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COURSE OUTLINE

SCHOOL: School of Engineering Technology and Applied Science

DEPARTMENT:

Applied Biological and Environmental Science (ABES)

PROGRAM:

Medical Laboratory Technician

COURSE TITLE:

Clinical Chemistry and Urinalysis

COURSE CODE:

MLAB 124

TOTAL COURSE HOURS:

60 (15 weeks x 4 hours)

PRE-REQUISITES/CO-REQUISITES:

MLAB103

COURSE ELIGIBILITY FOR PRIOR LEARNING ASSESSMENT AND RECOGNITION (PLAR): ORIGINATED BY: Margaret Faye

Yes

REVISED BY:

Margaret Faye

DATE:

December 2007

APPROVED BY: __________________________________ Chairperson/Dean Semester: (2008 Winter) Students should keep all course outlines for each course taken at Centennial College. These may be used to apply for transfer of credit to other educational institutions. A fee may be charged for additional or replacement copies.

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 1

Course Title: Clinical Chemistry and Urinalysis

CENTENNIAL COLLEGE

Course Code: MLAB-124

COURSE DESCRIPTION: This course will assist the student to understand the specimen requirements for all routine clinical chemistry tests. This course will provide the student with the clinical laboratory practice to setup/load both automated and manual instrumentation including QC samples for initial analysis. The student will gain an understanding of the normal ranges for all routine clinical chemistry tests, recognize variant results and report relevant information

COURSE LEARNING OUTCOMES: Upon successful completion, students will be able to: 1. Identify the functions of the clinical chemistry department in the laboratory 2. List the tasks of the medical laboratory assistant in the clinical chemistry department 3. Discuss the most common tests drawn for and run in the clinical chemistry department 4. Describe the role of automation in clinical chemistry testing 5. Describe the principles of selected chemistry analyzers 6. Explain the importance of properly collecting and handling specimens for clinical chemistry 7. List and perform the POCT tests that can be performed by the Medical Laboratory Assistant 8. Perform the procedures for urinalysis, urine pregnancy tests, stool occult blood tests, and glucose tolerance tests 9. Correctly prepare, label and store reagents for analytical chemistry. 10. Use calibrators and controls in analytical chemistry. a. Quality Control i. Differentiation between standards and controls as to characteristics and use ii. Differentiation between commercial controls, in-house pools and blend duplicate patient samples iii. Evaluation of equipment and methods with regard to accuracy and precision iv. Effects of potential sources of error v. Use of external quality control methods

ESSENTIAL EMPLOYABILITY SKILLS (EES): This course supports the students' ability to: · Execute mathematical operations accurately. · Apply a systematic approach to solve problems. · Analyze, evaluate, and apply relevant information from a variety of sources. · Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals. · Manage the use of time and other resources to complete projects. · Take responsibility for one's own actions, decisions, and consequences. PRIOR LEARNING ASSESSMENT & RECOGNITION PROCESS (ES): This course is eligible for PLAR through the Registrar and SETAS offices. Assessment of portfolio and/or testing may be discussed with faculty.

EVALUATION & GRADING SYSTEM: Lecture Tests Final Exam Laboratory Tests Laboratories Reports Total

20% 30% 10% 40% 100%

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 2

Course Title: Clinical Chemistry and Urinalysis

CENTENNIAL COLLEGE

Course Code: MLAB-124

Students must obtain at least 50% of the theory grade (lecture tests, and final exam), and at least 50% of the laboratory grade. Students must complete laboratory maintenance and monitoring duty to the satisfaction of the professor and lab technologist. A failing (U) grade will be assigned if lab duties are not completed satisfactorily. A minimum "C" grade is required to enrol in MLAB150 Clinical Placement in the third semester of this Program. Final Grade: Final grades will be assigned according to the following definitions. Grade A+ A B+ B C+ C D+ D U Description Outstanding Achievement Excellent Achievement Very Good Achievement Good Achievement Satisfactory Achievement Acceptable Achievement Pass Pass Unsatisfactory Mark Range 90 - 100 80 - 89 75 - 79 70 - 74 65 - 69 60 - 64 55 - 59 50 - 54 0 - 49

STUDENT ACCOMMODATION: All students have the right to study in an environment that is free from discrimination and/or harassment. It is College Policy to provide accommodation based on grounds defined in the Ontario Human Rights Code. Accommodation may include changes or modifications to standard practices. Students with disabilities who require academic accommodations must register with the Centre for Student with Disabilities. Please see the Centre for Students with Disabilities for details. Students requiring accommodation based on human rights grounds should talk with their professors as early as possible. Details are available on the Centennial College website (www.centennialcollege.ca ). If students are unable to write an examination due to a medical problem or unforeseen family problems, they should immediately contact their professor or program Chair for advice. In exceptional and well documented circumstances (e.g. unexpected family problems, serious illness, or death of a close family member), students should be able to write a make-up examination to replace an examination missed. TEXT AND OTHER INSTRUCTIONAL/LEARNING MATERIALS: Estridge B., Basic Medical laboratory Techniques 5th ed, Thomson Learning, 2008 Hopkins, Tracey, Lab Notes: Guide to Lab and Diagnostic Tests, F.A.Davis, 2005 Laboratory Manual for Clinical Chemistry and Urinalysis, College Prepared Laboratory Kit for the Medical Laboratory Technician Program including disposable latex gloves and lab coat USE OF DICTIONARIES Dictionaries are not permitted during tests or examinations.

