PURPOSE OF TRAINING PROGRAM

PURPOSE OF TRAINING PROGRAM The purpse f this training prgram is t prvide the necessary academic and clinical training t highly mtivated certified nursing assistants wh are interested in expanding their scpe f practice t that f a medical assistant. PROGRAM DESCRIPTION Piedmnth Health Services (PHS) will prvide academic and clinical training t help transitin an individual frm a certified nursing assistant r help refresh medical assistant training. The prgram will cnsist f 3 weeks f academic cursewrk fllwed by 3 weeks f clinical training at PHS PACE centers. Academic cursewrk will be a cndensed frm f Wake Technical Cmmunity Cllege BIO161 Intr t Human Bilgy Curse which is ne f the requried curses t be a Certified Medical Assistant (CMA). PHS will prvide all the necessary materials and resurces t cmplete bth academic and clinical cmpnents f the curriculum. Trainees just need t bring a psitive attitude, gd demeanr and willingness t learn at a fast pace. TRAINING LOCATIONS Academic Clinical PHS Crprate Office PACE Burlingtn PACE Pittsbr 127 Kingstn Drive Chapel Hill, NC, 27514 (919) 933 8494 1214 Vaughn Rad Burlingtn, NC 27217 (336) 532-2000 163 Chatham Business Drive Pittsbr, NC, 27312 (919) 545-7337 INSTRUCTOR CONTACT INFORMATION Jan Lee Sants, MD MHA MA Academic/Clinical Crystal Train, MPA-HCM, BSN RN Clinical 127 Kingstn Drive Chapel Hill, NC, 27514 (919) 933 8494 1214 Vaughn Rad Burlingtn, NC, 27217 (336) 506-5824 santsj@piedmnthealth.rg trainc@piedmnthealth.rg

PACE CNA TO MA TRAINING CURRICULUM Academic 3 Weeks AM: Didactic Lecture/Activities 50 mins fllwed by 10 min break fr 3 hrs PM: Clinical Site Tpics t be cvered: (Intrductry level nly) Unit 1: Mlecules t Tissues Intr t Human Physilgy Chemical Basis f Life Cells: The Basic Unit f Life Tissues f the Human Bdy Unit 2: Supprt and Mvement f the Bdy Integumentary System Skeletal System: Bne, Bne Tissue, Jints Skeletal System: Axial Skeletn Skeletal System: Appendicular Skeletn Muscle and Muscle Tissue Unit 3: Cntrl f the Human Bdy The Nervus System (CNS, PNS, ANS) The Endcrine System Unit 4: Maintenance and Hmestasis Bld Lymphatic and Immune System Cardivascular System Respiratry System Digestive System Metablism and Nutritin Urinary System * Medical terminlgy assciated with each tpic will be cvered. Clinical 3 Weeks AM: PACE Burlingtn r Pittsbr PM: PACE Burlingtn r Pittsbr Clinical Skillset Develpment (Lab and In-Huse Training) Vital signs (BP, HR, Temp, RR) Skin checks Weight checks Hearing and Visin screening Phlebtmy, IV Placement Injectins (Flu, Pneumvax, Prevnar) Fley Catheter Placement PEG Feeding Tube EKG (Electrcardigram) ABI (Ankle Brachial Index) Diabetic Mnfilament Ft Tests Falls assessment Flu/Strep swab technique and testing Urine analysis and Urine culture Finger/Tenail clipping Ear cleaning Basic Wund Prep Start PACE ntes Labratry Equipment Use Autclave Glucmeter Administrative Tasks Centricity Training Dcumentatin in the medical recrd Cmmunicatin with team Prper phne, email etiquette PHS plicies and Prcedures Medicatin administratin and Patient Safety Exam rm preparatin Team-Based Care AIDET Custmer Service

