             Students receiving a grade of less than 2.0 in any course will be
             required to repeat that course. A course may only be repeated
             once. To graduate you must complete all courses successfully.
             Incompletes are NOT allowed unless there are extremely
             extenuating circumstances. An incomplete course must be finished
             by the end of the next quarter after the incomplete was given.
             Students receiving an incomplete must sign a contract with the
             program coordinator. An incomplete left on the transcript and not
             finished will be counted as a failing grade in that course.

          c. The college’s decimal grading system will be used to evaluate
             academic achievement in all medical assisting classes. A decimal
             grade of 2.0 is the required minimum passing grade for each
             medical assisting course. More specific grade and percentage
             equivalents can be found in individual course syllabi.

             The Seattle Community Colleges use a numerical grading system.
             Numerical grades may be considered equivalent to letter grades as

                      Decimal grade                   Letter grade equivalent


                        4.0 - 3.9                      A
                        3.8 - 3.5                      A-
                        3.4 - 3.2                      B+
                        3.1 - 2.9                      B
                        2.8 - 2.5                      B-
                        2.4 - 2.2                      C+
                        2.1 - 1.9                      C
                        1.8 - 1.5                      C-

                        1.4 - 1.2                        D+
                        1.1 - 0.9                        D
                        0.8 - 0.7                        D-
                        0.0                              E


              97-100%=4.0                              83%=2.6
              96%=3.9                                  82%=2.5
              95%=3.8                                  81%=2.4
              94%=3.7                                  80%=2.3
              93%=3.6                                  79%=2.2
              92%=3.5                                  78%=2.1
              91%=3.4                                  77%=2.0
              90%=3.3                                  76%=1.9
              89%=3.2                                  75%=1.8
              88%=3.1                                  74%=1.7
              87%=3.0                                  73%=1.6
              86%=2.9                                  72%=1.5
              85%=2.8                                  71%=1.4
              84%=2.7                                  70%=1.3

      Specific assignments, tests, activities and points for each course will be
       contained in each course syllabus.

      Retake tests are usually a different version than the original test and may
       be in any form, or an alternative assignment may be given. Make-up or
       alternative work may be worth a maximum of 85% as they are penalized

3. Course Withdrawals

              Students should monitor their academic progress each quarter in
              each modular course and note the college’s quarterly deadline for
              dropping a course: A student may not drop a course to avoid a
              failing grade, but must drop a course by the college’s published
              date of the last day to withdraw without instructor permission.

4. Repetition of Courses/Readmission

                   Any course required for the Medical Assisting Program
                    cannot be repeated more than once.

                   No more than two (2) failed courses may be repeated during
                    the program. Any repeated course must be passed at the
                    80% level.

                   Should a student not pass a course, the length of the
                    program may require extension due to repetition.

                   After an absence of 2 or more quarters, a student will be re-
                    evaluated to determine course placement.

5. Instructor Summary Evaluation

            This final evaluation gives permission to the Health and Human
            Services Division to respond to future inquiries from extern sites or
            possible employers. This form is provided by the Program
            Coordinator; it must be completed by both the instructor and the
            student, discussed and signed in the final quarter of course work,
            prior to the externship course.

6. Attendance

          It is expected that the students arrive on time for scheduled
            activities. If tardiness or absences occur, it is the student’s
            responsibility to contact by email or see the instructor for the
            missed content, handouts, announcements and instructions that
            were given in class during the absence. Every student is highly
            encouraged to attend as much as possible to enhance learning.

          Attendance required in the Medical Assisting courses is indicated
            by the number of theory, lab and/or other hours for that course (but
            may take student more or less actual hours). Some courses do not
            require attendance except for exams and weekly e-mail
            communication. In other classes, however, attendance for lab and
            hands-on practice is mandatory to learn specific skills and attain
            competency. Planning for enough hours each week throughout the
            quarter will be extremely important in the self-paced modular

          Instructors are available for individual assistance and during posted
            hours each quarter. Please note the particular specialty for each
            instructor. Please make an appointment with the instructor or

              program coordinator for any non-academic issues you need
              assistance with.

           The flexible schedule of classroom and instructor availability should
              permit you to schedule personal commitments outside of class time
              to ensure enough hours available to complete course work by the
              end of the quarter. Please monitor your time and progress weekly
              and alert the instructors early if a problem is developing. Do not
              wait until late in the quarter when it will be too late to correct the

           No cell phones are allowed in the classroom unless they are on
              vibrate only. Please respect everyone’s study time by keeping your
              phones silent.

7. Dress Code in Classrooms

       The dress code for all Medical Assisting classes is casual but in good
       taste. It is strongly suggested that if shorts are worn to class in the warm
       weather they be no shorter than mid-thigh. Halter tops are NOT allowed.

       In all lab or clinical classes (not administrative lab classes), Medical
       Assisting students are required to wear uniforms or “scrubs” to class. This
       is a safety issue to protect your clothing from carrying microorganisms
       outside the classroom. Non-adherence to the policies of dress could
       adversely affect grades and evaluation of professionalism.

       During the externship, if the student is not in uniform, or dressed
       appropriately for the standards of the extern site, as many sites do not
       require scrubs, during the workday, and if modifications cannot be made
       immediately, the student may be asked to leave the site and receive an
       unexcused absence for that shift.

The uniform policy is as follows:

                    White lab coats may worn in lab and clinical classes over the
                     uniform, except when wearing a “barrier gown” during
                     procedures involving body fluids.

                    Scrubs in the color of the student’s choice are preferred and
                     most economical; however, white uniforms may be worn.
                     White tee-shirts or tank tops, stretch, stirrup or spandex-type
                     pants are not considered a uniform even if white.

                    Shoes must be clean and neat, preferably white tennis
                     shoes or nursing shoes. Tennis shoes with some color, and

     clogs are allowed, but cannot be open-toed. No sandals or
     open-toed shoes are allowed due to safety issues.

    Proper uniforms are to be worn by students for all clinic or
     office observations, during lab and clinical classes, and
     during the externship or if requested by the instructor for a
     particular activity.

    Uniform must be clean, fresh and pressed at all times.
     NEVER chew gum while in uniform or in classrooms where
     body fluids or chemicals are present (additional restrictions
     in these areas are listed in this handbook under: Standards
     of Professionalism and Student Responsibilities)

    Simple jewelry may be worn with a uniform. Wedding rings,
     ear posts or small earrings are acceptable.

    Students must wear a watch with a second hand during
     Laboratory and Examining Room classes.

    No patterned or bright-colored underwear shall be worn
     under uniforms or undergarments that are visible in any way.

    Students in uniform need to remember the following rules:

o Only clear or pale nail polish is acceptable. Polish should be
  well-kept with no chipping. Nails should be kept short.

o No perfume, cologne, after-shave or other products of

o Hair must be held or tied back or worn up off the collar.

o Students observing in clinic areas or performing work
  experience must also remember:

     Courtesy, tact and politeness are your guidelines at all

     Smoke ONLY in designated areas and NEVER in the
       presence of a patient. The college has seven smoking
       areas - please smoke ONLY in these areas.

     Personal protective equipment (PPE) such as goggles,
       masks and gloves will be utilized by students for their

                       protection in all classes where biohazards exist. Specific
                       PPE requirements for each procedure/task are posted in
                       the Medical Assisting classrooms.

NOTE: When you wear your uniform, you represent the Medical Assisting
profession, the Medical Assisting Program and North Seattle Community College
as well as yourself. Wear it proudly - you work hard for the privilege of wearing it.
And remember, a smile is always a good addition to your appearance.

8. Complaints

       If a student has a complaint, speak with the person that problem involves.
       If that is the instructor, speak with the instructor outside of class time. If
       the problem is with another student, speak with that student. If this does
       not resolve the issue, speak to the next person above, i.e, an instructor,
       the Dean, etc. The college’s student complaint process (located in the
       college catalog or student handbook) will be followed to resolve conflicts.

