Medical Assisting: Administrative and Clinical Procedures with Anatomy and Physiology

Cover......Page 1
Medical Assisting......Page 2
About the Authors......Page 6
Brief Contents......Page 7
Contents......Page 8
Procedures......Page 22
Digital Exercises and Activities......Page 25
A Closer Look......Page 28
A Guided Tour......Page 31
Digital Materials for Medical Assisting......Page 34
Additional Supplementary Materials......Page 37
Acknowledgments......Page 38
Chapter 1 Introduction to Medical Assisting......Page 40
1.1 Responsibilities of the Medical Assistant......Page 41
1.2 Medical Assisting Organizations......Page 43
1.3 Medical Assistant Credentials......Page 44
1.4 Training Programs......Page 46
1.5 Professional Development......Page 47
PROCEDURE 1-1: Obtaining Certification/Registration Information Through the Internet......Page 48
Chapter 2 Healthcare and the Healthcare Team......Page 51
2.1 Healthcare Trends......Page 52
2.2 Medical Specialties......Page 54
2.3 Working with Other Healthcare Professionals......Page 57
2.4 Specialty Career Options......Page 60
2.5 Healthcare Professional Associations......Page 63
Chapter 3 Professionalism and Success......Page 67
3.1 Professionalism in Medical Assisting......Page 68
3.2 Professional Behaviors......Page 69
3.3 Strategies for Success......Page 74
PROCEDURE 3-1: Self-Evaluation of Professional Behaviors......Page 78
ActivSim: Cindy Chen......Page 82
4.1 Elements of Communication......Page 84
4.2 Human Behavior and Needs......Page 85
4.3 Types of Communication......Page 87
4.4 Improving Your Communication Skills......Page 88
4.5 Therapeutic Communication Skills......Page 89
Skills Video: Communicating with the Anxious Patient......Page 91
Skills Video: Communicating Effectively with Patients from Other Cultures and Meeting their Needs for Privacy......Page 93
4.7 Communicating with Coworkers......Page 95
PROCEDURE 4-1: Communicating with the Anxious Patient......Page 96
PROCEDURE 4-3: Communicating with the Assistance of an Interpreter......Page 97
Practice Medical Office: Admin: Check In – Interactions......Page 100
ActivSim: Cindy Chen......Page 101
5.1 Laws and Ethics......Page 103
5.2 The Physician-Patient Contract......Page 105
5.3 Preventing Malpractice Claims......Page 108
5.4 Administrative Procedures and the Law......Page 112
5.5 Federal Legislation Affecting Healthcare......Page 115
5.6 Confidentiality Issues and Mandatory Disclosure......Page 122
5.7 Ethics......Page 124
5.8 Legal Medical Practice Models......Page 125
PROCEDURE 5-2: Completing a Privacy Violation Complaint Form......Page 127
PROCEDURE 5-3: Obtaining Authorization to Release Health Information......Page 128
Practice Medical Office: Admin: Check In – Privacy and Liability......Page 131
ActivSim: Shenya Jones......Page 132
6.1 Occupational Safety and Health Administration......Page 133
6.2 The Cycle of Infection......Page 134
6.3 OSHA Bloodborne Pathogens Standard and Universal Precautions......Page 137
6.4 Transmission-Based Precautions......Page 142
6.5 OSHA-Required Education and Training......Page 143
PROCEDURE 6-1: Aseptic Handwashing......Page 144
PROCEDURE 6-4: Disposing of Biohazardous Waste......Page 145
Practice Medical Office: Admin: Check In – Office Operations......Page 147
ActivSim: Peter Smith......Page 148
7.2 OSHA Hazard Communication Standard......Page 150
7.3 Electrical Safety......Page 151
7.4 Fire Safety......Page 152
7.5 Chemical Safety......Page 154
7.6 Ergonomics and Physical Safety......Page 155
7.7 Preventing Injury in the Front Office......Page 157
7.8 Design of the Reception Area......Page 159
7.9 The Importance of Cleanliness......Page 162
7.10 Office Access for All......Page 164
7.11 Functions of the Reception Staff......Page 167
7.12 Opening and Closing the Office......Page 168
PROCEDURE 7-1: Handling a Fire Emergency......Page 169
PROCEDURE 7-3: Creating a Pediatric Reception Area......Page 171
PROCEDURE 7-5: Opening and Closing the Medical Office......Page 172
Practice Medical Office: Admin: Check In – Work Task Proficiencies......Page 176
Chapter 8 Office Equipment and Supplies......Page 177
8.1 Computers......Page 178
8.2 Components of the Computer......Page 180
8.3 Software......Page 182
8.4 Software Training......Page 185
8.5 Selecting Computer Equipment......Page 186
8.7 Security in the Computerized Office......Page 187
8.8 Administrative Medical Office Equipment......Page 188
8.9 Purchasing Decisions for Office Equipment......Page 193
8.10 Maintaining Office Equipment......Page 194
