Midterm Flashcards

1
Q

How has the patient doctor relationship evolved over the past 10 years?

A
  • More interaction with doctor
  • More accessible
  • Patients are now more involved in their own care
  • Patients have more freedom
  • More options for referrals
  • More patient portals have come out (EMR)
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2
Q

What does MOA stand for?

A

Medical Office Assistant

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3
Q

Describe 5 required skills of an MOA

A
  • Organizational skills
  • Computer literacy / data entry
  • Medical transcription
  • Knowledge of medical terminology
  • Effective communication skills
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4
Q

What does AHP stand for?

A

Administrative Health Professional

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5
Q

What is a floater?

A

Rotating through different positions/departments

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6
Q

Describe the 5 attributes of an MOA

A
  • Professionalism
  • Problem solving / critical thinking
  • Cultural sensitivity
  • Approachable/friendly
  • Calm demeanor
  • Good judgement
  • Flexibility
  • Initiative
  • Empathy
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7
Q

What is the definition of ethics and how does it come into play in a doctor’s office environment?

A

Understanding what is right and what is wrong.

  • Knowing when to put your own opinions and beliefs aside
    -Exercising good judgement
  • Being truthful and honest
  • Respecting cultural/religious views
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8
Q

How can health beliefs affect patient care?

A

A person’s health beliefs are influenced by things such as: religion, culture, social factors, life experiences and more. This could impact where patients seek help and or the types of treatment patients prefer.

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9
Q

What are the 5 Dimensions of Wellness? What are the 3 New textbook dimensions?

A
  1. Physical
  2. Emotional
  3. Social
  4. Intellectual
  5. Spiritual
  6. Occupational
  7. Financial
  8. Environmental
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10
Q

Describe the order of the stages of illness

A

Preliminary, acknowledgement, action, transition, resolution

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11
Q

Explain Ethics - Autonomy

A

Autonomy recognizes the right of a mentally competent individual to make independent decisions without coercion once that have all the facts

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12
Q

List important issues in health care

A
  • The aging population
  • The cost of prescription drugs
  • Mental health & addiction
  • Chronic disease
  • Access to care and wait time
  • Having enough PPE during COVID
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13
Q

Explain Ethics - Veracity

A

Veracity means honesty and truthfulness.

  • Patients expect honesty from healthcare professionals, also includes keeping health information confidential
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14
Q

Explain Ethics - Fidelity

A

Fidelity refers to meeting the reasonable expectations of others.

Beneficence - act in the patient’s best interest.

Justice - fair treatment for all patients and equitable allocation of resources.

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15
Q

Explain the Physical Dimension of Wellness

A
  • Refers to body’s health and functioning
  • Physical wellness includes good choices related to diet, exercise, risk taking behaviours and lifestyle
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16
Q

Explain the Emotional Dimension of Wellness

A
  • Involves recognizing your strengths and weaknesses
  • Ability to analyze and deal with problems
  • Knowing when you need help
  • Able to manage stress and adjust to change
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17
Q

Explain the Social Dimension of Wellness

A
  • Relationships and interactions with others are integral part of everyday life
  • Relationships provide support
  • When working in health care need to interact in a positive manner
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18
Q

Explain the Intellectual Dimension of Wellness

A
  • Involves our cognitive ability to determine what is right and good for us
  • Involves assessment and analysis and allows us to make choices to improve ourselves
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19
Q

Explain the Spiritual Dimension of Wellness

A
  • Can mean a belief in and dedication to a higher power
  • Can give our lives purpose, direction, meaning and structure
  • Can provide a sense of inner peace and harmony, can give hope and strength in illness
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20
Q

What steps can you take as an MOA to help a patient new to Canada

A
  • Provide clear instructions
  • Direct the patient to the appropriate community service
  • Have patience
  • Be an advocate
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21
Q

What are some differences in beliefs and practices outlined in Chapter 3?

A
  • Concepts of illness and treatment (stop taking or don’t take prescriptions - will resort to traditional medicine.
  • Attitudes and opinions towards mental health, modesty or end of life care/issues.
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22
Q

What techniques can you use to deal with a patient with a language barrier?

A
  • Leave room for questions
  • Avoid using slang or uncommon words
  • Have patience
  • Speak slowly and clearly
  • If repeating yourself, try saying it in another way.
  • Use actions or props if able to
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23
Q

Describe the different primary health care settings in Canada outlined in Chapter 4

A
  • Solo practice - where doctors practice independently
  • Group practice - several doctors may share office space, expenses and support staff
  • Partnership - business formed by two or more individuals
  • Professional Corporation - legally incorporated business
  • Primary care groups - Health team approach
  • Clinics - Health care setting that offers care to outpatients
  • Walk in clinics - offer services without appointments
  • Orphan patients - patient who does not have a family doctor and must go to walk in clinics or emergency departments
24
Q

What does the term Rostering refer to?

A

Establishing a list of patients who agree to participate in a primary health network according to the rules of the province or territory.

25
Q

What are some options for finding a family doctor in Ontario?

A
  • Register with Ontario’s Health Care Connect service and have a nurse find a doctor or nurse practitioner for you.
  • Contact and Ontario physician to ask if they are accepting new patients.
  • Use the College of Physicians and Surgeons of Ontario’s Find a doctor search.
26
Q

List 4 Steps you can take as an MOA to stop the spread of medical or surgical asepsis

A
  • Reception kept clean at all time
  • Properly cleaning all instruments
  • Clean exam rooms between patients
  • Signs to wear masks
27
Q

What information is found on an incident report?