9. Test Confidentiality

       No tests will be given to the students to take home or to keep. Tests may,
       however, be returned in class for review and discussion. Tests will be
       retained by instructors for re-accreditation purposes and may be reviewed
       by the student upon request by appointment with the instructor.

10. Testing Standards

       Student performance reflecting honest and reliable behavior is vital for
       professional ethics and success on the job as well as for accurate
       assessment of student competencies. Because high standards of
       honesty, ethical actions and professional responsibility are expected of all
       healthcare personnel, it is important that these high standards are
       maintained in the Medical Assisting program. Because of this, the
       following policies are in place:

      Exam retake policy: Only one retake is allowed for any exam in the
       Medical Assisting modular courses and only if original score is below 77%.
       The retake will have a penalty of 15% for a maximum of 85% of the
       possible points.

      Any student witnessed cheating will be processed though the student
       conduct code in the College’s Student Handbook. Cheating could result in
       expulsion from the program, or have an adverse affect on grades and/or
       recommendations. If complaints of cheating are heard by instructors,
       students will be asked about the incident in question.

   Any written assignments or tests must contain original content. Any
    indication that the work has been plagiarized from another student or
    another source will be disciplined according to the college’s Student
    Conduct Code. Additional faculty actions will be determined on an
    individual basis. In the self-paced, modular format, it is critical that
    students complete their own work and thoroughly learn the materials

   Ethical standards must be upheld in all aspects of academic work whether
    in relation to testing or in other assignments and/or performance.
    Examples of unacceptable behaviors include but are not limited to:

       a) Talking, whispering, or otherwise interacting with another student
          during exams, lectures or guest speakers

       b) Getting exam questions from someone who has already taken the

       c) Copying from someone else’s work whether on an exam or any
          assignment. Students should not assist other students in any way
          during exams or check-offs of skills or assignments

       d) Allowing someone to copy from an exam or assignment or giving
          answers to another student

       e) Using notes or books during an exam

       f) Copying sentences from a source without footnoting it

       g) Turning in an assignment which was completed by someone else
          and claiming or implying credit for the work

       h) Working with another student on an assignment that is assigned to
          be completed individually

       i) Giving untruthful information or reasons for not turning in an
          assignment or exam or for absences

       j) Getting assistance from another student while doing a procedure
          check off

       k) Using notes or a book while doing a check off

11. American’s With Disabilities Act

              If a student has been evaluated through the Educational Access
              office and given formal ADA accommodations, a copy must be
              given to each instructor affected. Reasonable accommodations will
              be made.

12. Monitor and Chart Program Progress

              Keep a record of courses completed each quarter and your
              cumulative GPA. If you do not pass a course, you need to see the
              coordinator for an alternative packet. Ensure all forms from this
              handbook are completed and turned in the first quarter. Turn these
              in to the division office with the cover sheet. If you are transferring
              any courses from another college, you may submit an ”unofficial”
              copy to the Program Coordinator for the initial advising for program
              acceptance and evaluation of vocational credits; however, official
              transcripts must be requested from that college to be brought to the
              MA program coordinator. You must also complete a “Request for
              Transcript Evaluation” form for the credentials evaluator. This
              should be done as early in the Program as possible.

Additionally, in your last quarter prior to externship, students should:

   1. Meet with the Program Coordinator to complete paperwork for the

   2. Print a transcript audit to ensure all requirements have been met and turn
      in to the Program Coordinator

   3. Complete the summary eval in the extern as instructed

   4. Complete an application for graduation by the deadline during the quarter
      you are taking externship

   5. Ensure official transcripts were received by the Records office and that an
      official evaluation was done, if needed

Important Notes for Theory and Lab Courses:


You are responsible to apply these guidelines to all work and
assignments whether specifically stated in the checklist or not.

1. As stated in all course checklists, you are expected to read all material (text,
handout, course packet, etc.) in detail and to include all parts whether specifically
stated on the course checklist or not. All courses in this program require a lot of
reading and you should schedule your time to allow you to thoroughly read all
material. Completing the reading is vital in this self-directed module to
insure you get the details that would normally be discussed in a lecture
format. You also need to carefully read labels, cartons and boxes and
packages, flyers on the bulletin boards and white boards, etc. There is a lot of
information around you.

2. For any material that is not clear, ask the instructor for explanations.
Although there is no formal lecture, instructors can explain and guide you as you
study the material for this course during posted daily classroom hours. Come in
for assistance, sign up for check offs, attend mini-lectures and demonstrations,
and work with other students. You should e-mail the instructor once per week
during any week you do not come to the classroom @
Be able to receive e-mail from the instructors with important, sometimes last
minute news. Since we may not see you, we need to be able to send information
to you.

3. When turning in written work, it should be typed. Speak with an instructor if
this is a difficulty although word processed documents are a standard
expectation in the coursework as well as on the job. If a written assignment is
not specifically given, but you are instructed to do something (review course
materials in the classroom, look at models or equipment in the classroom, etc.),
you should write a brief statement of what you did. Give your name, the
course, and a brief list of what you did, learned, etc.

4. Complete steps and turn in packets for grading in the order written. When you
turn in assignments, arrange them with the two grade sheets on top, the checklist
and all completed materials underneath, arranged in the order they are listed on
the grade sheet. Staple them. Do not use any folders, envelopes, covers, etc.
Give to an instructor in the classroom. You will get one of the grade sheets
back in your file in the classroom with your points and grade filled in. You should
keep these in a file for your own records. You may keep all “Flash cards” and “At
a Glance” cards after grading, but your packets will be kept on file in the division.

Note: When turning in written work from the text or the workbook, you may:
      a. fill in the book and photocopy completed pages to turn in
      b. type the answers on a separate sheet of paper (just be sure to include
      your name, the course and chapter numbers, the heading or title of the
      section/assignment and the number of the question being answered. You
      do not have to write the question – just tell us which question.
      c. tear out the pages when completed and turn those in.

5. When taking a test ask an instructor or assistant for the course exam you
need, have it logged out, complete it at the testing area table, and then turn it in
when finished. Tests can be taken during any of the open classroom hours when
there is an instructor and/or an assistant there. Do not take a test without
being prepared to pass it; it is not acceptable to take a test just to see what
it asks about or as a ‘practice test’ while planning to take a retake exam. A
retake exam will be docked 15%.

Tests cannot be started right before the end of class time. Please allow yourself
time to take your test while the room is open. There should be no talking to
others, getting up and leaving the test area, taking or making phone calls, using
any notes or books or any aids. See Program Handbook for rules. Do not leave
the room during a test, have anything with you at the table other than the test
paper and a pen or pencil. You may leave your books, bags, etc, at the study
tables. You should not talk to others during a test but feel free to ask an instructor
or assistant if you have a question regarding the test.

6. Do not assume that more is better for your grade when doing a written
assignment; the more concise, the better. Write any written assignment so the
instructor has evidence that you performed the assignment by writing only solid
information, not just lots of words. Practice wording a large amount of
information in as few words as possible without losing any important material or
necessary details. Use correct grammar and spelling in all written work.
Instructors will take points for inaccurate use of written English. It is expected
you will proof read/spell check your documents prior to submitting. If unsure of
something, ask an instructor or assistant to look over your work first and offer
suggestions for improvement.

7. Turn in the web addresses or URL’s of any internet research you do.
The addresses must be sufficient for the instructor to find the same information at
the same site. You must use reputable sources when doing the research. A
private individual’s web page of their opinion or interest is not considered
reputable. A recognized organization, a government agency, a well-known
company or manufacturer, a college or education department, etc., would be
examples of reputable sources. Only turn in the first page of a website unless
directed otherwise by the checklist.