8.11 Maintaining Medical Office Supplies......Page 196
SKILLS VIDEO: Establishing and Conducting the Supply Inventory and Receiving Supplies......Page 199
8.13 Ordering Supplies......Page 201
PROCEDURE 8-2: Using a Photocopier Machine......Page 208
PROCEDURE 8-4: Using a Check-Writing Machine......Page 209
PROCEDURE 8-5: Step-by-Step Overview of Inventory Procedures......Page 210
Practice Medical Office: Admin: Check In – Office Operations......Page 213
ActivSim: Shenya Jones......Page 214
9.1 The Exam Room......Page 215
9.2 Sanitization and Disinfection......Page 216
9.3 Preparation of the Exam and Treatment Areas......Page 219
9.4 Room Temperature, Lighting, and Ventilation......Page 221
9.5 Medical Instruments and Supplies......Page 222
PROCEDURE 9-2: Guidelines for Disinfecting Exam Room Surfaces......Page 225
Practice Medical Office: Clinical – Office Operations......Page 228
ActivSim: Valarie Ramirez......Page 229
10.2 Selecting Document Supplies......Page 230
10.3 Effective Writing......Page 232
10.4 Medical Office Documents and Correspondence......Page 234
10.5 Written Communication Using Electronic Format......Page 237
10.6 Editing and Proofreading......Page 242
10.7 Preparing Outgoing Mail......Page 244
10.8 Mailing Options......Page 248
10.9 Processing Incoming Mail......Page 251
PROCEDURE 10-1: Creating a Professional Letter......Page 252
PROCEDURE 10-3: Composing a Professional E-mail Message......Page 253
PROCEDURE 10-5: Sorting and Opening Mail......Page 254
Practice Medical Office: Admin: Check In – Privacy and Liability......Page 257
ActivSim: Mohammad Nassar......Page 258
11.1 The Importance of Medical Records......Page 259
Skills Video: Registering a New Patient......Page 261
Skills Video: Initiating a Paper-Based Patient Medical Record......Page 266
11.3 Types of Medical Records......Page 268
11.4 Documentation and the 6 Cs of Charting......Page 271
11.5 Appearance, Timeliness, and Accuracy of Records......Page 273
Skills Video: Correcting the Patient Medical Record......Page 275
11.7 Responding to Release of Records Request......Page 276
PROCEDURE 11-2: Correcting Paper Medical Records......Page 278
PROCEDURE 11-3: Entering (Adding) Information into a Paper Medical Record......Page 279
Practice Medical Office: Admin: Check In – Privacy and Liability......Page 282
ActivSim: Ken Washington......Page 283
12.2 Electronic Records......Page 284
12.3 Meaningful Use and the EHR......Page 286
12.4 Advantages and Disadvantages of EHR Programs......Page 287
12.5 Working with an Electronic Health Record......Page 288
12.6 Other Functions of EHR Programs......Page 289
Skills Video: PHI Authorization to Release Health Information......Page 292
PROCEDURE 12-2: Making an Addition or Addendum (Correction) to an Electronic Health Record......Page 293
PROCEDURE 12-4: Scheduling a Patient Appointment Using an Electronic Scheduler......Page 294
Practice Medical Office: Admin: Check Out – Privacy and Liability......Page 297
Chapter 13 Managing Medical Records......Page 298
13.1 Filing Equipment......Page 299
13.2 Security and Safety Measures......Page 300
13.4 Filing Systems......Page 301
13.5 The Filing Process......Page 306
13.6 Active, Inactive, and Closed Files......Page 308
PROCEDURE 13-1: Creating a Filing System for Paper Medical Records......Page 310
PROCEDURE 13-3: Developing a Records Retention Program......Page 311
Practice Medical Office: Admin: Check Out – Work Task Proficiencies......Page 314
Chapter 14 Telephone Techniques......Page 315
14.1 Telecommunications Equipment......Page 316
14.2 Effective Telephone Communication......Page 319
14.3 Telephone Etiquette......Page 320
14.4 Types of Incoming Calls......Page 322
Skills Video: Manage a Prescription Refill......Page 323
14.5 Managing Incoming Calls......Page 327
14.6 Taking Complete and Accurate Phone Messages......Page 329
14.7 Placing Outgoing Calls......Page 330
PROCEDURE 14-2: Renewing a Prescription by Telephone......Page 332
PROCEDURE 14-3: Screening and Routing Telephone Calls......Page 333
PROCEDURE 14-4: Handling Emergency Calls......Page 334
PROCEDURE 14-5: Retrieving Messages from an Answering Service or System......Page 335
Practice Medical Office: Admin: Check In – Office Operations......Page 337
ActivSim: Sylvia Gonzales......Page 338
15.1 The Educated Patient......Page 339
15.3 Teaching Techniques......Page 340
15.4 Patient Education Materials......Page 341
15.5 Promoting Health and Wellness Through Education......Page 345
15.6 The Patient Information Packet......Page 347
