Chapter 3 Flashcards
What TYPE of tasks do medical assistants do
administrative
clinical
What are administrative tasks
carrying out office procedures
what are clinical tasks
involve examining patients and helping treat them
Describe the history of medical assisting
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
What is the education of medical assistants
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
What are the two credentials for medical assistants
CMA by the AMA
RMA by the AMT
What can medical assistants specialize in
ophthalmology
optometry
podiatry
What are administrative tasks of medical assistants
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
What are clinical tasks of medical assistants
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
Describe settings and medical assistants
family practice = clinical
psychiatric practice = administrative
Why will medical assistants grow
rising number of hc facilities primary care is growing aging population + tech. advance medical conditions expanding population pressure of cost control
What are the professional org. of medical assistants
AAMA
AMT
Describe the history of surg technologists
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
What is the education requirements of a surgical technologist
9 month - 2 year training program
= certificate, diploma, or associate’s degree
ACT or health profession exam
what are credentials for surgical technologists
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
when do surg. techs work
before operation
during operation
after operation
what do surg.techs do before operation
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
what do surg.techs do during an operation
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
what do surg.techs do after an operation
transport patient
set up room for next patient
what skill do surgical techs need
manual dexterity
why are surg.techs growing
increase number of surgeries
elderly
med. technology
what is the professional org. for surg. techs
AST
Where do PAs work
mainly rural settings with a shortage of doctors
When did physician assisting begin
1960s
- corpsemen in the military
Describe the history of physician assisting beginning in 1964
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
What are the educational requirements of a PA
complete accredited program
pass a national exam to obtain a license
what are the requirements for licensure of a PA
accredited program
national exam
minimum 2 years of undergradcollege
experience in healthcare
Who accredits PA programs
Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
What test must PAs pass
Physician Assistant National Certifying Examination
Who administers the PA exam
National Commission on Certification of Physician Assistants (NCCPA)
can take open-book exam but need 100 credits
what is a certified physician assistant called
physician assistant-certified
how can physician assistants reamin certified
exam every 6 years
100 hours of CE every 2 years
what are the typical tasks of a physician assistant
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
Why are physician assistants growing
continuing growth of HC industries
drive to control costs
What is the professional org. for PAs
AAPA
what are two parts of the AAPA
physician assistant foundation
physician assistant education association
where do EMTs provide care
scene of accident
where immediate care is required
way to hospital
what are the EMT with highest level of training
paramedics
Describe EMTs before 1960
few laws regarding scene care existed
fewer than half of ambulance drivers are trained to red cross level
What happened in 1966 for EMT
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
what did the 1966 report recommend the establishment of (emt)(3)
- ambulance design and construction
- ambulance equipment and supplies
- qualifications and supervision of ambulance personnel
What did congress respond to the report for EMTS with? when
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
What happened in 1970 for EMT
National Registry of Emergency Medical Technicians (NREMT) was formed
what obstacles did EMTs face in 1970
lack of state laws permitting them to give care
opposition from doctors and nurses
what happened in 1971 for EMT
DOT published National Standard Curriculum for EMTs
- used for sate certification
What happened in 1973 for EMT
The Emergency Medical Services Systems Act of 1973
- provide guidelines for training and equipment
what is golden hour in medicine
period immediately after trauma injury
- about 1 hour
What are the 3 levels of EMT
emt basic
emt intermediate
emt paramedic
describe education for EMT Basic
Follow DOT National Standard Curriculum
Takes 110 hours
pass exam by NREMT
What do basic level EMT do
assess, lift, and move patients administer CPR control bleeding give oxygen treat shock, burns, poisoning, allergic reactions use automatic defibrillator
What are the 2 levels of EMT intermediate
EMT intermediate 85
EMT intermediate 99
what is the eudcation of EMT intermediate
30-350 hours of additional training
what do EMT intermediate do
perform tasks at higher level advanced patient assessment manual defibrillator start an IV insert endotracheal tube
describe education for EMT paramedic
based on National Standard Curriculum
1-2 years
need field internship
associates degree
What do EMT paramedic do
use advanced life support systems and services/supplies
provide advanced emergency services
describe creentials for EMT
registered or certified at each level by NREMT
- recertified every 2-3 years
need CPR certification
what are the typical tasks of EMT
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
what phrase describes a critical illness for EMT
load and go
transport victim immediatley without wasting time providing care
Why are EMT growing
elderly
overcrowding
hospital specialization causing transferrance to other hospitals
what is the professional org. for emt
National Association of Emergency Medical Technicians (NAEMT)
what are 3 courses for EMT from NAEMT
PreHospital Trauma Life Support
Advanced Medical Life Support
Emergency Pediatric Care
