Medical assisting : administrative and clinical procedures with anatomy and physiology.

Description

Cover Medical Assisting About the Authors Brief Contents Contents Procedures Digital Exercises and Activities A Closer Look A Guided Tour Digital Materials for Medical Assisting Additional Supplementary Materials Acknowledgments Unit One Medical Assisting as a Career Chapter 1 Introduction to Medical Assisting 1.1 Responsibilities of the Medical Assistant 1.2 Medical Assisting Organizations 1.3 Medical Assistant Credentials 1.4 Training Programs 1.5 Professional Development PROCEDURE 1-1: Obtaining Certification/Registration Information Through the Internet Chapter 2 Healthcare and the Healthcare Team 2.1 Healthcare Trends 2.2 Medical Specialties 2.3 Working with Other Healthcare Professionals 2.4 Specialty Career Options 2.5 Healthcare Professional Associations Chapter 3 Professionalism and Success 3.1 Professionalism in Medical Assisting 3.2 Professional Behaviors 3.3 Strategies for Success PROCEDURE 3-1: Self-Evaluation of Professional Behaviors Chapter 4 Interpersonal Communication ActivSim: Cindy Chen 4.1 Elements of Communication 4.2 Human Behavior and Needs 4.3 Types of Communication 4.4 Improving Your Communication Skills 4.5 Therapeutic Communication Skills 4.6 Communicating in Special Circumstances Skills Video: Communicating with the Anxious Patient Skills Video: Communicating Effectively with Patients from Other Cultures and Meeting their Needs for Privacy 4.7 Communicating with Coworkers PROCEDURE 4-1: Communicating with the Anxious Patient PROCEDURE 4-2: Communicating with the Angry Patient PROCEDURE 4-3: Communicating with the Assistance of an Interpreter Practice Medical Office: Admin: Check In – Interactions Chapter 5 Legal and Ethical Issues ActivSim: Cindy Chen 5.1 Laws and Ethics 5.2 The Physician-Patient Contract 5.3 Preventing Malpractice Claims 5.4 Administrative Procedures and the Law 5.5 Federal Legislation Affecting Healthcare 5.6 Confidentiality Issues and Mandatory Disclosure 5.7 Ethics 5.8 Legal Medical Practice Models PROCEDURE 5-1: Obtaining Signature for Notice of Privacy Practices and Acknowledgment PROCEDURE 5-2: Completing a Privacy Violation Complaint Form PROCEDURE 5-3: Obtaining Authorization to Release Health Information Practice Medical Office: Admin: Check In – Privacy and Liability Unit Two Safety and the Environment Chapter 6 Infection Control Fundamentals ActivSim: Shenya Jones 6.1 Occupational Safety and Health Administration 6.2 The Cycle of Infection Skills Video: Aseptic Hand Hygiene 6.3 OSHA Bloodborne Pathogens Standard and Universal Precautions 6.4 Transmission-Based Precautions 6.5 OSHA-Required Education and Training PROCEDURE 6-1: Aseptic Handwashing PROCEDURE 6-2: Using an Alcohol-Based Hand Disinfectant PROCEDURE 6-3: Using a Biohazardous Sharps Container PROCEDURE 6-4: Disposing of Biohazardous Waste Practice Medical Office: Admin: Check In – Office Operations Chapter 7 Safety and Patient Reception ActivSim: Peter Smith 7.1 The Medical Office Safety Plan 7.2 OSHA Hazard Communication Standard 7.3 Electrical Safety 7.4 Fire Safety 7.5 Chemical Safety 7.6 Ergonomics and Physical Safety 7.7 Preventing Injury in the Front Office 7.8 Design of the Reception Area 7.9 The Importance of Cleanliness 7.10 Office Access for All 7.11 Functions of the Reception Staff 7.12 Opening and Closing the Office PROCEDURE 7-1: Handling a Fire Emergency PROCEDURE 7-2: Maintaining and Using an Eyewash Station PROCEDURE 7-3: Creating a Pediatric Reception Area PROCEDURE 7-4: Creating a Reception Area Accessible to Patients with Special Needs PROCEDURE 7-5: Opening and Closing the Medical Office Practice Medical Office: Admin: Check In – Work Task Proficiencies Chapter 8 Office Equipment and Supplies 8.1 Computers 8.2 Components of the Computer 8.3 Software 8.4 Software Training 8.5 Selecting Computer Equipment 8.6 Computer System Care and Maintenance 8.7 Security in the Computerized Office 8.8 Administrative Medical Office Equipment 8.9 Purchasing Decisions for Office Equipment 8.10 Maintaining Office Equipment 8.11 Maintaining Medical Office Supplies 8.12 Taking a Supply Inventory SKILLS VIDEO: Establishing and Conducting the Supply Inventory and Receiving Supplies 8.13 Ordering Supplies PROCEDURE 8-1: Using a Facsimile (Fax) Machine PROCEDURE 8-2: Using a Photocopier Machine PROCEDURE 8-3: Using a Postage Meter PROCEDURE 8-4: Using a Check-Writing Machine PROCEDURE 8-5: Step-by-Step Overview of Inventory Procedures Electronic Health Records: Reminders for Ordering Office Supplies Electronic Health Records: Working with the Task Feature ELECTRONIC HEALTH RECORDS: Task Sequencing Practice Medical Office: Admin: Check In – Office Operations Chapter 9 Examination and Treatment Areas ActivSim: Shenya Jones 9.1 The Exam Room 9.2 Sanitization and Disinfection Skills Video: Guidelines for