Medical Assistant Procedure Manual

Medical Abettor Action Chiral Project Pamela Estep ENGL205-1203A- Technical Autograph and Speaking Appearance 5IP Abstract This action chiral was advised to advice the medical abettor if they would accept a catechism or appear to allegation abating about a procedure. It is additionally to be acclimated as a training apparatus for new agents and accepted staff. This chiral will annual both authoritative and analytic duties that are to be performed by the medical assistant. This chiral will additionally be adapted as new duties appear about or old duties are taken out. This will be your bible for your job here, and you are to chase this chiral to accumulate bottomward any abashing that can appear with your job. But if you would still allegation a description on article that is not annual in this chiral amuse feel chargeless to acquaintance myself, and I will acknowledgment your catechism and afresh this catechism is a accepted one we will install it to the manual. As all means we appetite you to accept a affable time actuality with us so feel chargeless to accomplish any advancement of means to advance your job. Adept Table of Contents Project Outline (phase 1)……………………………………………………………………… 3 Procedure Chiral Angle (phase 1)………………………………………………………… 5 Action Chiral Outline (phase 1)…………………………………………………………. 6 Action Chiral Brochure (phase 2)………………………………………………………. 7-8 Action Chiral Checklist (phase 3)………………………………………………………. 9 Action Chiral (phase 3)…………………………………………………………………. 10-29 Action Chiral Quick Advertence Guide (phase 4)……………………………………….. Action Chiral Training Session (PowerPoint) (phase 5)………………………………… Signature folio .......................................................................................................... Reference folio …………………………………………………………………….. Memo Pamela Estep ENGL205-1203A-03 Appearance 1 DB2 Professor: Anderson July 15, 2012 Doctor Markesberry, As allotment of my best resent appraisal you ask me to see why there was so abundant abashing amid the medical assistants. You said you had some patients allurement why aback a altered medical abettor takes affliction of them they do not do the aforementioned things as their approved medical assistant. Afterwards watching anniversary of the medical abettor for one anniversary and allurement anniversary of them altered catechism about how they accomplish their job, they anniversary gave me a altered answer. After audition this and what I apparent I feel we are in allegation of a action manual. This chiral will not let them apperceive what is accepted of them but how it is to be performed in this office. With this chiral in acknowledgment all of the medical abettor should accomplish the aforementioned no bulk which doctor they are alive for. This should additionally cut bottomward on the abashing with the patients and put afresh at affluence aback the medical abettor they are acclimated to demography affliction of them cannot be there that day. Not alone will it abundance the accommodating it will additionally cut bottomward on adventitious of mistakes actuality fabricated that ould aching a accommodating or bulk some a life. With this angle I feel it would be a abundant annual for the medical abettor we accept now and any new ones in the future. It would accord a bright cut of their job analogue and job expectation. That would additionally abate our accountability for mistakes by addition not apperceive what to do or how to do it. The action chiral I am speaking about would be one that would awning both authoritative and analytic duties. I would breach anniversary of these bottomward into two sections with annex in anniversary sections. There would be an basis foe quick admission and anniversary would additionally accept a signature folio which anniversary medical abettor would accept to assurance and that would be put in their claimed folders. Already afresh let me accompaniment based on what I accept apparent and been told by anniversary of the medical administration I feel this is the alone way to accord them bright cut instructions on what is accepted of anniversary of them and how it is to be done. Thank you, Pamela Estep Doctor Markesberry, As declared in my proposal, the afterward is a archetype of the outline in which I plan to use. As this is acting outline aloof let me apperceive if you would like to add annihilation afore annihilation is set in stone. I attending advanced to your input; I achievement this is what you are absent in way of the action chiral you had in mine. With that said actuality is the basal outline of the manual. Medical Abettor Chiral Outline I. Introduction What the chiral is for and a abrupt overview of the manual. II. Authoritative Duties 1. Scheduling and accepting patients. 2. Preparing and advancement medical records. 3. Assuming basal secretarial abilities and medical transcription. 4. Administration blast calls and autograph correspondence. 5. Serving as a communication amid the physician and alternative individuals. 6. Managing convenance finances. III. Analytic Duties 1. Asepsis and infection control. 2. Demography accommodating histories and vitals. 3. Accomplish aboriginal aid and CPR. 4. Preparing patients for procedures. 5. Assisting the physician with examinations and treatments. 6. Accession and processing specimens. 7. Assuming alleged analytic tests. 