CHAPTER ONE Flashcards
What are the MA responsibilities?
Clinical & Administrative!
Clinical : Labs, procedures, prepare exam rooms
Admin : Registering pts, sending claims, charts
What are the 2 primary doctors?
MD - Doctor of medicine, just symptoms approach
DO - Doctor of osteopathy, holistic approach
What are the 2 mid level providers?
NP - Nurse practitioner, nursing model
PA - Physician assistant, medical model
What is the scope of practice & its variables?
Describes the delegates duties & an MA can only provide supportive services.
RN vs NURSE?
RN - registered nurse, much broader scope of practice
NURSE - licensed in their state, role is assisted
Occupational vs Physical therapist?
OCCU: for patients with disabilities
PHYS: for patients trying to improve their mobility, motion & strength
Certification
Valid for 2 years, passed the NHA exam
Reciprocity
Agreement that allows residents to preform from on reciprocal state to another
Radiology tech?
Uses imaging equipment
What are the 5 different in/out patient clinics?
-Specialty, primary, mobile health, home health & hospice
PCMH?
Patient care medical home.
Just a plan for all medical needs that the PCP makes
Fee For Service?
Where’s patients pay ONLY for services used, after insurance.
Value Based Plan
Improves patients outcomes & satisfactions, lower costs as well
Capitation
Insurance only pays for per patient.
Co pay has to be paid
POS - Point of service
Lower medical costs for exchange for more limited choice
GP?
General Practitioner, Take a more holistic approach, treats acute & chronic illnesses
FP?
Family practitioner, preventative care is their only concern.
Internist?
Comprehensive Care for adults, often treating chronic conditions
Specialty health care services?
Used when a disease/ex is beyond the area of expertise for a PCP
Ancillary Services
Occupational & physical therapists
Complementary therapists?
Dietary supplements
Drug classifications— Antihypertensives
Lowers blood pressure
CSA?
Controlled substance act, identifies all regulated substances into one of the 5 schedules depending on potential abuse/addiction.
CSA?
Controlled substance act, identifies all regulated substances into one of the 5 schedules depending on potential abuse/addiction.
Therapeutic meds?
Good effect, prescribed to feel better
Adverse Effects
Unintended, harmful actions of the meds
Indications
Problems for which the provider prescribes a particular Rx
Contraindications
Symptoms that make a special treatment/rx dangerous.
Metric systems : weight?
Quantifies Weight - kilograms (kg), grams (g), milligrams (mg) & micrograms (mcg).
Metric systems : volume in?
Measures volume in… deciliters (dL), liters (L), milliliters (mL)
Metric systems : length in?
Measures length in… kilometers (km), meters (m), centimeters (cm), millimeters (mm).
GTT vs gtt?
GTT (upper) glucose tolerance test
gtt (lower) drops for meds
BSA, body surface area
Consider the measurements for medication based off of weight.
Lineaments vs Buccal?
Topical cream vs inside is the cheek
3 checks before giving meds?
Check - the meds against the rx when selected
Check - the meds & rx when preparing the dose
Check - the meds before restocking the bottle
Strategies to avoid errors w/Meds?
Don’t use abbreviations
Use TALL MAN (mixed case) letters
Change the appearance
2 most common routes of meds?
Enternal : through the gastrointestinal tract
Parenteral : outside the gastrointestinal tract
Common Routes for noninjectables ?
Topical, on skin, gels, tinctures, vaginal/rectal
What is pharmacokinetics & actions it involves?
Study of how meds move through the body.
Actions: absorption, distribution, metabolism, and excretion
Absorption with meds?
Body converts meds into a form the body can use & moves it into the blood stream.
Metabolism with meds?
The liver is the primary organ, but the kidneys also metabolize.
Excretion with meds?
Removal of the meds metabolites from the body.
Five Rights for meds safety check?
Right patient,
Right medicine,
Right dosage,
Right time,
Right route.
Dietary nutrients & Food labels:
The 6 primary nutrients are?
Water, carbohydrates, protein, fat, minerals, vitamins.