A
  • Date/time
  • Summary of the event
  • Detailed account of events leading up to the incident
  • Who was present
  • Who was notified of the event
  • Result of the event
  • Any action taken as a result of the event
  • Evaluation and recommendations for prevention
28
Q

What are the steps in the chain of infection?

A
  1. Causative Organism
  2. Host Reservoir
  3. Portal of Exit - (feces, breath, genitals, wound, blood/secretions)
  4. Portal of Entry - (nose, mouth, break in skin, genitals)
  5. Susceptible Host
  6. Incubation Period - (growth and multiplication of the pathogen)
  7. Appearance of Clinical Signs
  8. Cycle begins again
29
Q

List 3 different immunizations described in Chapter 15

A
  • Flu shot
  • Hepatitis A & B
  • MMR
  • Tetanus
30
Q

What are the benefits of plain language when communicating with a patient?

A
  • Lead to effective clear oral communication
  • Allows patients to understand you
  • Focuses on your patient’s needs
31
Q

What steps can you take to deal with difficult patients?

A
  • Empathy
  • Treating patients with respect
  • Warmth
  • Listen to the patient and let them know you are acknowledging them and the situation
  • Use appropriate body language
32
Q

What is a macro?

A

A sequence of commands and functions that can be recalled with a single stroke.

  • They eliminate the need to remember multiple steps
33
Q

What is a form 8?

A

(Used in Ontario)

Used for all patients claiming WSIB benefits for work related illness or injury.

(Patient then has to have a FAF filled out before returning to work)

34
Q

What are some tips outlined in Chapter 8 to use when taking calls from patients?

A
  • Giving your name
  • Be polite, prompt, precise, professional, positive and patient
  • Respect patients right to privacy
  • Repeat back info

(Taking a message) - Name of caller, patient, phone number, date/time, reason for call)

(Outgoing calls) - stay on track, be prepared, have required information in front of you, plan timing of calls

35
Q

What tips did you learn after entering your 35 patients into Accuro?

A
  • Use F6 keyboard shortcut to add new patient
  • Always put office provider
  • Always search for an existing patient to avoid duplicates
  • F1 can be used to patient search
36
Q

What are the different types of Appointment Schedules outlined in Chapter 9?

A
  • Wave Scheduling
  • Affinity Scheduling
  • Blended
  • Stream Scheduling
  • Same day/advanced
  • Double scheduling
37
Q

What is Wave scheduling?

A

Compromise between open scheduling, scheduling by appointment. Some flexibility for patients, book for at same time each hour.

38
Q

What is Affinity scheduling?

A

Scheduling patients in clusters based on the reason for their visit

  • example book a day of diabetic patients
39
Q

What is Blended scheduling?

A

Mixed of schedule appointments with affinity schedule appointment.
- Physical on certain times and dates.
- Vaccines on certain days.
- Baby checks on Wednesdays.

40
Q

What is Stream scheduling?

A

Most common type of scheduling. Also known as fixed interval scheduling where each patient has a fixed specific time.

41
Q

What is Same Day/Advanced scheduling?

A

Accommodate appointment requests within one or two days regardless of the reason.

42
Q

What is Double scheduling?

A

Scheduling 2 patient appointments at the same time with the hope one appointment will take less time. This might be used as a full schedule and needs to accommodate urgent issues.

43
Q

What does Triage mean?

A

Assessing the urgency of patients needed to be treated, responding accordingly.

-Not first come first serve, it is based on severity of issue. (Urgent first)

44
Q

What are some possible disruptions to the schedule outlined in Chapter 9?

A
  • Cancellations
  • Short notice
  • Can’t get filled in time
  • Late patients or no shows
  • New patients not showing up at least 15-20 minutes before appointment to fill out paperwork
  • Patient does not give correct reason for appointment, might be longer (major vs. minor)
45
Q

What are the Advantages and Disadvantages of using Paper Charts?

A

Advantages:
- Easily accessible
- Easy to maintain confidentiality

Disadvantages:
- Easy to lose copies
- Having to purge regularly
- Possibilities to make mistakes while writing

46
Q

What are the Advantages and Disadvantages of using Electronic Charts?

A

Advantages:
- Always having a copy of information
- Safer than paper
- Less time consuming
- Universal font (accessible to everyone)

Disadvantages:
- Rely on servers to access files

47
Q

What are the different parts of an electronic medical record outlined in Chapter 13?

A
  • Patient demographic info
  • Medical history
  • Social information
  • Family history
  • Medication list
  • Allergy list
  • Immunizations
48
Q

What is a Solo practice?

A

where doctors practice independently

49
Q

What is a group practice?

A

several doctors may share office space, expenses and support staff

50
Q

What is a Partnership?

A

business formed by two or more individuals

51
Q

What is a Professional Corporation?

A

legally incorporated business

52
Q

What is a Primary care group?

A

Health team approach

53
Q

What is a clinic?

A

Health care setting that offers care to outpatients

54
Q

What is a walk-in clinic?

A

offer services without appointments

55
Q

What are Orphan Patients?

A

patient who does not have a family doctor and must go to walk in clinics or emergency departments