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 3

Course Title: Clinical Chemistry and Urinalysis

CENTENNIAL COLLEGE

Course Code: MLAB-124

POLICY STATEMENTS

College Policies The following statements are selected from Centennial College policies approved by the Board of Governors. Student Responsibilities Students are expected to know the contents of the course outline and to discuss with the professor any areas where clarification is required. Students should keep all course outlines for each course taken at Centennial College. These may be used to apply for transfer of credit to other educational institutions. A fee may be charged for additional or replacement copies. Other Policies Students should familiarize themselves with all College Policies that cover students' rights, responsibilities, and the Academic Appeal process. For further information, consult the Academic Matters Section in the full-time and Continuing Education calendars. The Academic Appeal Application form is available from any Enrolment Services Office. Proof of Student Status Students must produce official photo identification at any time during the semester when requested to do so by any professor. (The official piece is the Centennial Student Card.) Continuing Education students do not have Centennial Student Cards, and so they may use other forms of photo identification, such as a driver's license, health card, or other government-issued photo identification. Final Examinations When writing a test or examination, students must put their official photo-ID cards in full view for review by the invigilator. Students who do not have official photo-ID will be permitted to write the examination with a substitute photo-ID, but they will be required to produce photo-ID at the program or department office within 24 hours or the next business day following the examination, or else the examination results will be void. More Final Examination Policies are available at http://my.centennialcollege.ca.

Academic Progression Policy for Diploma and Certificate Programs:

College Academic Standings will be applied. Please see Academic Policies and Procedures, Full-Time Calendar.

Faculty Consultation Professors are available to see students outside of class time. Students can contact professors via voice mail, email, or through their program or department office. Information regarding how to contact teachers will be provided at the beginning of the course and is also available in the program or department office. Human Rights Statement It is the policy of the College that all programs will strive for a learning, teaching, and working environment that promotes inclusion, understanding, and respect for all students and employees, consistent with the Ontario Human Rights Code and Centennial College's Statement of Diversity

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 4

Course Title: Clinical Chemistry and Urinalysis

CENTENNIAL COLLEGE

Course Code: MLAB-124

Week

Topic Outline

Readings

Instructional Objectives

Describe collection and handling of urines for urinalysis, physical, chemical and microscopic examination of urine. List the normal values and significance of abnormal results. Describe 24-hr urine collection and preservation Describe tolerance tests, collection of specimens and normal values and significance of abnormal results. Describe collection and handling of body fluids other than urine and serum. Describe the use of automated analytical instruments, use of calibrators, quality control. Discuss interfering analytes and the effects on testing Describe common chemistry profiles, normal range, panic values and significance of abnormal values for selected tests Perform calculations for solution preparation, graphing and quality control. Prepare for final exam. Practice questions for OSMT

Instructional Strategies/ Tests and Assignments

1-3

Urinalysis

4-6

Tolerance tests. Misc body fluids Manual and automated testing QC. Common chemistry lab tests Calculations Review, OSMT Exam Prep Exam Week

7-8 9-12 13 14 15

Test 1: weeks 1-6

Test 2: weeks 7-12

Final Exam

A field trip is planned and may be outside of the scheduled lecture period. The above is a tentative schedule of topics and activities and is subject to change

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 5

Course Title: Clinical Chemistry and Urinalysis

CENTENNIAL COLLEGE

Course Code: MLAB-124

Week

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Laboratory Outline

General knowledge and calculation review Urinalysis I Urinalysis II Urinalysis III Pregnancy test. Occult blood test 24 hour urine tests Interfering analytes Preparing reagents for an enzymatic methods of analysis Glucose analysis by an enzymatic method Glucose POCT method Electrolytes I Electrolytes II Review week Lab Test

Instructional Objectives

Review of terminology, SI units, glassware, types of water, calculation of solution concentrations Routine urinalysis. Preparation and examination of urine microscopic Effect of time and temperature on routine urinalysis and microscopic. Use of controls. Urinalysis confirmatory tests. Perform a urine pregnancy test. Perform a test for occult blood in stool. Patient instruction, preservation and processing for 24 hour urine tests Handling icteric, haemolysed and lipemic specimen. Safe handling of serum samples and disposal of biohazardous wastes. Preparing reagents for biochemical analysis. Preparing enzyme solutions fro use in analysis. Proper labelling and storage of reagents. Analysing serum glucose using an enzymatic method. Using of standard and controls in an analytical test. Use of glucometer standards and controls Na, K by automated method. Chloride analysis by colourimetric method.

Evaluation of techniques including urinalysis, processing 24-hr urines, preparing reagents, use of Spec 20D, use of pH meter and handling and disposal of serum specimens

1/4/2008

THIS COURSE ADHERES TO ALL COLLEGE POLICIES (See College Calendar)

Page 6

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