Disinfecting Exam Room Surfaces 9.3 Preparation of the Exam and Treatment Areas 9.4 Room Temperature, Lighting, and Ventilation 9.5 Medical Instruments and Supplies PROCEDURE 9-1: Performing Sanitization with an Ultrasonic Cleaner PROCEDURE 9-2: Guidelines for Disinfecting Exam Room Surfaces Practice Medical Office: Clinical – Office Operations Unit Three Communication Chapter 10 Written and Electronic Communication ActivSim: Valarie Ramirez 10.1 Professionalism and Document Preparation 10.2 Selecting Document Supplies 10.3 Effective Writing 10.4 Medical Office Documents and Correspondence 10.5 Written Communication Using Electronic Format 10.6 Editing and Proofreading 10.7 Preparing Outgoing Mail 10.8 Mailing Options 10.9 Processing Incoming Mail PROCEDURE 10-1: Creating a Professional Letter PROCEDURE 10-2: Writing an Interoffice Memo PROCEDURE 10-3: Composing a Professional E-mail Message PROCEDURE 10-4: Composing an Electronic Patient Letter PROCEDURE 10-5: Sorting and Opening Mail Electronic Health Records: Creating a Patient Letter Electronic Health Records: Creating a Letter to Referring Physician ELECTRONIC HEALTH RECORDS: Drafting an Email to a Patient Practice Medical Office: Admin: Check In – Privacy and Liability Chapter 11 Medical Records and Documentation ActivSim: Mohammad Nassar 11.1 The Importance of Medical Records 11.2 Contents of Patient Medical Records Skills Video: Registering a New Patient Skills Video: Initiating a Paper-Based Patient Medical Record 11.3 Types of Medical Records 11.4 Documentation and the 6 Cs of Charting 11.5 Appearance, Timeliness, and Accuracy of Records 11.6 Correcting and Updating Medical Records Skills Video: Correcting the Patient Medical Record 11.7 Responding to Release of Records Request PROCEDURE 11-1: Preparing a New Patient Paper Medical Record PROCEDURE 11-2: Correcting Paper Medical Records PROCEDURE 11-3: Entering (Adding) Information into a Paper Medical Record ELECTRONIC HEALTH RECORDS: Updating a Patient’s Chart ELECTRONIC HEALTH RECORDS: Updating Patient Demographics Practice Medical Office: Admin: Check In – Privacy and Liability Chapter 12 Electronic Health Records ActivSim: Ken Washington 12.1 A Brief History of Electronic Medical Records 12.2 Electronic Records 12.3 Meaningful Use and the EHR 12.4 Advantages and Disadvantages of EHR Programs 12.5 Working with an Electronic Health Record 12.6 Other Functions of EHR Programs 12.7 Security and Confidentiality and EHR Skills Video: PHI Authorization to Release Health Information PROCEDURE 12-1: Creating a New Patient Record Using EHR Software PROCEDURE 12-2: Making an Addition or Addendum (Correction) to an Electronic Health Record PROCEDURE 12-3: Creating an Appointment Matrix for an Electronic Scheduling System PROCEDURE 12-4: Scheduling a Patient Appointment Using an Electronic Scheduler Electronic Health Records: Reviewing a Face Sheet Electronic Health Records: Correcting Errors in EHR Electronic Health Records: Creating an Electronic Schedule Matrix Electronic Health Records: Scheduling a Patient Appointment Practice Medical Office: Admin: Check Out – Privacy and Liability Chapter 13 Managing Medical Records 13.1 Filing Equipment 13.2 Security and Safety Measures 13.3 Filing Supplies 13.4 Filing Systems 13.5 The Filing Process 13.6 Active, Inactive, and Closed Files PROCEDURE 13-1: Creating a Filing System for Paper Medical Records PROCEDURE 13-2: Setting Up an Office Tickler File PROCEDURE 13-3: Developing a Records Retention Program Practice Medical Office: Admin: Check Out – Work Task Proficiencies Chapter 14 Telephone Techniques 14.1 Telecommunications Equipment 14.2 Effective Telephone Communication 14.3 Telephone Etiquette 14.4 Types of Incoming Calls Skills Video: Manage a Prescription Refill 14.5 Managing Incoming Calls 14.6 Taking Complete and Accurate Phone Messages 14.7 Placing Outgoing Calls PROCEDURE 14-1: Using a Telecommunications Device for the Deaf (TDD) PROCEDURE 14-2: Renewing a Prescription by Telephone PROCEDURE 14-3: Screening and Routing Telephone Calls PROCEDURE 14-4: Handling Emergency Calls PROCEDURE 14-5: Retrieving Messages from an Answering Service or System Electronic Health Records: Documenting a Patient Message Electronic Health Records: Sending and Processing a Patient Message Practice Medical Office: Admin: Check In – Office Operations Unit Four Administrative Practices Chapter 15 Patient Education ActivSim: Sylvia Gonzales 15.1 The Educated Patient 15.2 Learning and Teaching 15.3 Teaching Techniques 15.4 Patient Education Materials 15.5 Promoting Health and Wellness Through Education 15.6 The Patient Information Packet 15.7 Patient Education Prior to Surgery PROCEDURE 15-1: Creating Electronic Patient Instructions PROCEDURE 15-2: Identifying Community Resources PROCEDURE 15-3: Locating Credible Patient Education Information on the Internet PROCEDURE 15-4: Developing