8. Preparing and administering medications as directed by the physician. As you can see I accept included both authoritative and analytic duties to be performed, there are abounding medical abettor out there that anticipate you aloof booty affliction of a accommodating but they will see it is abundant added than that. Once afresh feel chargeless of any changes that you appetite made. A action Chiral is a allegation for any job. It provides admired advice about your job and can acknowledgment the best accepted questions. It does not bulk the admeasurement of your arrangement a action chiral is there aback you allegation it to brace your anamnesis or acknowledgment your question. With this chiral in abode we all will be captivated answerable for our accomplishments and we will accomplish as a bigger aggregation that supports anniversary other. The afterward is my analysis annual for the Medical Abettor action manual. 1) To accomplish abiding there is a allegation for the action manual. I will accommodate all the genitalia that are bare to accomplish the medical abettor job. I will accommodate the assurance risk, and accommodate accepted acknowledged issues and how to abstain them. 2) I will abode a asperous abstract of this chiral and let doctor Markesberry and let the advanced board administrator attending it over for any change the allegation to be fabricated afore final draft. 3) I will afresh accept a affair with the medical administration and advanced board bodies to go over the manual. At which time I will acknowledgment any catechism about the chiral or if there is annihilation that they would like to see in the manual. ) I will carbon the chiral afterwards I accept the advancement and answered the question. Already I accept done this and accelerate this for approval from high management. 5) Already I accept got the approval I will accomplish a archetype for anybody complex and some added copies for new hires and for bodies who lose their there will be a adept archetype which will be kept in the administrator office. I will afresh accept affair every two weeks for updates and to go over any problems that ability arise. Medical Abettor Action Chiral for Primary Affliction Arrangement of Doctor Markesberry Table of Contents Introduction……………………………………………………………………………………3 Authoritative duties Scheduling and accepting patients................................................................................................... 4 Preparing and advancement medical records………………………………………………………5 Assuming and Advancement medical records……………………………………………………. 6 Administration blast calls and autograph correspondence……………………………………………7 Serving as a communication amid the physician and alternative individuals………………………………... 8 Managing Convenance finances………………………………………………………………………. 9 Analytic Duties Asepsis and infection control……………………………………………………………………10 Demography accommodating histories and belly signs........................................................................................ 11 Assuming aboriginal aid and CPR……………………………………………………………………12 Preparing patients for procedures……………………………………………………………….. 13 Assisting the physician with examinations and treatments……………………………………... 14 Accession and processing specimens……………………………………………………………15 Assuming alleged analytic test…………………………………………………………….. 16 Preparing and administering medications as directed by the physician…………………………17 Common Q&A……………………………………………………………………18 Notes........................................................................................................................................... 19 Signature page……………………………………………………………………………….. 20 Authoritative duties Scheduling and accepting patients Upon accession to the arrangement the accommodating will stop at the advanced desk, already there they will sing in and accept a sit. Afterwards you alarm the accommodating up to the board at that point you will ask the accommodating name, DOB, abode and buzz number. Already you accept fabricated abiding this is the appropriate patient, you will afresh ask to see their allowance card. When they accord you the allowance agenda you allegation to verify that it is in effect, afterwards that you aggregate their copay. Upon accession this is the process: 1. Pt. assurance 2. Alarm pt. to board 3. Verify DOB, Address, Buzz cardinal 4. Confirm appointment. 5. Ask for allowance card, verify it. 6. Aggregate copay Scheduling arrangement can be authoritative an arrangement for a doctor in our arrangement to authoritative an arrangement for an alfresco doctor, test, or lab work. Whichever it is you allegation to accomplish abiding of the aforementioned advice aback accepting a patient. With a brace of barring of the accommodating assurance and accession their copay. This is the way the action should go: 1. Analysis the availability date of the appointment. 2. Ask accommodating if this is a go date and time is appropriate for the patient. 3. Arrangement is out our arrangement accord them allowance information, DOB, name, and abode of the patient. 4. For an alfresco arrangement you will accord them the name of the doctor acclimation the arrangement to be made. 5. Accord the accommodating an arrangement agenda or apprenticeship on breadth to go the appointment. 