COMMUNITY HEALTH CENTERS MA TRAINING CURRICULUM Academic Refresher 3 Weeks AM: Didactic Lecture/Activities 50 mins fllwed by 10 min break fr 3 hrs PM: Clinical Site Tpics t be cvered: (Intrductry level nly) Unit 1: Mlecules t Tissues Intr t Human Physilgy Chemical Basis f Life Cells: The Basic Unit f Life Tissues f the Human Bdy Unit 2: Supprt and Mvement f the Bdy Integumentary System Skeletal System: Bne, Bne Tissue, Jints Skeletal System: Axial Skeletn Skeletal System: Appendicular Skeletn Muscle and Muscle Tissue Unit 3: Cntrl f the Human Bdy The Nervus System (CNS, PNS, ANS) The Endcrine System Unit 4: Maintenance and Hmestasis Bld Lymphatic and Immune System Cardivascular System Respiratry System Digestive System Metablism and Nutritin Urinary System * Medical terminlgy assciated with each tpic will be cvered. 3 Weeks AM: Clinical Site PM: Clinical Site Clinical Refresher Clinical Skillset Develpment (Lab and In-Huse Training) Vital signs (BP, HR, Temp, RR) Weight checks Hearing and Visin screening Phlebtmy Injectins (Flu, Pneumvax, Prevnar) EKG (Electrcardigram) Diabetic Mnfilament Ft Tests Falls assessment Urine analysis and Urine culture Finger/Tenail clipping Ear cleaning Basic Wund Prep Labratry Equipment Use Autclave Glucmeter POC Tests Administrative Tasks Centricity Training Dcumentatin in the medical recrd Cmmunicatin with team Prper phne, email etiquette PHS plicies and Prcedures Medicatin administratin and Patient Safety Exam rm preparatin Team-Based Care AIDET Custmer Service Trauma-Infrmed Care

COHORT 2 ACADEMIC CALENDAR Class Date Lcatin Unit Tpic EBk Chapter/s 1 2 3 4 5 6 7 8 9 10 11 12 13 2/4/2019 2/5/2019 2/6/2019 2/7/2019 2/8/2019 2/11/2019 2/13/2019 2/14/2019 2/15/2019 (8AM-11AM) 2/15/2019 2/18/2019 2/19/2019 2/20/2019 Crprate Office 1 Crprate Office 1 Crprate Office 2 Crprate Office 2 Intr t Human Physilgy Chemical Basis f Life Cells: The Basic Unit f Life Tissues f the Human Bdy Integumentary System Skeletal System: Bne, Bne Tissue, Jints Skeletal System: Axial Skeletn Skeletal System: Appendicular Skeletn 1, 2 3, 4, 5 Crprate Office 2 Muscle and Muscle Tissue 9, 10 Crprate Office 3 The Nervus System (CNS, PNS, ANS) 6, 8 7 11, 12 Crprate Office 3 The Endcrine System 14 Crprate Office MidPint Review Crprate Office 4 Crprate Office 4 Crprate Office 4 Crprate Office 4 14 TBA Crprate Office 15 TBA Crprate Office Bld Lymphatic and Immune System Cardivascular System Respiratry System Digestive System Metablism and Nutritin 15, 16 18, 19 20, 21 25, 26 Crprate Office 4 Urinary System 22, 23 Exam Review Final Exam

