MAP 348 - Medical Office Procedures II

1. Prepare the patient physically and psychologically for a minor surgery procedure
   1. Explain the purpose of surgical procedures performed in the office
   2. Describe surgical procedures in terms the patient can understand
   3. Describe informed consent and the Medical Assistant’s role in obtaining this consent
   4. Prepare sterile field
   5. Demonstrate the process for a surgical skin prep and draping
   6. Perform a simulated surgical prep and draping
   7. Instruct patient regarding post-operative care
2. Explain the uses of various bandages and dressings used in an office
   1. Differentiate between bandages and dressings
   2. List the purposes for using dressings
   3. List the purposes for using bandages
   4. Describe roller bandages, elastic bandages, triangular bandages, tube gauze, and various types of adhesive tape
3. Demonstrate proper application techniques of bandages and dressings
   1. Describe the use of medical or surgical asepsis in application of bandages and dressings
   2. Select the type of bandages and dressings appropriate for use in various types of wounds or injuries
   3. Demonstrate the following bandaging techniques: circular turn, spiral turn, spiral reverse, figure eight, and recurrent turn
   4. Demonstrate the application of tube gauze
   5. Distinguish between a sterile and clean dressing change
   6. Describe proper technique for disposing of contaminated dressings and bandages
   7. Prepare the instructions to the patient for home care following application of bandages
4. Describe types of wounds and the healing process
   1. Explain the difference between an open and a closed wound
   2. List and describe four types of open wounds
   3. Describe a type of closed wound and give example
   4. Describe three classifications of healing
   5. List factors that affect the healing process
   6. Differentiate the three stages of healing
   7. Characterize factors that affect the type and rate of healing
   8. Perform wound care
   9. Obtain wound culture, complete lab request form, lab log, and chart follow-up of lab results
5. Demonstrate an understanding of principles of pharmacology and drug therapy appropriate for a Medical Assistant
   1. Explain the difference between administering, prescribing, and dispensing drugs
   2. Describe the legal standards for drug administration
   3. Describe the classification of controlled substances according to schedules 1-5
   4. List eight routes for administration of medication
   5. Identify classifications of medications including desired effects, side effects and adverse reactions
   6. Identify factors that affect the action of drugs in the body
   7. Define terms related to drug side effects
   8. Define and give examples of nonprescription, prescription, and controlled drugs
   9. Utilize the major pharmacological reference books for drug information
   10. Identify generic and trade names of drugs in specified classifications
   11. Explain the procedures for proper storage, dispensing, and disposal of drugs
6. Prepare prescriptions as directed by the physician
   1. List the seven parts of a completed prescription
   2. Use appropriate abbreviations and symbols in preparing a prescription
   3. Translate drug orders to be able to clarify the order to patients
   4. Record all new and renewed prescriptions on the patient’s chart
   5. Identify basic units of measurement in metric, apothecary and household systems
   6. Perform metric conversion
7. Prepare and administer drugs via various routes of administration
   1. List the routes by which medications may be administered
   2. Name the “six rights” for preparing and administering medication
   3. State the advantages and disadvantages of using the parenteral route of administration
   4. Demonstrate the procedure for administration of an oral medication
   5. Reconstitute a powdered drug for parenteral administration
   6. Describe the various types of needles and syringes used in administering parenteral medication
   7. Demonstrate withdrawing medication from a vial and an ampule using aseptic technique
   8. Explain which tissue layers are used for an intradermal, a subcutaneous, and an intramuscular injection, correct documentation
   9. Identify appropriate sites for subcutaneous injection
   10. Administer a subcutaneous injection and record the procedure
   11. Identify appropriate sites for an intramuscular injection
   12. Administration of an intramuscular injection, documentation of procedure
   13. Demonstrate the Z-track technique to administer medication
   14. Administer an intradermal injection
   15. Complete immunization records to include patient chart, injection log and patient record, and IDPH Immunization Record
   16. Obtain patient consent forms.
   17. Give patient appropriate vaccine information sheet
   18. Perform dosage calculations and convert among measurement systems
   19. Identify both abbreviations and symbols used in calculating medication dosages
   20. Verify ordered dosage, strength, and route prior to administration of medication
   21. Administer intra-dermal injection
   22. Demonstrate how to interpret PPD results and document accurately
8. Develop patient education material
   1. Coach patients regarding; office policies,health maintenance, disease prevention and treatment plan.
   2. Coach patients appropriately considering; cultural diversity, developmental life stage and communication barriers
   3. Show awareness of patient’s concerns regarding dietary change
9. Management Clinical Office
   1. State goals of office policy manual
   2. State goals of procedure manual
   3. Prepare a patient chart for audit
   4. Complete forms for managed care and prior certification
   5. Schedule inpatient and out patient testing using reference material in classroom/lab
   6. Document follow-up patient test results
   7. Use computerized charting to prepare a chart note, referral, letter, prescriptions, and patient instruction sheet
   8. Identify the role of the Center for Disease Control (CDC) and JCAHCO regulations in healthcare settings
   9. Describe the importance of coordination through cooperation of health care professionals and proper documentation for patient care, referrals, outpatient and inpatient care
10. Maintain safety in the medical office
    1. List precaution to be observed in storing supplies, equipment, and meds for a medical office
    2. Evaluate the work environment identify safe vs. unsafe working conditions
    3. List items on a crash cart, state where crash cart is stored, and when to inventory crash cart
    4. Maintain a current list of community resources for emergency preparedness
    5. Discuss critical elements of an emergency plan for response to a natural disaster or other emergency
11. Vaccine Administration
    1. Describe proper procedure for the storage and handling of vaccines
    2. State recommended temperature for storage of vaccines for freezer and or refrigerator storage and type of thermometers to use in monitoring
    3. List effects of temperature range on stored vaccinations
    4. Demonstrate recording/monitoring of refrigerator/freezer temperature log
    5. State the effects of light on stored vaccines and how damage from a light source can be prevented
    6. List preventative measures to be taken to insure vaccine efficacy
    7. Identify qualifications of a valid certificate for recording immunizations
    8. Identify Certificate of Immunization provisional enrollments
    9. Identify Certificate of Immunization Exemption for medical and religious exemptions
    10. Define IDPH, IRIS system for the immunization registry in Iowa
    11. Define the federally mandated entitlement program VFC and the requirements for health care providers? vaccine accountability with this program
    12. List four different resources available to health care personnel for vaccine administration and the current recommendations and guidelines
    13. For each recommended vaccination, identify the disease immunity given by the vaccine
    14. List vaccination requirements for infants, pediatric 12 months thru 18 years and adult
    15. Identify proper route and site for all vaccinations including needle length for infant, pediatric and adult patients receiving vaccination injections
    16. State procedure to follow in an administration error
    17. Identify those vaccinations requiring revaccination schedules
    18. Identify VIS for vaccinations and state where current forms may be obtained
    19. List information to be recorded in a vaccination log record and state how long the records are to be kept including temperature logs of vaccinations
    20. Define cold chain for receiving and storing vaccinations and list procedures to accomplish the cold chain
    21. Describe an emergency storage plan for vaccines and list procedures for this safeguard plan for implementation in a medical office
    22. State procedure to follow for out-of-range log reading for refrigerator and freezer