6. Afresh fax all advice to the arrangement afore the accommodating go’s so they can accept a copy. When authoritative the alfresco arrangement consistently fax the adjustment and accommodating advice to the arrangement the accommodating is activity that way they accept a advancement archetype beside you alarm and sitting up the appointment. Afresh put the advice in the blueprint or on the computer so if there is abashing aback the accommodating get there you accept the advice at hand. Preparing and advancement medical annal Aback you accept reports, physician addendum from alfresco offices you allegation to put these in the accommodating charts. But afore you can put them in the archive you allegation to let the physician apperceive the letters or advance addendum accept appear in. That way if some is aberrant the doctor can alarm the patient, already the doctor has assurance the letters or addendum you afresh allegation to abode them in the charts. If they are still application cardboard archive you will allegation to cull the blueprint and go to the actual breadth and book the reports. But if you accept cyberbanking archive you will allegation to browse the blueprint afresh move the abode to the appropriate blueprint in the appropriate place. Amuse use the afterward steps: 1. Array all the letters and physician notes. 2. Abode a accustomed date brand on them. 3. Afresh accord to the doctor for review. 4. Afterwards accepting they aback array them by name and date. 5. Scan them in the charts. 6. Afterwards all letters and addendum accept be scanned in archive and filed atom the documents. 7. Analysis that all orders accept been active and all doctors’ addendum accept been signed. At the end of the day or at cafeteria you allegation to ample all archive that are done and cull the abutting accommodating archive do to appear in. This needs to be done every day to accumulate aural the HIPPA and Medicare standards. If the doctor tells you to alarm a accommodating and accord them their after-effects that is the alone time you can do so. You cannot contrarily and never acquaint the advanced board bodies to do this they are not accomplished to do this and it is unethical. Performing basal secretarial abilities and medical archetype From time to time you may allegation to transcribe doctor’s dictations. If the accommodating would allegation and archetype of the arrangement or if a above agent would allegation a reference. Afresh you would blazon this up and accord it the patient. Sometimes the doctor will aloof acquaint you to appropriate up article and he will assurance it afterwards you typed it. However it is done you allegation get the physician to assurance it afore it leaves the office. Afterwards it is active abode a archetype in the blueprint or accomplish a archetype to accept on book in case the accommodating would allegation addition archetype later. Handling blast calls and autograph accord Aback accepting a buzz alarm from a accommodating you allegation to get the accommodating advice so you can accomplish abiding that you accept the appropriate accommodating pulled up on your computer. Already you accept done this afresh ask the accommodating how you may advice them. Afterwards the accommodating tells you appetite they allegation appropriate it down, never aloof try to accumulate it in your head. Afore you can do whatever the accommodating alleged for you ability get disconnected and balloon what it was or who the accommodating was. This is actual important if the accommodating that alleged is not one of your approved patients. If you are calling a accommodating to acquaint them of an accredit change or to accord them lab or analysis after-effects never leave the advice on the answering apparatus or with any alternative person. Aback you alarm and you get an answering apparatus aloof leave your name and who you are aggravating to acquaintance and ask them to alarm you aback and leave your number. This additionally applies to abrogation bulletin with addition alternative than the patient. Aback autograph accord to the accommodating is absolute and use chat that they can understand. Do not add annihilation extra; accommodate your name the physician name, buzz cardinal and your address. If sending a accord to addition physician consistently be able use accept chat and medical terms. At the end of the accord blazon the physician name and accept him assurance it. As with annihilation that goes out of the arrangement or comes in the arrangement you allegation to blueprint it or it is not done. Afore commitment out any accord affidavit apprehend it. Serving as a communication amid the physician and alternative individuals From time to time you will act as a communication amid your accommodating and your doctor. Sometime afterwards the accommodating has apparent the doctor they will appear out aback they are abrogation and ask you what did the doctor beggarly or what did he say. The accommodating does not consistently accept the doctor so you ability of medical analogue is a must. Because you accept to construe the medical acceptation to agreement that the accommodating can understand. This is analytical because if the accommodating does not accept what is actuality told to them they will not apperceive how to booty the medication or how to be compliant. But communication amid the accommodating and the doctor is not the alone time you ability accept to do this. You ability accept to as a communication aback Biologic representative, medical accessories adumbrative or alternative doctors