CLASS SCHEDULE AND TASKS Class 1: Unit 1 Mlecules t Tissues Brwse thrugh EBk chapters Anatmical Terms Drawn and Defined https://www.yutube.cm/watch?v=kvhwnjwbkm Bilgical Mlecules https://www.yutube.cm/watch?v=h8wj2kenlk0 Intrductins P drive access, rientatin, sign up fr student presentatins/led reviews Define anatmy and physilgy. Explain the relatinship between anatmy and physilgy. Identify the levels f structural rganizatin. Identify the anatmical planes and sectins, directinal terms, and bdy regins f the human bdy. Identify the bdy cavities and systems and the rgans that are cntained in each. Define hmestasis. Explain the tw mechanisms that maintain hmestasis in ur bdy. Describe the cmpnents f a feedback system. Lecture 2: Define the basic chemical levels f rganizatin f the bdy. Cmpare and cntrast the majr types f chemical bnding. Identify the basic chemical elements and cmpunds and their rle in hmestasis. Identify and describe the fur rganic macrmlecules and their rle in hmestasis. Class 1 Self-review Class 2: Unit 1 Mlecules t Tissues Brwse thrugh EBk chapters Interactive Cell Mdel (Chse animal cell) http://www.cellsalive.cm/cells/cell_mdel_js.htm Trainee led review (Anatmical planes, sectins, directinal terms and bdy regins) Identify the cellular level f rganizatin. Identify and discuss the structure and functin f the three cmmn parts fund in all cells.

Identify the structure and functin f the majr cell rganelles. Discuss hw substances mve acrss cell membranes. Discuss the steps invlved in gene expressin. Trainee Led Review (Identify and describe the fur rganic macrmlecules and their rle in hmestasis) Lecture 2: Identify the fur tissue types fund in the human bdy. Cmpare and cntrast the structure and functins f the fur tissue types fund in the human bdy. Class 2 Self-Review Class 3: Unit 2 Supprt and Mvement f the Bdy Brwse thrugh Ebk chapters What is the skin? https://www.khanacademy.rg/test-prep/mcat/rgan-systems/integumentarysystem/v/what-is-skin Skeletal Structure and Functin https://www.yutube.cm/watch?v=-lrkdrabp38 Student Led Review Functin f Cell Organelles Explain the functins f the integumentary system. List the structural layers and functins f the epidermis, dermi and subcutaneus tissue layer. List and describe each accessry rgan f the skin. Explain the basis f skin clr. Trainee Led Presentatin: Classify burns Grup Activity Skin Cases Lecture 2: Describe the functins f the skeletal system. Describe hw bnes may be classified by cmpsitin and shape. List the grss structural parts f a typical lng bne. Explain the histlgical features f cmpact bne tissue. Identify the tw majr subdivisins f the skeletal system. Identify the bnes f the skull, vertebral clumn, thrax, upper extremities, and lwer extremities. Identify the lcatins and functins f the paranasal sinuses. List and cmpare the majr types f jints in the bdy and give an example f each. Define ligament and tendn. Describe the types f jint mvements.

Pst-Class Activity Class 3 Self Review Class 4: Unit 2 Supprt and Mvement f the Bdy Brwse thrugh Ebk chapters Anatmy f Axial Skeletn https://www.yutube.cm/watch?v=il6lmcg6oxk Appendicular Skeletn https://www.yutube.cm/watch?v=ez4tydxgy9k Grup Activity Identify the tw majr subdivisins f the skeletal system. Identify the bnes f the skull, vertebral clumn, thrax, upper extremities, and lwer extremities. Bne labelling Jint labelling Class 4 Self-Review Class 5: Unit 2 Supprt and Mvement f the Bdy Brwse thrugh Ebk chapters Big Guns Muscle System https://www.yutube.cm/watch?v=jqy0i1kxuo4 Sliding Filament Mdel https://www.yutube.cm/watch?v=usflrozqhc Cmpare and cntrast the structure and functin f the three types f muscle tissue. Identify the grss and micrscpic structure f the three types f muscle tissue. Describe the sliding filament mdel f muscle cntractin. Define terms, rigin and insertin, mtr unit and muscle stimulus, tetanus, fatigue, muscle tne. Describe the types f skeletal muscle cntractin. Describe the functinal rle f prime mvers, synergistic, and antagnistic muscles. Describe the cmmn types f mvement prduced by skeletal muscles. Crrectly identify the lcatin and majr functin f the majr skeletal muscles.

