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Medical Assisting Handbook: Home

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Medical Assisting

Student Handbook

St. Clair County Community College

2018-2019 Academic Year

Part I Introduction

Notice Of Nondiscrimination Policy

It is the policy of St. Clair County Community College that no person shall, on the basis of race, color, national origin, sex, handicap, age, religion, creed or marital status be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity, and in employment.

Any questions concerning Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex, or any inquiries related to Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination on the basis of handicap, should be directed to:

Director of Human Resources and Benefits
Title VI, Title IX and Section 504 Coordinator
St. Clair County Community College
323 Erie Street, P.O. Box 5015
Port Huron, MI 48061-5015
(810) 989-5536 or (800) 553-2427


Medical assistants are multi-skilled health professionals that work in ambulatory settings such as medical offices or clinics performing administrative and clinical duties under the direct supervision of a physician. Each student is required to complete coursework which includes lectures which provide a theoretical foundation upon which students can build their skills and techniques; laboratory experiences which provide observation and practice of skills and techniques; and clinical opportunities which allow students to apply skills and techniques in a professional setting. The students will also be exposed to professional issues, ethics, behavioral attitudes and communication skills in relation to working in healthcare.

Mission Statement:

The Medical Assisting program at St. Clair County Community College supports the college’s mission of maximizing student success by providing a quality education through lecture, laboratory and the practicum experience to graduate competent entry level medical assistants.

Vision Statement:

The vision of SC4 is to create an academic and cultural environment that empowers students to succeed. The Medical Assisting program supports this vision by providing a comprehensive, competency-based, one–year curriculum designed to guide the student through a process of professional development and personal growth.

Medical Assisting Program goals:

The primary goal of the Medical Assisting Program is to prepare entry-level Medical Assistants in the cognitive (knowledge/mental skills), psychomotor (manual or physical skills/basic motor skills) and affective (behavior related to feelings, attitudes, interests, etc.) learning domains. Graduates will incorporate the cognitive knowledge in performance of the psychomotor and affective competencies in the following areas to meet the medical assisting student learning outcomes:

  • Clinical practice (anatomy and physiology, applied mathematics, infection control, and nutrition)
  • Applied communications (effective communication)
  • Medical business practices (administrative functions, basic practice finances, third party reimbursement, procedural and diagnostic coding)
  • Medical law and ethics (legal implications and ethical considerations)
  • Safety and emergency practices (protective practices)

Medical Assisting student learning outcomes:

Medical Assistants graduating from this program will demonstrate critical thinking based on knowledge of academic subject matter required for competence in the profession. They will incorporate critical thinking based on knowledge, skills, and performance in the medical office practice.
When students complete this program, they will be able to:

  1. Perform basic skills in clinical practices.
  2. Demonstrate effective communication skills in the medical practice.
  3. Apply critical thinking skills to medical business practices.
  4. Recognize boundaries in basic medical law and ethics.
  5. Perform basic skills in safety and emergency practices.

Program description:

The Medical Assisting Certificate is designed to prepare competent entry-level medical assistants in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. Entry levels of practice may include a physician’s office, medical clinic, laboratory or other ambulatory health care facility.

Coursework will include medical business practices (i.e. administrative functions, basic practice finances, managed care/insurance, and procedural/diagnostic coding), clinical practices (i.e. anatomy & physiology, applied mathematics, infection control, and nutrition); applied communications; medical law and ethics; and safety and emergency practices. In addition, a total of 160 hours of practicum experience is required at an ambulatory medical office setting.

The business administrative duties include scheduling and receiving patients, preparing and maintaining medical records, performing basic secretarial skills and medical transcription, handling telephone calls and written correspondence, serving as a liaison between the physician and other individuals, and managing practice finances. Clinical duties include asepsis and infection control, taking patient histories and vital signs, performing first aid, preparing patients for procedures, collecting and processing specimens, performing selected diagnostic tests and therapeutic modalities, assisting physicians with examinations and treatments, and preparing and administering medications as directed by the physician.