8. If any website URL is no longer viable, please let the instructor know. If this
is the case when doing an assignment, you may use another reputable site for
the same topic. If you cannot find another appropriate site, ask the instructor
for suggestions. Always document your efforts even if unsuccessful in locating
the desired material. Practice with computer skills including finding information
on the Internet is a vital skill needed in coursework and in the workplace.

 9. The use of flash cards is intended to provide an easy way to use repetition
in studying word parts and meanings in terminology but this is an effective way to

learn other kinds of information. They are portable (carry with you and go
through a few when you can), you can do a little or a lot and not have to get
reorganized to continue later, and you can use various colors of ink and/or paper,
etc. which will help give you a strong visual to help you recall. Put the term or
idea on one side and the meaning on the other. The use of At a Glance cards is
intended to create a quick, brief reference deck of cards for you to carry in your
pocket later on the job to remind you of various details. On the job, you won’t
remember everything, so for things that you find more difficult to recall you
should have something easy to review.

10. You should always look up terms in the text that you are not sure of.
There are dictionaries in the classroom for your use. It may help to say medical
words out loud. You should thoroughly learn terms and abbreviations, using both
oral and writing skills. Clear, effective and accurate oral communication in
English using medical and general terms is expected on the job to avoid errors in
patient care. The texts come with disks. Use them for optimal study.

11. Check the classroom for supplemental materials in the subject (course) you
are studying. There are many books, models, equipment, visual aids, etc. for
each course that can greatly increase your understanding of the material. Try to
spend some time reviewing available materials in the classroom even if not
assigned. Write a brief list of what you did/ learned, etc., and turn in with your
packet. Include your information as in #3 above!

12. It is vital that you learn the material well so that you can perform
competently and professionally when you go on an externship and then when
employed. In technical programs such as this, the most important learning
goal must be to be able to perform your job in providing quality healthcare
to patients and to minimize any liability to the physician for your actions
and/or communications. This is a legal issue for you as well as the physician –
you must be competent in your duties and to do that you must know your
material. Thorough knowledge should be your goal in each course so that you
will be able to APPLY it on the job, not the grade itself.

13. For all courses with hands-on procedures required (whether clinical or
administrative), students must schedule their time to come to the classrooms
during posted hours to practice and check off. The student should practice as
many times as needed until the student feels proficient enough to perform the
procedure in a demonstration for the instructor, without notes or assistance, for a
grade. This is called a “check off.” Some things may be practiced at home but
still must be charted (vitals, patient history, etc.). Other procedures must be
practiced in the classroom (blood draws, injections, etc.). All check offs must be
performed in the classroom with an instructor.

14. Students are encouraged to practice-practice-practice! Repetition will help
you to remember the steps and details. DO NOT ATTEMPT TO CHECKOFF
WITHOUT PRACTCING FIRST. This is vital. You should make a brief
procedure card for each procedure you learn. State only the steps you need to
have a reference for – not the ones you can easily remember yourself. Make
procedure cards easy to read quickly when you are on the job.

15. For details on procedures in a course, see the course checklist and the
procedure sheets in the handouts and on the website. Also check the
Procedures at a Glance handout to tell you which procedures can be checked off
with an instructor and which can be done with another student. When you have
successfully completed all check offs, turn them in with your completed packet.

16. In clinical and lab courses with procedures, you will also be evaluated on
your “soft skills.” These include things like how comfortable you seem with the
patient while performing the procedure, how well you know the theory
surrounding the procedure, how well you set up and clean up, how you interact
with others in general, how you appear (professional, well groomed, etc.) to your
patient and others, etc. These are skills that can be equally as important, and
possibly more so, than your technical or academic skills. The soft skills cannot
be over emphasized! Employers want you to get along well with staff and
patients, to act appropriately in all situations and to be a professional with
high standards.

17. Check offs may only be attempted twice. If you do not pass a second time,
you will need to repeat the course so please be prepared before attempting
check off.

18. Please do not wear perfume, cologne, or other scented products in the
classrooms. It is college policy to refrain out of respect for those who have
allergic or adverse reactions. Let’s be considerate!

19. Since testing is usually done in the main classroom (IB 1318); please try to
keep it quiet in that room. Feel free to work in the other two classrooms also –
there are tables and chairs in all rooms suitable for study/work.

20. Do not eat in any classrooms except at the designated table in IB1318.

21. Please do not let your cell phone be heard in the classroom. Turn them to
vibrate or turn them off. If you need to be reached for emergencies while you are
in class, you should tell your family and emergency contacts to call the Health-
Medical division at (206) 527-3790 to get a message to you to call back. Only
emergency calls should be taken or initiated during class time. You may step out
of the rooms to make a call but keep the noise of the ringers out of the

22. If you have any difficulties or concerns while taking courses in our
program(s), you should seek to resolve them by following this method:

      a. Speak directly with the person(s) you have the difficulty with.
      (This may seem difficult, but it is the appropriate and professional way to
      handle problems. Be tactful and courteous and clear in stating what is a
      problem for you, how they may be affecting that and suggestions on how
      the situation could be cleared up. See an instructor for guidance as

      b. If this does not resolve the issue, speak to the next person directly
      above (as appropriate). In a clinic or office you usually would not
      immediately go to the manager or the physician until you had attempted to
      resolve typical problems. Interpersonal and communication skills should
      be practiced and improved upon in preparation for entering the medical
      field where you will deal with many difficult situations and relationships. In
      the program, you would then speak to the instructor to get help in

      c. If the instructor is unable to assist you, see the secretary in the division
      office. You can get a form to complete for the Dean stating your difficulty
      and you would then have a meeting with the Dean.


             Programs and courses run more smoothly and students perform
             better when everyone knows exactly what is expected of him/her.

You will be provided with a syllabus for each course that will explain
the course content and how your performance will be measured.

There are basic guidelines for student responsibilities and for
professionalism which will earn points if followed or will adversely
affect your grade if violations occur. Those guidelines are listed

1. Buy the books and materials assigned for each course.
      Complete the reading prior to coming to class or to practicing
      skill. Turn in assignments on time and in the form

2. Plan the number of hours per week required for your courses
      and spend that time studying and/or coming to campus to
      work. Monitor the time you spend and your progress and do
      not wait until late in the quarter to identify a problem.

3. Come to the college for assistance and for required hours during
     the posted classroom/instructor availability schedule.

4. Organize your course materials. Date class notes and
      handouts. Follow any specific requirements according to the

5. Be sure that the work you submit is your own (see Testing
     Standards). Plagiarism is a violation of the Student Conduct
     Code at NSCC and a violation of the Medical Assisting
     Program policy. If work is plagiarized, appropriate
     disciplinary action will be taken.

6. See your instructor when you have questions or concerns about
      the course or your performance. When you meet with the
      instructor, take the work with you so that you can refer to the
      test or assignment directly. Instructors are here to help you
      in your work and you should feel free to seek assistance
      from the appropriate instructor(s) whenever necessary.

7. If you have a complaint regarding the course or material, follow
       the procedure by seeing your instructor first; only if that fails
       do you go to the Program Coordinator, then Dean of the
       Health and Human Services Division. If there is a problem
       with another student, you should speak to that student first
       and attempt to resolve the problem. If this does not work,
       see the instructor. In a team-taught course, go to the lead

       instructor. Following the “chain of command” is expected at
       school as well as in the workforce.

8. Observe simple courtesy toward your instructor and classmates.
      Carrying on conversations, slamming doors, opening pop
      cans, passing notes or otherwise distracting behaviors can
      be very disruptive in the classroom and interfere with others’

9. Eating is NOT allowed in the classrooms. Eating, drinking, gum
      chewing, applying cosmetics or lip balm, or handling contact
      lenses is NOT allowed in the classrooms or laboratories.
      rules are for your protection and will be strictly adhered to.

10. Visitors and children are not allowed to accompany the student
      to any classes. Occasionally an adult visitor may be allowed
      with the Instructor’s prior approval. See an instructor or the
      program coordinator for the appropriate forms.

