1

Key

HST: Health Science Theory 130.231 HSC: Health Science Clinical 130.232 PHS: Practicum in Health Science 130.233 EPHS: Extended Practicum in Health Science 130.234

Content Category: PROFESSIONAL RESPONSIBILITIES HST HSC PHS EPHS

Comply with regulations governing reportable incidents (e.g., needle stick,

falls, errors).

2C

5AB

12AB

2C

5AB

12AB

2B

3A

6AC

2B

4ABD

5ABCD

Comply with standards governing reliability and accuracy in point of care

lab testing.

2C

9A

10ABC

2C

9A

10ABC

2B

5AB

6A

4ABD

5ABCD

Comply with the Americans with Disabilities Act (ADA) . 10ABC 10ABC 5AB

2C

5ABCD

Comply with laws related to scope of employment (e.g., immunizations,

background checks, drug screens, certifications).

7AB

9A

10ABC

7AB

9A

10ABCD

5AB

6A

7AB

1AB

4A

5D

Obtain patient permission before performing procedures. 2C

3ABC

9I

3ABC

9I

2B

4A

2ACF

4B

5A

6

Follow the proper procedures for documenting in the patient's electronic

health record (EHR).

2BC

5AB

6AB

2BC

5AB

6AB

2B

3A

4A

8B

1E

2BDE

5ABCD

2

Demonstrate compliance with laws related to Protected Health Information

(PHI) (e.g., HIPAA) .

6AB

10ABC

6AB

10ABC

2B

5AB

8B

5ABCD

Adhere to the Patient's Bill of Rights (AHA) . 10ABC

13D

10ABC

13D

5AB

5ABCD

Comply with federal and state health care legislation and regulations (e.g.,

Joint Commission, State Board of Nursing).

7AB

12A

13DE

7AB

12A

6A

7AB

1AB

5ABCD

Respond to nonverbal communications. 3ABC 3ABC 1A

3BC

2ACF

Adapt professional communication to meet the needs of the individual

(e.g., age, developmental level, language barriers, patient condition,

etc.).

1AB

2DEF

3ABC

1AB

2DEF

3ABC

1AB

3C

1C

2ACDEF

3

Use therapeutic communication when providing care to patients (e.g.,

open ended questions, active listening, empathy).

1AB

2DEF

3ABC

13D

1AB

2DEF

3ABC

13D

1AB

3BC

2ACDEF

Provide emotional support for patients and their families. 3ABC

4CD

9G

13BD

3ABC

4CD

9G

13BD

3B

4C

9G

1C

2CEF

Help patients and families to cope with grief, death, and dying. 3ABC

4CD

9G

13B

3ABC

4CD

9G

13B

3B

4BC

9G

1C

2CEF

5C

Adapt care to account for cultural diversity or spiritual beliefs. 4CD

8BC

10BC

13DE

4CD

8BC

10BC

13DE

2A

4BC

5AB

1C

2CEF

5C

Communicate with other health care professionals using proper medical

terminology.

1AB

2BC

4ABCD

9D

13C

1AB

2BC

4ABCD

9D

13C

1AB

2C

4A

7AB

1DE

2A

6

Receive and direct incoming communications to appropriate team

members (e.g., phone, pagers, call lights).

1AB

3C

4AB

1AB

3C

4AB

1AB

4C

7AB

1CDE

2DE

5A

3

Explain general facility policies to patients and family members. 1A

3ABC

9B

1A

3ABC

9B

1A

3A

2BC

Explain procedures within the regulated scope of practice. 1A

3ABC

1A

3ABC

10D

1A

3A

2BC

Prioritize and organize tasks to be performed. 8ABC

9I

8ABC

9I

2A

4AB

1DE

3

5A

Perform only those tasks within the regulated scope of practice (may vary by

state or facility).

1AB

9I

1AB

9I

10D

1AB

4A

5ABCD

Observe the chain of command in a healthcare environment. 1AB

4ABCD

5B

11ABC

13C

1AB

4ABCD

5B

11ABC

13C

1AB

2BC

3A

4C

7AB

1CD

5D

Respond appropriately to observations of unethical or unlawful practice. 4BD

10C

12C

4BD

10C

12C

2B

4C

5B

1D

2B

5BCD

Comply with laws that protect patients from negligence and

incompetence.