Suggested course sequence:

First Year - First Semester
Course Title Gen Ed Credits Hours Contact Hours
HE 102 Medical Terminology   2 2
OA 101 Personal Keyboarding on Microcomputers   1 1
BIO 160 Anatomy & Physiology for the Health Care Professional   4 5
MA 110 Foundations of Clinical Practice for the Medical Assistant   4 4
HE 110 Pharmacology for Allied Health   2 2
  Total Credit/Contact Hours   13 14
First Year - Second Semester
Course Title Gen Ed Credit Hours Contact Hours
HE 112 Medical Law and Ethics for the Allied Health Professional   1 1
MA 114 Applied Communications for the Medical Assistant   3 3
MA 115 Medical Business Practices for the Medical Assistant   5 5
MA 210

Advanced Foundations of Clinical Practice for the

Medical Assistant

  4 5
  Total Credit/Contact Hours   13 14
First Year – Third Semester
Course Title Gen Ed Credit Hours Contact Hours
MA 212 Medical Assisting Professional Practice Externship (160 hours)   4 4
MA 214 Critical Thinking in Medical Assisting   3 3
  Total Credit/Contact Hours   7 7
  Total Credit/Contact Hours for the program   33



Each student is required to complete a clinical practicum in the final semester of the program. SC4 has agreements with various clinical facilities for student experiences. These include but are not limited to the following:

  • Hospitals & physician practices
  • Extended care facilities
  • Private practice clinics
  • Private physician’s offices

Assignments are made by the Program Coordinator based on the student’s strengths and needs. Each student will participate in a total of 160-hour practicum. The practicum will include both administrative and clinical experiences. These experiences are unpaid and fully supervised by qualified personnel at the clinical facility. See the Practicum course manual for additional checklists and information.


In accordance with St. Clair County Community College  grading policy, grades in theory will be recorded using the letter system. The following scale is used to determine the numerical grade:

Percentage Letter Grade Grade Points
97 -100 A 4.0
93 - 96 A- 3.7
90 - 92 B+ 3.3
86 - 89 B 3.0
83 - 85 B- 2.7
79- 82 C+ 2.3
75 - 78 C 2.0
71 - 74 C- 1.7
68 - 70 D+ 1.3
65 - 67 D 1.0
61 - 64 D- .7
60 and below E 0

To attain a "C" in a course, the percentage grade must be a whole number. For example, the grade in a course must be at least 75, that is 74.9 is not acceptable. A "C-" is not passing or transferrable.

Part II - Department policies

The Medical Assisting Program Policies are consistent with nursing and other allied health department policies. They are continuously being updated and revised to meet the ongoing changes in the academic, healthcare, and clinical environments. Students will be notified in writing of any changes in policies and procedures as they occur. Students will be expected to sign acknowledgement of having received and understanding of such new procedures and policies.

Expected behaviors

Professional conduct

While preparing to enter the profession of medical assisting, students are required to demonstrate certain expected behaviors. Integrity and honesty of the student are crucial in the development of a professional. The profession requires that all members maintain ethical standards, demonstrate accountability and responsibility, and provide for the safety of patients. Professional behavior is expected in all components of the medical assisting programs (classroom, labs, & practicum). Students must demonstrate behaviors that convey respectful and caring attitudes. Students are expected to do the following:

  • Adhere to the SC4 College policies as outlined in the catalog, as well as Medical Assisting policies. See “Student Code of Conduct" at
  • Follow the medical assisting department chain of command. The student must first discuss any issues or concerns with the faculty teaching component of the course. If the situation is not resolved, the student may make an appointment to speak with the lead instructor/program director, then the director of Health and Human Services, then the CAO (refer to the organizational chart).
  • Be personally accountable for their own behavior. Students are expected to conduct themselves professionally, according to the legal and ethical standards of the community and society. This includes but is not limited to classroom, clinical, and in this high tech world-social networking sites

In addition, students should commit themselves to behave in a civil manner that recognizes professional/ personal respect/boundaries, and demonstrate concern for the personal dignity, rights, and freedoms of every member of the community college. Examples of uncivil behavior include but are not limited to: chronic absences and/or tardiness, use of electronic devices during class/clinical, reading of materials during class that do not pertain to the class (e.g. newspaper, magazine), chatter with another student or students, sleeping, rudeness, frequent interruptions, monopolizing class time, loudness, obscene or abusive language (verbal or written), bullying, and substance abuse. If a student is asked to leave the classroom and/or clinical because of uncivil behavior, that behavior will be reflected in the classroom and/or clinical evaluations. Students are required to seek faculty assistance if they are having difficulty with any aspect of the program.