15.7 Patient Education Prior to Surgery......Page 350
PROCEDURE 15-2: Identifying Community Resources......Page 353
PROCEDURE 15-3: Locating Credible Patient Education Information on the Internet......Page 354
PROCEDURE 15-5: Outpatient Surgery Teaching......Page 355
Practice Medical Office: Admin: Check Out – Interactions......Page 358
ActivSim: John Miller......Page 359
16.1 The Appointment Book......Page 360
16.2 Applying the Matrix......Page 361
16.3 Appointment Scheduling Systems......Page 365
16.4 Organizing and Scheduling Appointments......Page 368
16.5 Special Scheduling Situations......Page 371
Skills Video: Scheduling Outpatient Surgical Appointments......Page 374
Skills Video: Scheduling Inpatient Surgical Appointments......Page 375
PROCEDURE 16-1: Creating an Appointment Matrix......Page 377
PROCEDURE 16-3: Completing the Patient Appointment Card......Page 378
PROCEDURE 16-5: Scheduling Outpatient Surgical Appointments......Page 379
PROCEDURE 16-6: Scheduling Inpatient Surgical Appointments......Page 380
Practice Medical Office: Admin: Check Out - Work Task Proficiencies......Page 383
ActivSim: Sylvia Gonzales......Page 384
17.1 Basic Insurance Terminology......Page 385
17.2 Private Health Plans......Page 386
17.3 Government Plans......Page 390
17.4 Payer Payment Systems......Page 396
17.5 The Claims Process: An Overview......Page 399
Skills Video: Requesting Prior Authorization......Page 401
17.6 Preparing and Transmitting the Healthcare Claim......Page 403
17.7 Transmitting Electronic Claims......Page 412
17.8 Insurer Processing Claims and Payments......Page 413
PROCEDURE 17-1: Verifying Workers’ Compensation Coverage......Page 415
PROCEDURE 17-3: Completing the CMS-1500 Claim Form......Page 416
PROCEDURE 17-4: Tracking Insurance Claims Submissions......Page 418
Practice Medical Office: Admin: Check In – Work Task Proficiencies......Page 421
ActivSim: Cindy Chen......Page 422
18.1 The Reasons for Diagnosis Codes......Page 423
18.2 A Basic Comparison of ICD-9-CM and ICD-10-CM......Page 424
18.3 An Overview of ICD-10......Page 426
18.4 Coding with ICD-10......Page 430
18.5 External Cause of Injury and Health Status Codes......Page 434
18.6 Synopsis of ICD-10 Coding Guidelines by Chapter......Page 436
PROCEDURE 18-2: Locating a Health Status (Z) Code......Page 442
PROCEDURE 18-3: Locating an External Cause Code......Page 443
Electronic Health Records: Maintaining the ICD-10 Database......Page 445
Practice Medical Office: Admin: Check Out – Office Operations......Page 446
ActivSim: Raja Lautu......Page 447
19.1 The CPT Manual......Page 448
19.2 General CPT Guidelines......Page 450
19.3 Evaluation and Management Services......Page 456
19.4 Surgical Coding......Page 458
19.5 Using the CPT Manual......Page 462
19.7 Coding Compliance......Page 463
PROCEDURE 19-2: Locating a HCPCS Code......Page 465
PROCEDURE 19-3: Entering CPT/HCPCS and ICD Codes into an EHR Program......Page 466
Electronic Health Records: Maintaining the CPT Database......Page 468
Practice Medical Office: Admin: Check Out – Work Task Proficiencies......Page 469
Chapter 20 Patient Collections and Financial Management......Page 470
20.2 Medical Office Accounting Methods......Page 472
20.3 In-Office Transactions......Page 476
20.4 Standard Billing Procedures......Page 480
20.5 Standard Collection Procedures......Page 482
Skills Video: Posting Charges, Payments, and Adjustments......Page 484
20.6 Laws That Govern Credit and Collections......Page 485
20.7 Credit Arrangements......Page 487
20.8 Common Collection Problems......Page 489
20.9 Banking and Negotiable Instruments......Page 491
20.10 Preparing a Bank Deposit......Page 493
20.11 Reconciling the Bank Statement......Page 494
20.12 Electronic Banking......Page 496
20.13 Accounts Payable and Managing Disbursements......Page 497
PROCEDURE 20-1: Posting Charges, Payments, and Adjustments......Page 499
PROCEDURE 20-3: Posting a Nonsufficient Funds (NSF) Check......Page 500
PROCEDURE 20-6: Preparing an Age Analysis......Page 501
PROCEDURE 20-7: Referring an Account to a Collection Agency and Posting the Payment from the Agency......Page 502
PROCEDURE 20-9: Making a Bank Deposit......Page 503
PROCEDURE 20-10: Reconciling the Bank Statement......Page 504
PROCEDURE 20-11: Setting Up the Disbursements Journal......Page 505
Practice Medical Office: Admin: Check Out – Work Task Proficiencies......Page 508
ActivSim: John Miller......Page 509
21.1 The Study of the Body......Page 510
21.3 Major Tissue Types......Page 511
