Pearson's Clinical Medical Assisting : Volume 3

by Beaman, Nina; Fleming-MCPhillips, Lorraine

• ISBN13: 9780131742062
• ISBN10: 013174206X
• Edition: 1st
• Format: Paperback w/Disk
• Copyright: 2007-01-01
• Publisher: Prentice Hall

Summary

This new approach to learning the profession of Medical Assisting is all about successful skill building and learning not just what to do, but how to do it. Using a step-by-step, competency-based approach that covers virtually all the facets of the clinical medical assisting profession, Pearson's Clinical Medical Assisting cultivates successful students in the classroom and in the physician's office. Professionalism and Cultural Considerations are highlighted to ensure an understanding of how the Medical Assistant relates to the whole workplace.

Table of Contents

Unit Four Clinical Medical Assisting	559	(580)
Infection Control	560	(28)
History of Asepsis	562	(1)
Microorganisms	562	(2)
The Infection Control System	564	(1)
Universal Precautions	565	(5)
Procedure 32-1: Disposal of Infectious Waste and Substances	570	(2)
Procedure 32-2: Hand Hygiene	572	(6)
Procedure 32-3: Sanitizing Instruments	578	(3)
Procedure 32-4: Wrapping Instruments for Autoclaving	581	(7)
Hepatitis and AIDS	582	(3)
Bioterrorism	585	(3)
Vital Signs	588	(42)
Interviewing the Patient	590	(1)
Patient History	591	(2)
Correct Documentation	593	(1)
Measuring Weight and Height	593	(2)
Procedure 33-1: Measuring Adult Weight and Height	595	(7)
Vital Signs	595	(1)
Temperature	596	(6)
Procedure 33-2: Measuring Oral Temperatures Using a Glass Non-Mercury Thermometer	602	(2)
Procedure 33-3: Measuring a Rectal Temperature Using a Glass Non-Mercury Thermometer	604	(1)
Procedure 33-4: Cleaning and Storing Glass Non-Mercury Thermometers	605	(2)
Pulse	606	(1)
Procedure 33-5: Measuring Oral Temperature Using an Electronic or Digital Thermometer	607	(1)
Procedure 33-6: Measuring Temperature Using an Aural (Tympanic Membrane) Thermometer	608	(1)
Procedure 33-7: Measuring Axillary Temperature	609	(3)
Procedure 33-8: Measuring Radial Pulse Rate	612	(2)
Respiration	612	(2)
Procedure 33-9: Measuring Apical-Radial Pulse (Two-Person)	614	(1)
Procedure 33-10: Measuring Respirations	615	(2)
Blood Pressure	616	(1)
Procedure 33-11: Measuring Oxygen Saturation Using a Pulse Oximeter	617	(7)
Pain	623	(1)
Procedure 33-12: Measuring Systolic Blood Pressure Using Palpatory Method	624	(1)
Procedure 33-13: Measuring Blood Pressure	625	(5)
Body Fat Measurement	626	(4)
Assisting with Physical Examinations	630	(28)
Preparing the Exam Room	632	(1)
Procedure 34-1: Cleaning the Examination Room	633	(15)
Equipment and Supplies Used for Physical Examinations	634	(1)
Examination Methods Used by the Physician	635	(4)
Adult Examination	639	(1)
Assisting the Physician with a Physical Exam	640	(5)
Sequence of Examination Procedures	645	(3)
Procedure 34-2: Assisting with a Complete Physical Examination	648	(4)
Documentation of Patient Medical Information	651	(1)
Procedure 34-3: Interview New Patient to Obtain Medical History Information and Prepare for Physical Examination	652	(3)
Guidelines 34-1: Charting	655	(3)
Assisting with Medical Specialties	658	(48)
Allergy	660	(2)
Dermatology	662	(1)
Cardiovascular System	663	(3)
Procedure 35-1: Taking a Wound Culture	666	(10)
Endocrinology	669	(3)