Academic integrity

The student is responsible for their own learning. The faculty is available to assist and support each student in mastering the competencies of the program. The faculty believes academic integrity is essential to the development of professional conduct. Students who engage in acts of academic dishonesty such as cheating or plagiarism, compromise the culture of safety and integrity which defines the profession. Students who choose to violate academic integrity erode the foundation of trust between the students, faculty, clients and community that they serve.

St. Clair County Community College considers academic honesty to be essential to all academic performance. The Student Code of Conduct policy states that instances of academic dishonesty will be treated as serious offenses. Students involved in activities such as cheating and/or plagiarism will be subject to disciplinary action. Definitions, as outlined in the SC4 catalog, are as follows:

  • Definition of plagiarism: Plagiarism is the appropriation of language, thoughts, or ideas of another author and claiming that as one's own. Plagiarism is work not produced by the student, or work that does not credit borrowings from the original source(s).
  • Definition of cheating: Cheating can be, but is not limited to, a student using electronic technology, notes or other written materials not permitted by the instructor; looking at other students' papers without the instructor's permission; requesting answers from other students; or working with other students when independent work is required. Situations where cheating may occur are during tests, exams, quizzes, or other similar methods of evaluation.

Cheating is further defined in the Medical Assisting Program and the department of Health and Human Services as fraud, deceit, or dishonesty in any academic or clinical activity. It may include but is not limited to:

  • Copying or attempting to copy from others during testing or for an assignment;
  • Communicating any testing information to, or receiving such information from, another person during or prior to an exam;
  • Using, attempting to use, or assisting others in using materials that are prohibited or inappropriate in the context of the assignment or examination in question, such as: books, prepared answers, written notes, concealed information, or Web sites (this includes cutting and pasting from websites).
  • Copy the work of another person (peer), including an author of a published book, pamphlet, or article, and turn it in as one’s own. Quotations, statistics, and other factual data must be noted as such by documentation of the authoritative source.
  • Allowing others to do one's assignment or a portion of one's assignment or using a commercial term paper service;
  • Altering an assignment after it has been completed or altering recorded grades;
  • Resubmitting a previously written assignment for a new course without the permission of the prior and current instructor.
  • Misrepresent performance or falsify documentation related to the performance of any activity required to complete course/curriculum objectives.

Cheating will not be tolerated in class or externship/clinical. You must not share test questions, class/simulation activity answers, quiz information, assessment data, etc. All work submitted must be original or sources must be referenced.

Cheating on any classroom or clinical assignment, quiz or exam will result in a grade of "E" or an Unsatisfactory for the course and dismissal from the Medical Assisting Program. In addition, the student will be ineligible for readmission to any SC4 nursing allied health programs.

Clinical conduct

It is expected the student will demonstrate interest in and enthusiasm for the practice/study of medical assisting. The faculty expects the student to be dependable, seldom absent, and on time for all classroom, lab, and clinical experiences. The student is to conduct themselves professionally with classmates, clients, faculty, professional personnel, and other members of the health care team. The student must recognize that information about clients and their families is confidential and therefore, to be shared only with other health care personnel who are directly involved in their care.

Tobacco free

SC4 has designated the college a tobacco-free campus. This includes parking lots and inside vehicles. All forms of tobacco are prohibited (i.e., cigarettes, cigars, e-cigarettes, chewing tobacco). Additionally, the Health and Human Services clinical facilities stipulate that there will be no tobacco use of any kind as listed above during clinical hours, regardless of facility location, and both person and clothing should be free of smoke odor. Note that some health care facilities now have a policy to send staff home when they smell of smoke. Medical Assisting faculty reserve the right to do the same.

Classroom/laboratory requirements


Attendance is mandatory for optimal learning. If a student must be absent, he/she should notify the instructor in advance. Research shows attending classes will improve student success.

Tardiness/skipping class

Punctuality is a demonstration of responsibility and respect for others in the class. Coming late to classes or skipping classes is seen as a lack of interest in the course. Repeated lateness or skipping may cause a failing grade in the course.

When assigned a starting time in the clinical area, this time is not the arrival time. You are to arrive in sufficient time to be ready to begin your clinical experience at the starting time. Dependent upon the experience and the particular clinical facility, your arrival time may be from fifteen minutes to a half hour prior to the starting time. Your practicum instructor will advise you of the appropriate arrival time. Repeated lateness will result in an incident report and may result in a clinical warning.


If you are scheduled for a class on campus and will not be present, call/e-mail your instructor & call (810) 989-5675 and leave a message for the instructor.