21.4 Body Organs and Systems......Page 513
21.6 Anatomical Terminology......Page 516
21.7 Body Cavities and Abdominal Regions......Page 517
21.8 Chemistry of Life......Page 518
Body Animat3: Basic Chemistry (Organic Molecules)......Page 519
Body Animat3: Fluid and Electrolyte Imbalances......Page 521
21.11 Cell Division......Page 523
21.12 Genetic Techniques......Page 524
21.13 Heredity and Common Genetic Disorders......Page 525
21.14 Pathophysiology: Common Genetic Disorders......Page 526
ActivSim: Christopher Matthews......Page 530
22.2 Skin Structure......Page 531
22.3 Skin Color......Page 532
22.4 Skin Lesions......Page 533
22.5 Accessory Organs......Page 534
Body Animat3: Inflammation......Page 536
22.7 Pathophysiology: Common Diseases and Disorders of the Skin......Page 537
Body Animat3: Burns......Page 538
ActivSim: John Miller......Page 545
23.1 Bone Structure......Page 546
23.3 Bone Growth......Page 548
23.5 The Skull......Page 550
23.7 The Rib Cage......Page 552
23.8 Bones of the Shoulders, Arms, and Hands......Page 554
23.9 Bones of the Hips, Legs, and Feet......Page 555
23.11 Pathophysiology: Common Diseases and Disorders of the Skeletal System......Page 556
Body Animat3: Osteoarthritis vs. Rheumatoid Arthritis......Page 557
Body Animat3: Osteoporosis......Page 559
ActivSim: Ken Washington......Page 563
24.2 Muscle Cells and Tissue......Page 564
24.3 Production of Energy for Muscle......Page 566
24.5 Attachments and Actions of Skeletal Muscles......Page 567
24.6 Major Skeletal Muscles......Page 568
24.8 Pathophysiology: Common Diseases and Disorders of the Muscular System......Page 574
ActivSim: John Miller......Page 579
25.1 The Heart......Page 580
25.2 Cardiac Cycle......Page 582
Body Animat3: Cardiac Cycle......Page 583
25.3 Blood Vessels......Page 584
25.4 Circulation......Page 587
25.5 Blood Pressure......Page 588
Body Animat3: Hypertension......Page 590
Body Animat3: Coronary Artery Disease (CAD)......Page 591
Body Animat3: Right-Side Heart Failure......Page 592
ActivSim: Cindy Chen......Page 597
26.1 Components of Blood......Page 598
26.2 Bleeding Control......Page 601
26.4 The Rh Factor......Page 602
26.5 Pathophysiology: Common Diseases and Disorders of the Blood System......Page 604
ActivSim: Cindy Chen......Page 609
27.1 The Lymphatic System......Page 610
Body Animat3: Lymph and Lymph Node Circulation......Page 611
27.2 Defenses Against Disease......Page 613
27.4 Immune Responses and Acquired Immunities......Page 615
27.5 Pathophysiology: Common Diseases and Disorders of the Immune System......Page 617
Body Animat3: Immune Response: Hypersensitivity......Page 618
Body Animat3: Inflammation......Page 621
ActivSim: Mohammad Nassar......Page 623
28.1 Organs of the Respiratory System......Page 624
28.2 The Mechanisms of Breathing......Page 627
28.4 Respiratory Volumes......Page 628
Body Animat3: Asthma......Page 630
Body Animat3: Respiratory Failure......Page 631
Chapter 29 The Nervous System......Page 638
29.2 Neuron Structure......Page 639
Body Animat3: Nerve Impulse......Page 640
29.4 Central Nervous System......Page 641
Body ANIMAT3: Spinal Cord Injury......Page 645
29.6 Neurologic Testing......Page 648
Body Animat3: Alzheimer’s Disease......Page 650
Body Animat3: Strokes......Page 655
ActivSim: Peter Smith......Page 656
30.1 The Kidneys......Page 657
30.2 Urine Formation......Page 658
30.3 The Ureters, Urinary Bladder, and Urethra......Page 660
Body Animat3: Renal Function......Page 662
ActivSim: Raja Lautu......Page 665
31.1 The Male Reproductive System......Page 666
31.2 Pathophysiology: Common Diseases and Disorders of the Male Reproductive System......Page 670
Body Animat3: Prostate Cancer......Page 671
31.3 The Female Reproductive System......Page 672
Body Animat3: Breast Cancer......Page 675
31.5 Pregnancy......Page 677
31.6 The Birth Process......Page 679
31.7 Contraception......Page 681
31.9 Pathophysiology: Sexually Transmitted Infections Occurring in Both Sexes......Page 683
Body Animat3: Meiosis vs Mitosis......Page 687
ActivSim: Sylvia Gonzales......Page 688
32.1 Characteristics of the Alimentary Canal......Page 689
Body Animat3: Food Absorption......Page 695
32.3 The Absorption of Nutrients......Page 696
Body Animat3: Liver Failure......Page 698
ActivSim: Ken Washington......Page 703
33.1 Hormones......Page 704
33.2 Hormone Production......Page 706
33.4 Pathophysiology: Common Diseases and Disorders of the Endocrine System......Page 709
Body Animat3: Type 2 Diabetes......Page 711
Body Animat3: Hyperthyroidism......Page 713