9A

12AC

9A

12AC

2B

6AC

1C

2B

5ABCD

4

Report the following 1AB

2C

4BD

5AB

9I

12AC

1AB

2C

4BD

5AB

9I

12AC

1AB

2B

3A

4C

6AC

8A

1C

2B

5ABCD

• patient neglect or abuse

• substance abuse involving staff or patients

• sexual harassment involving staff or patients

• negligence and incompetence

• domestic violence/intimate partner abuse involving patients

Content Category: SAFETY AND INFECTION CONTROL HST HSC PHS EPHS

Follow the correct procedures for identifying patients. 2C

3ABC

6AB

2C

3ABC

6AB

2B

4A

6A

8B

4AB

6

Follow CDC Standard Precautions and Transmission Based Precautions

(e.g., airborne, contact, and droplet).

2G

12AB

2G

12AB

2D

6AC

4ABD

5ABCD

Follow patient isolation procedures (e.g., radiation, reverse, TB) 2G

12AB

13A

2G

12AB

13A

2D

6AC

4ABD

5ABCD

Comply with OSHA standards for Health Care Workers (e.g., blood

borne pathogens, MSDS, needlesticks).

2C

12AB

2C

12AB

2BD

6AC

4ABD

5ABCD

Follow the appropriate course of action for medical follow up of a post

exposure incident (e.g., needlestick, splash)

2C

5AB

6AB

8ABC

2C

5AB

6AB

8ABC

2AB

3A

4B

6AC

8B

4ABD

5ABCD

Use personal protective equipment (e.g., gloves, gown, mask). 2G

12 AB

13A

2G

12AB

13A

2D

6ABC

4ABD

5

Practice infection prevention and exposure control procedures to break

the chain of infection

2G

8ABC

12AB

13A

2G

8ABC

12AB

13A

2AD

4B

6AC

4ABD

Instruct patients and family members regarding infection control. 1AB

2G

3ABC

12AB

13A

1AB

2G

3ABC

12AB

13A

1AB

2D

6AC

2ACEF

4ABD

Prevent the spread of healthcare acquired (nosocomial) infection. 1AB

2G

8ABC

12A

13A

1AB

2G

8ABC

12AB

13A

1AB

2AD

4B

6AC

4ABD

Differentiate among the need/uses for cleansing, disinfection, and

sterilization

2G

12ABD

2G

12ABD

2D

6ABC

4ABD

Perform medical asepsis. 2G

9I

2G

9I

4A

6C

8A

4D

Perform surgical asepsis. 2G

9I

2G

9I

4A

6C

8A

4D

Disinfect non disposable medical equipment 2G

9I

12ABD

2G

9I

12ABD

2D

4A

6ABC

8A

4D

Sterilize non disposable medical equipment. 2G

9I

12ABD

2G

9I

12ABD

2D

4A

6ABC

8A

4D

Apply precautions in biohazardous waste handling and disposal. 8ABC

12AB

8ABC

12AB

2AD 4B

6ABC

4ABCD

Respond to emergency situations (e.g., fire, biological hazard). 1AB

8ABC

12C

1AB

8ABC

12C

1AB

2AB

4B

6B

1B

3

4AC

6

Activate safety mechanisms for sharps. 9A

12ABCD

9A

12ABCD

2B

6ABC

4ABD

Transport patients using correct safety measures. 9AI

12ABCD

9AI

12ABCD

4A

6AC

8A

4AB

6

Transfer patients using correct body mechanics. 9I

12ABCD

9I

12ABCD

4A

6AC

8A

4ABD

6

Practice safety procedures when using medical equipment and

supplies (e.g., lock wheels, gait/transfer belts, restraints, call lights).

9AI

12ABCD

9AI

12ABCD

4A

6AC

8A

4ABD

6

Monitor and maintain patients' environment (e.g., fall precautions,

faulty equipment, general housekeeping).

8ABC

12ABCD

8ABC

12ABCD

2AD

4B

6AC

4AB

6

7

Content Category: DIRECT PATIENT CARE HST HSC PHS EPHS

Obtain patient vital signs. 2C

6AB

9HI

2C

6AB

9HI

2B

4A

8AB

6

Perform a pulse oximetry measurement. 2C

6AB

9I

2C

6AB

9I

2B

4A

8AB

6

Use a pain scale to report patient pain levels. 2C

3AB

6AB

9I

2C

3AB

6AB

9I

2B

4A

8AB

2CEF

6

Perform height, weight, and BMI measurements (e.g., standing, wheelchair,

or bed scales).

2AC

6AB

9I

2AC

6AB

9I

2AB

4A

8AB

6

Monitor, accurately measure, and record intake/output (e.g., hydration, diet,

urine, emesis, wound drainage).