11. Provide care to all patients and other students as assigned
      regardless of race, creed, gender, country of origin, sexual
      orientation, personal preferences or diagnosis. NSCC and
      the Medical Assisting Program are dedicated to the respect
      of all people and will not tolerate discrimination of any kind.
      No inappropriate remarks, refusal to work with another, or
      harassment of any kind will be allowed.

12. Be respectful of speakers in the classroom, whether it is the
     instructor, another student, or a guest speaker. When you
     speak in class, the same respect will be given to you.

13. Stay on task in class, keep busy at all times in clinic/exam
      room classes. There seldom is idle time on the job as a
      medical assistant and establishing good habits now is

14. Do not gossip and discourage it from others. Show respect to
      others in all ways as expected of a professional. Personal
      opinions on sensitive issues that convey offensive biases are
      not allowed. On the job, a medical assistant must not let
      their individual opinions be known to patients when those
      opinions would possibly offend the patient, the physician, or
      other staff and this is also expected in the classrooms.

15. Do not give untruthful information or responses or reasons in
      any class for any reason.

16. Be in uniform or appropriate attire in class or on the extern site.

17. Comply with all health and safety guidelines in any class or the
      extern site.

18. E-mail a brief communication to the instructor weekly if you do
      not come in to the classroom during a week; it is important to
      maintain contact in this self-paced, modular format.

19. Display professionalism (guidelines in handbook) at all times
      when on campus or a program related location (extern, field
      trip, interview, etc). Professional behavior is vital in the
      medical field and is vital in training you to work in a medical
      setting. Infractions of these guidelines may adversely affect
      your grade (in a related course if applicable) and/or your
      recommendation for future employment.

20. Practice ethical behavior.

21. Follow instructions, rules and guidelines.

22. Solve problems; do not complain.

23. Accept constructive criticism.

24. Admit mistakes.

25. Help others.

26. Don’t take things.

27. Don’t go thru instructor materials and areas.

28. Take responsibility for whatever needs to be done, i.e., put
      away supplies even if you didn’t leave them.

29. Do not discuss tests with others.

30. Do not use cell phones in the classroom. Keep them on silent

31. No violence, threats or derogatory remarks of any kind, for any
reason, will be tolerated. Such actions will be referred to
administration for action.


         The faculty will monitor a safe laboratory and clinical practice for the
         student. Laboratory and clinical classes require human participation
         activities. Examples of human participation are not limited to: finger
         sticks, venipuncture, and injections of salt water, EKGs, ear irrigations,
         etc. The instructor will be in the lab for safety during posted classroom

         Injection sessions, including practice, will take place only in the exam
         room area of the medical assisting department. Injections will be done on
         other students only under the direct supervision of the instructor. Each
         medical assistant student is required to give injections to their partner and
         to receive injections from their partner.

         No injection equipment will be removed from the lab/exam area. Universal
         precautions will be strictly followed and all materials disposed of in
         biohazard containers. It is the intent of this program policy to recognize
         the responsibility to educate its students while providing safe
         student/patient care.

         An informed Acknowledgment of Hazards and Risks in this handbook
         must be signed and on file before participating in any human participation
         activities. Documentation must also be on file regarding current health
         status and that all immunizations and HBV injections are current.

         Unsafe practice is any behavior, which places or has the potential to
         place, another in imminent danger, or at risk of physical and/or
         psychosocial injury.

         Psychosocial injury includes but is not limited to psychological,
         sociological, cultural/ethnic, and spiritual trauma.

         Examples of unsafe practice include but are not limited to the following:

         1.     Ineffective or dishonest verbal or written communication that may or
                does result in danger to others in the health care setting.

         2.     Release of confidential information.

         3.     Failure to display stable mental, physical or emotional health which
                may or does affect others’ well-being.

         4.     Use of drugs and/or alcohol prior or while participating in class or

5.       Recapping a needle.

6.       Improper disposal of contaminated materials.

7.       Not waiting for supervision of invasives.

8.       Negligent or reckless handling of equipment, sharps, body fluids or
         contaminated materials.

9.       Not following Universal Precautions.

10.      Eating, drinking, chewing gum, or anything, handling contact lenses
      or applying cosmetics in lab areas.


Do not take any supplies home with you! All
syringes, needles, and anything used in invasive
procedures must remain in the locked cabinet in
the classroom. It is your legal and ethical
responsibility to insure these items cannot be
accessed by anyone outside the program.
           This is a serious issue!

Do no perform any invasive procedures without
   instructor supervision in the classroom.

For classes with a clinical lab, try to complete reading early and come in to see a
 demonstration so you can start the hands-on practice as soon as possible. You
          need lots of time to learn and then practice so plan accordingly.
Please follow the “Procedures at a Glance” handout. Note which procedures can
be accomplished with another student and which must be a formal check off with
an instructor. Please use your supplies and actually perform everything possible.
 Chart everything you perform on a patient (ask instructors for guidance and see
    charting examples in the classroom). Procedures that require charting are
                indicated on the Procedures at a Glance handout.



Do not take any supplies home with you except perhaps your BP
  cuff and stethoscope unless assigned to do so. All syringes,
needles, and anything used in invasive procedures must remain
   in the locked cabinet in the classroom. It is your legal and
 ethical responsibility to insure these items cannot be accessed
     by anyone outside the program. This is a serious issue!

   Do not perform any invasive procedures without instructor
                 supervision in the classroom.


Please read carefully and be sure you understand the following information before you

Participation in many learning activities can involve illness or injury of some type either
to yourself, a fellow student, or others associated with the learning experience. Such
illness or injury can include direct or indirect physical or emotional injury ranging from
minor cuts or muscle strains to catastrophic injury, such as complete paralysis, or death.
Illness or injury can impair one’s general physical or mental health and hinder one’s
future ability to earn a living, to engage in other business, social and recreational
activities, and generally enjoy life.

There is little risk, if any, associated with classroom presentation and discussion
activities. However, the courses that involve working in a laboratory or clinical setting
may present some hazards and risks including, but not limited to:

- Injury from electronic equipment
- Cuts and needle sticks from sharps, including exposure to bloodborne pathogens.
- Allergic reactions from contact with chemicals.
- Pressure for high quality performance can be stressful. Also dealing with ill and
stressed patients/customers.
- Incidental exposure to chemicals.
- Exposure to chemotherapeutic agents.
- Exposure to radiation.
- Exposure to microbiological agents.

In some activities students may elect alternative training procedures, which may be
offered and described by the instructor. Where alternatives are not available, or stray
too far from meeting course (or program) objectives, it may not be possible to be
administratively removed from these procedures. Students are not screened for
bloodborne pathogens, e.g. HIV or HBV, and no student can be denied full laboratory
participation because of known infection. All fluids will be treated with universal
precautions according OSHA/WISHA standards.

It is further the purpose of the NSCC Health/Medical Division that you are aware, as a
student, that it is your responsibility to learn about any concerns that you may have at
any time regarding the benefits and safety of any personal conditions that can be
aggravated by the activities associated with this training in which you are a participant.
Also, should you have any health conditions, it is important that the instructor be aware
of the situation. In any event, the student is responsible for using precautionary means
to prevent aggravation of pre-existing conditions.

                               SIGNATURE PAGE for

ACKNOWLEDGEMENT OF RISKS AND HAZARDS                                    #1
         I have read the risks and hazards information associated with the
         Medical Assisting program. By signing this Acknowledgment of
         Risks and Hazards, I am stating that I understand its contents and
         that I choose to participate in the Medical Assisting program,
         administered by North Seattle Community College. I also will
         advise the instructor if I have, or develop, a condition that would be
         problematic in participating in required laboratory and/or clinical

         Signature of Student

         ____________________________________Date: _____________
         Signature of witness, college official title


         1. Physical Examination and Immunizations

         All students are expected to meet the health standards of any
         health occupation. Information and forms are found in this
         handbook and all paperwork must be completed and submitted
         prior to participation in any lab or clinical classes requiring hands-
         on practice on real people (other students) or exposure to body
         fluids. Students CANNOT take or register for those classes with
         health requirements until all requirements are met first.

