Delmar Learning’s Clinical Handbook for the Medical Office

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  • Edition: 2nd
  • Format: Spiral Bound
  • Copyright: 2003-09-18
  • Publisher: CENGAGE Delmar Learning
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Supplemental Materials

What is included with this book?

  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.


This handbook for medical assistants and physician office personnel provides numerous charts for quick referencing. Organized in an easy-to-read chart format, main topic areas include documentation, in-office and telephone assessment, normal lab values, commonly prescribed drugs, and clinical procedures. OB-Gyn and pediatric specialty sections are also included.

Table of Contents

Prefacep. xi
Acknowledgmentsp. xv
Common Medical Abbreviations
General Abbreviationsp. 2
Measurement Abbreviationsp. 14
Pharmacology Abbreviationsp. 15
Symbolsp. 17
Documentation Basics and Conducting In-office Screenings
Introductionp. 20
Documentation Basicsp. 21
Documentation Don'tsp. 22
Simplified Chief Complaintp. 23
Comprehensive Chief Complaintp. 25
Gathering Questions for the History of the Present Illnessp. 28
How to Use the Chartp. 28
Quick Glance History of the Present Illness (HPI) and Anticipation Chartp. 29
Follow-Up Appointments/Progress Notesp. 41
Documenting Medicationsp. 43
Documenting Prescriptionsp. 46
Charting In-House Proceduresp. 48
Completing and Documenting Referralsp. 50
Pre-certification/Documenting Outside Proceduresp. 53
Telephone Screeningp. 56
Documenting Patient Education Sessionsp. 59
Telephone Screenings
Introductionp. 64
How to Use the Chartsp. 65
Action Abbreviation and Code Keyp. 67
Abdominal Pain/Stomach Painp. 69
Allergic Reaction/Anaphylaxisp. 73
Anxiety and Stressp. 75
Back Painp. 77
Burnsp. 79
Chest Painp. 84
Colds, Cough, and Flup. 87
Constipationp. 89
Depressionp. 91
Diarrheap. 94
Ear Painp. 97
Eye Disordersp. 100
Faintingp. 103
Feverp. 106
Headaches and Head Traumap. 109
Insect Bites or Stingsp. 113
Nosebleedsp. 116
Rashes and Skin Disordersp. 118
Strains, Sprains, and Fracturesp. 124
Urinary Tract Symptomsp. 128
Vaginal Symptomsp. 131
Wounds, Abrasions, Bruises, Lacerations, and Puncturesp. 134
Assisting in an OB-Gyn Practice
Introductionp. 138
Annual Pap and Pelvic Proceduresp. 139
Pap Trayp. 140
Pelvic Examp. 141
Pelvic Trayp. 142
Assisting with a Colposcopy and a Biopsy Punchp. 143
Assisting with Cryosurgery or Cryotherapyp. 145
Diseases That Can Be Spread through Sexual Contactp. 146
Sexually Transmitted Diseasesp. 147
Gynecological Diagnostic Tests and Proceduresp. 149
Assisting with Obstetrical Examsp. 149
Assisting with the Prenatal Examp. 151
Diagnostic Tests and Procedures Routinely Performed During Pregnancyp. 153
Assisting in a Pediatric Office
Introductionp. 158
Assisting with Routine Pediatric Examsp. 159
Recommended Childhood and Adolescent Immunization Schedulep. 161
Telephone Screening for the Pediatric Patientp. 161
Common Pediatric Diseases and Disordersp. 164
Introductionp. 170
Drug Classificationsp. 171
Most Commonly Prescribed Medicationsp. 176
Over-the-Counter Medicationsp. 187
Most Common OTC Medicationsp. 188
Common Childhood Immunizationsp. 190
Common Adult Immunizationsp. 194
Common Injectablesp. 197
Prescription Writingp. 199
Laboratory Regulations and Laboratory Normal Values
Introductionp. 202
Clinical Laboratory Improvement Act (CLIA)p. 203
Process for Obtaining a Certificate of Waiverp. 204
Process for Obtaining a Certificate for Moderately Complex or Highly Complex Labsp. 204
Agencies Approved to Perform CLIA Inspectionsp. 204
Provider-Performed Microscopy (PPM)p. 205
Occupational Safety and Health Administration (OSHA)p. 206