until the physician is available. This is a actual important allotment of your job because you are the aboriginal actuality they see, you are ambience the consequence for the office, so consistently be professional. Managing convenance affairs This is a basal allotment of any office, if no money is advancing in the arrangement will accept to close. With that said you will be amenable for acclimation to acquittal with the cardinal of accommodating and get the money accessible for deposit. You will additionally accept to aggregate any money due on medication that is best up at the arrangement if there is a charge. This additionally goes for any medical devise or accessories that is accustomed to the accommodating that is a allegation for. So for all money that is actuality drop to the arrangement annual you allegation a drop slip. You will ample out the date, bulk of banknote in bill and coins. Afresh you annual all checks one at a time on a abstracted line; put the aftermost name from the analysis and the bulk of the check. Already this is done you add all the banknote and the checks and abode the absolute at the end, you put a archetype in with the money that goes to the coffer and you accumulate the alternative for your books. Clinical Duties Asepsis and infection ascendancy Afterwards anniversary accommodating you are to apple-pie and alter all instruments, you are to apple-pie bottomward all the accommodating appear into acquaintance with in the allowance afterwards anniversary patient. You are to abrasion gloves aback administration any anatomy fluids or charwoman any accessible wound. You are to change the debris afterwards any accommodating that has a action done or afterwards any bathrobe changes. If giving a changeable appraise you allegation to change the debris if speculums are put in the trash. All of this affectionate of debris is to be put in the biohazard debris bag not a approved one. When charwoman the allowance afterwards accommodating you allegation to accomplish abiding to apple-pie the bed, adverse tops, chairs, and any alternative instrument. This way you do not advance infection. At the end of the day you allegation to analysis all your allowance to accomplish abiding they are apple-pie and sterilized, and banal for the abutting day. If you accept a accommodating advancing in for an arrangement who ability accept the flu you allegation to accord that accommodating a affectation aback they access so while they are sitting in the cat-and-mouse allowance they do not advance annihilation to the alternative patients. If the accommodating has the craven pox accompany them aback as anon as they get to the arrangement do not let them delay in the cat-and-mouse room. After you see them apple-pie and alter the allowance so you are not advertisement addition accommodating to the virus. If allowance with a action abrasion a clothes and gloves if all-important abrasion a facemask or shield. You were accomplished accepted anticipation accomplish abiding you use afresh not alone for the patients but for you and your family. Demography accommodating histories and basal signs Demography accommodating history you allegation to be actual through this can accord you clues to what ability be activity on with your patient. It all so let you apperceive will they are at accident of accepting in the future. You allegation to ask about their parents, brothers and sisters, grandparents. You allegation to ask about adolescent awning illness, accomplished surgical history, any apperceive biologic allergy, any aliment allergy, any medication they are demography and they allegation to accompany their bottles. This all plays a actual important allotment in accommodating care. Aback taken basal signs you allegation to do the following: 1. B/P 2. Beating 3. Respirations 4. Height 5. Weight 6. Temperature 7. Beating ox. Aback you analysis you patients basal you allegation blow the accommodating so to can acquaint how their bark feels, if their beating is approved if you never blow your accommodating you will absence affair that can arrest the accommodating treatment. Assuming aboriginal aid and CPR When assuming aboriginal aid consistently abrasion gloves, apple-pie balance and dress the wound. Never move the accommodating until the physician tells you to. Analysis for shock. Accumulate the accommodating balmy and conformable. Accord oxygen aback needed; never abolish any article with the doctor cogent you too. Aback you are giving CPR you allegation to analysis if the accommodating is conscious, analysis respiration, and afresh analysis for a beating if there is none accommodate CPR. Already you alpha CPR you cannot stop it until you are told to or the accommodating is breath and has a beating of their own. These things are a allegation to apperceive you allegation accumulate all CPR acceptance valid. After you accomplish any these affair apple-pie and alter aggregate that is reusable and through abroad aggregate else. Apple-pie the allowance and put aggregate aback in order. Aback calling in a accommodating afterwards accepting to accomplish article like this assure the abutting accommodating and go about you assignment at hand. Do not accord the abutting accommodating any advice about what has happened who the accommodating was or how there are doing. Preparing accommodating for procedures Aback you accept a accommodating advancing in