ActivSim: Valarie Ramirez......Page 716
34.1 The Nose and the Sense of Smell......Page 717
34.2 The Tongue and the Sense of Taste......Page 718
34.3 The Eye and the Sense of Sight......Page 719
34.4 Visual Pathways......Page 721
34.5 Pathophysiology: Common Diseases of the Eyes......Page 723
34.6 The Ear and the Senses of Hearing and Equilibrium......Page 724
34.7 The Hearing Process......Page 725
Body Animat3: Hearing Loss: Sensorineural......Page 726
34.8 Pathophysiology: Common Diseases and Disorders of the Ears......Page 727
ActivSim: Ken Washington......Page 731
35.1 Healthcare-Associated Infections......Page 732
35.2 Infection Control Methods......Page 734
35.3 Safe Injection Practices and Sharps Safety......Page 737
35.4 Respiratory Hygiene/Cough Etiquette Practices......Page 738
35.6 Surgical Site Infections (SSIs)......Page 740
35.7 Sterilization......Page 741
Skills Video: Wrapping and Labeling Instruments for Sterilization in the Autoclave......Page 742
35.8 Reporting Guidelines for Infectious Diseases......Page 745
PROCEDURE 35-1: Removing Contaminated Gloves......Page 746
PROCEDURE 35-3: Wrapping and Labeling Instruments for Sterilization in the Autoclave......Page 747
PROCEDURE 35-4: Running a Load Through the Autoclave......Page 748
PROCEDURE 35-5: Notifying State and County Agencies About Reportable Diseases......Page 749
Practice Medical Office: Admin: Check Out – Privacy & Liability......Page 753
ActivSim: Peter Smith......Page 754
36.1 The Patient Interview and History......Page 755
36.2 Your Role as an Observer......Page 759
36.3 Documenting Patient Information......Page 761
36.4 Recording the Patient’s Medical History......Page 766
Skills Video: Obtaining a Medical History......Page 769
PROCEDURE 36-1: Using Critical Thinking Skills During an Interview......Page 772
PROCEDURE 36-3: Obtaining a Medical History......Page 773
Practice Medical Office: Clinical – Interactions......Page 775
ActivSim: Mohammad Nassar......Page 776
37.2 Temperature......Page 777
37.3 Pulse and Respiration......Page 781
Skills Video: Measuring and Recording Pulse and Respirations......Page 783
37.4 Blood Pressure......Page 784
37.6 Body Measurements......Page 786
Skills Video: Measuring Adults and Children......Page 787
PROCEDURE 37-1: Measuring and Recording Temperature......Page 788
PROCEDURE 37-2: Measuring and Recording Pulse and Respirations......Page 789
PROCEDURE 37-3: Taking the Blood Pressure of Adults and Older Children......Page 790
PROCEDURE 37-4: Measuring Adults and Children......Page 791
Practice Medical Office: Clinical – Office Operations......Page 794
ActivSim: Valarie Ramirez......Page 795
38.1 The Purpose of a General Physical Exam......Page 796
38.4 Preparing the Patient for an Exam......Page 797
38.5 Positioning and Draping......Page 798
38.7 Exam Methods......Page 801
38.8 Components of a General Physical Exam......Page 802
Skills Video: Assisting with a General Physical Exam......Page 803
PROCEDURE 38-1: Positioning a Patient for an Exam......Page 806
PROCEDURE 38-2: Communicating Effectively with Patients from Other Cultures and Meeting Their Needs for Privacy......Page 807
PROCEDURE 38-3: Transferring a Patient in a Wheelchair for an Exam......Page 808
PROCEDURE 38-4: Assisting with a General Physical Exam......Page 809
Practice Medical Office: Clinical – Interactions......Page 813
ActivSim: Raja Lautu......Page 814
39.1 Assisting with the Gynecologic Patient......Page 815
39.2 Assisting with the Obstetric Patient......Page 818
39.3 OB/GYN Diagnostic and Therapeutic Tests and Procedures......Page 821
Skills Video: Pregnancy Testing Using the EIA Method......Page 822
39.5 Urologic Diagnostic Tests and Procedures......Page 827
39.6 Diseases and Disorders of the Reproductive and Urinary Systems......Page 828
PROCEDURE 39-1: Assisting with a Gynecologic Exam......Page 831
PROCEDURE 39-3: Assisting with a Cervical Biopsy......Page 833
Practice Medical Office: Clinical – Interactions......Page 836
ActivSim: Chris Matthews......Page 837
40.1 Developmental Stages and Care......Page 838
40.2 Pediatric Examinations......Page 847
40.3 Pediatric Immunizations......Page 849
40.4 Pediatric Screening and Diagnostic Tests......Page 852
Skills Video: Measuring Infants......Page 853
40.5 Pediatric Diseases and Disorders......Page 856
40.6 Pediatric Patient Special Concerns......Page 859
PROCEDURE 40-1: Measuring Infants......Page 861
PROCEDURE 40-2: Maintaining Growth Charts......Page 862
PROCEDURE 40-3: Collecting a Urine Specimen from a Pediatric Patient......Page 864
