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Certified Medical Assistant > Safety & Patient Encounter > Flashcards

Safety & Patient Encounter Flashcards

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USMLE® Step 1 flashcards
1
Q

Body Mechanics

A
  1. Lift items you can handle
  2. Assure the area is secure/safe
  3. Consider your body position
  4. Avoid bending your back
  5. Lift with your legs
  6. Carry the item close to your body
  7. Push large objects
  8. Have good posture
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2
Q

American With Disabilities Act (ADA)

A

Title I Employment: reasonable accommodations & prohibits discrimination

Title II Public Services: cannot deny services to people w/ disabilities

Title III Public Accommodations: new building designs must have an accessible area (ex: restaurants)

Title IV Telecommunications: must have services for hearing challenged

Title V Misc: prohibits threats & retaliation

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3
Q

Emergency Plans

A
  1. Remain calm
  2. Assist patients first
  3. Call the authorities
  4. Evacuate if needed
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4
Q

Fire Safety

A
  1. Knowing nearby exits (doors/staircases)
  2. Close windows & doors (only if it’s safe to do so)
  3. Check the area to ensure people are evacuating
  4. Designated meeting area
  5. Avoid elevators
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5
Q

PASS

A

Pull the pin
Aim the nozzle at the base of the fire
Squeeze the handle
Sweep side to side

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6
Q

When should you use an incident report form?

A
  • if wrong medication has been given
  • contaminated needle stick
  • accident
  • electric shock
  • prescription pad missing
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7
Q

What are some aspects that are considered infectious?

A

Blood, Bodily Fluids, Vaginal Secretion, & Pathology Specimen

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8
Q

Exposure Control Plan (ECP)

A
  1. Engineering & work practices
  2. PPE
  3. Laundry decontamination
  4. Hepatitis B vax
  5. Hazard communication program
  6. Training & report keeping
  7. Exposure, evaluation, & follow-up
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9
Q

OSHA Standard PrecautionsM

A
  1. Hand hygiene
  2. PPE
  3. Needlesticks/sharps injury prevention
  4. Cleaning & Disinfecting
  5. Respiratory hygiene
  6. Waste disposal
  7. Safe injection practices
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10
Q

Define Triage

A

Prioritizing patients based on their assessments, symptoms, & situation

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11
Q

Give examples of Triage Considerations

A
  1. contaminated patient
  2. room availability
  3. nauseated patients
  4. serious injuries or illnesses
  5. patient with serious symptoms
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12
Q

Immediate Action vs Notifying a physician

A

Immediate Action: chest pain, seizures, difficulty breathing, allergic reaction, loss of speech, severe dizziness, etc

Notifying the Physician: severe vomiting, drug overdose, possible fractures, poisoning, etc

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13
Q

_________ is required for a physician to treat a patient

A

Consent

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14
Q

Implied Consent

A

When a patient visits the physician’s office for regular check-ups

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15
Q

Consent to Release Information

A

Name of the facility, patient’s name, type of procedure, signatures & dates, expiration date, etc

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16
Q

Informed Consent

A

A document explaining the person’s diagnosis, procedure, treatment, risks, and possible outcomes (positive or negative)

17
Q

What documents are within a patient’s medical records?

A
  1. Demographic info
  2. Administrative info (ex: insurance, bill payer, etc)
  3. Consent documents
  4. Clinical info (health history, chief complaint, etc)
  5. Lab reports
  6. Diagnostic procedure
  7. Hospital info
  8. Therapeutic report
18
Q

Charting Guidelines

A
  1. Ensure info is correct (verify name & DOB)
  2. Ensure you have the right patient
  3. Write legibly with blue or black ink
  4. Ensure the patient’s name is on each page
  5. Date & initial every entry
  6. Brief but complete entries
  7. Acceptable medical abbreviation & terminology
  8. Strike out mistake, write error, date & initial, enter correct info
  9. Document all phone calls and actions taken
  10. Document all missed appointments
19
Q

Ways to Chart Information

A
  1. Chronologically
  2. Problem-oriented
  3. Electronically
20
Q

What does a patient history consist of?

A
  1. Personal history
  2. Past medical history
  3. Family history
  4. Chief complaint
  5. Present Illness
  6. Assessment of body systems

Certified Medical Assistant (9 decks)

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