Grup Activity Muscle Labelling Class 5 Self-Review Class 6: Unit 3 Cntrl f the Human Bdy Brwse thrugh Ebk chapters Nervus System https://www.yutube.cm/watch?v=qpix_x-9t7e Cranial Nerves https://www.yutube.cm/watch?v=hdbwv0ezcau Trainee Led Presentatin: Identify and describe the functin f the Lbes f the Cerebrum and Cerebellum Describe functins f the nervus system. List the rgans and divisins f the nervus system. Identify the majr types f cells in the nervus system and discuss the functin f each. Describe a synapse and discuss the transmissin f an impulse acrss it. Identify the parts f the nervus system int central and peripheral systems. Identify majr neurtransmitters and their effects. Cmpare and cntrast spinal nerves and cranial nerves. Describe disrders assciated with nervus system. Grup Activity Cranial Nerve Cases Class 6 Self-Review Class 7: Unit 3 Cntrl f the Human Bdy Brwse thrugh Ebk chapters The Endcrine System https://www.yutube.cm/watch?v=-s_vqzdh9hy Diabetes Mellitus https://www.yutube.cm/watch?v=ulxywzf7bwc

Explain the relatinship between endcrine and nervus systems. Distinguish between endcrine and excrine glands. Explain hw hrmne secretin is regulated. Identify all the endcrine glands with respect t name, lcatin, structure, hrmne prduced and functin f that prduct. Describe disrders f the endcrine system. Grup Activity Endcrine Cases Class 6 Self-Review Class 8: Mid-Pint Review Review Selected Ntes Review Selected Vides Trainee Led Review: Axial and Appendicular Skeletn Labelling Trainee Led Review: Muscle Labelling and Functin Trainee Led Review: Hrmne Reviews Relax and Enjy! Class 9: Unit 4 Maintenance and Hmestasis Brwse thrugh Ebk chapters True Bld, Crash Curse https://www.yutube.cm/watch?v=hqwlcsp9sls Lymphatic System s Rle in Immunity https://www.yutube.cm/watch?v=kjlwvqxwaim Cells f the Immune System https://www.yutube.cm/watch?v=bn5rw16busa Describe the primary functins f bld. Describe the cmpsitin f bld. List the frmed elements f bld and identify their mst imprtant functin f each. Explain the steps invlved in bld cltting. Describe ABO and Rh bld typing. Describe medical disrders f bld. Trainee Led Presentatin: Anemia

Lecture 2: Describe the generalized functins f the lymphatic system and list the primary lymphatic structures. Discuss and cmpare nnspecific and specific immunity, natural and artificial immunity, and active and passive immunity. Discuss the majr types f immune system mlecules and hw antibdies functin. Cmpare and cntrast humral and cell-mediated immunity. Describe medical disrders assciated with lymphatics and immunity. Class 9 Self Review. Class 10: Unit 4 Maintenance and Hmestasis Brwse thrugh Ebk chapters The Heart Part 1 https://www.yutube.cm/watch?v=x9zz6tcxari The Heart Part 2 https://www.yutube.cm/watch?v=flbmwcvoae Trainee Led Presentatin: Majr Structures f the Heart and Bld Flw Describe the functins f the cardivascular system. Identify the majr structures f the heart. Trace the flw f bld thrugh the heart and t the heart muscle itself. Describe the cnductin system f the heart. Describe the events represented by an ECG. Explain the relatinship between bld vessel structure and functin. Trainee Led Presentatin: Identifying Pulse Pints Lecture 2: Identify majr bld vessels and their functins. Identify the primary functins f the circulatry systems. Define bld pressure and explain hw it is regulated. Define pulse and identify the pulse pints. Describe medical disrders assciated with cardivascular system. Class 10 Self Review. Class 11: Unit 4 Maintenance and Hmestasis Brwse thrugh Ebk chapters