         The following are the health requirements:
                a. a general basic physical exam (by your own physician.
                       There are no student health services on campus).
                b. a diphtheria-tetanus immunization*
                c. an MMR (measles, mumps, rubella) immunization* or
                current              titer
                d. an annual negative tuberculin test or chest x-ray* (2-step)
                e. the hepatitis B vaccine. Information and forms regarding
                       the Hep B vaccine are included in the handbook.
                f. Flu
                g. Varicella

         *Proof of immunizations as needed and appropriate for you should
         be provided by your physician and attached to the physician

         2. Student Health Insurance

         Students are responsible for their own medical expenses. If it is
         necessary for the student to receive medical care of any kind,
         including emergency room care, the student will be responsible for
         any charges incurred. A student health insurance policy is
         available through the college and may be purchased at the time of
         registration. You will need to sign the Student Health Insurance
         Responsibility form in this handbook and turn in to the program

         3. Physical and Mental Characteristics

         There are no bona fide legal physical requirements for medical
         assistants and NSCC will not deny access to any student for
         physical reasons as long as the student can successfully and safely
         perform all required procedures and tasks.

Reasonable employment expectations of physical capabilities of a
medical assistant include:

-adequate visual acuity (e.g., to read small markings on syringes, to
      read medication labels accurately

-able to work on feet, stand and/or walk for 8 hours

-sufficient manual dexterity (e.g., to draw up medications in a
        syringe, perform venipuncture, manipulate instruments)

-ability for rapid mental and physical coordination (e.g., to respond
        quickly in an emergency, determine proper course of action)

-sufficient hearing to perform accurately and efficiently (e.g.,
correctly hear and understand rapid verbal orders, converse on the
phone, hear body sounds through a stethoscope, hear warning

-ability to communicate effectively orally and in writing using

-ability to process and respond to a sequence of verbal instructions

-perform multiple tasks simultaneously

-ability to accept constructive criticism

-ability to maintain professional relationships and work as a team

________NORTH SEATTLE COMMUNITY COLLEGE_________________________
                                        Health/Medical Division

STUDENT NAME____________________________________                              DATE: ___________

Doctor: Please evaluate this individual’s needs for the required immunizations for a college program of
study. Administer and document what is given and note reason if not given.

                                                VACCINATIONS AND IMMUNIZATIONS

                                                        TYPE                              DATE

1. Diphtheria – Tetanus (Td)               1.____________________                      ____________
   if not combination specify                ____________________                      ____________
   which and reason if not given

2. MMR                                     2.____________________                      ____________
   rubella titer                             ____________________                      ____________

3. Tuberculin test (PPD)                   3.(1)____________________                  ____________
                                            _(2)____________________                 _____________
       (2-step) or
    Chest X-Ray                              ____________________                      ____________

4. Hepatitis B                             4._(1)___________________                  ____________
                                             _(2)___________________                  ____________
                                            __(3)___________________                 _____________

5. Influenza:                              5..____________________                     ____________

6. Varicella                               6. ____________________                     ____________

7. Polio:

Physician or provider:

Sign:_____________________________________                           Date:___________________

PHYSICIAN STATEMENT                      (for your physician to complete)    #3
    Report of Physical Examination and Immunizations
          (attach immunization record)



    Home Address____________________________________________________


    Phone number____________________e-mail__________________________

    The student must have on file with us prior to the second quarter of the program:

    1. A physical exam*
    2. Immunizations up-to-date: Diphtheria-tetanus       Flu
           (Attach)                 MMR                   Varicella
                                    Rubella titer
                                    Hepatitis B vaccine
    3. TB test or chest x-ray (2 step TB required)

    Physical Assessment:

           Age:_____ Ht:_____ Wt:_____ BP:_____ TPR:_________

           Medications:__________________ Allergies:____________________

           Conditions that may cause an emergency in class (i.e., seizure) which the
           instructor needs to be aware of to provide for student and other’s safety:



    *Physical Requirements:
    Note: Students will be exposed to body fluids and other potentially infectious
    materials. They will perform injections of normal saline, draw blood and do
    capillary punctures on each other. They will perform various lab tests including
    urinalysis, hematocrits, sed rates, and cultures.

   *The following are reasonable employment expectations of the physical
   capabilities of a medical assistant. During the physical exam, please evaluate the
   student for the following: (A “no” answer will not deny entry into the program.)
   Yes No

   ___    ___     - adequate visual acuity (e.g., to read syringe markings, medication
   ___    ___     - ability to work on feet/stand/walk for 8 hours
   ___    ___     - sufficient hearing (e.g., correctly listen to body sounds through
                           stethoscope, converse on phone, understand verbal orders)
   ___    ___     - sufficient manual dexterity (draw up medications in a syringe,
                           draw blood, remove sutures)
   ___    ___     - ability for rapid mental and physical coordination simultaneously
                           (e.g., respond quickly in an emergency)

   *For your comments as needed to explain any medical or emotional condition or
   disability that may require accommodation or affect this person’s performance of
   medical assisting duties or participation in the program and courses:



          Physician signature:___________________________________________





NOTE: attach Washington State
     Immunization Record, or complete
              the attached form.


         1. Program Guidelines Regarding HIV/AIDS

         The Medical Assisting faculty have a moral and ethical commitment
         to our students and the community to demonstrate compassion and
         understanding toward individuals with HIV/AIDS infection.

         In addition, we have a legal obligation toward working with
         individuals with HIV infection and AIDS. In accordance with section
         504 of the Rehabilitation Act of 1973, we will provide equal
         treatment to persons who have contracted HIV infection.
         Furthermore, we will not discriminate against any individual based
         on the perception that an individual is in a category of persons at
         risk of infection or because of an individual’s familial responsibility
         for or relationship with a person in one of the above categories.

         Within the context, we adopt the following general policies
         concerning students or employees with HIV infection recognizing
         that such policies must contain the flexibility to respond to each
         case as required by its particular facts. The institutional guidelines
         which follow are those recommended by the National League of
         Nursing and are adapted from the General Statement on
         Institutional response to AIDS prepared by the American College
         Health Association Task Force on AIDS, and are derived from the
         best currently available facts about HIV infection and AIDS.

         Transmission Information:

         Current knowledge indicates that students or employees with HIV
         infection do not pose a health risk to other students or employees in
         the academic setting (lecture courses). Safety guidelines are in
         place to prevent transmission in the lab classrooms where blood
         and body fluids are handled. HIV is transmitted by intimate sexual
         contact, from mother to infant through childbirth or breast milk, and
         by exposure to contaminated blood and body fluids. There have
         been no documented cases of transmission of HIV by any
         household, school or other casual contact. The U.S. Public Health
         Services states that there is no risk created by living in the same
         place as an infected person; caring for an AIDS patient; eating food
         handled by an infected person; casual kissing or swimming in a
         pool with an infected person. These facts are the basis for the
         following recommendations:
                 A. Handicapping Conditions. Persons with HIV/AIDS may
                 be considered by law to have handicapping conditions. The
                 legal rights of these individuals must be guaranteed and

existing support services for handicapped individuals made
available to students or employees disabled by HIV infection.

B. Admissions. We will not include consideration of the
existence of any form of HIV infection in the initial
admissions decision for applicants. Consideration of that
infection constitutes unwarranted discrimination.

C. Access. Students, faculty, and staff with HIV will be
allowed equal access, as long as their medical condition
permits, to college facilities or campus activities including
participation in clinical/lab experiences or other academic
and social activities offered by the college.