for a procedure, try to accumulate the accommodating clam. Assure the accommodating acquaint them what is activity to appear and aback it is activity to happen. Answer any catechism they have, if you don’t apperceive the acknowledgment acquaint them the doctor will be added than blessed to acknowledgment their question. You will allegation to do basal signs on the accommodating at the alpha of the action and after. You ability accept to during if the action is activity to be continued or the accommodating is activity to be put out. Already this has been done ask about accepted biologic abhorrence you allegation to blueprint all of this. Afresh you get the absolute apparatus accessible you get any bathrobe that ability be needed, any bounded anesthesia ready. You advice the accommodating get ready, by undressing or any alertness that allegation to be done afore the procedure. Try to accumulate affair ablaze amid you and the accommodating this helps them relax. Already the action is done advice them get dressed or advice them get bankrupt up. Accord them all the instructions and annihilation that they ability allegation until they appear aback to see you. Ask them if they allegation advice accepting home or activity to their car. Assisting the physician with assay and treatments Aback allowance the physician with the assay tells the accommodating so they do not get nervous. Acquaint them what you are doing. Assist the doctor any way accessible with his assay be professional. If you are to authority bottomward n a allotment of the anatomy acquaint the accommodating what you are accomplishing any why. Any affair you can do to accessible the action helps the accommodating and the physician. Accumulate any apparent areas covered until the doctor is accessible to appraise that area. Afterwards the assay ask the accommodating if they allegation advice accepting dressed and if not footfall out the allowance until they are done. Already they are done go aback and analysis on them and accomplish abiding they are alright. Ask them if they accept any catechism for the doctor or for you. Aback the doctor is done and accord you the acquittal advice go over it with the patient. Accession and processing specimens When accession specimens consistently abrasion gloves, acquaint the accommodating what affectionate of case you need. Acquaint the accommodating how you are activity to aggregate the specimen. Apple-pie the breadth afore accession the specimen. If it is a UA acquaint the accommodating how to do the case and how abundant you allegation and were to leave the case aback they are done. If accession claret makes abiding you draw it in the appropriate tube. Get aggregate you allegation afore you go into the allowance were the accommodating is. Let the accommodating apperceive what you are activity to do and how you are activity to do it. Get aggregate you allegation laid out and accessible aural duke distant. Clean the breadth and draw your case afterwards you get what you allegation accomplish abiding the accommodating is accomplished and put a cast on the site. Booty the case in the lab breadth and circuit any tubes that allegation to be spun and characterization them afterwards you draw them. Aback you are done with all this you put them in a lab bag to go an alfresco department. Accumulate any case algid or arctic until it is time to accelerate them out afresh put them in algid backpack for the lab to aces up. Assuming alleged analytic tests Aback assuming analysis such as EKG’s you allegation to let the accommodating apperceive what you are activity to do how you are activity to do it and why you are accomplishing this test. Help the accommodating get accessible and accept them lie aback on the table, let all macho accommodating that you ability accept to barber their chest if there is a lot of beard because the patches will not stick. Afterwards you advice the accommodating assimilate the table and get accessible abode the patches on their chest, leg and arm. Affix the leads to the accommodating and affix the machine. Already you accept this done acquaint the accommodating to authority still and allot the test. Afterwards you are done deliver the leads and abolish the patches, advice the accommodating off the table and advice them get dresses. Then accord the EKG abode to the doctor so he can acquaint the accommodating what it said and how to amusement them. As with any affair you use from accommodating to accommodating use allegation to apple-pie all the leads. If the ask you to accomplish a beating ox analysis you let the accommodating apperceive what you allegation them to do and afresh you almanac the advice and let the doctor apperceive what the account was. The physician will afresh acquaint the accommodating any and all results. Preparing and administering medications as directed by the physician Aback the physician tells you to accord the accommodating medication abode bottomward the amount, dose, how to be given. If the medication is an injection, accomplish abiding you accept the appropriate admeasurement needle, appropriate bulk of medication and were it is the go such as arm or hip. Afterwards you get your medication accessible go to the allowance and ask the accommodating if the doctor told them they were activity to get an bang or medication. If they say yes ask them if they are allergic to any medication. Acquaint the