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Dynamics of Health Care > Chapter 3 > Flashcards

Chapter 3 Flashcards

1
Q

What TYPE of tasks do medical assistants do

A

administrative

clinical

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2
Q

What are administrative tasks

A

carrying out office procedures

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3
Q

what are clinical tasks

A

involve examining patients and helping treat them

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4
Q

Describe the history of medical assisting

A

early 20th century
= trained on job to perform clinical procedures

1924
= M.M Mandl opened up a medical assistant school

1956
= AAMA was founded

1963
= certification exam
= standards established
= accreditation

1977
= responsibility for accrediting programs was passed to an AMA independent commitee

1990
= independent company was replaced by Commission on Accreditation of Allied Health Education Programs (CAAHEP)

  • the Accrediting Bureau of Health Education Schools accredits medical assisting programs as well
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5
Q

What is the education of medical assistants

A

trained or job OR 1-2 year training program
= one year programs lead to certificate or diploma
= two year programs lead to associate’s degree

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6
Q

What are the two credentials for medical assistants

A

CMA by the AMA

RMA by the AMT

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7
Q

What can medical assistants specialize in

A

ophthalmology
optometry
podiatry

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8
Q

What are administrative tasks of medical assistants

A 
greet patients and answer telephone
manage appointments and schedules
arrange hospital admission + lab 
organize/update/file patient's medical records
handle correspondence
manage office expenses and billing 
manage supplies and equipment
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9
Q

What are clinical tasks of medical assistants

A 
height/weight/blood pressure
medical history
minor physical examination
prepare + administer medication
sterilize instruments
change dressing + remove sutures 
dispose of bio-hazardous materials
patient education
collect throat specimens 
perform blood glucose testing 
therapeutic soaks
EKG 
measure patient for crutches
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10
Q

Describe settings and medical assistants

A

family practice = clinical

psychiatric practice = administrative

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11
Q

Why will medical assistants grow

A 
rising number of hc facilities 
primary care is growing
aging population + tech. advance
medical conditions 
expanding population
pressure of cost control
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12
Q

What are the professional org. of medical assistants

A

AAMA

AMT

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13
Q

Describe the history of surg technologists

A

dates back to world war 2
= operation room technicians worked in military

1969
= Association of Operating Room Technicians (AST)

1972
= educational standards
=accreditation review commitee

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14
Q

What is the education requirements of a surgical technologist

A

9 month - 2 year training program
= certificate, diploma, or associate’s degree

ACT or health profession exam

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15
Q

what are credentials for surgical technologists

A

do not NEED licensure or certification

CST
= from National board of Surgical Technology and Surgical Assisting
= must grad. from CAAHEP program and pass an exam

TS-C
= from National Center for Competency Testing (NCCT)

requirements include one of

  • training program recognized by department of education
  • training program with 1-2 years experience
  • 7 years of experience during previous 10 years
  • belong to other healthcare occupation
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16
Q

when do surg. techs work

A

before operation
during operation
after operation

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17
Q

what do surg.techs do before operation

A 
prepare operation room 
gather necessary supplies and equipment 
count equipment
emotional support 
monitor vital signs and chart
transport patient 
prep patient
scrub and create sterile field
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18
Q

what do surg.techs do during an operation

A 
pass instruments
hold detractors, sponges, suction
monitor vital signs and operat eequipment
take care of collected specimens
- label specimesn and send for analyze
prepare and apply dressings
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19
Q

what do surg.techs do after an operation

A

transport patient

set up room for next patient

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20
Q

what skill do surgical techs need

A

manual dexterity

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21
Q

why are surg.techs growing

A

increase number of surgeries
elderly
med. technology

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22
Q

what is the professional org. for surg. techs

A

AST

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23
Q

Where do PAs work

A

mainly rural settings with a shortage of doctors

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24
Q

When did physician assisting begin

A

1960s

- corpsemen in the military

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25
Q

Describe the history of physician assisting beginning in 1964

A

1964
= Surgeon General William Stewart asked Dr. Richard A. Smith to develop MEEX
- pilote program at Duke University had 4 PA students in 1965

1969
= AAPA was founded

1973
= certification exam

26
Q

What are the educational requirements of a PA

A

complete accredited program

pass a national exam to obtain a license

27
Q

what are the requirements for licensure of a PA

A

accredited program
national exam
minimum 2 years of undergradcollege
experience in healthcare