D. Health Care.

1. Testing: The Medical Assisting Program Director has a
list of sources of testing for HIV antibodies and is able to
refer students or employees electing to be tested. The
Medical Assisting Program Coordinator understands the
capabilities and limitations of the test, and is able to discuss
with and educate persons who seek testing. The curriculum
will include state laws and public health requirements
regarding charting of results release of confidential
information and reporting of test results.

We will not undertake programs of mandatory testing of
students, faculty or employees. Such programs are counter-
productive, cost-ineffective and possibly discriminatory.
Routine screening for HIV antibodies of health care
providers is not recommended by the Centers for Disease

2. Confidentiality: Because of the potential for discrimination
and mistreatment of HIV-infected individuals and of persons
thought to be at risk of infection, confidentiality issues will be
handled with extraordinary care. The following standards
and precautions will be taken:

       a. No specific information concerning complaints or
       diagnosis will be provided to faculty, administrators or
       even parents without the express written consent of
       the infected student or person.

       b. No information will be released to any other

      agency, insurer, employer, or institution including
      physicians, health clinics, or hospitals without the
      express written consent of the infected person or

E. Professional Ethics. The Medical Assisting Faculty
believe medical professionals including faculty have a
fundamental responsibility to provide care to all patients
assigned to then and that refusal to care for AIDS patients is
contrary to the ethics of the medical profession.

The faculty will address any fear, misinformation, or
prejudices students may be experiencing in regard to
treating HIV-infected patients through the following

      1. Provide the most current information on the modes
      of acquiring and transmitting HIV in the clinical/lab

      2. Provide thorough instruction in protective
      precautions for students in the care of AIDS patients.

      3. Provide close supervision and monitoring of the
      student’s initial experiences in AIDS care.

      4. Require Medical Assisting students to report all
      accidental exposure or violations of safety guidelines
      in the care of all patients to their instructor and to
      appropriate agency personnel.

      5. Evaluate annually in relation to equipment,
      supplies and conditions appropriate for minimizing the
      risk of infection.

      6. Provide intensive education and counseling in
      those instances where students are apprehensive or
      refuse to participate in caring for AIDS patients. Such
      cases should be handled as individual instances in
      which students have not met the requirements of the
      discipline. Information and support should be
      provided to underscore the moral obligation inherent
      in caring for the sick and to ensure the student’s
      factual understanding of AIDS transmission. If refusal
      persists, career counseling should be given to

                           determine whether the student should continue to
                           pursue a medical career.

             2. Guidelines for Prevention of HIV Transmission

Care of HIV-Infected Patients and Working with Other Students: The Medical
Assisting Program will follow and teach the following measures for preventing
HIV transmission in health care settings as recommended by the Center for
Disease Control: (MMWR 1987 Aug. 21; 36:1-18S).

                    A. Use of blood and body fluid precautions for all patients,
                    since medical history and examination cannot reliably
                    identify all patients infected with HIV and other fluid of blood-
                    borne pathogens.

                    B. Use of special precautions during pre-hospital and
                    emergency care since the risk of blood exposure to health
                    care workers is increased and the infection status of the
                    patient is usually unknown.

                    C. Use of appropriate barrier precautions to prevent
                    exposure to skin and mucous membrane when contact with
                    blood or other body fluid is anticipated.

                    D. Gloves should be worn when in contact with blood, body
                    fluids and mucous membranes and for handling items or
                    surfaces soiled with blood or body fluids, or for performing
                    venipuncture and other vascular access procedures.

                    E. Masks and protective eyewear or face shields should be
                    worn during procedures that are likely to generate air-borne
                    droplets of blood or other body fluids to protect exposure of
                    mucous membranes of the mouth, nose and eyes.

                    F. Gowns or aprons should be worn during procedures that
                    are likely to generate splashes of blood or other body fluids.

                    G. Use caution to prevent injuries caused by needles,
                    scalpels, and other sharp instruments. To prevent needle
                    sticks, needles should not be recapped with 2 hands,
                    purposely bent or broken by hand. After use, sharps should
                    be placed in puncture resistant containers for appropriate

                 H. Health care workers with open lesions or weeping
                 dermatitis should refrain from all direct patient care and from
                 equipment until the condition resolves.

                 I. Change gloves after caring for each patient, as glove
                 integrity cannot be assured with washing and repeated use.

                 J. Wash hands prior to and immediately after patient

           3.    The CDC committee also offered recommendations which
                 OSHA has adopted for health care workers including:

                 A. Initial orientation and continuing education and training of
                 all health care workers, including students and trainees on
                 epidemiology; modes of transmission and prevention of HIV
                 and other blood-borne infections; and the need for routine
                 use of universal and standard blood and body fluid
                 precautions for all patients.

                 B. Providing equipment and supplies necessary to minimize
                 the risk of infections with HIV and blood-borne pathogens.

                 C. Monitoring adherence to recommended protection

           Acknowledgement: National League for Nursing AIDS Guidelines
                for Schools or Nursing, August 1988, New York, NY 10019
                (Currently being reprinted). CDC Healthcare
Worker Immunization Recommendations


     Hepatitis B

     HBV infection is the major infectious occupational hazard for health care
     and public safety workers. The risk of acquiring HBV infection comes from
     occupational exposures to blood or blood products. Any health care or
     public safety worker may be at high risk for HBV exposure depending on
     the tasks that he or she performs. If those tasks involve exposure to blood
     or blood contaminated body fluids on at least a monthly basis, then such
     workers should be vaccinated. Vaccination should be considered for other
     workers depending on the nature of the task.

     Risks among health care professionals vary during the training and
     working career of each individual but are often highest during the
     professional training period. For this reason, it is recommended that
     vaccination be completed during training in schools of medicine, dentistry,
     nursing, laboratory technology and other allied health professions.

     a. Persons at risk for hepatitis B virus infection, who are demonstrated or
     judged likely to be susceptible, should be actively immunized. Healthcare
     workers who have contact with blood or blood products are at increased

     b. Before immunizing, serologic screening for hepatitis B need not be
     done unless the provider considers it cost-effective or the potential
     recipient requests it.

     c. Prophylaxis with an immune globulin (passive immunization) and
     vaccine (active immunization) should be used when indicated, such as
     following needle-stick or percutaneous exposure to blood that is at high
     risk for HBsAg-positive. (See MMWR 1985;34:313-324, 329-335 for more
     details on post exposure prophylaxis). Any needle stick exposure in an
     unvaccinated person should lead to initiation of the HB vaccine series.

     d. Immune globulins should not be used as a substitute when active
     immunization is indicated.

     Recommendations from the Centers for Disease Control, 1992.

     Vaccination for Hepatitis B

     The risk of contracting Hepatitis B (commonly known as serum hepatitis)
     is related to contact with blood and body fluids of persons with the
     disease. The incidence of accidental exposure of blood and body fluids is
     higher among

students and graduate medical personnel. The immunization for Hepatitis
B may be received at a Public Health Department site or at your own
physician’s office. The cost is approximately $50-60 per injection, the
series of 3 injections costing around $150-180. The series includes an
initial dose and repeated doses at one and six months. Those students
who currently work in health care facilities should check with their
employer(s) to ask if they will provide you with vaccinations free of charge.



          Each student enrolled in the Medical Assisting program will be
          covered by group liability insurance provided by the college. There
          is no charge for this. This is not health insurance for the student,
          nor does it cover any injury to a student while performing program
          requirements either at the college or the assigned extern site.
          Students are not permitted to take lab/clinical supplies home or
          elsewhere or to perform hands-on procedures on anyone not an
          enrolled program student, but a “malpractice-type” liability
          insurance for financial protection if a student becomes involved in
          litigation related to their actions and/or performance of duties
          required in their training in this program (at the site or the college).

APPLICANT ATTESTATION                                                        #4


I affirm that I am of good physical and mental health and of good moral character
and I will keep the Medical Assisting Program Coordinator informed of any
criminal charges and/or physical or mental conditions which jeopardize the
quality of care rendered by me to the public or to other students/instructors.