Exposure Control Planp. 206
Communication of Hazards to Employeesp. 206
Post-Exposure Evaluation and Follow-Up Proceduresp. 207
Record Keepingp. 207
Other Termsp. 208
Common Chemistry Testsp. 209
Common Hematology Testsp. 212
Critical Lab Valuesp. 215
Organizational Tipsp. 215
Staff Responsibilities for Handling Critical Labsp. 215
Radiographic Procedures
Introductionp. 220
Information Needed When Ordering X Raysp. 221
Routine Flat Filmsp. 222
Ultrasoundp. 224
Computerized Tomography (CT Scan)p. 225
Magnetic Resonance Imaging (MRI)p. 226
Routine Procedures Performed in the Medical Office
Introductionp. 228
Bandagingp. 229
Assisting with Cardiac Proceduresp. 231
Electrocardiograms (3-Channel Version)p. 232
Holter Monitor Applicationp. 236
Ear and Eye Proceduresp. 239
Ear Instillationp. 239
Ear Irrigationp. 241
Eye Instillationp. 243
Eye Irrigationp. 246
Visual Acuity Testingp. 248
Color Vision by Ishihara Methodp. 250
Measuring Near Vision (Jaegar Procedure)p. 251
Emergency Proceduresp. 253
Foreign Body Airway Management for the Conscious Patientp. 253
Cardiopulmonary Resuscitation for the Health Care Providerp. 255
Crash Cart Equipmentp. 257
Laboratory Proceduresp. 258
Capillary Puncture Procedurep. 258
Hematocrit/Finger Puncture Methodp. 261
Hemoglobin (Hemoglobinometer Method)p. 263
Blood Glucose (Glucose Meter Method)p. 265
Glucose Tolerance Test (GTT)p. 266
Venipuncturep. 269
Venipuncture (Evacuated Tube Method)p. 269
Venipuncture (Syringe Method)p. 272
Venipuncture (Butterfly Method)p. 274
Vacuum Tube Stopper Color Chartp. 276
Tube Order for Vacuum Methodp. 278
Hematoma Prevention Tipsp. 278
Rapid Test Kitsp. 279
Performing an HCG Urine Pregnancy Testp. 279
Obtaining a Throat Swab and Performing a Rapid Strep Testp. 280
Urinary Proceduresp. 282
Collecting a Clean Catch Urine Samplep. 282
Collecting a 24-Hour Urine Specimenp. 284
Physical Urinalysisp. 286
Measuring Specific Gravityp. 289
Performing a Chemical Urinalysisp. 291
Microscopic Analysis of Urinep. 295
Medication Administrationp. 298
Adult Dosage Calculationsp. 298
General Guidelines for Administering Medicationsp. 303
Administering Oral Medicationsp. 305
Withdrawing Medication from a Vialp. 307
Combining Two Drugs into One Syringep. 308
Withdrawing Medication from an Ampulep. 310
Administering an Intradermal Injectionp. 311
Administering a Subcutaneous Injectionp. 313
Administering an Adult Intramuscular Injectionp. 317
Administering a Z-Track Injectionp. 322
Minor Surgical Proceduresp. 323
Aseptic Proceduresp. 323
Medical Aseptic Handwashingp. 326
Surgical Glovingp. 327
Application of Sterile Adhesive Skin Closuresp. 329
Removal of Suturesp. 331
Tray Setupsp. 334
Complete Physical Examp. 334
Cyst Removalp. 335
Eye, Ear, Nose, and Throat Trayp. 336
Electrosurgical Trayp. 337
Excision Trays (Mole, Skin Tags, and Wart Removal)p. 337
Incision and Drainage or ID Trayp. 338
Joint Injectionp. 339
Laceration/Suture Trayp. 340
Lumbar Puncture Trayp. 341
Rectal Examp. 341
Sigmoidoscopyp. 342
Positioningp. 343
Vital Signsp. 346
Blood Pressure (Palpatory Method)p. 346
Measuring a Radial Pulsep. 349
Measuring an Apical Pulsep. 351
Measuring Respirationp. 353
Measuring Temperaturep. 355
Instrument Identification
Introductionp. 360
Illustrations of Instrumentsp. 362
Hugs in the Hallway
Introductionp. 372
Setting the Scene for Hugs in the Hallwayp. 373
She Couldn't Come to Their World, So They Went to Her Worldp. 373
"You Want My Picture?"p. 375
Fond Memoriesp. 378
Fond Memories Continuedp. 379
"I Can't Find the Pound Key"p. 379
Bibliographyp. 381
Indexp. 383
Table of Contents provided by Ingram. All Rights Reserved.

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