Respiratry System Part 1 https://www.yutube.cm/watch?v=bhzsvbduc2i Respiratry System Part 2 https://www.yutube.cm/watch?v=cqt4ljhnmea Trainee Led Presentatin: Structures f the Respiratry Tract Describe the functins f the respiratry system. Identify the majr rgans f the respiratry system and describe the functins f each. CXR readings Lecture 2: Identify and discuss the mechanisms that regulate respiratin. List and describe the vlumes f air exchanged during pulmnary ventilatin. Identify and discuss the mechanisms that regulate respiratin. Describe medical disrders assciated with the respiratry system. Class 11 Self Review. Class 12: Unit 4 Maintenance and Hmestasis Brwse thrugh Ebk chapters Digestive System Part 1 https://www.yutube.cm/watch?v=yitrgfcmqm Digestive System Part 2 https://www.yutube.cm/watch?v=pqgceiaxgme Trainee Led Presentatin: Structures f the Digestive Tract Identify and list the rgans f the digestive system. Identify the accessry rgans f digestin and describe their functins. Define and cntrast mechanical and chemical digestin. Discuss the basics f prtein, fat, and carbhydrate digestin and give the end prducts f each prcess. Describe the metablic rles f carbhydrates, fats, prteins, vitamins, and minerals. Describe medical disrders assciated with the digestive system. Class 12 Self Review.

Class 13: Unit 4 Maintenance and Hmestasis Brwse thrugh Ebk chapters Urinary Part 1 https://www.yutube.cm/watch?v=l128tw1h5a8 Urinary Part 2 https://www.yutube.cm/watch?v=dlqyyyvti3k Trainee Led Presentatin: Structures f the Urinary Tract Identify the majr rgans f the urinary system and give the generalized functin f each. Name the parts f a nephrn and describe the rle each cmpnent plays in the frmatin f urine. Explain the imprtance f filtratin, tubular reabsrptin, and tubular secretin in urine frmatin. Describe the mechanisms that regulate urinary functins. Describe the cmpsitin f urine. Describe medical disrders assciated with the urinary system. Grup Activity Urine Cases STD Cases Class 13 Self Review Class 14 Exam Review Class 15 Exam

Piedmnt Health Services MEDICAL ASSISTANT I ORIENTATION/COMPETENCY CHECKLIST Revised 03/2010 Reviewed 04/2013 Reviewed 8/2014, Revised 6/2016 Name: Start Date: Site: Required Skill r Knwledge Date/Initials Cmments 1. Electrnic Health Recrd (Training f all elements belw includes verbal instructin and return demnstratin.) Setting persnal preferences Viewing Alerts/Flags f yurself and ther users Cnverting Alerts/Flags t Phne Ntes Initiating and Respnding t Alerts/Flags Initiating and Respnding t Phne Ntes Differentiating between Phne Ntes, Flags and Alerts and when t use each Starting a Patient Visits (i.e. Child, Adult, Nurse) Appending a Visit Vital Sign Entry Including Serial Vitals Entry f In-Huse Labs and Ordering Entering PCMH Dcumentatin Utilizing Medicatin Administratin Frm and Dcumentatin Utilizing Vaccine Administratin Frm and Dcumentatin Adding Favrite Cmpnents (Demnstratin) Adding Cmpnents t a Visit Develpment and Use f Quick Text Cmpleting Orders (immunizatins and labs) Recgnizing and Maintaining Future Orders Dcumenting Patient Educatin within a frm Printing Letters/Dcuments Creating, Printing and Dcumenting Letters r Educatinal Handuts Dcumentatin f Patient Infrmatin Within Anticagulatin(INR) Frm Instituting and Dcumenting Self- Management Gals 2. Triage/Schedule Open Access Cncepts Clr Cdes Changing Appintment Status Add On Clumn 3. Dcumentatin/Check In Eliciting Chief Cmplaint Screen fr pain Cmmnly used Abbreviatins D nt use Abbreviatins