2AC

6AB

9I

2AC

6AB

9I

2AB

4A

8AB

2D

6

Observe dressings for wound condition changes (e.g., sanguineous,

serous, purulent).

2CF

6AB

9I

2CF

6AB

9I

2BF

4A

8AB

2D

6

Report changes in the patient's condition (e.g., level of consciousness,

blood pressure).

1AB

2AC

6AB

9I

1AB

2AC

6AB

9I

1AB

2ABF

4A

8AB

2D

6

Visually inspect patient specimens for abnormalities (e.g., stool,

emesis).

2CF

6AB

9I

2CF

6AB

9I

2BF

4A

8AB

2D

6

Identify and report changes in skin integrity (e.g., decubitus ulcers,

bruising, edema).

1AB

2CF

6AB

9I

1AB

2CF

6AB

9I

1AB

2BF

4A

8AB

2D

6

8

Provide routine patient care under the supervision of the nursing staff per

the care plan (e.g., ADLs, bathing, linen change).

1AB

6AB

9I

1AB

6AB

9I

1AB

2B

4A

1CD

2D

6

7A

Provide continuous monitoring for patients who meet the criteria for one to

one observation

2CF

6AB

9I

2CF

6AB

9I

2B

4A

8AB

2D

6

Prepare supplies and equipment to be used by the patient (e.g., toilet hat,

patient hygiene).

2G

12ABCD

9I

2G

12ABCD

9I

2D

4A

6AC

1E

6

Adapt care to patients with special needs (e.g., physically, mentally

impaired).

3AB

9I

3AB

9I

3BC

4A

3

6

Assist with admission, discharge, and/or transfer of patients. 1AB

3ABC 6AB

9EI

1AB

3ABC 6AB

9EI

1AB

2B

3BC

4A

1CE

2D

5A

6

7A

Prioritize care based on patient needs and condition. 2G

8ABC

9I

2G

8ABC

9I

2A

4AB

8AB

3

6

Follow the individualized plan of care ordered for the patient. 1AB

9CI

1AB

9CI

1AB

4A

7AB

8A

5AD

6

Adhere to the Five Rights of Delegation. (e.g., right task, right

circumstances, right person, right direction or communication, right

supervision or feedback)

1AB

2BCG

8ABC

9BCI

1AB

2BCG

8ABC

9BCI

1AB

2AB

4AB

7AB

8A

1C

2D

3

5AD

9

Provide care for a patient with an NG tube. 9I 9I 4A

8A

3

4B

6

• nutritional care

• patient positioning

• skin integrity

Provide care for a patient with gastric tube. 9I 9I 4A

8A

3

4B

6

• nutritional care

• patient positioning

• skin integrity

Perform oral suctioning (e.g., bulb, Yankauer). 9I 9I 4A 4B

6

Use a mechanical lift per protocol. 9I

12ABCD

9I

12ABCD

4A

6AC

9A

4B

6

Reposition a patient (e.g., draw sheet, lift sheet). 9I 9I 4A

9A

4B

6

Perform a two-person manual transfer of a patient (e.g., slide board, transfer

sheet).

1AB

9I

1AB

9I

1AB

4A

1D

4B

6

Perform Passive Range of Motion (PROM) for a patient. 9FI 9FI 4A

6C

9A

4D

6

Assist the patient with Active Range of Motion CAROM) (e.g., ambulation). 3ABC

9FI

3ABC

9FI

3BC

4A

6C

4D

6

Assist patients with restorative rehabilitation activities (e.g., bladder and

bowel retraining, ambulation, feeding).

3ABC

9FI

3ABC

9FI

2E

3BC

4A

6C

4D

6

10

Use adaptive devices for activities of daily living (ADLs) (e.g., dressing and

feeding devices) .

9FI 9FI 2E

4A

6C

4D

6

Remove peripheral IVs. 9I 9I 4A 6

Perform simple, non-medicated dressing changes. 9I 9I 4A 6

Assist with wound care and/or dressing changes. 1AB

9I

1AB

9I

1AB

4A

6

7A

Assist with immobility support/splint applications (e.g., elastic bandage, wrist

splint).

1AB

9I

1AB

9I

1AB

4A

4D

6

7A

Apply anti-embolitic devices (e.g., TED hose, AVls, SCD). 9I 9I 4A 6

Provide skin care (e.g., moisture barrier, repositioning ,). 9I 9I 4A 6

Use devices to prevent skin breakdown (e.g., pressure relief mattresses, heel

protectors).