Skills Video: Measuring Adults and Children......Page 866
Practice Medical Office: Clinical – Interactions......Page 867
ActivSim: Peter Smith......Page 868
41.1 The Geriatric Patient......Page 869
41.3 Assisting with Geriatric Care......Page 872
Skills Video: Obtaining Information from a Geriatric Patient......Page 874
41.4 Geriatric Patient Special Concerns......Page 877
PROCEDURE 41-1: Educating Adult Patients About Daily Water Requirements......Page 880
Practice Medical Office: Clinical – Interactions......Page 883
ActivSim: Valarie Ramirez......Page 884
42.1 Working in Other Medical Specialties......Page 885
42.2 Diseases and Disorders of Medical Specialties......Page 889
42.3 Exams and Procedures in Medical Specialties......Page 892
PROCEDURE 42-1: Assisting with a Scratch Test Examination......Page 901
PROCEDURE 42-2: Assisting with a Sigmoidoscopy......Page 902
PROCEDURE 42-3: Assisting with a Needle Biopsy......Page 903
Practice Medical Office: Clinical – Interactions......Page 905
ActivSim: Valarie Ramirez......Page 906
43.2 Eye Diseases and Disorders......Page 908
43.3 Ophthalmic Exams......Page 911
43.4 Ophthalmologic Procedures and Treatments......Page 913
43.6 Ear Diseases and Disorders......Page 914
43.7 Hearing and Other Diagnostic Ear Tests......Page 918
43.8 Ear Treatments and Procedures......Page 919
Skills Video: Performing Ear Irrigation......Page 920
PROCEDURE 43-2: Performing Vision Screening Tests......Page 922
PROCEDURE 43-3: Administering Eye Medications......Page 925
PROCEDURE 43-4: Performing Eye Irrigation......Page 927
PROCEDURE 43-5: Measuring Auditory Acuity......Page 928
PROCEDURE 43-6: Administering Eardrops......Page 929
PROCEDURE 43-7: Performing Ear Irrigation......Page 930
Practice Medical Office: Clinical – Work Task Proficiencies and Clinical – Interactions......Page 933
ActivSim: Peter Smith......Page 934
44.1 The Medical Assistant’s Role in Minor Surgery......Page 935
44.2 Surgery in the Physician’s Office......Page 936
Body Animat3: Wound Healing......Page 937
44.3 Instruments Used in Minor Surgery......Page 939
44.4 Asepsis......Page 943
Skills Video: Creating a Sterile Field......Page 944
44.5 Preoperative Procedures......Page 946
44.6 Intraoperative Procedures......Page 948
44.7 Postoperative Procedures......Page 951
PROCEDURE 44-1: Creating a Sterile Field......Page 952
PROCEDURE 44-2: Performing a Surgical Scrub......Page 953
PROCEDURE 44-3: Donning Sterile Gloves......Page 954
PROCEDURE 44-4: Assisting as a Floater (Unsterile Assistant) During Minor Surgical Procedures......Page 955
PROCEDURE 44-6: Assisting After Minor Surgical Procedures......Page 956
PROCEDURE 44-7: Suture Removal......Page 957
Practice Medical Office: Clinical – Work Task Proficiencies......Page 960
ActivSim: Sylvia Gonzales......Page 961
45.1 The Role of Laboratory Testing in Patient Care......Page 962
45.3 Use of Laboratory Equipment......Page 963
Skills Video: Using a Microscope......Page 965
45.4 Safety in the Laboratory......Page 966
45.5 Quality Assurance Programs......Page 967
45.6 Communicating with the Patient......Page 974
45.7 Recordkeeping......Page 975
PROCEDURE 45-1: Using a Microscope......Page 977
Practice Medical Office: Clinical – Privacy and Liability......Page 981
ActivSim: Cindy Chen......Page 982
46.2 How Microorganisms Cause Disease......Page 983
46.3 Classification and Naming of Microorganisms......Page 984
46.4 Viruses......Page 985
46.5 Bacteria......Page 988
46.6 Protozoans......Page 992
46.8 Multicellular Parasites......Page 994
46.10 Specimen Collection......Page 996
Skills Video: Obtaining a Throat Culture Specimen......Page 999
46.12 Direct Examination of Specimens......Page 1000
46.14 Culturing Specimens in the Medical Office......Page 1001
PROCEDURE 46-1: Obtaining a Throat Culture Specimen......Page 1005
PROCEDURE 46-3: Preparing Microbiologic Specimens for Transport to an Outside Laboratory......Page 1006
PROCEDURE 46-5: Performing a Gram Stain......Page 1007
Practice Medical Office: Admin: Check Out – Privacy and Liability......Page 1011
ActivSim: Ken Washington......Page 1012
47.1 The Role of the Medical Assistant......Page 1013
47.2 Obtaining Urine Specimens......Page 1014
Skills Video: Collecting a Clean-Catch Midstream Urine Specimen......Page 1015
47.3 Urinalysis......Page 1019
Skills Video: Performing a Reagent Strip Test......Page 1023
Skills Video: Pregnancy Testing Using the EIA Method......Page 1025
47.4 Collecting and Processing Stool Specimens......Page 1027