If you are scheduled for a clinical experience and will not be present, you must notify your clinical instructor prior to the time that you are expected to report for the experience.

You are not to arrive for your clinical experience if ill; you will be sent home if you arrive ill. Therefore, it is imperative that you utilize all measures to maintain your health, such as proper rest and nutrition. Dental and medical appointments for maintenance of health should be scheduled during your semester breaks. If you must make an appointment during the semester, schedule it around your classroom/clinical schedule.

No call/no show

This is irresponsible, unprofessional behavior which directly affects the patient care on the assigned unit. A no call/no show will result in a Clinical Incident Report, and may result in a clinical warning.


In the event of a family illness or funeral of an immediate family member, consideration will be given. However, it is possible that such absence will interfere with meeting the requirements of the course.

Inclement weather

In the event of the official closing of the College due to inclement weather, students are not required to present themselves for clinical duty. If the announcement is not made prior to leaving for clinical, the student is expected to use good judgment in deciding whether to travel to the clinical facility. If necessary to meet the program requirements, the student will be expected to make up the time missed. The college has instituted text and e-mail alerts in the event of inclement weather.


It is expected that all students complete the quizzes/exams at the regularly scheduled time. In the event of an unforeseen emergency (serious illness or death of an immediate family member) or presence of communicable disease in the student, the student must notify the appropriate faculty prior to the scheduled exam. Arrangements for exams missed must be made prior to the next scheduled lecture day. Makeup exams may not be identical to the originally scheduled exam. Missed exams, failure to notify the instructor prior to the exam, and/or failure to complete the makeup exam prior to the next lecture time may result in a grade of 0 for that exam.

Make up exams are by appointment only. Arrangements can be made by contacting the class instructor and then the nursing or allied health department. no make-up exams will be given on Mondays.

Quizzes will not always be announced. The grading policy regarding missed quizzes within a course is written in that course syllabus.
Final exams, which are part of the course competencies, are to be taken by all students. If extenuating circumstances occur which create problems in writing final examinations (illness, death, accident), rather than jeopardize your grade, notify the instructor prior to the examination. If the instructor is not available, call the nursing office.

A student may take any quiz, test, or exam only one time. It is the responsibility of the student to be prepared for all testing.

Fall and Winter semester starts the first day of classes according to the College calendar and ends the Friday of final exam week. The Summer semester follows may be 6 to 12 weeks depending on externship. It is the responsibility of all students to be available to meet student obligations through the last day scheduled. This includes final exams and final assignments.

Change of address or name

You must notify both the Enrollment Services Office and the Allied Health office of any changes in name, address, & phone number. The Allied Health Office requires that the student provides a preferred telephone number at which he/she can be reached or receive messages. This information will be kept confidential.

Course completion

The specific objectives to be attained by the student and the method of calculating the final course grade are written in each course syllabus. Students are responsible for reading each course syllabus to be informed of the particular objectives and grading system for each course.

Certain behaviors are cited as critical. The medical assisting profession requires that all members maintain ethical standards, demonstrate integrity and honesty, and provide for the safety of patients. Thus, one serious failure or a pattern of failure to demonstrate these behaviors result in an immediate failing grade of E or U (unsatisfactory) for the course, regardless of the student's previous and current level of demonstrated competency of all other course objectives.

Digital devices/cell phones

Cell phones cannot be used at the clinical site. If brought with students to class or laboratory, they should be turned off. They may be on in class or lab, in a silent or vibrate mode, in emergency situations only. Do not use text messaging or tweeting services while in class, clinical or lab.
Photographs taken with any digital device (cell phone, camera, etc.) are prohibited in class, lab or clinical without permission of instructor.
No taping of any kind without permission. This includes but is not limited to classroom, conversations, advising or conference hours.


Instructors are not responsible for student computer issues. Please contact your internet provider or SC4 tech support at 810-989-5858.



Clinical experience

Dress Code for Medical Assisting students

The following regulations apply to all students in the clinical and skills lab for Medical Assisting Program at St. Clair County Community College. The appearance of the student enrolled in the program should reflect their aspiration to attain professional standards. Failure to adhere to these requirements results in dismissal for the day.


  • The hair is to be styled in a manner appropriate to the clinical situation for both assignment and clinical days.
  • Hair is to be off the neck and collar and secured with plain barrettes or plain headband or other unobtrusive devices to ensure patient and practitioner safety.
  • No bows, sparkles, beads, or hair extensions allowed. No hair color other than natural hair color is allowed (for example, no pink, blue, etc.)
  • No head gear (hats, caps, dew rags, etc.)

