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