Should I furnish any false information or statements in this application process, I
hereby agree that such act would constitute cause for denial of entry into or
expulsion from the Medical Assisting program at North Seattle Community

_______________________________________               ________________
Signature of Student                                   Date

RELEASE OF INFORMATION                                                      #5
                    Release of Information

I hereby authorize the release of information contained within my student folder in the
Health/Medical Division office.

I understand that this information would only be given out to prospective employers
upon my completion or withdrawal from the Medical Assisting program. No information
whatsoever regarding personal information (home phone, address, etc.) will be given
out except to recognized personnel offices with whom I may be seeking employment.

I understand that the information generally requested includes attendance, attitude,
grade average, clinical evaluations and general ability to perform necessary skills.

______________________________           _______________________
Student Signature                        Date



I understand that I am responsible for my own health care expenses incurred by me
while a student enrolled in the Medical Assisting Program at North Seattle Community

I understand that if it is necessary for me to receive medical care of any kind, including
emergency room care, whether at school or at the externship site, I will be responsible
for charges incurred.

I understand the importance of and available sources of health insurance coverage. If I
do not have health insurance, I agree to pay any charges incurred by me. I do not hold
the school or any affiliated institution liable for any illness or accident that may be
directly related to being a medical assisting student at NSCC. If I do have health
insurance, I agree to bill that insurance for any charges incurred by me.

Student Name (Print)

Student Signature


Section 4:



For all externship arrangements, paperwork, forms and requirements,
please see the Program Coordinator, Michaelann Allen.

You will turn in all forms dealing with the externship to the Coordinator.

In the final quarter of classes before extern:
   1. Provide proof of CPR at the Healthcare Provider level or above, and
      make sure your TB test and WSP background check are up to date!!!
   2. Read the entire extern packet, do not complete forms yet.
   3. Complete and turn in your Externship Preparation form and the
      Confidentiality Statement to the Coordinator.

   Turn in this entire packet in this order to Michaelann NO LATER THAN
   the 5th week of the quarter before your extern.


Externship is actual work experience (unpaid and supervised) in an office or
clinic setting where the student practices in the “real world” what they have
learned in the courses but it is prior to graduation from the Medical Assisting
Program. Externship consists of 198 hours of UNPAID work in the final quarter
after all course work has been completed. The externship will be fully explained
to all students, the site arranged, all necessary paperwork completed and
tuition/fees paid prior to the actual placement at the extern site. Students earn 7
credits for the externship.

If a student does not perform to the professional and technical standards set forth
by the employer and the program, the student will NOT be assigned a second
site in the same quarter The student will receive a failing grade in this course and
the student will not be ready for graduation from the program until successful
completion of the externship in the following quarter. (No more than one quarter
shall lapse before attempting the second externship unless arranged with the
Program Coordinator and may require retaking some courses.) The second
attempt at externship is the final attempt allowed. If the student does not pass
the externship, even though all other courses were passed, the student
cannot graduate from the program.

Should a student be released from a site under questionable circumstances, the
situation may be reviewed with the Instructor, the Program Coordinator, and the
Associate Dean to assess the situation. Serious issues could result in a
determination that the student cannot be given a second site and then could not
graduate the program.

Expectations include, but are not limited to, the following (all guidelines in
program handbook and course packets):

*Attend “work” each day promptly, call in to the employer and the
  Program Coordinator (an absence must be absolutely necessary). Complete a
total of
  198 unpaid, supervised hours.
*Perform all tasks as requested by the employer within the scope of training.
*Maintain appropriate courteous and respectful interpersonal communication with
  physicians, staff and patients.
*Follow all rules of the employer (dress, conduct, parking, etc.) and
  all standards of professionalism as outlined in section 10 of this handbook.
*Maintain absolute confidentiality.
*Be prepared to perform any entry level MA knowledges and/or competencies.
*Ask appropriate questions.
*Do not criticize the site; adapt to their policies and procedures.

Externship Preparation
Preliminary Extern Information
Turn this in to the Program Coordinator in the quarter before your externship.
Name        __________________________________________________
Address     __________________________________________________
Phone (day) ______________________(eve)________________________

Please carefully complete the following information and turn in to Program

Do you have reliable transportation or will you take the bus? ___________

Are you employed outside of school? _____ If so, please list the days/times
you work and are NOT available to do externship: ____________________

Are you willing to work: evenings?_____ weekends?_____ split

What general area would be most convenient? _______________________

Is there a geographic limitation? __________________________________

What type of facility would you prefer? (ie., clinic or private office? large or
small? busy or not so busy?): _____________________________________

Is there a specialty you particularly want? (ie., OB-GYN, pediatrics) Family
practice or general medicine are recommended:_______________________

We will attempt, but cannot guarantee, to meet your preferences and needs.
If you have a site you want, be sure the instructor has the information
required to contact the site.

_______NORTH SEATTLE COMMUNITY COLLEGE__________________________
                                            Health-Medical Division


The following extern site has agreed to meet with you for an interview for externship.
You should call the contact person as soon as possible to arrange this meeting. During
this conversation, you will need to ask any questions you may have (where to park,
directions etc.) and indicate to them if you will have any dates/times you will be
unavailable to work. The site may readily accept you or may choose to interview more
than one student and then decide.

If the contact person states you are accepted at their facility, you need to plan and arrange
the schedule you will work. A copy of your completed schedule/calendar should be
submitted to the Program Coordinator. You will need to ask about what you should wear
and any other details you will need to know.


Extern site_______________________________________________________________



Contact person/title________________________________________________________

Write you name only and give to the Program Coordinator. A request for interview(s)
will be initiated by the Program Coordinator who will return this form to you with the
site information. You will then contact them to schedule your interview. You may be told
at the interview whether you are accepted to do your extern there. If you do not find out
at the interview, you will be informed soon, either by the site or the Program
Coordinator. Upon confirmation either way please inform the Program Coordinator
ASAP and give them the “site packet” from the AMA 290 course packet.

_____NORTH SEATTLE COMMUNITY COLLEGE____________________________
                                   Health-Medical Division

Copy one for each week you work. Can turn in to Program Coordinator weekly or together at the end.

              WEEKLY WORK EXPERIENCE REPORT                               Week _____

Student___________________________________ Extern site:_____________________

Supervisor________________________________ Phone_________________________
_____________________________Major Tasks Performed________________________
Hours worked_____

Hours worked_____

Hours worked_____

Hours worked_____

Hours worked_____

Student___________________________ Supervisor_____________________________
H=holiday    S=sick      T=tardy         Date_____________________________

 (Turn in to Program Coordinator)

         I understand the externship policy stated in this handbook. I
         understand the information and tasks in my “extern packet.” I have
         had the opportunity to ask questions to clarify the information. I
         understand that if I am released from my externship for
         unacceptable or inappropriate performance, I will NOT be given a
         second site that quarter and will be given a non-passing grade and
         therefore will not successfully complete the program at that time. I
         understand that serious infractions of any extern or site guidelines
         and/or policies may result in an immediate release and I would not
         be given a second site at all, and therefore, could not graduate the


         Print Name:____________________________________________



1. Steps in graduation process: At the end of your final quarter before externship
   (NOT EXTERNSHIP QUARTER), run a degree/certificate audit at the student
   kiosk. Please use the correct code for your program and for the degree or
   certificate you are applying for. If more than one, you must complete a
   separate audit for each. Take that audit to the program coordinator along with
   a completed Application for Graduation (pale yellow form, available in
   registration area). These two forms should be turned in to the program
   coordinator prior to the end of the quarter before externship. The latest time to
   turn in these forms is the first two weeks of the externship quarter. The result
   of late forms is that your certificate or degree will be processed the following
   quarter, which is a significant delay.

   Students graduating in summer quarter are allowed to walk in the graduation
   ceremony in June, one quarter early. Please see the program coordinator for
   more information.