accommodating were you are activity to accord the bang and let them apperceive aback you are done. Acquaint the accommodating to delay for about bristles account to accomplish abiding there is no acknowledgment to the shot. If the medication is a bolus or aqueous ask the accommodating if the doctor told them they were activity to get medication afore they leave if they say yes afresh ask the accommodating if they accept and abhorrence to the medication. Afterwards you accord afresh the medication acquaint them to delay until they are told they can leave. Accomplish abiding you blueprint what the medication was, breadth you gave it, how you gave it, and why you gave it. Additionally blueprint if there was any acknowledgment to the medication. Quick Advertence Guide 1) Scheduling and accepting accommodating Analysis the accommodating in, amend all accommodating information, verify allowance and aggregate copay. ) Preparing and advancement medical annal Array all annal by name and date, analysis that are assurance and browse into chart. 3) Accomplish basal secretarial accomplishment and medical transcription. Transcribe all notes, and put them in the blueprint afterwards they were signing the doctor. 4) Administration blast calls and autograph correspondence. Abode all blast letters down, annual accommodating name, DOB, abode and buzz cardinal on the message. Aback autograph correspondences annual the accommodating or doctor name to which it is activity to and accept the doctor assurance the accord and abode a archetype in the chart. ) Serving as a communication amid the physician and alternative individuals. Talk to the accommodating or alternative individuals in a able matter. Speak in a accent they can understand. Let the doctor apperceive what you accept said and to whom. 6) Managing convenance finances. Absolute the money you receive, ample out drop blooper and drop money. Analytic Duties 1) Asepsis and infection control. Consistently advance asepsis field, apple-pie all areas, and abrasion the able PPI. 2) Demography accommodating histories and vitals. Ask the accommodating about their accomplished history and ancestors history. Analysis all basal signs and blueprint them. ) Assuming aboriginal aid and CPR. Use consecutive dressings for all aboriginal aid dressing. Don’t abolish any altar afterwards doctor knowing. Use PPI. Analysis your ABC accomplish abiding they are absent afore accomplishing CPR. Don’t stop until the doctor tells you too. 4) Preparing patients for procedures. Analysis vitals, get all instruments needed, dressing, advice accommodating denude if needed, and array breadth exposed. 5) Assisting the physician with examinations and treatments. Accumulate the accommodating calm, advice authority accommodating aback bare abettor any way needed. 6) Accession and processing specimens. Be papered; get all accumulation that is needed. Acquaint accommodating what you are accomplishing and why, be calm and the accommodating will be calm. Action all specimens as bare to bottle them for transportation. 7) Assuming alleged analytic tests. Acquaint accommodating what you are activity to do. Be quick assuming test, accord to physician and advice accommodating get dressed if needed. 8) Preparing and administering medications as directed by the physician. Ask the accommodating if they knew about the medication, analysis the dose, the amount, route, and were. Ask if they accept any abhorrence to the medication. Be quick and accessible as possible. Acquaint accommodating to delay until they are told they can leave afterwards medication is giving. Accepted Q&A 1) What if the accommodating states they accept allowance but their apron has the agenda what do you do? You would let the accommodating you allegation a archetype of their allowance agenda and they can accept addition accompany it in for this arrangement or they can pay the abject amount of $25 and aback they accompany in there agenda we will acclaim the money aback to them if it’s beneath than the abject copay. 2) What if a boyish adolescent comes in for an arrangement and they did not accompany their parents? You can’t not amusement the patient, afterwards accounting permission or the ancestor actuality there. 3) What if the accommodating would alarm in to appeal a bushing on their affliction medication? They cannot get a bushing on affliction medication afterwards actuality apparent by the doctor. 4) What if you anticipate your accommodating is actuality abused? Talk to the doctor afore he goes into the allowance and acquaint him what you think, if he agrees or if he does not agrees but you accept apparent this accommodating in the arrangement afore with the aforementioned affectionate of injuries you allegation to abode this to you manager, and they will abode it to the authorities. ) Can I go home and accomplishment my charting tomorrow? No if you accept not charted it is not done, additional you ability balloon what you done and what the accommodating name was. Addendum Signature folio I accept been accustomed a archetype of the Medical Abettor action manual. I accept accustomed action chiral training. References http://www. caahep. org http://smallbusiness. chron. com/write-standard-operations-procedures-manual Http://www. ehow. com/how-8124308-manage-medical-assistants Action Chiral Training Session (power point)

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