PROCEDURE 47-1: Collecting a Clean-Catch Mid-Stream Urine Specimen......Page 1029
PROCEDURE 47-2: Collecting a 24-Hour Urine Specimen......Page 1030
PROCEDURE 47-3: Establishing Chain of Custody for a Urine Specimen......Page 1031
PROCEDURE 47-5: Performing a Reagent Strip Test......Page 1032
PROCEDURE 47-6: Pregnancy Testing Using the EIA Method......Page 1033
PROCEDURE 47-7: Processing a Urine Specimen for Microscopic Examination of Sediment......Page 1034
PROCEDURE 47-8: Fecal Occult Blood Testing Using the Guaiac Testing Method......Page 1036
Practice Medical Office: Clinical – Interactions......Page 1038
ActivSim: Sylvia Gonzales......Page 1039
48.1 The Role of the Medical Assistant......Page 1040
Skills Video: Quality Control Procedures for Blood Specimen Collection......Page 1041
48.3 Patient Preparation and Communication......Page 1047
48.4 Performing Blood Collection......Page 1050
48.5 Performing Common Blood Tests......Page 1052
Skills Video: Measuring Hematocrit Percentage after Centrifuge......Page 1059
Skills Video: Measuring Blood Glucose Using a Handheld Glucometer......Page 1061
PROCEDURE 48-1: Quality Control Procedures for Blood Specimen Collection......Page 1063
PROCEDURE 48-2: Performing Venipuncture Using an Evacuated System......Page 1064
PROCEDURE 48-3: Performing Capillary Puncture......Page 1066
PROCEDURE 48-4: Preparing a Blood Smear Slide......Page 1068
PROCEDURE 48-5: Measuring Hematocrit Percentage After Centrifuge......Page 1069
PROCEDURE 48-7: Performing a Rapid Infectious Mononucleosis Test......Page 1071
Electronic Health Records: Creating a Patient Order Form......Page 1073
Practice Medical Office: Clinical – Work Task Proficiencies......Page 1074
ActivSim: John Miller......Page 1075
49.2 Basic Principles of Electrocardiography......Page 1076
49.3 The Electrocardiograph......Page 1078
49.4 Performing an ECG......Page 1081
49.5 Exercise Electrocardiography (Stress Testing) and Echocardiography......Page 1089
49.7 Pulmonary Function Testing......Page 1091
Skills Video: Measuring Forced Vital Capacity Using Spirometry......Page 1094
PROCEDURE 49-1: Obtaining an ECG......Page 1095
PROCEDURE 49-2: Holter Monitoring......Page 1096
PROCEDURE 49-3: Measuring Forced Vital Capacity Using Spirometry......Page 1098
PROCEDURE 49-4: Obtaining a Peak Expiratory Flow Rate......Page 1099
PROCEDURE 49-5: Obtaining a Pulse Oximetry Reading......Page 1100
Practice Medical Office: Clinical – Work Task Proficiencies......Page 1103
ActivSim: Raja Lautu......Page 1104
50.2 Diagnostic Radiology......Page 1105
50.3 The Medical Assistant’s Role in Diagnostic Radiology......Page 1106
50.4 Common Diagnostic Radiologic Tests......Page 1108
50.5 Common Therapeutic Uses of Radiation......Page 1116
50.6 Radiation Safety and Dose......Page 1117
50.7 Electronic Medicine......Page 1118
PROCEDURE 50-2: Documentation and Filing Techniques for X-rays......Page 1120
Practice Medical Office: Clinical – Interactions......Page 1123
Chapter 51 Principles of Pharmacology......Page 1124
51.1 The Medical Assistant’s Role in Pharmacology......Page 1125
51.2 Pharmacology......Page 1126
Body Animat3: Medication Excretion......Page 1127
51.4 FDA Regulation and Drugs......Page 1129
51.5 Sources of Drug Information......Page 1133
51.6 Controlled Substances......Page 1134
51.7 Prescriptions......Page 1138
Skills Video: Interpreting a Prescription......Page 1140
51.9 Vaccines......Page 1141
PROCEDURE 51-2: Interpreting a Prescription......Page 1143
Skills Video: Managing a Prescription Refill......Page 1145
Practice Medical Office: Clinical – Privacy and Liability......Page 1146
ActivSim: Chris Matthews......Page 1147
52.1 Ensuring Safe Dosage Calculations......Page 1148
52.2 Measurement Systems......Page 1149
52.3 Conversions Within and Between Measurement Systems......Page 1150
52.4 Dosage Calculations......Page 1151
52.5 Body Weight and Body Surface Area Calculations......Page 1155
Practice Medical Office: Clinical – Privacy and Liability......Page 1159
ActivSim: John Miller......Page 1160
53.1 Preparing to Administer a Drug......Page 1161
53.2 Rights of Medication Administration......Page 1164
53.3 Drug Routes and Equipment......Page 1165
53.4 Medications by Mouth......Page 1167
53.5 Medications by Injection......Page 1168
Skills Video: Reconstituting and Drawing a Drug for Injection......Page 1169
Skills Video: Giving an Intramuscular Injection......Page 1171
53.7 Special Considerations......Page 1173
53.8 Patient Education About Medications......Page 1175
53.9 Charting Medications......Page 1177