a Patient Education Plan PROCEDURE 15-5: Outpatient Surgery Teaching Electronic Health Records: Administering Patient Educational Material Electronic Health Records: Documenting Administration of Patient Educational Material Practice Medical Office: Admin: Check Out – Interactions Chapter 16 Schedule Management ActivSim: John Miller 16.1 The Appointment Book 16.2 Applying the Matrix 16.3 Appointment Scheduling Systems 16.4 Organizing and Scheduling Appointments 16.5 Special Scheduling Situations 16.6 Scheduling Outside Appointments Skills Video: Scheduling Outpatient Surgical Appointments 16.7 Maintaining the Practitioner’s Schedule Skills Video: Scheduling Inpatient Surgical Appointments PROCEDURE 16-1: Creating an Appointment Matrix PROCEDURE 16-2: Scheduling Appointments PROCEDURE 16-3: Completing the Patient Appointment Card PROCEDURE 16-4: Placing Appointment Confirmation Calls PROCEDURE 16-5: Scheduling Outpatient Surgical Appointments PROCEDURE 16-6: Scheduling Inpatient Surgical Appointments Electronic Health Records: Scheduling an Appointment for a New Patient Electronic Health Records: Scheduling an Appointment for an Existing Patient Electronic Health Records: Blocking Appointment Times Electronic Health Records: Charting a No Show Electronic Health Records: Locating an Existing Appointment Practice Medical Office: Admin: Check Out - Work Task Proficiencies Chapter 17 Insurance and Billing ActivSim: Sylvia Gonzales 17.1 Basic Insurance Terminology 17.2 Private Health Plans 17.3 Government Plans 17.4 Payer Payment Systems 17.5 The Claims Process: An Overview Skills Video: Requesting Prior Authorization 17.6 Preparing and Transmitting the Healthcare Claim 17.7 Transmitting Electronic Claims 17.8 Insurer Processing Claims and Payments PROCEDURE 17-1: Verifying Workers’ Compensation Coverage PROCEDURE 17-2: Submitting a Request for Prior Authorization PROCEDURE 17-3: Completing the CMS-1500 Claim Form PROCEDURE 17-4: Tracking Insurance Claims Submissions Electronic Health Records: Verifying a Patient’s Insurance Coverage Electronic Health Records: Creating a Patient Referral Electronic Health Records: Creating a Routing Slip for Billing Practice Medical Office: Admin: Check In – Work Task Proficiencies Chapter 18 Diagnostic Coding ActivSim: Cindy Chen 18.1 The Reasons for Diagnosis Codes 18.2 A Basic Comparison of ICD-9-CM and ICD-10-CM 18.3 An Overview of ICD-10 18.4 Coding with ICD-10 18.5 External Cause of Injury and Health Status Codes 18.6 Synopsis of ICD-10 Coding Guidelines by Chapter Skills Video: Locating an ICD-10-CM Code PROCEDURE 18-1: Locating an ICD-10-CM Code PROCEDURE 18-2: Locating a Health Status (Z) Code PROCEDURE 18-3: Locating an External Cause Code Electronic Health Records: Using ICD-10 Diagnostic Codes Electronic Health Records: Maintaining the ICD-10 Database Practice Medical Office: Admin: Check Out – Office Operations Chapter 19 Procedural Coding ActivSim: Raja Lautu 19.1 The CPT Manual 19.2 General CPT Guidelines 19.3 Evaluation and Management Services 19.4 Surgical Coding 19.5 Using the CPT Manual Skills Video: Locating a CPT Code 19.6 The HCPCS Coding Manual 19.7 Coding Compliance PROCEDURE 19-1: Locating a CPT Code PROCEDURE 19-2: Locating a HCPCS Code PROCEDURE 19-3: Entering CPT/HCPCS and ICD Codes into an EHR Program Electronic Health Records: Using CPT Codes Electronic Health Records: Maintaining the CPT Database Practice Medical Office: Admin: Check Out – Work Task Proficiencies Chapter 20 Patient Collections and Financial Management 20.1 The Medical Practice as a Business 20.2 Medical Office Accounting Methods 20.3 In-Office Transactions 20.4 Standard Billing Procedures 20.5 Standard Collection Procedures Skills Video: Posting Charges, Payments, and Adjustments 20.6 Laws That Govern Credit and Collections 20.7 Credit Arrangements 20.8 Common Collection Problems 20.9 Banking and Negotiable Instruments 20.10 Preparing a Bank Deposit 20.11 Reconciling the Bank Statement 20.12 Electronic Banking 20.13 Accounts Payable and Managing Disbursements PROCEDURE 20-1: Posting Charges, Payments, and Adjustments PROCEDURE 20-2: Using the Superbill as Bill/Receipt PROCEDURE 20-3: Posting a Nonsufficient Funds (NSF) Check PROCEDURE 20-4: Processing a Payment Resulting in a Credit Balance PROCEDURE 20-5: Processing Refunds to Patients PROCEDURE 20-6: Preparing an Age Analysis PROCEDURE 20-7: Referring an Account to a Collection Agency and Posting the Payment from the Agency PROCEDURE 20-8: Completing a Truth in Lending Statement (Agreement) PROCEDURE 20-9: Making a Bank Deposit PROCEDURE 20-10: Reconciling the Bank Statement PROCEDURE 20-11: Setting Up the Disbursements Journal Practice Medical Office: Admin: Check Out – Work Task Proficiencies Unit Five Applied Anatomy and Physiology Chapter 21 Organization of the Body ActivSim: John Miller 21.1 The Study of the Body Body Animat3: Homeostasis 21.2 Structural Organization of the Body 21.3 Major Tissue Types 21.4 Body Organs and Systems 21.5 Understanding Medical Terminology 21.6 Anatomical Terminology 21.7 Body Cavities and Abdominal Regions 21.8 Chemistry of Life Body Animat3: Basic Chemistry (Organic Molecules) 21.9 Cell Characteristics Body Animat3: Fluid and Electrolyte Imbalances Body Animat3: Cells and Tissues 21.10 Movement Through Cell Membranes 21.11 Cell Division Body Animat3: Meiosis vs. Mitosis 21.12 Genetic Techniques 21.13 Heredity and Common Genetic Disorders 21.14 Pathophysiology: Common Genetic Disorders Chapter 22 The Integumentary System ActivSim: Christopher Matthews 22.1 Functions of the Integumentary System 22.2 Skin Structure 22.3 Skin Color 22.4 Skin Lesions 22.5 Accessory Organs 22.6 Skin Healing Body Animat3: Inflammation 22.7 Pathophysiology: Common Diseases and Disorders of the Skin Body Animat3: Burns Chapter 23 The Skeletal System ActivSim: John Miller 23.1 Bone Structure 23.2 Functions of Bones 23.3 Bone Growth 23.4 Bony Structures 23.5 The Skull 23.6 The Spinal Column 23.7 The Rib Cage 23.8 Bones of the Shoulders, Arms, and Hands 23.9 Bones of the Hips, Legs, and Feet 23.10 Joints 23.11 Pathophysiology: Common Diseases and Disorders of the Skeletal System Body Animat3: Osteoarthritis vs. Rheumatoid Arthritis Body Animat3: Osteoporosis Chapter 24 The Muscular System ActivSim: Ken Washington 24.1 Functions of Muscle Body Animat3: Muscle Contraction 24.2 Muscle Cells and Tissue 24.3 Production of Energy for Muscle 24.4 Structure of Skeletal Muscles 24.5 Attachments and Actions of Skeletal Muscles 24.6 Major Skeletal Muscles 24.7 Aging and the Musculoskeletal System 24.8 Pathophysiology: Common Diseases and Disorders of the Muscular System Chapter 25 The Cardiovascular System ActivSim: John Miller 25.1 The Heart 25.2 Cardiac Cycle Body Animat3: Cardiac Cycle 25.3 Blood Vessels 25.4 Circulation 25.5 Blood Pressure 25.6 Pathophysiology: Common Diseases and Disorders of the Cardiovascular System Body Animat3: Hypertension Body Animat3: Coronary Artery Disease (CAD) Body Animat3: Heart Failure Overview Body Animat3: Left-Side Heart Failure Body Animat3: Right-Side Heart Failure Chapter 26 The Blood ActivSim: Cindy Chen 26.1 Components of Blood 26.2 Bleeding Control Body Animat3: Strokes 26.3 ABO Blood Types 26.4 The Rh Factor 26.5 Pathophysiology: Common Diseases and Disorders of the Blood System Chapter 27 The Lymphatic and Immune Systems ActivSim: Cindy Chen 27.1 The Lymphatic System Body Animat3: Lymph and Lymph Node Circulation 27.2 Defenses Against Disease 27.3 Antibodies 27.4 Immune Responses and Acquired Immunities 27.5 Pathophysiology: Common Diseases and Disorders of the Immune System Body Animat3: Immune Response: Hypersensitivity Body Animat3: Inflammation Chapter 28 The Respiratory System ActivSim: Mohammad Nassar 28.1 Organs of the Respiratory System 28.2 The Mechanisms of Breathing Body Animat3: Acid-Base Balance: Acidosis Body Animat3: Acid-Base Balance: Alkalosis 28.3 The Transport of Oxygen and Carbon Dioxide in the Blood Body Animat3: Oxygen Transport and Gas Exchange 28.4 Respiratory Volumes 28.5 Pathophysiology: Common Diseases and Disorders of the Respiratory System Body Animat3: Asthma Body Animat3: COPD Body Animat3: Respiratory Tract Infections Body Animat3: Respiratory Failure Chapter 29 The Nervous System 29.1 General Functions of the Nervous System 29.2 Neuron Structure 29.3 Nerve Impulse and Synapse Body Animat3: Nerve Impulse 29.4 Central Nervous System 29.5 Peripheral Nervous System Body ANIMAT3: Spinal Cord Injury 29.6 Neurologic Testing 29.7 Pathophysiology: Common Diseases and Disorders of the Nervous System Body Animat3: Alzheimer’s Disease Body Animat3: Strokes Chapter 30 The Urinary System ActivSim: Peter Smith 30.1 The Kidneys 30.2 Urine Formation 30.3 The Ureters, Urinary Bladder, and Urethra 30.4 Pathophysiology: Common Diseases and Disorders of the Urinary System Body Animat3: Renal Function Chapter 31 The Reproductive Systems ActivSim: Raja Lautu 31.1 The Male Reproductive System 31.2 Pathophysiology: Common Diseases and Disorders of the Male Reproductive System Body Animat3: Prostate Cancer 31.3 The Female Reproductive System 31.4 Pathophysiology: Common Diseases and Disorders of the Female Reproductive System Body Animat3: Breast Cancer 31.5 Pregnancy 31.6 The Birth Process 31.7 Contraception 31.8 Infertility 31.9 Pathophysiology: Sexually Transmitted Infections Occurring in Both Sexes Body Animat3: Meiosis vs Mitosis Chapter 32 The Digestive System ActivSim: Sylvia Gonzales 32.1 Characteristics of the Alimentary Canal 32.2 Characteristics of the Digestive Accessory Organs Body Animat3: Food Absorption 32.3 The Absorption of Nutrients 32.4 Pathophysiology: Common Diseases and Disorders of the Digestive System Body Animat3: Liver Failure Chapter 33 The Endocrine System ActivSim: Ken