Facial hair

  • Mustaches and beards, if worn, must be clean and neatly trimmed.


  • Cosmetics, if worn, must be subtle. This includes eye make-up, lipstick, and blush.


  • You are to have a watch with a second hand, for taking pulses and respirations.
  • A plain wedding band and one pair of small post earrings, only one earring per ear are allowed; no industrial posts.
  • No necklaces, bracelets, or rings with stones are to be worn during clinical.


  • No visible piercings. No facial piercings including tongue rings, eyebrow, nose, or lip.


  • Nails should be kept short, no longer than the fingertip, clean and well rounded.
  • Nail polish is not permitted, including clear nail polish.
  • Absolutely NO artificial nails.


  • Tattoos may not be visible when in the clinical area.


  • Perfume, lotions, or aromatic after shave are not to be worn.
  • Smoke odor is not allowed by clinical facilities.


  • Uniforms should be tan (khaki).
  • The uniform consists of a white jacket with tan scrub top and pants.
  • Patches with the SC4 logo are to be purchased and attached to the right sleeve of both the scrub jacket AND scrub top.
  • Hemline on the pants is to be above the sole of the shoes.
  • The uniform is to be washed prior to each clinical day.
  • No visible undergarments.
  • Navy blue t-shirt (either long or short sleeve) may be worn as needed to cover tattoos.
  • Uniform is to be worn for any clinical, skills, or other days as assigned.

ID badge & patch placement

  • An SC4 ID badge and student medical assistant patch is worn with the uniform.
    • The student nurse patch is to be sewn three inches from the shoulder seam of the right sleeve of both the scrub top and scrub jacket.
    • The student patch is available in the College Book Store.
  • Picture ID badge is obtained from your instructor the first week of class and worn on the right side of the collar.
  • Loss of pictured ID badge may result in a fee.
    • This identification is to be worn only for student assignments and/or clinical experiences and not for any other work assignments independent of SC4.


  • White nurse's shoes or all white sport shoes are required for all students.
  • No canvas shoes allowed.
  • The shoes must be kept clean and polished; the plain white laces laundered as necessary.
  • All shoes must have a closed toe.
  • No clogs.


  • White nylons or white cotton crew socks must be worn with uniforms.
  • Socks must make a cuff.
  • No tennis socks or ankle socks.

Community experience

  • Individual lead faculty will instruct on attire.


  • No gum chewing during any clinical experiences.

Clinical supplies


  • Purchasing stethoscopes is optional.

Health requirements

Physical examination

Each student must pass a physical examination taken at his/her own expense not more than three (3) months before entering a clinical course in the program.

Physical exam forms are in your orientation packet. All required lab work, a chest x-ray or TB skin test must be completed and verification submitted to the department prior to the first day of the semester. The TB skin test must be repeated annually. Failure to submit any required health forms will result in the inability to attend the clinical experience and require a makeup clinical experience at the student’s expense.


Medical assistants and those studying medical assisting are at risk for increased exposure to certain preventable infectious diseases and other health hazards. It is important for health care workers to be immunized properly for protection against these diseases and for prevention of their spread among clients in offices and clinics. In addition, medical assistants must rigidly adhere to special precautions to minimize risks. All medical assisting nursing students must provide a proof of immunity of the following and keep a copy in their clinical notebook at all times. Immunization records can be obtained from your doctor’s office, county health department, parents, etc.

  • MMR – Measles, Mumps, Rubeola – Proof of MMR x 2 doses OR titer showing immunity Varicella Zoster – Proof of Varicella Vaccine x 2 doses OR titer showing immunity (turning in a doctor note saying you had chicken pox at age 8 is not proof)
  • Hepatitis B Vaccine Series – Proof of dates x 3 OR Antibody Response. You must start series before classes begin. The second shot is given one-month after the first; the third shot is six-months after the second. Bring proof of all 3 shots (as you get them).
  • Tdap (Tetanus, diphtheria, a-cellular pertussis) – within past 10 years (must contain all of the above…just tetanus is not enough)
  • TB Test –– Must be done prior to the start of the program & renewed annually. Intradermal Test (not Tine): Bring proof of negative test to nursing office. Good for one year. If positive TB test, you must get a Chest X-ray (good for 5 years).
  • Drug Screen – 10 panel/urine. Must be done at Blue Water DRP, Port Huron, 810-966-0006 – they will fax results to us. No other drug screens accepted. If your clinical/externship is Summer, get drug screen after April 1.
  • Influenza Vaccine– required for fall and winter practicums. Flu shots are not required for summer practicums/externships.

