Study Guide for CCMA Certification Flashcards
1
Q
Never _____ for anyone else
A
chart
2
Q
Use appropriate _____________ and _______ terms
A
abbreviations
medical
3
Q
Be ______, ________, ________, and ________
A
timely
specific
accurate
complete
4
Q
Chart _____ care is provided, not ______
A
after
before
5
Q
Be timely. Lack of communication can cause delay in _________
A
treatment
6
Q
Use direct ______ when appropriate
A
quotes
7
Q
Document only what you _______, not opinions
A
observe
8
Q
Be _________; only what you hear, see, feel, and smell
A
objective
9
Q
Document that the ____ _____ is in reach
A
call light
10
Q
Document all _______ ____ preformed in the patient’s chart
A
patient care
11
Q
Chain of Command is to report to the _____ first in addition to documenting in the patient’s chart. Timely reporting ________ findings directly to the _____ is crucial
A
nurse
abnormal
nurse
12
Q
Part of the medical record includes ________ notes
A
progress
13
Q
Explain _________ before beginning
A
procedure
14
Q
___________ _______ such as cell phones should be _______ from the room
A
Electronic devices
removed
15
Q
Patient’s must _____ their bladders and rest __-__ minutes before the exam
A
empty
10-30
16
Q
Positioning the patient in ______ or ____ ______‘_ position with gown open in _____. Pregnant patient- position slightly on ____
A
Supine
Fowler’s
Front
Left
17
Q
_____ hairy areas before applying electrodes
A
Shave
18
Q
Skin cleanse with _______ wipe
A
alcohol
19
Q
Placement of __ electrodes for 12 lead ECG
A
10
20
Q
LA, LL, RA, RL, V1-V6 around the _____
A
heart
21
Q
List the colors of the leads in this order:
RA
RL
LA
LL
V1
V2
V3
V4
V5
V6
A
White
Green
Black
Red
Red
Yellow
Green
Blue
Orange
Purple
22
Q
On paper, place where all leads are (draw or something and include the RA, RL, LA, LL)
A
Good job
23
Q
Avoid placing electrodes on ________ sites or _________ devices
A
surgical
implanted
24
Q
Limb leads must be ___________
A
symmetrical
25
Ensure wires are never _______
crossed
26
Speed of an ECG machine is __ mm/sec for 12 lead ECG
25
27
Increase the speed to __ mm/sec for patients with increased heart rate (HR)
50
28
Heart rate is measured by comparing ________ on EKG paper of the number of _____ _______ between R waves using the _______ second rule (30 large squares = 6 seconds)
distance
small squares
six
29
Count the small squares between R to R then multiple by ___ which equals ___
10
bpm
30
Normal Heart Rate is __ to __ small squares. Bradycardia is __+ small squares. Tachycardia is less than __ small squares
15
25
26
14
31
The heart's pacemaker. Controls the rate of heart contractions
Sinoatrial (SA) Node
32
Heart rate is 100 BPM. Reduced cardiac output. Patients may initially have a _____ and remain conscious. Can progress quickly to _______ and ___________ arrest. Be prepared to initiate ___ if the patient becomes unresponsive
Ventricular Tachycardia
pulse
cardiac and respiratory
CPR
33
Most serious. Patient is unconscious and in an emergency state. Ventricles are not _______ blood. Initiate ___. HR is 300-400 bpm. No P, QRS, or T waves.