Washington 33.1 Hormones 33.2 Hormone Production 33.3 The Stress Response 33.4 Pathophysiology: Common Diseases and Disorders of the Endocrine System Body Animat3: Type 1 Diabetes Body Animat3: Type 2 Diabetes Body Animat3: Hyperthyroidism Chapter 34 Special Senses ActivSim: Valarie Ramirez 34.1 The Nose and the Sense of Smell 34.2 The Tongue and the Sense of Taste 34.3 The Eye and the Sense of Sight 34.4 Visual Pathways 34.5 Pathophysiology: Common Diseases of the Eyes 34.6 The Ear and the Senses of Hearing and Equilibrium 34.7 The Hearing Process Body Animat3: Hearing Loss: Sensorineural 34.8 Pathophysiology: Common Diseases and Disorders of the Ears Unit Six Clinical Practices Chapter 35 Infection Control Practices ActivSim: Ken Washington 35.1 Healthcare-Associated Infections 35.2 Infection Control Methods Skills Video: Applying Standard Precautions 35.3 Safe Injection Practices and Sharps Safety 35.4 Respiratory Hygiene/Cough Etiquette Practices 35.5 Infection Control Practices with Medical Equipment 35.6 Surgical Site Infections (SSIs) 35.7 Sterilization Skills Video: Wrapping and Labeling Instruments for Sterilization in the Autoclave 35.8 Reporting Guidelines for Infectious Diseases PROCEDURE 35-1: Removing Contaminated Gloves PROCEDURE 35-2: Removing a Contaminated Gown PROCEDURE 35-3: Wrapping and Labeling Instruments for Sterilization in the Autoclave PROCEDURE 35-4: Running a Load Through the Autoclave PROCEDURE 35-5: Notifying State and County Agencies About Reportable Diseases Practice Medical Office: Admin: Check Out – Privacy & Liability Chapter 36 Patient Interview and History ActivSim: Peter Smith 36.1 The Patient Interview and History Skills Video: Using Critical Thinking Skills During an Interview 36.2 Your Role as an Observer 36.3 Documenting Patient Information 36.4 Recording the Patient’s Medical History Skills Video: Obtaining a Medical History PROCEDURE 36-1: Using Critical Thinking Skills During an Interview PROCEDURE 36-2: Using a Progress Note PROCEDURE 36-3: Obtaining a Medical History Electronic Health Records: Building a Patient’s Face Sheet Electronic Health Records: Printing a Patient’s Face Sheet Electronic Health Records: Documenting in a Patient’s Progress Note Practice Medical Office: Clinical – Interactions Chapter 37 Vital Signs and Measurements ActivSim: Mohammad Nassar 37.1 Vital Signs 37.2 Temperature Skills Video: Measuring and Recording Temperature 37.3 Pulse and Respiration Skills Video: Measuring and Recording Pulse and Respirations 37.4 Blood Pressure Skills Video: Taking the Blood Pressure of Adults and Older Children 37.5 Orthostatic, or Postural, Vital Signs 37.6 Body Measurements Skills Video: Measuring Adults and Children PROCEDURE 37-1: Measuring and Recording Temperature PROCEDURE 37-2: Measuring and Recording Pulse and Respirations PROCEDURE 37-3: Taking the Blood Pressure of Adults and Older Children PROCEDURE 37-4: Measuring Adults and Children Electronic Health Records: Documenting Vital Signs Electronic Health Records: Adding Vital Signs as Part of an Office Visit Electronic Health Records: Recording Vital Signs for Pediatric Patients Electronic Health Records: Viewing Vital Signs in a Patient’s Chart Body Animat3: Hypertension Practice Medical Office: Clinical – Office Operations Chapter 38 Assisting with a General Physical Examination ActivSim: Valarie Ramirez 38.1 The Purpose of a General Physical Exam 38.2 The Role of the Medical Assistant 38.3 Safety Precautions 38.4 Preparing the Patient for an Exam 38.5 Positioning and Draping Skills Video: Positioning the Patient for an Exam 38.6 Special Patient Considerations Skills Video: Transferring a Patient in a Wheelchair for an Exam 38.7 Exam Methods 38.8 Components of a General Physical Exam Skills Video: Assisting with a General Physical Exam 38.9 After the Exam PROCEDURE 38-1: Positioning a Patient for an Exam PROCEDURE 38-2: Communicating Effectively with Patients from Other Cultures and Meeting Their Needs for Privacy PROCEDURE 38-3: Transferring a Patient in a Wheelchair for an Exam PROCEDURE 38-4: Assisting with a General Physical Exam Skills Video: Communicating Effectively with Patients from Other Cultures and Meeting Their Needs for Privacy Electronic Health Records: Documenting a Physical Exam Electronic Health Records: Documenting a Procedure Practice Medical Office: Clinical – Interactions Chapter 39 Assisting in Reproductive and Urinary Specialties ActivSim: Raja Lautu 39.1 Assisting with the Gynecologic Patient Skills Video: Assisting with the Gynecological Exam 39.2 Assisting with the Obstetric Patient 39.3 OB/GYN Diagnostic and Therapeutic Tests and Procedures Skills Video: Pregnancy Testing Using the EIA Method 39.4 Assisting in Urology 39.5 Urologic Diagnostic Tests and Procedures 39.6 Diseases and Disorders of the Reproductive and Urinary Systems PROCEDURE 39-1: Assisting with a Gynecologic