| |
| |
| Preface | |
| |
| |
| Acknowledgments | |
| |
| |
| |
| Common Medical Abbreviations | |
| |
| |
| General Abbreviations | |
| |
| |
| Measurement Abbreviations | |
| |
| |
| Pharmacology Abbreviations | |
| |
| |
| Symbols | |
| |
| |
| |
| Documentation Basics and Conducting In-office Screenings | |
| |
| |
| Introduction | |
| |
| |
| Documentation Basics | |
| |
| |
| Documentation Don'ts | |
| |
| |
| Simplified Chief Complaint | |
| |
| |
| Comprehensive Chief Complaint | |
| |
| |
| Gathering Questions for the History of the Present Illness | |
| |
| |
| How to Use the Chart | |
| |
| |
| Quick Glance History of the Present Illness (HPI) and Anticipation Chart | |
| |
| |
| Follow-Up Appointments/Progress Notes | |
| |
| |
| Documenting Medications | |
| |
| |
| Documenting Prescriptions | |
| |
| |
| Charting In-House Procedures | |
| |
| |
| Completing and Documenting Referrals | |
| |
| |
| Pre-certification/Documenting Outside Procedures | |
| |
| |
| Telephone Screening | |
| |
| |
| Documenting Patient Education Sessions | |
| |
| |
| |
| Telephone Screenings | |
| |
| |
| Introduction | |
| |
| |
| How to Use the Charts | |
| |
| |
| Action Abbreviation and Code Key | |
| |
| |
| Abdominal Pain/Stomach Pain | |
| |
| |
| Allergic Reaction/Anaphylaxis | |
| |
| |
| Anxiety and Stress | |
| |
| |
| Back Pain | |
| |
| |
| Burns | |
| |
| |
| Chest Pain | |
| |
| |
| Colds, Cough, and Flu | |
| |
| |
| Constipation | |
| |
| |
| Depression | |
| |
| |
| Diarrhea | |
| |
| |
| Ear Pain | |
| |
| |
| Eye Disorders | |
| |
| |
| Fainting | |
| |
| |
| Fever | |
| |
| |
| Headaches and Head Trauma | |
| |
| |
| Insect Bites or Stings | |
| |
| |
| Nosebleeds | |
| |
| |
| Rashes and Skin Disorders | |
| |
| |
| Strains, Sprains, and Fractures | |
| |
| |
| Urinary Tract Symptoms | |
| |
| |
| Vaginal Symptoms | |
| |
| |
| Wounds, Abrasions, Bruises, Lacerations, and Punctures | |
| |
| |
| |
| Assisting in an OB-Gyn Practice | |
| |
| |
| Introduction | |
| |
| |
| Annual Pap and Pelvic Procedures | |
| |
| |
| Pap Tray | |
| |
| |
| Pelvic Exam | |
| |
| |
| Pelvic Tray | |
| |
| |
| Assisting with a Colposcopy and a Biopsy Punch | |
| |
| |
| Assisting with Cryosurgery or Cryotherapy | |
| |
| |
| Diseases That Can Be Spread through Sexual Contact | |
| |
| |
| Sexually Transmitted Diseases | |
| |
| |
| Gynecological Diagnostic Tests and Procedures | |
| |
| |
| Assisting with Obstetrical Exams | |
| |
| |
| Assisting with the Prenatal Exam | |
| |
| |
| Diagnostic Tests and Procedures Routinely Performed During Pregnancy | |
| |
| |
| |
| Assisting in a Pediatric Office | |
| |
| |
| Introduction | |
| |
| |
| Assisting with Routine Pediatric Exams | |
| |
| |
| Recommended Childhood and Adolescent Immunization Schedule | |
| |
| |
| Telephone Screening for the Pediatric Patient | |
| |
| |
| Common Pediatric Diseases and Disorders | |
| |
| |
| |
| Pharmacology | |
| |
| |
| Introduction | |
| |
| |
| Drug Classifications | |
| |
| |
| Most Commonly Prescribed Medications | |
| |
| |
| Over-the-Counter Medications | |
| |
| |
| Most Common OTC Medications | |
| |
| |
| Common Childhood Immunizations | |
| |
| |
| Common Adult Immunizations | |
| |
| |
| Common Injectables | |
| |
| |
| Prescription Writing | |
| |
| |
| |
| Laboratory Regulations and Laboratory Normal Values | |
| |
| |
| Introduction | |
| |
| |
| Clinical Laboratory Improvement Act (CLIA) | |
| |
| |
| Process for Obtaining a Certificate of Waiver | |
| |
| |
| Process for Obtaining a Certificate for Moderately Complex or Highly Complex Labs | |
| |
| |
| Agencies Approved to Perform CLIA Inspections | |
| |
| |
| Provider-Performed Microscopy (PPM) | |
| |
| |
| Occupational Safety and Health Administration (OSHA) | |
| |
| |
| |
| Exposure Control Plan | |
| |
| |
| |
| Communication of Hazards to Employees | |
| |
| |
| |
| Post-Exposure Evaluation and Follow-Up Procedures | |
| |
| |
| |
| Record Keeping | |
| |
| |
| Other Terms | |
| |
| |
| Common Chemistry Tests | |
| |
| |
| Common Hematology Tests | |
| |
| |
| Critical Lab Values | |
| |
| |