Gastrointestinal System	672	(4)
Procedure 35-2: Assisting with a Sigmoidoscopy	676	(10)
Lymphatic System	677	(1)
Musculoskeletal System	678	(1)
Nervous System	679	(5)
Reproductive Systems	684	(1)
Female Reproductive System	684	(2)
Procedure 35-3: Instructing a Patient on Breast Self-Examination	686	(5)
Procedure 35-4: Assisting with a Pelvic Examination and Pap Test	691	(15)
Male Reproductive System	695	(1)
Sexually Transmitted Diseases (STDs)	696	(3)
Urinary System	699	(7)
Assisting in Eye and Ear Care	706	(24)
The Study of the Eye	708	(2)
Procedure 36-1: Testing Visual Acuity Using a Snellen Eye Chart	710	(1)
Procedure 36-2: Screening for Near Vision Acuity	711	(1)
Procedure 36-3: Screening for Color Vision Acuity	712	(2)
Procedure 36-4: Irrigation of the Eye	714	(1)
Procedure 36-5: Instilling Eye Medication	715	(2)
Irrigation of the Eye	715	(1)
Instillation of Eye Medications	715	(1)
Patient Safety Guidelines	715	(1)
Assisting the Blind Patient	716	(1)
The Study of the Ear	717	(1)
Guidelines 36-1: Assisting the Vision-Impaired Patient to Prepare for Physical Examination	717	(6)
Hearing Acuity and Assessment	719	(3)
Examination of the Nose and Throat	722	(1)
Procedure 36-6: Irrigation of the Ear	723	(1)
Procedure 36-7: Instilling Ear Medication	724	(1)
Procedure 36-8: Assisting with Audiometry	725	(5)
Assisting in Life Span Specialties	730	(32)
Assisting in Pediatrics	732	(1)
The Pediatric Office	732	(1)
The Pediatric Patient	733	(1)
Pediatric Office Visits and Procedures	733	(3)
Procedure 37-1: Measuring Pediatric Vital Signs	736	(3)
Procedure 37-2: Measuring the Weight and Height of Infants	739	(1)
Procedure 37-3: Measuring Infant Head Circumference	740	(1)
Procedure 37-4: Perform a Snellen Eye Exam on a Child	741	(1)
Procedure 37-5: Applying Pediatric Urine Collection Device	742	(15)
Pediatric Diseases and Disorders	743	(4)
Assisting the Elderly	747	(1)
Aging Population	747	(2)
Facts about the Elderly	749	(1)
The Aging Process	750	(1)
The Aging Body	750	(6)
Legal and Medical Decisions	756	(1)
Procedure 37-6: Communicating Effectively with the Elderly	757	(5)
Elder Abuse	758	(1)
Safety Guidelines for Children and Elders	758	(4)
Assisting with Minor Surgery	762	(38)
Ambulatory Surgery	764	(1)
Principles of Surgical Asepsis	764	(1)
Guidelines 38-1: Surgical Asepsis	765	(1)
Procedure 38-1: Surgical Hand Hygiene/Sterile Scrub	766	(4)
Handling Sterile Instruments	769	(1)
Procedure 38-2: Surgical Gloving	770	(2)
Procedure 38-3: Opening a Sterile Packet	772	(1)
Procedure 38-4: Dropping Sterile Packet onto a Sterile Field	773	(1)
Procedure 38-5: Transferring Sterile Objects Using Transfer Forceps	774	(5)
Surgical Assisting	779	(1)
Guidelines 38-2: Handling Instruments	779	(1)
Guidelines 38-3: Sterile Techniques for Scrub Assistants	780	(1)
Procedure 38-6: Transferring Sterile Solutions onto a Sterile Field	781	(1)
Procedure 38-7: Assisting with Minor Surgery	782	(1)
Guidelines 38-4: Floating Assistants during Surgery	783	(3)
Preparing the Patient for Minor Surgery	783	(3)
Procedure 38-8: Preparing the Patient's Skin for Surgical Procedure	786	(4)
Postoperative Patient Care	786	(4)
Procedure 38-9: Assisting with Suturing	790	(2)
Surgical Procedures Performed in the Medical Office	791	(1)
Procedure 38-10: Removing Sutures	792	(1)