13A 13A 6C

8A

6

Assist the patient with coughing and deep breathing exercises. 3ABC

9I

3ABC

9I

3BC

4A

6

Assist with preoperative care (e.g., skin prep). 1AB

9I

1AB

9I

1AB

4A

6

7A

Assist with postoperative care 1AB

9I

1AB

9I

1AB

4A

8A

6

7A

Assist the patient with taking prescribed self-administered medications. 3ABC

9I

3ABC

9I

3BC

4A

2C

6

Assist with oxygen therapy (e.g., nasal cannula). 1AB

9I

1AB

9I

1AB

4A

6

7A

Assist patients with incentive spirometry. 3ABC

9I

3ABC

9I

3BC

4A

6

Assist with patient administered nebulizer treatments. 3ABC

9I

3ABC

9I

3BC

4A

6

Assist patients with orthotic or prosthetic devices (e.g., hearing aids,

dentures, AFO).

3ABC

9I

3ABC

9I

3BC

4A

6

11

Assist patients with orthopedic devices (e.g., trapeze bars, CPM, traction,

abduction wedges).

3B

9I

3B

9I

3BC

4A

6

Perform ostomy care (not including irrigation). 9I 9I 4A 6

Assist the patient with ostomy care. 3ABC

9I

3ABC

9I

3BC

4A

6

Perform catheter care. 9I 9I 4A 6

Perform bladder scanning. 9I 9I 4A 6

Perform or assist with enemas. 1AB

9I

1AB

9I

1AB

4A

6

7A

Perform first aid, BLS, and rapid response procedures. 1AB

8ABC

9I

12ABCD

1AB

8ABC

9I

12ABCD

1AB

2A

4AB

6ABC

1B

2D

3

4B

6

Perform postmortem care. 9I 9I 4A 6

Content Category: PHLEBOTOMY

Subcategory: ORDERS & EQUIPMENT SELECTION

HST HSC PHS EPHS

Identify venipuncture equipment typically found on a blood collection tray. 9I 9I 4A 6

Identify microsampling equipment typically found on a blood collection tray. 9I 9I 4A 6

Differentiate among the uses of evacuated tubes (i.e. all stopper colors) in blood

collection.

8ABC

9I

8ABC

9I

2A

4AB

6

Select equipment for specimen collection needs according to physician orders,

patient age, vein and patient conditions.

1AB

2D

8ABC

9I

1AB

2D

8ABC

9I

1AB

2A

4AB

3

6

Identify additives/anticoagulants added to evacuated blood collection tubes (by

stopper color).

2D

9I

2D

9I

4A 6

Identify the importance of inversion, recommended number of inversions, and fill

levels in tubes with additives/anticoagulants.

2D

9I

2D

9I

4A 6

12

Select proper equipment for use with patients that have latex allergies. 8ABC

9I

12AB

8ABC

9I

12AB

2AD

4AB

6ABC

4AB

6

Select proper bandaging equipment (e.g., site, age, allergy, skin type) . 8ABC

9I

12AB

8ABC

9I

12AB

2AD

4AB

6ABC

4AB

6

Content Category: PHLEBOTOMY Subcategory: COLLECTION, PROBLEMS, AND CORRECTION

HST HSC PHS EPHS

Determine appropriate site selection for blood collection (e.g., based upon varied

patient conditions).

8ABC

9I

8ABC

9I

2A

4AB

6

Prepare patients and site for blood collection (e.g., microsampling, venipuncture,

bacterial culture) .

3AB

9I

3AB

9I

3BC

4A

6

Perform venipuncture on patients of all ages. 9I 9I 4A 6

Perform capillary punctures by fingerstick. 9I 9I 4A 6

Assist patients in performing capillary punctures. 3AB

9I

3AB

9I

3BC

4A

6

Identify the CLSI recommended order of draw for blood samples collected by a

specified method.

9I 9I 4A 1B

6

Take precautions for patients with special needs (e.g., mastectomy, IV, burns,

dementia, bleeding disorders, other).

8ABC

9I

8ABC

9I

2A

4AB

6A

3

4AB

6

Respond to complications of phlebotomy (e.g., hematoma, excessive bleeding,

other).

8ABC

9I

8ABC

9I

2A

4AB

8A

3

4AB

6

7B

Perform post phlebotomy care. 9I 9I 4A

8A

6

Take corrective actions for problems with test requests, specimen transport, or

specimen processing.