2. Transcripts and Evaluations: If you have transcripts from another college that
   you want to transfer into North Seattle CC, they must be “official” and sent to
   the Credentials Office. Once the transcripts are received at our college, you
   must complete a request for evaluation of those transcripts by the Credentials
   Evaluator. This is a green for also available in the registration area. Check
   with the records room to find out when your transcripts have arrived and turn
   in the completed request.

   If you have transcripts from another college that you are using to meet the
   math and English placement test requirement, these may be “unofficial” and
   turned in to the program coordinator. Transcripts for this purpose do not need
   to be evaluated by the Credentials Evaluator.

   If you have previous medical (especially medical assisting) training or
   experience that you wish to have evaluated for advanced placement, see the
   program coordinator.

3. Summary Evaluation: During your final quarter during externship, the
   instructors will complete the Summary Evaluation. The instructors will
   evaluate you on employability factors listed and this document will be used to
   provide employers with information for future employment recommendations.
   This is where the non-academic/technical skills are recorded. Professionalism
   and ethics are examples of “soft skills” evaluated in this program and
   expected in the medical field and these are just as important as your technical

4. Graduation evaluation forms: Once you have completed all of your courses
   successfully, you are a graduate of the program and can seek employment

before receiving your actual degree or certificate. For your graduation to be
officially processed, you must turn in the transcript forms (as stated in #2
above) if needed, complete an application for graduation form and attach to a
degree/certificate audit form and turn in both of these to the program
coordinator. The program coordinator will evaluate these forms and complete
additional paperwork as necessary then submit the papers. Your application
will be processed and you will receive your degree/certificate by mail (may
take up to 8-12 weeks).

Parting Notes: To the new Medical Assistant
Your honest feedback and your time in completing surveys is appreciated. You
can play a valuable role in improving the program for future students and in the
long run, our profession in general.

In the future, we will mail newsletters to keep you posted of your “alma mater”
and other Medical Assisting news along with annual surveys to gather graduate
employment data for the accrediting body. Please try to keep us current of your
address, phone numbers, e-mail address, etc., and please return the surveys we

We would enjoy keeping in touch with you!

Parting advice: Always strive to do just a “little better” than the average – you
can do it!
Keep a sense of humor – it is less stressful than getting upset or angry.
Remember the patient is #1, then the physician, then yourself. It may take a year
to feel really comfortable in your role. This is normal! There is a lot to learn and
many new work habits to create. This first year is your foundation – build it
strong early on. And realize, you will never get to where you have learned it all.
Use common sense and think things through. Many things in the medical field
are not black and white and can’t be written in exact steps on a procedure card.

Although you have graduated the program, you are beginning a whole new
learning experience. Continue to seek knowledge all through your career –
learning is lifelong.

The instructors hope you enjoy your new career and will feel pride in the quality
of patient care you give.


This is a sample application. DO NOT COMPLETE THIS APPLICATION. This is
for information only.


     In the State of Washington, any unlicensed medical personnel (includes Medical
     Assistants) who will be performing invasive procedures (venipuncture, capillary
     punctures, injections) are required to be certified by the State Department of
     Health as a Health Care Assistant. This is not the same certification as that
     earned by passing the test administered by the American Association of Medical
     Assistants but is mandatory in this state.

     The Health Care Assistant certification is obtained through an employer and is
     not transferable to another employer. It also has certain educational
     requirements. When you have successfully completed the Medical Assisting
     Program at North Seattle Community College, you will meet the post-secondary
     educational requirements for levels A, C, and E and will have completed the
     required 7 hours of AIDS training.

     A background investigation, (usually by the Washington State Patrol), may be
     required by certain employers in the medical field. You should be aware this is
     becoming a more common requirement. This is due to the fact that the physician-
     employer is liable for the actions of the Medical Assistant/Health Care Assistant
     and the nature of the job requires a high degree of ethics and morals. When
     questioned, you should always furnish truthful answers regarding medical
     conditions, chemical substance use and any legal difficulties.

     The following information was obtained from the website <> of the
     Washington State Society of Medical Assistants to further explain the
     requirements for the various levels.

     Go to the following link for the HCA application to review:

HANDBOOK ACKNOWLEDGEMENT FORM                           #7
        When you have finished reading this handbook, please sign the
        statement below, remove this page and return it to the Program
        Coordinator or the Health-Medical Division Secretary.

        I have read and agree to abide by the requirements and policies of
        North Seattle Community College’s Medical Assisting program as
        defined in the Student Handbook. I understand that I will be
        informed in writing of any change in policy that occurs prior to the
        next scheduled Handbook revision.

        The forms requiring completion and/or signature need to be
        submitted to the Program Coordinator or the Health Medical
        Division Secretary during the student’s first quarter in the program.
        It is the student’s responsibility to ensure all items are submitted.

        Student Signature

Additional Program Policies and Guidelines

There can be NO eating or drinking at all in the laboratory room, the exam rooms
and at the computer tables. Please limit food and drink to the one designated
food table.

Students must wear their uniforms when doing clinical or lab work. Hair that is
long enough to touch the shoulder should be tied back or worn up.

Don‘t wait until the last couple of weeks of the quarter to being practicing the
procedures you nee to learn during the quarter. You must practice everything all
during each quarter and you need time to make sure you have enough practices
in before the end of the quarter and check off time. If your charting and your
practice log do not show enough practices, you will not be able to check off and
this will mean you fail the course.

Students need to be taught by instructors only, not assistants. Many times we
have assistants in the classroom that are program graduates, and although quite
knowledgeable, they are not instructors and cannot legally teach content in the
program. Put your name on the board and the instructor will help you in due time
and order of names on the sign up board.

Each student must help clean and maintain the classroom areas. This will be a
skill necessary on the job as well. You must keep the exam rooms and the
laboratory areas neat and tidy and return items and supplies to the cupboards or
areas you found them so that other students may utilize them. BE SURE TO DO

Tests and completed packets cannot leave the room. Please be sure to return
any completed assignments or tests to the lab assistant or instructor.

Please check the student handbook, college policies online and MA program
handbook on the cheating policy. This includes plagiarism. If you do not
understand, see an instructor. CHEATING AND/OR PLAGIARISM MAY BE

Please respect the instructor desk and file cabinets. Wait your turn. Do not look
at student grades or the grade book. Protect confidentiality. Again, this will be a
skill needed on the job. WAIT YOUR TURN when coming to the instructor desk,
do not stand around listening to other students’ conversations, this is a breach of
privacy and not professional or respectful behavior.

COLLEGE POLICY. Also, be sure you are well bathed and use deodorant.

Remember that a medical assistant gets close to a patient, they do not want to
smell either perfume or body odor!!!!! This is critical!

ALL STUDENTS must attend the mandatory first day orientation as well as the
mid quarter orientation.

ALL STUDENTS must have a current email address and must email the program
coordinator weekly if the do not come to class.

Many packets require a half-way turn in point. The quarterly calendar is marked
with a good practice timeline for submitting half packets; basically, half-way
through the quarter, half of all work should be done. At the end of the quarter, if a
half-way point submission is missed, 5% will be deducted from the total course
grade. See an instructor for clarification if this is not clear.

When doing Internet assignments, please ONLY TURN IN THE FIRST PAGE OF
THE WEBSITE, save a tree, we see these sites every quarter, we don’t need a
lot of pages, we just need to know that you know how to find it for patients if need


Use pen blue or black only, to complete anything that goes into a patient chart.

King County Medical Assistants meetings are every second Tuesday in the
testing room, please attend if possible, one is mandatory for AMA 100.

Plan ahead for mandatory demos.

No handwritten assignments except video notes and the workbook pages if
photocopied. DVD Journals must be typed.

There are many more policies; see an instructor if anything is unclear. Attend
time management sessions, come in and work….don’t delay, the quarter will end
and then you will be behind…


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