In addition, the Guide for Health Care Providers (CDC) recommends the following immunizations for health care personnel: poliomyelitis. Students should discuss their immunizations with their health care provider.

Failure to submit the required proof of immunity to the Allied Health Office by the instructed deadline will result in inability to attend the clinical experience and require makeup time.

Students must submit a copy of all results to the SC4 Nursing Office and keep a copy in their clinical notebook at all times.

Student responsibilities

It is the student’s ethical/legal responsibility to maintain updated immunizations, TB testing, BLS, malpractice and any other requirements for clinical practice. The student is expected to maintain a satisfactory level of mental and physical stability to enable a safe and competent level of functioning. It is the student’s responsibility to self-report to their instructor any condition that may have an effect on their functioning in class or clinical.

Any student who is not in compliance with this regulation may be denied entrance to the clinical area.

Alteration in health status

Any existing health condition which could affect a student in a clinical rotation must be discussed with the program director. If a health condition might affect a student's ability to complete a clinical (i.e. pregnancy, surgery, injury, etc.), the student must obtain and submit a written description of any restrictions from his/her health care provider prior to continuing the clinical experience. If the faculty believes that the student, with reasonable accommodations, can meet the clinical objectives, the student will be given the opportunity to remain in the course. If the student should decide to attempt to complete the course he/she must sign and submit a Release Form which is available in the Allied Health office.

If a student must withdraw from the clinical rotation and is in good academic standing, he/she may apply for readmission to the program after submitting proof that the health restrictions are alleviated. Readmission would be dependent upon the availability of space in the required course and approval of nursing faculty.

No casts or splints are allowed in the clinical agency due to the risk of infection and injury. If you incur an injury requiring an immobility device, see the faculty or Program Director to discuss your options.

Health Care costs

It is strongly recommended that all students obtain personal health care insurance or purchase student insurance through the college for a nominal premium.

Each student will be required to maintain Standard Precautions in the performance of all client care. It is the student's responsibility to be prepared to care for each client and to take appropriate precautions against personal injury and illness.

It is important to note, through no fault of the college, instructors or clinical agency, that the possibility exists that a student could accidentally injure or expose him/herself to disease or injury. If injury occurs during client care, the clinical instructor must be informed immediately. The student is responsible for assuming the cost of any necessary medical treatment. For this reason, it is strongly advised that students maintain their own health care insurance.

Clinical experience restrictions

The following Recommendations for Clinical Experience Restrictions apply to temporary conditions which a student may experience during the clinical courses. It is expected that the student inform the instructor whenever such situations exist. This information is provided by the Centers for Disease Control.

Summary of suggested work restrictions for health care personnel exposed to or infected with infectious diseases of importance in health care settings, in the absence of state & local regulations (modified from ACIP recommendations).

Disease/problem Work restriction Duration
Conjunctivitis Restrict from patient contact and contact with the patients environment Until discharge ceases
Cytomegalovirus infections No restriction  

Diarrheal diseases



  • Acute stage (diarrhea with other symptoms)
  • Restrict from patient contact, contact with the patients environment, or food handling
  • Until symptoms resolve
  • Convalescent stage, Salmonella spp.
  • Restrict from care of high-risk patients
  • Until symptoms resolve; consult with local & state health authorities regarding need for negative stool cultures
Enteroviral infections Restrict from care of infants, neonates, & immuno-compromised patients & their environments Until symptoms resolve
Hepatitis A Restrict from patient contact, contact with the patient’s environment, & food handling Until 7 days after onset of jaundice

Hepatitis B



  • Personnel with acute or chronic hepatitis B surface antigenemia who do not perform exposure-prone procedures
  • No restriction*; refer to state regulations; standard precautions should always be observed
  • No restriction
  • Personnel with acute or chronic hepatitis B e antigemia who perform exposure-prone procedures
  • Do not perform exposure-prone invasive procedures until counsel from an expert review panel has been sought; panel should review & recommend procedures the worker can perform, taking into account specific procedure as well as skill & technique of worker; refer to state regulations
Until hepatitis B e antigen is negative
Hepatitis C No recommendation  