Adult Child Prenatal Chrnic Illness 4. Vital Signs age apprpriate Bld Pressure (including prper cuff selectin) Pulse (radial) Respiratin Temperature ral, rectal, axillary Pulse ximetry Peak/Flw measurement 5. Anthrpmetric Measures Adult/Child greater than 2 years: btain and chart Height Weight BMI Pediatric less than 2 years: btain and chart Head Circumference Length Weight 6. Screening Visin (Snellen/Sterepsis) Audigram Develpmental Screening 7. Prcedures EKG Ted Hse Measurement Use f Centrifuge 8. Prcedures set up Sterile Technique Clean Technique Familiarity with equipment/instruments Prcedure Set-up (clean) Pelvic Obtaining Cultures Pap Smear Wet prep Prcedure Set-up (sterile) Endmetrial Bipsy Incisin/Drainage IUD Insertin/Remval Jint Aspiratin/Injectin Laceratin Mle Remval

Tenail Remval Wart Treatment 9. Cmmunicatin Standing Orders Incident/accident reprting Medicatin Incident Frm Emplyee Occupatinal Expsure Incident Reprt Grievance prcedure Inclement weather plicy 10. Infectin Cntrl Universal Precautins Infectin Cntrl Plan Cleaning/Disinfecting Rms Expsure Cntrl Plan Pst expsure management PPE Infectius disease cntrl 11. Clinical Emergencies Paging System Cde Blue prcedure Cde Yellw Prcedure Dr Green Prcedure Cde Red Prcedure AED training Emergency walk-ins and telephne calls Emergency patient transfer Emergency delivery 12. Hazardus Material Expsure Cntrl MSDS Online Spill Kits Eye Wash Statin Bihazardus waste dispsal 13. Clinic Administratin Prvider Schedule Nursing assignments Patient Care Crdinatin (General Understanding) Registratin Appintment scheduling Billing ADP Review PTO Request Email

14. Miscellaneus Nursing Organizatinal Structure Plicies and Prcedures review f manuals Jint Cmmissin OSHA HIPAA 15. Autclave Overview Operatin Quality Assurance Measures 16. PPD Skin Test Placement Charting Reading 17. Prcedures - Independent Ear Irrigatin Nebulizer Treatments Unna Bt Applicatin 18. Medicatin Administratin Pediatric (<18 years) Inhaled Oxygen Albuterl Atrvent Oral Anti-Pyretics Rtavirus Intradermal Tuberculin Antigen Subcutaneus IPV MMR Varicella Intramuscular DtaP Dt Td Tdap Hib Hepatitis A Hepatitis B Human Papillmavirus Vaccine (HPV) Meningcccal Pneumcccal Cnjugate (Prevnar)

Influenza Adult (>18 years) Inhaled Oxygen Albuterl Atrvent Oral Anti-pyretics Intradermal Tuberculin Antigen Subcutaneus MMR Pneumvax Intramuscular Hepatitis A and B (Twinrix) Td/Tdap Influenza B12 Dep-Prvera 19. NCIR (NC Immunizatin Registry) Overview Adding New Patients Vaccine Entry 20. Labratry POCT (Demnstrated Cmpetency) Hemglbin (Hemcue) Quality Cntrl Fingerstick Glucse (Hemcue) Quality Cntrl Urinalysis Multistik Quality Cntrl Clinitex Analyzer Quality Cntrl Rapid HIV Testing Quality Cntrl ICON Pregnancy Test Quality Cntrl Rapid Strep test Quality Cntrl Rapid Influenza test Quality Cntrl Hemccult Test Lcatin f Labratry Manual Familiarity with Labratry Manual Clia Labratry Certificatin

21. Labratry Prcedures Urine Culture Specimen Cllectin Specimen packing/transfer t reference lab Familiarity f Labratry Cmputer System Use f Centrifuge Billing fr labratry tests Supervisr/Manager Signature Date Cmpleted