Exam PROCEDURE 39-2: Assisting During the Exam of a Pregnant Patient PROCEDURE 39-3: Assisting with a Cervical Biopsy Body Animat3: Breast Cancer Body Animat3: Prostate Cancer Practice Medical Office: Clinical – Interactions Chapter 40 Assisting in Pediatrics ActivSim: Chris Matthews 40.1 Developmental Stages and Care 40.2 Pediatric Examinations 40.3 Pediatric Immunizations 40.4 Pediatric Screening and Diagnostic Tests Skills Video: Measuring Infants 40.5 Pediatric Diseases and Disorders 40.6 Pediatric Patient Special Concerns PROCEDURE 40-1: Measuring Infants PROCEDURE 40-2: Maintaining Growth Charts PROCEDURE 40-3: Collecting a Urine Specimen from a Pediatric Patient Skills Video: Measuring Adults and Children Practice Medical Office: Clinical – Interactions Chapter 41 Assisting in Geriatrics ActivSim: Peter Smith 41.1 The Geriatric Patient 41.2 Diseases and Disorders of Geriatric Patients 41.3 Assisting with Geriatric Care Skills Video: Obtaining Information from a Geriatric Patient 41.4 Geriatric Patient Special Concerns PROCEDURE 41-1: Educating Adult Patients About Daily Water Requirements Body Animat3: Alzheimer’s Disease Practice Medical Office: Clinical – Interactions Chapter 42 Assisting in Other Medical Specialties ActivSim: Valarie Ramirez 42.1 Working in Other Medical Specialties 42.2 Diseases and Disorders of Medical Specialties 42.3 Exams and Procedures in Medical Specialties PROCEDURE 42-1: Assisting with a Scratch Test Examination PROCEDURE 42-2: Assisting with a Sigmoidoscopy PROCEDURE 42-3: Assisting with a Needle Biopsy Body Animat3: Coronary Artery Disease Practice Medical Office: Clinical – Interactions Chapter 43 Assisting with Eye and Ear Care ActivSim: Valarie Ramirez 43.1 Ophthalmology 43.2 Eye Diseases and Disorders 43.3 Ophthalmic Exams Skills Video: Performing Vision Screening Tests 43.4 Ophthalmologic Procedures and Treatments 43.5 Otology 43.6 Ear Diseases and Disorders Skills Video: Obtaining Information from a Patient with a Hearing Aid 43.7 Hearing and Other Diagnostic Ear Tests Skills Video: Measuring Auditory Acuity 43.8 Ear Treatments and Procedures Skills Video: Performing Ear Irrigation PROCEDURE 43-1: Preparing the Ophthalmoscope for Use PROCEDURE 43-2: Performing Vision Screening Tests PROCEDURE 43-3: Administering Eye Medications PROCEDURE 43-4: Performing Eye Irrigation PROCEDURE 43-5: Measuring Auditory Acuity PROCEDURE 43-6: Administering Eardrops PROCEDURE 43-7: Performing Ear Irrigation Body Animat3: Hearing Loss: Sensorineural Practice Medical Office: Clinical – Work Task Proficiencies and Clinical – Interactions Chapter 44 Assisting with Minor Surgery ActivSim: Peter Smith 44.1 The Medical Assistant’s Role in Minor Surgery 44.2 Surgery in the Physician’s Office Body Animat3: Wound Healing 44.3 Instruments Used in Minor Surgery 44.4 Asepsis Skills Video: Creating a Sterile Field Skills Video: Performing a Surgical Scrub Skills Video: Donning Sterile Gloves 44.5 Preoperative Procedures 44.6 Intraoperative Procedures 44.7 Postoperative Procedures Skills Video: Assisting after Minor Surgical Procedures Skills Video: Suture Removal PROCEDURE 44-1: Creating a Sterile Field PROCEDURE 44-2: Performing a Surgical Scrub PROCEDURE 44-3: Donning Sterile Gloves PROCEDURE 44-4: Assisting as a Floater (Unsterile Assistant) During Minor Surgical Procedures PROCEDURE 44-5: Assisting as a Sterile Scrub Assistant During Minor Surgical Procedures PROCEDURE 44-6: Assisting After Minor Surgical Procedures PROCEDURE 44-7: Suture Removal Practice Medical Office: Clinical – Work Task Proficiencies Unit Seven Assisting with Diagnostics Chapter 45 Orientation to the Lab ActivSim: Sylvia Gonzales 45.1 The Role of Laboratory Testing in Patient Care 45.2 The Medical Assistant’s Role 45.3 Use of Laboratory Equipment Skills Video: Using a Microscope 45.4 Safety in the Laboratory 45.5 Quality Assurance Programs 45.6 Communicating with the Patient 45.7 Recordkeeping PROCEDURE 45-1: Using a Microscope Practice Medical Office: Clinical – Privacy and Liability Chapter 46 Microbiology and Disease ActivSim: Cindy Chen 46.1 Microbiology and the Role of the Medical Assistant 46.2 How Microorganisms Cause Disease 46.3 Classification and Naming of Microorganisms 46.4 Viruses 46.5 Bacteria 46.6 Protozoans 46.7 Fungi 46.8 Multicellular Parasites 46.9 How Infections Are Diagnosed 46.10 Specimen Collection Skills Video: Obtaining a Throat Culture Specimen 46.11 Transporting Specimens to an Outside Laboratory 46.12 Direct Examination of Specimens 46.13 Preparation and Examination of Stained Specimens 46.14 Culturing Specimens in the Medical Office PROCEDURE 46-1: Obtaining a Throat Culture Specimen PROCEDURE 46-2: Performing a Quick Strep A Test on a Throat Specimen PROCEDURE 46-3: Preparing Microbiologic Specimens for Transport to an Outside Laboratory PROCEDURE 46-4: Preparing a Microbiologic Specimen Smear