1AB

2C

5AB

8ABC

9I

1AB

2C

5AB

8ABC

9I

1AB

2AB

3A

4AB

1CD

2D

3

6

13

Anticipate pre analytical errors and complications. 1AB

2C

3A

8ABC

9I

1AB

2C

3A

8ABC

9I

1AB

2AB

3BC

4AB

8A

1C

3

6

7BC

Assist other healthcare professionals with blood culture collections. 1AB

4AB

9I

1AB

4AB

9I

1AB

4AC

7AB

1C

5A

6

Collect laboratory specimens per protocol (e.g., urine, stool, culture swabs). 1AB

9I

1AB

9I

1AB

4A

4D

5A

6

Handle laboratory specimens per protocol. (e.g., preservatives, light sensitivity,

temperature)

1AB

9I

1AB

9I

1AB

4A

4D

5A

6

Content Category: ECG Subcategory: PATIENT COMFORT AND SAFETY

HST HSC PHS EPHS

Provide patient instruction regarding the ECG procedure (e.g., Holter monitor, stress

test, 72 lead, telemetry).

2D

3ABC

9I

2D

3ABC

9I

2C

3BC

6A

4A

4AB

6

7B

Prepare and position the patient for testing (e.g., gowning, skin preparation). 3AB

9I

3AB

9I

3BC

6A

4A

6

Place electrodes on the patient appropriately for the test (e.g., stress, Holter,

telemetry).

2D

9I

2D

9I

4A 6

Use additional resources as needed for specific diagnostic tests (e.g., blood pressure

cuff, treadmill, Holter monitor).

2D

9I

2D

9I

4A 3

6

Educate the patient regarding behavior throughout the test. 3AB

9I

12AB

3AB

9I

12AB

3BC

4A

6AC

2CE

4AB

6

14

Content Category: ECG

Subcategory: ECG RECORDING AND RECOGNITION OF

ABNORMAL RHYTHMS

HST HSC PHS EPHS

Provide ongoing monitoring of the patient during ECG procedures. 1AB

2C

3AB

6A

9I

12ABC

1AB

2C

3AB

6AB

9I

12ABC

1AB 2B

3BC

4A 6AC

8AB

2BCE

4AB

6

Capture and record ECG tracings. 2CD

6AB

9I

2CD

6AB

9I

2B

4A

8B

6

Identify and measure waveform characteristics (e.g., P waves, T waves,

QRS complexes).

2A

9I

2A

9I

2A

4A

8A

6

7CD

Recognize atrial and ventricular abnormalities (e.g., PVC, PAC). 8 ABC

9I

8 ABC

9I

2A

4AB

8A

6

Distinguish regular and irregular rhythms. 8ABC

9I

8ABC

9I

2A

4AB

8A

6

Recognize cardiac rhythm classifications and rates 2A

9I

2A

9I

2A

4A

8A

6

• sinus

• atrial

• ventricular

• asystole

Initiate response to life threatening arrhythmias per protocol. 8ABC

9GHI

12ABC

8ABC

9GHI

12ABC

2A

4AB

6AC

8A

3

6

15

Monitor patient vital signs and tolerance during testing. 1AB

2AC

3AB

6AB

9HI

1AB

2AC

3AB

6AB

9HI

1AB

2AB

3BC

4A

8AB

2CE

4AB

6

Prepare the report for the appropriate healthcare team member. 1AB

2AC

4AB

6AB

9BI

1AB

2AC

4AB

6AB

9BI

1AB

2ABC

3A

4AC

7AB

8AB

2B

Transmit the report to the patient's EMR/EHR or chart. 6AB

9I

6AB

9I

2B

4A

8B

2B

5D

Content Category: ECG

Subcategory: PATIENT COMFORT AND SAFETY

HST HSC PHS EPHS

Identify recording errors (e.g., improper tracing, standardization mark

out of range, improper lead placement).

2ACD

8ABC

9I

2ACD

8ABC

9I

2AB

4AB

3

6

Identify causes of artifact (e.g., somatic tremor, patient movement, wandering

baseline, AC interference, seizures).

2CD

8ABC

9I

2CD

8ABC

9I

2AB

4AB

3

6

Account for patients with special considerations (e.g., clothing, shunts, piercings,

scars, pacemaker/AICD).

2CD

8ABC

9I

2CD

8ABC

9I

2AB

4AB

3

6

Correct artifacts and recording errors (e.g., paper placement, lead reversal, power

loss, remove electronic devices, calm the patient).

2CD

8ABC

9I

2CD

8ABC

9I

2AB

4AB

3

6

Operate the ECG machine per manufacturer's and facility's protocol. 2D

9I

12

ABCD

2D

9I

12

ABCD

2B

4A

1B

5AD

6

7BCD