Procedure 38-11: Changing a Sterile Dressing	793	(2)
Procedure 38-12: Applying a Bandage over a Sterile Dressing	795	(5)
Assisting with Medical Emergencies	800	(34)
The Emergency Medical Services System	802	(1)
Guidelines for Providing Emergency Care	802	(4)
The Office Emergency Crash Kit	806	(1)
Medical Emergencies	806	(2)
Procedure 39-1: Responding to an Obstructed Airway (Conscious Adult, Child, or Infant)	808	(10)
Procedure 39-2: Administering Adult CPR	818	(6)
Procedure 39-3: Applying an Arm Sling	824	(5)
Procedure 39-4: Controlling Bleeding	829	(5)
The Clinical Laboratory	834	(16)
Role of Clinical Laboratory in Patient Care	836	(1)
Laboratory Safety Regulations	837	(1)
Laboratory Hazards	838	(1)
Quality Assurance	839	(1)
Guidelines 40-1: Laboratory Safety	840	(3)
Laboratory Equipment	841	(1)
Laboratory Measurements and Equipment	842	(1)
Procedure 40-1: Using the Microscope	843	(1)
Guidelines 40-2: Care and Maintenance of Microscope	843	(7)
Clinical Laboratory and Patient Communication	845	(5)
Microbiology	850	(28)
Role of the Medical Assistant in Microbiology	852	(1)
Classifications of Microorganisms	853	(1)
Types of Microorganisms	854	(6)
Specimen Collection and Transportation	860	(1)
Guidelines 41-1: Specimen Collection	861	(5)
Overview of the Process of Diagnosing Infection	862	(1)
Microbiology Equipment and Procedures	863	(3)
Procedure 41-1: Preparing a Smear	866	(1)
Procedure 41-2: Preparing a Wet Mount Slide	867	(1)
Types of Specimens	867	(1)
Procedure 41-3: Performing a Gram Stain	868	(2)
Procedure 41-4: Obtaining a Throat Culture	870	(1)
Procedure 41-5: Obtaining a Sputum Specimen for Culture	871	(1)
Procedure 41-6: Performing a Urine Culture	872	(1)
Procedure 41-7: Obtaining Stool Specimen for Culture and Sensitivity	873	(1)
Procedure 41-8: Obtaining a Stool Specimen for Ova and Parasites	874	(1)
Procedure 41-9: Obtaining a Stool Specimen for Examination for Pinworms	875	(3)
Serology Testing	875	(3)
Urinalysis	878	(22)
Asepsis	880	(1)
Collecting the Specimen	880	(1)
Guidelines 42-1: Collecting a Routine Urine Specimen	881	(1)
Guidelines 42-2: Collecting a 24-Hour Specimen	882	(1)
Procedure 42-1: Collecting a Clean-Catch Midstream Urine Specimen	883	(2)
Routine Urinalysis	884	(1)
Procedure 42-2: Evaluating the Physical Characteristics of Urine	885	(2)
Procedure 42-3: Measuring Specific Gravity (SG) with a Refractometer	887	(1)
Procedure 42-4: Testing Urine with Reagent Strips	888	(2)
Procedure 42-5: Testing for Sugar in the Urine Using Tablets	890	(3)
Procedure 42-6: Preparing a Specimen for a Microscopic Urine Specimen Examination	893	(3)
Urine Pregnancy Testing	894	(2)
Procedure 42-7: Performing a Urine Pregnancy Test Using the Enzyme Immunoassay Method	896	(4)
Quality Control	896	(4)
Hematology	900	(28)
The Medical Assistant's Role	902	(1)
Blood Formation and Components	902	(1)
Function of Blood	903	(1)
Blood Specimen Collection	904	(1)
Procedure 43-1: Quality Control for Collecting a Blood Specimen	904	(2)
Procedure 43-2: Obtaining Venous Blood with a Sterile Syringe and Needle	906	(4)
Routine Blood Tests	909	(1)
Procedure 43-3: Performing a Venipuncture Using the Vacutainer Method	910	(5)
Procedure 43-4: Performing a Capillary Puncture (Manual)	915	(2)
Procedure 43-5: Screening for Glucose (Blood Sugar) Level	917	(1)