Herpes simplex


  • Genital
  • No restriction
Until lesions heal
  • Hands (herpetic whitlow)
  • Restrict from patient contact & contact with the patients environment
Until lesions heal
  • Orofacial
  • Evaluate for need to restrict from care of high-risk patients
Until lesions heal
Human immunodeficiency virus Do not perform exposure-prone invasive procedures until counsel from an expert review panel has been sought; panel should review & recommend procedures the worker can perform, taking into account specific procedure as well as skill & technique of worker; standard precautions should always be observed; refer to state regulations  
  • Active
  • Exclude from duty
  • Until 7 days after the rash appears
  • Postexposure (susceptible to personnel)
  • Exclude from duty
  • From 5th day after 1st exposure through 21st day after last exposure &/or 4 days after rash appears
Meningococcal infections Exclude from duty Until 24 hours after start of effective therapy



  • Active
  • Exclude from duty
  • Until 9 days after onset of parotitis
  • Postexposure (susceptible personnel)
  • Exclude from duty
  • Until 12th day after 1st exposure through 26th day after last exposure or 9 days after onset of parotitis
Pediculosis Restrict from patient contact Until treated & observed to be free of adult and immature lice
  • Active
  • Exclude from duty
  • Until 5 days after rash appears
  • Postexposure (asymptomatic personnel)
  • No restriction, prophylaxis recommended
  • Postexposure (susceptible personnel)
  • Exclude from duty
  • Until 5 days after start of effective antimicrobial therapy
  • Active
  • Exclude from duty
  • Until 5 days after rash appears
  • Postexposure (susceptible personnel)
  • Exclude from duty
  • From 7th day after 1st exposure through 21st day after last exposure
  • Staphylococcus aureus infection
  • Restrict from patient contact
  • Until cleared by medical evaluation
  • Active, draining skin lesions
  • Restrict from contact with patients & patient’s environment or food handling
  • Until lesions have resolved
  • Carrier state
  • No restriction, unless personnel are epidemiologically linked to transmission of the organism
Streptococcal infection,
group A
Restrict from patient care, contact with patient’s environment, or food handling Until 24 hours after adequate treatment started
  • Active disease
  • Exclude from duty
  • Until proved noninfectious
  • PPD converter
  • No restriction
  • Active
  • Exclude from duty
  • Until all lesions dry & crust
  • Postexposure (susceptible personnel)
  • Exclude from duty
  • From 10th day after 1st exposure through 21st day (28th day if VZIG given) after last exposure
  • Localized, in healthy person
  • Cover lesions; restrict from care of high-risk patients
  • Until all lesions dry & crust
  • Generalized or localized in immunosuppressed person
  • Restrict from patient contact
  • Until all lesions dry & crust
  • Postexposure (susceptible personnel)
  • Restrict from patient contact
  • From 10th day after 1st exposure through 21st day (28th day if VZIG given) after last exposure or, if varicella occurs, until all lesions dry and crust
Viral respiratory infections,
acute febrile
Consider excluding from the care of high risk patients, or contact with their environment during community outbreak of RSV & influenza Until acute symptoms resolve


Malpractice insurance

All Medical Assisting students are required to have malpractice insurance. The college will provide malpractice insurance that will cover you only in your assigned clinical areas.

Background check

A clear criminal background check is a requirement of the Medical Assisting Program as clinical facilities are required to follow Michigan Public Acts 27, 28 and 29 of 2006. Students must review the Mandatory Exclusions for Specified Time Period and sign a Clinical Disclosure Statement prior to their criminal background check. In addition, any student who becomes subject to criminal prosecution that occurs during the program must report it immediately to the Director. Without a clear criminal background, a student would not be allowed to participate in clinical activities and thus, unable to complete the SC4 Medical Assisting Program.

Basic life support course—CPR

All students are required to complete a BLS for the Healthcare Provider course from the American Heart Association. Students are encouraged to check with their local hospitals for the availability of courses. Failure to submit evidence of this requirement will result in the inability to attend the clinical experience and require a make-up clinical experience at your own expense. All students are required to complete a health care provider course.

Intoxicants and mind-altering substances

The health of the student and practitioner are essential to a safe working condition. Students who are under the influence of alcohol or other drugs in the clinical area pose a serious safety and health risk to themselves, clients, and their co-workers. When a student's behavior or performance or where other information creates a reasonable suspicion that the student is using or is under the influence of alcohol or drugs, the student shall be removed from the clinical site and require the student to submit to a drug and/or alcohol screening test.
Testing positive for alcohol or other drugs or declining to be tested, will subject the student to discipline up to and including dismissal from the program.