PROCEDURE 53-1: Administering Oral Drugs......Page 1178
PROCEDURE 53-2: Administering Buccal or Sublingual Drugs......Page 1180
PROCEDURE 53-4: Reconstituting and Drawing a Drug for Injection......Page 1181
PROCEDURE 53-5: Giving an Intradermal (ID) Injection......Page 1182
PROCEDURE 53-6: Giving a Subcutaneous (Subcut) Injection......Page 1183
PROCEDURE 53-7: Giving an Intramuscular (IM) Injection......Page 1184
PROCEDURE 53-8: Administering Inhalation Therapy......Page 1185
PROCEDURE 53-9: Administering and Removing a Transdermal Patch and Providing Patient Instruction......Page 1186
PROCEDURE 53-11: Administering a Vaginal Medication......Page 1187
PROCEDURE 53-12: Administering a Rectal Medication......Page 1188
Practice Medical Office: Clinical – Office Operations......Page 1191
ActivSim: Chris Matthews......Page 1192
54.1 General Principles of Physical Therapy......Page 1193
54.2 Cryotherapy and Thermotherapy......Page 1196
54.3 Hydrotherapy......Page 1199
54.4 Exercise Therapy......Page 1200
54.5 Massage......Page 1202
54.7 Mobility Aids......Page 1203
Skills Video: Teaching a Patient How to Use Crutches......Page 1206
PROCEDURE 54-1: Administering Cryotherapy......Page 1208
PROCEDURE 54-2: Administering Thermotherapy......Page 1209
PROCEDURE 54-3: Teaching a Patient How to Use a Cane......Page 1210
PROCEDURE 54-5: Teaching a Patient How to Use Crutches......Page 1211
Practice Medical Office: Clinical – Work Task Proficiencies......Page 1214
ActivSim: Mohammad Nassar......Page 1215
55.1 Daily Energy Requirements......Page 1216
55.2 Nutrients......Page 1217
Body Animat3: Protein Synthesis......Page 1218
55.3 Dietary Guidelines......Page 1224
55.5 Modified Diets......Page 1226
55.6 Patients with Specific Nutritional Needs......Page 1228
Body Animat3: Digestion: Lactose Intolerance......Page 1232
Body Animat3: Obesity......Page 1233
55.7 Eating Disorders......Page 1234
55.8 Patient Education......Page 1235
PROCEDURE 55-1: Teaching Patients How to Read Food Labels......Page 1237
PROCEDURE 55-2: Alerting Patients with Food Allergies to the Dangers of Common Foods......Page 1238
Practice Medical Office: Admin: Check In – Interactions......Page 1241
ActivSim: Cindy Chen......Page 1242
56.1 Organizational Design......Page 1243
56.2 Managing the Medical Practice......Page 1245
Skills Video: Petty Cash......Page 1247
56.3 Human Resources and Practice Management......Page 1249
56.4 Being a Leader......Page 1252
56.5 Risk Management and Quality Assurance......Page 1253
56.6 Handling Payroll......Page 1255
56.7 Calculating and Filing Taxes......Page 1260
PROCEDURE 56-1: Preparing a Travel Expense Report......Page 1264
PROCEDURE 56-3: Completing an Incident Report......Page 1265
PROCEDURE 56-4: Generating Payroll......Page 1266
Practice Medical Office: Admin: Check Out – Privacy and Liability......Page 1269
ActivSim: Mohammad Nassar......Page 1270
57.1 Understanding Medical Emergencies......Page 1271
57.2 Preparing for Medical Emergencies......Page 1272
57.3 Accidental Injuries......Page 1274
Skills Video: Controlling Bleeding......Page 1277
57.4 Common Disorders......Page 1281
57.5 Less Common Disorders......Page 1284
Skills Video: Performing Cardiopulmonary Resuscitation (CPR)......Page 1286
57.6 Common Psychosocial Emergencies......Page 1288
57.9 Disasters and Pandemics......Page 1289
57.10 Bioterrorism......Page 1290
PROCEDURE 57-1: Stocking the Crash Cart......Page 1292
PROCEDURE 57-3: Foreign Body Airway Obstruction in a Responsive Adult or Child......Page 1293
PROCEDURE 57-4: Foreign Body Airway Obstruction in a Responsive Infant......Page 1295
PROCEDURE 57-5: Controlling Bleeding......Page 1296
PROCEDURE 57-7: Caring for a Patient Who Is Vomiting......Page 1297
PROCEDURE 57-8: Assisting During a Chemical Disaster......Page 1298
Practice Medical Office: Clinical: Privacy and Liability......Page 1300
Chapter 58 Preparing for the World of Work......Page 1301
58.1 Training in Action......Page 1302
58.2 Obtaining Professional Certification......Page 1306
58.3 Preparing to Find a Position......Page 1307
58.4 Interviewing......Page 1313
58.5 On the Job......Page 1317
PROCEDURE 58-1: Résumé Writing......Page 1318
Practice Medical Office: Admin: Check Out – Work Task Proficiencies......Page 1320
I Prefixes, Suffixes, and Word Roots in Commonly Used Medical Terms......Page 1322
II Abbreviations and Symbols Commonly Used in Medical Notations......Page 1326
III Diseases and Disorders......Page 1328
Glossary......Page 1346
Index......Page 1392