PROCEDURE 46-5: Performing a Gram Stain Practice Medical Office: Admin: Check Out – Privacy and Liability Chapter 47 Collecting, Processing, and Testing Urine and Stool Specimens ActivSim: Ken Washington 47.1 The Role of the Medical Assistant 47.2 Obtaining Urine Specimens Skills Video: Collecting a Clean-Catch Midstream Urine Specimen 47.3 Urinalysis Skills Video: Performing a Reagent Strip Test Skills Video: Pregnancy Testing Using the EIA Method 47.4 Collecting and Processing Stool Specimens PROCEDURE 47-1: Collecting a Clean-Catch Mid-Stream Urine Specimen PROCEDURE 47-2: Collecting a 24-Hour Urine Specimen PROCEDURE 47-3: Establishing Chain of Custody for a Urine Specimen PROCEDURE 47-4: Measuring Specific Gravity with a Refractometer PROCEDURE 47-5: Performing a Reagent Strip Test PROCEDURE 47-6: Pregnancy Testing Using the EIA Method PROCEDURE 47-7: Processing a Urine Specimen for Microscopic Examination of Sediment PROCEDURE 47-8: Fecal Occult Blood Testing Using the Guaiac Testing Method ELECTRONIC HEALTH RECORDS: Ordering a Test ELECTRONIC HEALTH RECORDS: Recording Test Results ELECTRONIC HEALTH RECORDS: Processing Test Results Practice Medical Office: Clinical – Interactions Chapter 48 Collecting, Processing, and Testing Blood Specimens ActivSim: Sylvia Gonzales 48.1 The Role of the Medical Assistant 48.2 Preparation for Collecting Blood Specimens Skills Video: Quality Control Procedures for Blood Specimen Collection 48.3 Patient Preparation and Communication 48.4 Performing Blood Collection 48.5 Performing Common Blood Tests Skills Video: Preparing a Blood Smear Slide Skills Video: Measuring Hematocrit Percentage after Centrifuge Skills Video: Measuring Blood Glucose Using a Handheld Glucometer PROCEDURE 48-1: Quality Control Procedures for Blood Specimen Collection PROCEDURE 48-2: Performing Venipuncture Using an Evacuated System PROCEDURE 48-3: Performing Capillary Puncture PROCEDURE 48-4: Preparing a Blood Smear Slide PROCEDURE 48-5: Measuring Hematocrit Percentage After Centrifuge PROCEDURE 48-6: Measuring Blood Glucose Using a Handheld Glucometer PROCEDURE 48-7: Performing a Rapid Infectious Mononucleosis Test Electronic Health Records: Sending a Patient’s Test Report Electronic Health Records: Creating a Patient Order Form Practice Medical Office: Clinical – Work Task Proficiencies Chapter 49 Electrocardiography and Pulmonary Function Testing ActivSim: John Miller 49.1 The Medical Assistant’s Role in Electrocardiography and Pulmonary Function Testing 49.2 Basic Principles of Electrocardiography 49.3 The Electrocardiograph 49.4 Performing an ECG Skills Video: Obtaining an ECG 49.5 Exercise Electrocardiography (Stress Testing) and Echocardiography 49.6 Ambulatory Electrocardiography (Holter Monitoring) Skills Video: Holter Monitoring 49.7 Pulmonary Function Testing Skills Video: Measuring Forced Vital Capacity Using Spirometry Skills Video: Obtaining a Peak Expiratory Flow Rate 49.8 Pulse Oximetry Skills Video: Obtaining a Pulse Oximetry Reading PROCEDURE 49-1: Obtaining an ECG PROCEDURE 49-2: Holter Monitoring PROCEDURE 49-3: Measuring Forced Vital Capacity Using Spirometry PROCEDURE 49-4: Obtaining a Peak Expiratory Flow Rate PROCEDURE 49-5: Obtaining a Pulse Oximetry Reading Practice Medical Office: Clinical – Work Task Proficiencies Chapter 50 Diagnostic Imaging ActivSim: Raja Lautu 50.1 Brief History of the X-ray 50.2 Diagnostic Radiology 50.3 The Medical Assistant’s Role in Diagnostic Radiology 50.4 Common Diagnostic Radiologic Tests 50.5 Common Therapeutic Uses of Radiation 50.6 Radiation Safety and Dose 50.7 Electronic Medicine PROCEDURE 50-1: Assisting with an X-ray Examination PROCEDURE 50-2: Documentation and Filing Techniques for X-rays Practice Medical Office: Clinical – Interactions Unit Eight Assisting in Therapeutics Chapter 51 Principles of Pharmacology 51.1 The Medical Assistant’s Role in Pharmacology 51.2 Pharmacology Body Animat3: Pharmacokinetics vs. Pharmacodynamics Body Animat3: Medication Absorption Body Animat3: Medication Distribution Body Animat3: Medication Metabolism Body Animat3: Medication Excretion 51.3 Drug Names and Categories 51.4 FDA Regulation and Drugs 51.5 Sources of Drug Information 51.6 Controlled Substances 51.7 Prescriptions Skills Video: Interpreting a Prescription 51.8 Nonpharmacologic Pain Management 51.9 Vaccines PROCEDURE 51-1: Helping the Licensed Practitioner Comply with the Controlled Substances Act of 1970 PROCEDURE 51-2: Interpreting a Prescription Skills Video: Managing a Prescription Refill Practice Medical Office: Clinical – Privacy and Liability Chapter 52 Dosage Calculations ActivSim: Chris Matthews 52.1 Ensuring Safe Dosage Calculations 52.2 Measurement Systems 52.3 Conversions Within and Between Measurement Systems 52.4 Dosage Calculations 52.5 Body Weight and Body Surface Area Calculations Practice Medical Office: Clinical – Privacy and