Adherence to Clinical Site Policy

Students are expected to conduct themselves in an ethical manner and adhere to the policies and procedures of the clinical site. Students are not allowed to leave the clinical site during clinical hours without specific permission. You are to report to your practicum leader or designee leaving the unit. Leaving the clinical site without permission may result in a clinical warning. Students are expected to follow the smoking policy(s) for the specific clinical facility. Failure to follow the policy will result in a clinical incident.

Access to information

Students have access to information about clients to whom they are assigned. All information regarding clients is confidential and is to be discussed only with other health care personnel who are directly involved in the care of the client. Discussion of client information does occur for educational purposes, such as during pre/post conferences and classroom settings. Client names are not to be used. Other discussion of patient information is a violation of patient's right to confidentiality and privacy and will result in a student's removal from the program. Discussion of client information in lobby, elevators, cafeteria, break areas, and restrooms etc., is unacceptable and violates the client’s right to confidentiality and Federal Law.
Names, initials, room numbers, or any other identifying information are not to be used in any written assignments.

Emergency phone calls

The practicum sites will not accept phone calls for students. If an emergency arises between 8 am and 4:30 pm, the allied health or nursing office at the college can be called and a message will be forwarded to your leader. Instructions will be provided during clinical orientation on how to contact your clinical instructor. It is the responsibility of the student to inform family members and caregivers of his/her schedule and the name of the instructor. Cell phones/pagers are not permitted in the clinical area.

Program progression

To progress in the medical assisting program, the student must achieve and maintain a cumulative grade point average of 2.0. In addition, to progress, the student must attain a grade of at least 2.0 in every required liberal art course and a grade of 2.0 or S (satisfactory) in every medical assisting course.

Students must follow the model schedule sequencing for all courses and clinical (see SC4 course catalog or The clinical practicum must be done at an SC4 contracted site.

It is the responsibility of the student to satisfactorily complete the medical assisting program within five (5) years from the time of the completion of the first medical assisting course. Any lapse in progression requires a readmission to the program. It may be necessary to repeat a course or courses if the student has withdrawn from the program for a period of one year or longer.


To graduate the student must attain a grade of 2.0 in every course listed as required in the model schedule for the nursing program in which he/she is enrolled.

It is the responsibility of the student to:

  • Monitor general education requirements for graduation
  • Apply for graduation at the beginning of the final semester
  • Participate in annual College Commencement Ceremony


A student will be dismissed from the program for the following reasons:

  1. Achievement of less than a 2.0 cumulative grade point average.
  2. A grade of less than 2.0 in any medical assisting or required academic courses.
  3. A grade of U (unsatisfactory) in clinical practicum.
  4. Failure to meet the objectives listed on the Warning Notice of Clinical Deficiency.
  5. Demonstration and/or evidence of mental and/or physical health condition that is deemed by the director to be dangerous to the student, peers and/or clients.


When a student does not receive a 2.0 in a medical assisting program course, they are withdrawn from the program. Any lapse in progression through the model curriculum schedule will require a written request for readmission to the Director of the program. This must include reasons why he/she were unsuccessful and the corrective action that has been taken to remedy the situation. Reapplying to the program does not guarantee admission.

Student support

Please check for a complete listing of academic, financial and support services.

Student appeal of grades (Academic Performance)

A student who has reason to believe that a grade he/she has received is incorrect should follow the College procedure established for appeal of grades.

Scholarships & loans

Available through Financial Aid Office; please make an appointment at 810-989-5530.
A confidential financial statement must be completed before making application.
If scholarships are awarded by special organizations or individuals; it is hoped that the student will acknowledge their appreciation by writing and sending a thank you note.

Disability & Special Services

Students who are experiencing academic difficulties and are in need of special support or testing services should contact the Achievement Center. Documentation is required for special testing accommodations.

Medical Assisting Organizational Chart

Every student is required to follow the chain of command within the organizational chart. Not following the organizational chart constitutes unprofessional behavior.

Organizational Chart

Student ⇒ Instructor Lecture-Clinical ⇒ Instructor Lecture-Clinical ⇒ Director of the Program ⇒ Divisional Administrator/Director of Health and Human Services ⇒ Chief Academic Officer

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