Ventricular Fibrillation (VFib)
pumping
CPR
34
Heart muscles contract and pumps blood from chambers to arteries (R wave to T wave)
Systole
35
Heart muscles relax and allows chambers to fill with blood (follows T wave until next P wave)
Diastole
36
Absence of electrical activity (also known as flatline)
Asystole
37
Baseline the same; occasionally uneven spikes related to (r/t) muscle movement
Somatic Tremor
38
Movement of baseline away from center r/t improper electrode placement; oil/dirt under pads
Wandering baseline
39
Never tell patients the _______ of the EKG exam
results
40
Caused by atrial enlargement
Abnormal P wave
41
Caused by bundle branch block (BBB), hyperkalemia (high potassium levels), drugs, pacemaker
Wide QRS
42
Absence of QRS complex. Notify the _____. This is a ______ degree AV heart block. This could lead to complete ____ _____
Wolf-Parkinson-White Syndrome
Nurse
second
heart block
43
Caused by hypokalemia (low potassium levels), digoxin (med), ischemia (inadequate blood supply), heart failure, SVTs, and BBB
ST Depression
44
Caused by STEMI (ST elevation Myocardial Infaraction (MI)), ischemia (inadequate blood supply r/t blood flow blockage)
ST segment elevation
45
Heart malfunctions and suddenly stops (electrical issue)
Cardiac Arrest
46
Caused by ischemia (__________ _____ ______)
T depression
inadequate blood suply
47
Seen in athletes with decreased HR
U elevation
48
Inpatient setting is _________
telemetry
49
If patient or family member complains about care, ______ before ______
listen
acting
50
Be on the same ___-_____ as patients during conversations. Sit in a chair with relaxed posture if the patient is _____ in ___
eye-level
lying in bed
51
Maintain ___ _______
eye contact
52
Know _______ and ________
empathy and sympathy
53
Be mindful of ______ ___________ whenever caring for patients
facial expressions
54
If a patient complains of inability to sleep, you can give a ____ ___
back rub
55
Oxygen use: No _______ ____ on the door
smoking sign
56
Remember how blood flows through the heart- __ then to __ then to the lungs then to __ then to __ and then out to the body
RA
RV
LA
LV
57
Close roller clamp before removing
IV Discontinuation
58
Focus on each interaction with the patient, not the equipment or the task
Therapeutic Relationship
59
Do not depend on _________ to alert you of patient needs. Watch for ______ signs on the patient. "Treat the _______, not the _________"
equipment
visual
patient
equipment
60
_______ is the last sense to leave a dying patient. Be careful of things ____ in the presence of patients
Hearing
said
61
Close eyes and mouth
Remove all tubing and other devices (unless _______ is ordered)
Place in supine position with pillow under the head
Bathe and brush hair
Replace soiled dressing with a clean one
Do not place one hand on top of the other, leave arms/hands at their side
Cover with a sheet leaving head and should exposed
Remove unnecessary equipment
Postmortem Care
62
No visitors from pregnant women or children younger than 18
Internal Radiation Therapy
63
A ______ __ _ is a type of bandage that is used across a joint to immobilize
Figure of 8
64
A condition that develops suddenly and lasts a short time; usually severe or intense
Acute
65
A condition that persists over a long period of time, often for life; may be continuous or have recurring episodes
Chronic
66
Injuries to the skin and underlying tissue from prolonged pressure, often on bony areas like heels or the sacrum; also known as bedsores
Pressure Ulcers
67
The process of exchanging information, thoughts, or feelings between individuals using verbal, nonverbal, or written methods
Communication
68
A healthcare professional who provides basic patient care under the supervision of nurses and doctors, including bathing, feeding, and vital signs
PCT
69
A certified healthcare worker trained to perform both administrative and clinical tasks in medical settings, such as taking vital signs, assisting with exams, and scheduling appointments
CMA
70
A licensed healthcare professional who provides and coordinates patient care, educates patients, and offers emotional support
Nurse
71
A nurse who has completed a nursing program and passed the NCLEX-RN exam; responsible for managing patient care and supervising LPNS and CNAs
Registered Nurse (RN)
72
A licensed individual who diagnoses and treats patients, such as a physician, nurse practitioner, or physician assistant
Provider
73
A diagnostic tool where a chemically treated strip is dipped into a urine sample to detect substances like glucose, protein, pH, and signs of infection
Urine and reagent strip testing
74
Professional negligence by a healthcare provider that results in harm to a patient due to improper care or failure to act
Malpractice
75
Coming into contact with infectious microorganisms in human blood that can cause diseases, such as HIV, hepatitis B, or hepatitis C, typically via needle sticks or open wounds
Exposure to Blood borne pathogens
76
Smallest structure in the human body is the
cell
77
Always ____ _____ before and after patient care as well as between patients
wash hands
78
During hand washing, rub hands together for at least __ seconds
20
79
____ _______ is most important when practicing standard precautions
Hand hygiene
80
Use ________ precautions and wear ______ during procedures or while handling ____ ______
standard
gloves
body fluids
81
Free from germs. Can be medical or surgical (sterile technique)
Asepsis
82
_______ ________ ______ is a sterile dressing change
Aseptic Dressing Change
83
Never leave a sterile field __________
unattended
84
The gown of a sterile person is only considered sterile from the _____ up
waist
85
The Bio hazard symbol is on the containers or boxes that contain bio hazard waste such as
Blood
Needles
Syringes
Other sharps such as razors
86
Use ___ when appropriate. Follow signs on the _______ doors
PPE
Patient's
87
Use for every patient. Use PPE, wash hands before/after contact with patient, dispose of sharps in sharps containers
Standard Precautions
88
Infections spread by contact (diphtheria, MRSA (staph), VRE, herpes, scabies, C. diff.)