Procedure 43-6: Performing a Microhematocrit	918	(2)
Procedure 43-7: Determining Hemoglobin Using the Hemoglobinometer	920	(2)
Erythrocyte Sedimentation Rate	921	(1)
Phenylketonuria	921	(1)
Mono Testing	921	(1)
Procedure 43-8: Preparing Slides	922	(2)
Procedure 43-9: Performing an Erythrocyte Sedimentation Rate Test Using the Wintrobe Method	924	(1)
Procedure 43-10: Performing a PKU Test	925	(1)
Procedure 43-11: Performing a Mono Test	925	(3)
Radiology	928	(26)
Radiology	930	(1)
Diagnostic Imaging Overview	931	(1)
Preparing and Positioning the Patient	932	(3)
Procedure 44-1: Procedure for General X-ray Examination	935	(1)
Guidelines 44-1: Sequencing Multiple Radiographic Procedures	936	(3)
Diagnostic Imaging Procedures	936	(3)
Guidelines 44-2: Upper GI Series	939	(1)
Guidelines 44-3: Lower GI Series	939	(11)
Radiation Therapy	945	(1)
Nuclear Medicine	946	(1)
Safety Precautions	947	(2)
Radiographic Equipment	949	(1)
Guidelines 44-4: Maintaining Personnel Safety	950	(1)
Guidelines 44-5: Maintaining Patient Safety	950	(4)
Processing X-ray Film	950	(1)
Storage and Records	951	(1)
Ownership of Film	951	(3)
Electrocardiography and Pulmonary Function	954	(24)
Heart Structure and Function	956	(1)
The Electrocardiogram	957	(8)
Procedure 45-1: Recording a 12-Lead Electrocardiograph	965	(4)
Special Tests	967	(2)
Procedure 45-2: Treadmill Stress Test	969	(2)
Pulmonary Function	970	(1)
Pulmonary Function Tests	970	(1)
Procedure 45-3: Applying a Holter Monitor	971	(3)
Procedure 45-4: Performing a Spirometer Test to Measure Forced Vital Capacity	974	(4)
Treatments	975	(1)
Pulmonary Diseases	975	(3)
Physical Therapy and Rehabilitation	978	(32)
Therapeutic Team	980	(2)
Rehabilitation	982	(1)
Patient Assessment	983	(1)
Conditions Requiring Physical Therapy	983	(1)
Physical Therapy Methods	983	(3)
Guidelines 46-1: Performing Range of Motion (ROM) Exercises	986	(4)
Procedure 46-1: Applying a Hot Compress	990	(1)
Procedure 46-2: Application of Hot Soak	991	(1)
Procedure 46-3: Application of a Heating Pad	992	(1)
Procedure 46-4: Application of Cold Compress	993	(1)
Procedure 46-5: Application of Ice Bag	994	(1)
Procedure 46-6: Application of Cold Chemical Pack	995	(6)
Adaptive Equipment and Devices	996	(5)
Procedure 46-7: Instructing a Patient to Use Crutches Correctly	1001	(2)
Procedure 46-8: Instructing a Patient to Use a Cane or Single Crutch Correctly	1003	(2)
Procedure 46-9: Teaching a Patient to Correctly Use a Walker	1005	(1)
Procedure 46-10: Wheelchair Transfer to Chair or Examination Table	1006	(4)
Diagnostic Testing	1007	(3)
Math for Pharmacology	1010	(12)
Weights and Measures	1012	(1)
Drug Calculations	1013	(1)
Guidelines 47-1: Conversion within the Metric System	1014	(4)
Calculating Dosages	1017	(1)
Rules for Conversion	1017	(1)
Calculating Pediatric Dosages	1018	(1)
Guidelines 47-2: Conversion	1018	(4)
Pharmacology	1022	(24)
Drug Names	1024	(1)
Regulation and Standards	1024	(1)
References	1024	(1)
Legal Classification of Drugs	1025	(3)
Drug Abuse	1028	(1)
General Classes of Drugs	1029	(4)
Routes and Methods of Drug Administration	1033	(3)
Frequently Administered Drugs	1036	(1)
Side Effects of Medications	1037	(1)
Drug Interactions	1037	(1)
Drug Use During Pregnancy	1038	(1)
Reading and Writing a Prescription	1038	(2)
Guidelines 48-1: Administration of Medication	1040	(6)