28
Q

Who accredits PA programs

A

Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)

29
Q

What test must PAs pass

A

Physician Assistant National Certifying Examination

30
Q

Who administers the PA exam

A

National Commission on Certification of Physician Assistants (NCCPA)

can take open-book exam but need 100 credits

31
Q

what is a certified physician assistant called

A

physician assistant-certified

32
Q

how can physician assistants reamin certified

A

exam every 6 years

100 hours of CE every 2 years

33
Q

what are the typical tasks of a physician assistant

A 
complete medical history
comprehensive physical exam
order and interpret basic lab. work
progress notes
suture 
draw blood 
introduce catheters 
IV medications 
plaster casts
vision screening
34
Q

Why are physician assistants growing

A

continuing growth of HC industries

drive to control costs

35
Q

What is the professional org. for PAs

A

AAPA

36
Q

what are two parts of the AAPA

A

physician assistant foundation

physician assistant education association

37
Q

where do EMTs provide care

A

scene of accident
where immediate care is required
way to hospital

38
Q

what are the EMT with highest level of training

A

paramedics

39
Q

Describe EMTs before 1960

A

few laws regarding scene care existed

fewer than half of ambulance drivers are trained to red cross level

40
Q

What happened in 1966 for EMT

A

National Academy of Sciences and National Research Council published a report

  • 3 year investigation of initial care that accident victims received and the EMS available to them
41
Q

what did the 1966 report recommend the establishment of (emt)(3)

A
  1. ambulance design and construction
  2. ambulance equipment and supplies
  3. qualifications and supervision of ambulance personnel
42
Q

What did congress respond to the report for EMTS with? when

A

National Highway Safety Act of 19666

  • directed DOT (Department of Transportation) to set minimum standards for ambulance design and provider training
  • each state has to develop EMS system
43
Q

What happened in 1970 for EMT

A

National Registry of Emergency Medical Technicians (NREMT) was formed

44
Q

what obstacles did EMTs face in 1970

A

lack of state laws permitting them to give care

opposition from doctors and nurses

45
Q

what happened in 1971 for EMT

A

DOT published National Standard Curriculum for EMTs

- used for sate certification

46
Q

What happened in 1973 for EMT

A

The Emergency Medical Services Systems Act of 1973

- provide guidelines for training and equipment

47
Q

what is golden hour in medicine

A

period immediately after trauma injury

- about 1 hour

48
Q

What are the 3 levels of EMT

A

emt basic
emt intermediate
emt paramedic

49
Q

describe education for EMT Basic

A

Follow DOT National Standard Curriculum
Takes 110 hours
pass exam by NREMT

50
Q

What do basic level EMT do

A 
assess, lift, and move patients
administer CPR 
control bleeding 
give oxygen
treat shock, burns, poisoning, allergic reactions
use automatic defibrillator
51
Q

What are the 2 levels of EMT intermediate

A

EMT intermediate 85

EMT intermediate 99

52
Q

what is the eudcation of EMT intermediate

A

30-350 hours of additional training

53
Q

what do EMT intermediate do

A 
perform tasks at higher level
advanced patient assessment
manual defibrillator 
start an IV 
insert endotracheal tube
54
Q

describe education for EMT paramedic

A

based on National Standard Curriculum
1-2 years
need field internship
associates degree

55
Q

What do EMT paramedic do

A

use advanced life support systems and services/supplies

provide advanced emergency services

56
Q

describe creentials for EMT

A

registered or certified at each level by NREMT
- recertified every 2-3 years

need CPR certification

57
Q

what are the typical tasks of EMT

A 
recognize hazards and potentials 
assess breathing
rapid trauma assessment
provide oxygen by face mask
automated external defribilator
cardiac monitor and pulse oximeter 
stabilize impaled objects
artifical airway
administer certain medications
58
Q

what phrase describes a critical illness for EMT

A

load and go

transport victim immediatley without wasting time providing care

59
Q

Why are EMT growing

A

elderly
overcrowding
hospital specialization causing transferrance to other hospitals

60
Q

what is the professional org. for emt

A

National Association of Emergency Medical Technicians (NAEMT)

61
Q

what are 3 courses for EMT from NAEMT

A

PreHospital Trauma Life Support
Advanced Medical Life Support
Emergency Pediatric Care

Dynamics of Health Care (21 decks)

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