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TITLE 19EDUCATION
PART 2TEXAS EDUCATION AGENCY
CHAPTER 127TEXAS ESSENTIAL KNOWLEDGE AND SKILLS FOR CAREER DEVELOPMENT AND CAREER AND TECHNICAL EDUCATION
SUBCHAPTER IHEALTH SCIENCE
RULE §127.427Medical Assistant (One Credit), Adopted 2021

    (A) collect and document patient information during an intake interview, including chief complaint; patient care team; past medical, surgical, social, and family histories; patient allergies; and comprehensive medication list;

    (B) explain how to use a medical chart to identify patient care needs;

    (C) identify normal ranges for vital signs per age group, including blood pressure, temperature, heart rate, respiratory rate, and oxygen saturation;

    (D) measure and record accurate vital signs, including manual blood pressure, temperature, heart rate, respiratory rate, and pain scale;

    (E) measure and record accurate anthropometric measurements, including height, weight, and head circumference; and

    (F) calculate accurate conversions between different units of measurement such as kilograms to pounds, centimeters to inches, and Fahrenheit to Celsius.

  (8) The student demonstrates knowledge and application of point of care testing as a medical assistant. The student is expected to:

    (A) define point of care testing;

    (B) identify and correlate specimen types and collection methods, including throat swabs, capillary blood, and urine used in point of care testing;

    (C) describe tests that might be performed as a point of care test in an office such as rapid strep, rapid flu, glucose, urine dip, urine pregnancy, vision screening, and electrocardiogram (EKG) tests;

    (D) perform and document a vision screening using the Snellen eye chart; and

    (E) locate landmarks for performing a 12-lead electrocardiogram (EKG).

  (9) The student demonstrates knowledge of medication preparation and administration in a clinical setting specific to the role of a medical assistant. The student is expected to:

    (A) apply the six rights of medication administration, including right patient, right medication, right dose, right time, right route, and right documentation;

    (B) identify drug classifications and the indication for use;

    (C) define drug-related terms, including adverse event, therapeutic response, side effect, drug interactions, and allergic reaction;

    (D) calculate the amount of medication to administer based on the dosage ordered and the strength of medication supply on hand;

    (E) evaluate a patient for known allergies and contraindications prior to administering any medication;

    (F) identify routes of medication administration, including oral, buccal, sublingual, inhaled, intranasal, otic, ophthalmic, intravaginal, anal, topical, transdermal, intradermal, subcutaneous, intramuscular, intravenous, and intrathecal;

    (G) use proper technique when preparing medications for administration, including injections, oral, sublingual, inhaled, otic, ophthalmic, and topical;

    (H) use proper technique when administering medications, including injections, oral, sublingual, inhaled, otic, ophthalmic, and topical;

    (I) identify appropriate muscle groups for intramuscular injections, including deltoid, vastus lateralis, and ventrogluteal;

    (J) explain the factors that influence intramuscular injection site selection, including patient size, patient age, viscosity of medication, and muscular density;

    (K) explain the factors that affect needle size and gauge selection, including medication viscosity, patient size, muscular density; and

    (L) demonstrate knowledge of syringe styles and markings on various size syringes such as Luer Lock, oral, insulin, TB, 1ml, 3ml, 5ml, and 10ml syringes.

  (10) The student demonstrates knowledge of collecting, labeling, storing, and transferring lab specimens. The student is expected to:

    (A) identify how to properly store and transfer lab specimens such as blood, urine, fecal, and sputum samples;

    (B) list the proper order of draw for blood collection tubes;

    (C) select the proper collection tubes for specific types of blood tests such as complete blood count (CBC), comprehensive metabolic panel (CMP), and lipid panel;

    (D) locate veins used for blood draws;

    (E) demonstrate proper technique and post procedural care for veinous blood draws; and

    (F) demonstrate proper labeling of lab specimens, including patient name, date of birth, source, date, time, and initials of collector.

  (11) The student demonstrates knowledge of patient populations and their specific care considerations. The student is expected to:

    (A) discuss and identify stages of development throughout a patient's lifespan;

    (B) describe coping and defense mechanisms exhibited by patients such as emotion-focused behaviors, problem-focused behaviors, denial, displacement, intellectualization, projection, rationalization, and regression;

    (C) identify and discuss end-of-life considerations such as advanced directives, power of attorney, stages of grief, and family support;

    (D) practice appropriate methods of care for working with patients with mental, physical, and developmental disabilities;

    (E) explain how socioeconomic factors such as income, transportation, access to community resources, employment, and education level can influence patient outcomes; and

    (F) explain how various multicultural values can affect patient care decisions.

  (12) The student demonstrates knowledge of safety practices and procedures as related to medical assisting. The student is expected to:

    (A) employ standard precautions in a healthcare scenario;

    (B) identify various modes of disease transmission, including vector borne, air borne, direct or indirect contact, and vehicle;

    (C) distinguish between the types of isolation precaution signage used to address modes of disease transmission such as contact, droplet, and airborne;

    (D) identify personal protective equipment (PPE);

    (E) apply the knowledge of PPE used in various situations such as venipuncture, collecting a throat swab, or dipping urine;

    (F) demonstrate proper putting on (donning) and removing (doffing) of PPE;

    (G) define the use of a sharps container, biohazard container, shredding bin, and trash receptacle;

    (H) practice safe handling of sharps such as not recapping after injection and prompt disposal in a sharps container;

    (I) identify symptoms of anaphylaxis and the proper emergency response;

    (J) explain storage requirements for medications, vaccines, and lab specimens;

    (K) locate and use the safety data sheets (SDS) to retrieve information such as proper storage, clean up, and exposure response; and

    (L) define and apply knowledge of medical asepsis.


Source Note: The provisions of this §127.427 adopted to be effective April 26, 2022, 47 TexReg 2166

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