| Organizational Tips | |
| |
| |
| Staff Responsibilities for Handling Critical Labs | |
| |
| |
| |
| Radiographic Procedures | |
| |
| |
| Introduction | |
| |
| |
| Information Needed When Ordering X Rays | |
| |
| |
| Routine Flat Films | |
| |
| |
| Ultrasound | |
| |
| |
| Computerized Tomography (CT Scan) | |
| |
| |
| Magnetic Resonance Imaging (MRI) | |
| |
| |
| |
| Routine Procedures Performed in the Medical Office | |
| |
| |
| Introduction | |
| |
| |
| Bandaging | |
| |
| |
| Assisting with Cardiac Procedures | |
| |
| |
| Electrocardiograms (3-Channel Version) | |
| |
| |
| Holter Monitor Application | |
| |
| |
| Ear and Eye Procedures | |
| |
| |
| Ear Instillation | |
| |
| |
| Ear Irrigation | |
| |
| |
| Eye Instillation | |
| |
| |
| Eye Irrigation | |
| |
| |
| Visual Acuity Testing | |
| |
| |
| Color Vision by Ishihara Method | |
| |
| |
| Measuring Near Vision (Jaegar Procedure) | |
| |
| |
| Emergency Procedures | |
| |
| |
| Foreign Body Airway Management for the Conscious Patient | |
| |
| |
| Cardiopulmonary Resuscitation for the Health Care Provider | |
| |
| |
| Crash Cart Equipment | |
| |
| |
| Laboratory Procedures | |
| |
| |
| Capillary Puncture Procedure | |
| |
| |
| Hematocrit/Finger Puncture Method | |
| |
| |
| Hemoglobin (Hemoglobinometer Method) | |
| |
| |
| Blood Glucose (Glucose Meter Method) | |
| |
| |
| Glucose Tolerance Test (GTT) | |
| |
| |
| Venipuncture | |
| |
| |
| Venipuncture (Evacuated Tube Method) | |
| |
| |
| Venipuncture (Syringe Method) | |
| |
| |
| Venipuncture (Butterfly Method) | |
| |
| |
| Vacuum Tube Stopper Color Chart | |
| |
| |
| Tube Order for Vacuum Method | |
| |
| |
| Hematoma Prevention Tips | |
| |
| |
| Rapid Test Kits | |
| |
| |
| Performing an HCG Urine Pregnancy Test | |
| |
| |
| Obtaining a Throat Swab and Performing a Rapid Strep Test | |
| |
| |
| Urinary Procedures | |
| |
| |
| Collecting a Clean Catch Urine Sample | |
| |
| |
| Collecting a 24-Hour Urine Specimen | |
| |
| |
| Physical Urinalysis | |
| |
| |
| Measuring Specific Gravity | |
| |
| |
| Performing a Chemical Urinalysis | |
| |
| |
| Microscopic Analysis of Urine | |
| |
| |
| Medication Administration | |
| |
| |
| Adult Dosage Calculations | |
| |
| |
| General Guidelines for Administering Medications | |
| |
| |
| Administering Oral Medications | |
| |
| |
| Withdrawing Medication from a Vial | |
| |
| |
| Combining Two Drugs into One Syringe | |
| |
| |
| Withdrawing Medication from an Ampule | |
| |
| |
| Administering an Intradermal Injection | |
| |
| |
| Administering a Subcutaneous Injection | |
| |
| |
| Administering an Adult Intramuscular Injection | |
| |
| |
| Administering a Z-Track Injection | |
| |
| |
| Minor Surgical Procedures | |
| |
| |
| Aseptic Procedures | |
| |
| |
| Medical Aseptic Handwashing | |
| |
| |
| Surgical Gloving | |
| |
| |
| Application of Sterile Adhesive Skin Closures | |
| |
| |
| Removal of Sutures | |
| |
| |
| Tray Setups | |
| |
| |
| Complete Physical Exam | |
| |
| |
| Cyst Removal | |
| |
| |
| Eye, Ear, Nose, and Throat Tray | |
| |
| |
| Electrosurgical Tray | |
| |
| |
| Excision Trays (Mole, Skin Tags, and Wart Removal) | |
| |
| |
| Incision and Drainage or ID Tray | |
| |
| |
| Joint Injection | |
| |
| |
| Laceration/Suture Tray | |
| |
| |
| Lumbar Puncture Tray | |
| |
| |
| Rectal Exam | |
| |
| |
| Sigmoidoscopy | |
| |
| |
| Positioning | |
| |
| |
| Vital Signs | |
| |
| |
| Blood Pressure (Palpatory Method) | |
| |
| |
| Measuring a Radial Pulse | |
| |
| |
| Measuring an Apical Pulse | |
| |
| |
| Measuring Respiration | |
| |
| |
| Measuring Temperature | |
| |
| |
| |
| Instrument Identification | |
| |
| |
| Introduction | |
| |
| |
| Illustrations of Instruments | |
| |
| |
| |
| Hugs in the Hallway | |
| |
| |
| Introduction | |
| |
| |
| Setting the Scene for Hugs in the Hallway | |
| |
| |
| She Couldn't Come to Their World, So They Went to Her World | |
| |
| |
| "You Want My Picture?" | |
| |
| |
| Fond Memories | |
| |
| |
| Fond Memories Continued | |
| |
| |
| "I Can't Find the Pound Key" | |
| |
| |
| Bibliography | |
| |
| |
| Index | |