Liability Chapter 53 Medication Administration ActivSim: John Miller 53.1 Preparing to Administer a Drug 53.2 Rights of Medication Administration 53.3 Drug Routes and Equipment 53.4 Medications by Mouth Skills Video: Administering Drugs by Mouth 53.5 Medications by Injection Skills Video: Drawing a Drug from an Ampule Skills Video: Reconstituting and Drawing a Drug for Injection Skills Video: Giving an Intradermal Injection Skills Video: Giving a Subcutaneous Injection Skills Video: Giving an Intramuscular Injection 53.6 Other Medication Routes 53.7 Special Considerations 53.8 Patient Education About Medications 53.9 Charting Medications PROCEDURE 53-1: Administering Oral Drugs PROCEDURE 53-2: Administering Buccal or Sublingual Drugs PROCEDURE 53-3: Drawing a Drug from an Ampule PROCEDURE 53-4: Reconstituting and Drawing a Drug for Injection PROCEDURE 53-5: Giving an Intradermal (ID) Injection PROCEDURE 53-6: Giving a Subcutaneous (Subcut) Injection PROCEDURE 53-7: Giving an Intramuscular (IM) Injection PROCEDURE 53-8: Administering Inhalation Therapy PROCEDURE 53-9: Administering and Removing a Transdermal Patch and Providing Patient Instruction PROCEDURE 53-10: Assisting with Administration of a Urethral Drug PROCEDURE 53-11: Administering a Vaginal Medication PROCEDURE 53-12: Administering a Rectal Medication Electronic Health Records: Documenting Medication Administration Electronic Health Records: Managing Patient Prescriptions Practice Medical Office: Clinical – Office Operations Chapter 54 Physical Therapy and Rehabilitation ActivSim: Chris Matthews 54.1 General Principles of Physical Therapy 54.2 Cryotherapy and Thermotherapy 54.3 Hydrotherapy 54.4 Exercise Therapy 54.5 Massage 54.6 Traction 54.7 Mobility Aids Skills Video: Teaching a Patient How to Use Crutches 54.8 Referral to a Physical Therapist PROCEDURE 54-1: Administering Cryotherapy PROCEDURE 54-2: Administering Thermotherapy PROCEDURE 54-3: Teaching a Patient How to Use a Cane PROCEDURE 54-4: Teaching a Patient How to Use a Walker PROCEDURE 54-5: Teaching a Patient How to Use Crutches Practice Medical Office: Clinical – Work Task Proficiencies Chapter 55 Nutrition and Health ActivSim: Mohammad Nassar 55.1 Daily Energy Requirements 55.2 Nutrients Body Animat3: Protein Synthesis 55.3 Dietary Guidelines 55.4 Assessing Nutritional Levels 55.5 Modified Diets 55.6 Patients with Specific Nutritional Needs Body Animat3: Digestion: Lactose Intolerance Body Animat3: Obesity 55.7 Eating Disorders 55.8 Patient Education PROCEDURE 55-1: Teaching Patients How to Read Food Labels PROCEDURE 55-2: Alerting Patients with Food Allergies to the Dangers of Common Foods Practice Medical Office: Admin: Check In – Interactions Unit Nine Medical Assisting Practice Chaptre 56 Practice Management ActivSim: Cindy Chen 56.1 Organizational Design 56.2 Managing the Medical Practice Skills Video: Petty Cash 56.3 Human Resources and Practice Management 56.4 Being a Leader 56.5 Risk Management and Quality Assurance Skills Video: Completing an Incident Report 56.6 Handling Payroll 56.7 Calculating and Filing Taxes PROCEDURE 56-1: Preparing a Travel Expense Report PROCEDURE 56-2: Preparing an Agenda PROCEDURE 56-3: Completing an Incident Report PROCEDURE 56-4: Generating Payroll Practice Medical Office: Admin: Check Out – Privacy and Liability Chapter 57 Emergency Preparedness ActivSim: Mohammad Nassar 57.1 Understanding Medical Emergencies 57.2 Preparing for Medical Emergencies Skills Video: Performing an Emergency Assessment 57.3 Accidental Injuries Body Animat3: Concussions Skills Video: Controlling Bleeding Skills Video: Cleaning Minor Wounds 57.4 Common Disorders Skills Video: Caring for a Patient Who Is Vomiting 57.5 Less Common Disorders Skills Video: Performing Cardiopulmonary Resuscitation (CPR) 57.6 Common Psychosocial Emergencies 57.7 The Patient Under Stress 57.8 Educating the Patient 57.9 Disasters and Pandemics 57.10 Bioterrorism PROCEDURE 57-1: Stocking the Crash Cart PROCEDURE 57-2: Performing an Emergency Assessment PROCEDURE 57-3: Foreign Body Airway Obstruction in a Responsive Adult or Child PROCEDURE 57-4: Foreign Body Airway Obstruction in a Responsive Infant PROCEDURE 57-5: Controlling Bleeding PROCEDURE 57-6: Cleaning Minor Wounds PROCEDURE 57-7: Caring for a Patient Who Is Vomiting PROCEDURE 57-8: Assisting During a Chemical Disaster Body Animat3: Burns Practice Medical Office: Clinical: Privacy and Liability Chapter 58 Preparing for the World of Work 58.1 Training in Action 58.2 Obtaining Professional Certification 58.3 Preparing to Find a Position 58.4 Interviewing 58.5 On the Job PROCEDURE 58-1: Résumé Writing Practice Medical Office: Admin: Check Out – Work Task Proficiencies Appendixes I Prefixes, Suffixes, and Word Roots in Commonly Used Medical Terms II Abbreviations and Symbols Commonly Used in Medical Notations III Diseases and Disorders Glossary Index