Abbreviations Used in Pharmacology	1041	(5)
Administering Medications	1046	(34)
Administration Procedures: OSHA Standards	1048	(1)
Medication Administration	1048	(2)
Procedure 49-1: Administering (Inserting) a Rectal or Vaginal Suppository	1050	(1)
Procedure 49-2: Administering Sublingual or Buccal Medication	1051	(1)
Procedure 49-3: Administering Oral Medications	1052	(3)
Equipment Used for Medication Administration	1053	(2)
Procedure 49-4: Using an Ampule	1055	(1)
Procedure 49-5: Withdrawing Medication from a Single-Dose or Multiple-Dose Vial	1056	(7)
Sites for Intramuscular Injection	1057	(4)
Sites for Subcutaneous Injection	1061	(2)
Procedure 49-6: Administering Parenteral Subcutaneous (SC) or Intramuscular (IM) Injections	1063	(3)
Procedure 49-7: Administering a Z-Track Injection	1066	(2)
Intradermal Injection	1066	(1)
Tuberculin Skin Test	1067	(1)
Procedure 49-8: Administering an Intradermal Injection	1068	(2)
Procedure 49-9: Performing a Tuberculin Skin Test	1070	(2)
Intravenous Therapy	1071	(1)
Procedure 49-10: Preparing an Intravenous (IV) Tray	1072	(4)
Immunizations	1072	(4)
Reconstituting a Powdered Medication for Administration	1076	(1)
Procedure 49-11: Reconstituting a Powdered Medication for Administration	1076	(4)
Charting Medications	1077	(3)
Patient Education	1080	(16)
Patient Education	1082	(1)
Procedure 50-1: Creating a Community Resource Brochure	1082	(1)
Procedure 50-2: Creating a Public Relations Brochure	1083	(1)
Guidelines 50-1: Effective Health Instructions	1084	(5)
Procedure 50-3: Instructing Patients According to Their Needs for Health Maintenance and Promotion	1089	(7)
Developing a Teaching Plan	1089	(1)
Teaching Patients with Disabilities	1089	(2)
Handling Noncompliance	1091	(1)
Teaching about Cast Care	1091	(5)
Nutrition	1096	(24)
Nutrition	1098	(18)
Stress Management	1116	(1)
Time Management	1116	(4)
Psychology	1120	(19)
Psychology	1122	(1)
Psychological Disorders	1122	(2)
Treatments	1124	(1)
Developmental Stages of the Life Cycle	1125	(1)
The Mind-Body Connection	1126	(1)
Maslow's Hierarchy of Needs	1126	(1)
Heredity and Environmental and Cultural Influences on Behavior	1127	(1)
Procedure 52-1: Role-Playing a Situation in Which a Patient Is from Another Culture	1128	(3)
Interpersonal Skills and Human Behavior	1128	(1)
Emotions	1129	(1)
Motivation	1130	(1)
Stress	1130	(1)
Procedure 52-2: Role-Playing a Situation When a Patient Is Frightened, Angry, and Depressed	1131	(4)
Procedure 52-3: Develop a Patient Teaching Handout about Stress	1135	(4)
Assisting the Patient with Terminal Illness	1135	(4)
Unit Five Career Assistance	1139
Externship and Career Opportunities	1140
What Is an Externship?	1142	(3)
Preparing for the Certification Examination	1145	(1)
The Job Search	1146	(2)
Procedure 53-1: Conducting a Job Search	1148	(2)
The Resume	1148	(2)
Procedure 53-2: Preparing Your Resume	1150	(3)
The Cover Letter	1151	(1)
The Interview	1151	(2)
Procedure 53-3: Preparing a Cover Letter	1153	(1)
Guidelines 53-1: Successful Interviewing	1154	(1)
Procedure 53-4: Role-Playing an Interview	1155	(2)
Follow-Up after the Interview	1156	(1)
What Does the Employer Want?	1156	(1)
Procedure 53-5: Preparing a Follow-Up Letter	1157
Appendix I Abbreviations and Symbols	1	(6)
Appendix II Glossary of Word Parts	7
Glossary	1	(1)
Index	1