Gloves and gowns are extremely important for illnesses spread by _____
Contact Precautions
touch
89
Infections spread by ________ (rubella, meningitis, mumps, pertussis, influenza)
Requires wearing surgical mask
Droplet Precautions
droplet
90
Infections spread by droplets smaller than 5 microns in diameter (varicella, tuberculosis (TB), Measles, COVID)
Requires wearing a N95 mask (respirator)
Airborne Precautions
91
Diagnosis requires washing with soap and water. ______ are not killed by using alcohol based sanitizers
C Diff
Spores
92
Report needle sticks _____ washing the area with soap and water for __ minutes
after
10
93
Never _____ needles
recap
94
_________ is a chemical compound that kills microorganisms
Disinfect
95
Other family members usually spouse and children
Dependents
95
How much the insurer will pay in benefits
Policy
96
The person financially responsible for paying a medical bill
Guarantor
97
_____ party is the patient
First
98
______ party is the provider
Second
99
_____ party is the insurance company
Third
100
Make sure to check patient insurance ____ ____ they come in (name, effective date, DOB, ID/Group Number, and any dependent's name that is covered on the same insurance
each time
101
Paid monthly by the patient to the insurance company (Sometimes their employer will pay half of this cost)
Premiums
102
Has to be met before the insurance company will pay any healthcare cost. Can range from $100-$1000 or more
Deductible
103
A set amount, like $25, that must be paid for each visit
Copay
104
_______ __________ ___ __________ ____ ___ (ACA) was enacted in 2010 and lists certain preventive services that must be covered by insurance at no cost to the patient
Patient Protection and Affordable Care Act
105
Required by the ACA and states that after the maximum has been met, insurance will pay 100% of healthcare cost
Out of pocket maximum
106
Lists the dates of service and all charges. It shows how much is covered by insurance and how much the patient must pay
Explanation of Benefits (EOB)
107
The most affordable care plans, but they require the patient to use only the providers in the ___
Health Maintenance Organizations (HMO)
108
Patients can see any provider in the network and do not need a PCP (Primary Care Provider) but they have higher premiums and deductibles
Preferred Provider Organizations (PPO)
109
A federal health insurance program for people 65 and older
Medicare
110
Part _ covers inpatient hospitalization or care given in a skilled nursing home
A
111
Part _ covers outpatient office visits and supplies and home care visits
B
112
Part _ is optional and Part _ covers prescription drugs
C
D
113
A government program that provides healthcare services to adult children, pregnant women, and elderly adults with a low income, and to people with disabilities
Medicaid
114
Provides low cost health insurance for children in families that have lower incomes but earn too much for Medicaid
Children's Health Insurance Program (CHIP)
115
The health insurance program of the US military
Tricare
116
Used to determine which parent's insurance is primary, when both parents have their own insurance policy. It makes the parent with the earliest birthday in the year the primary insurer
Birthday Rule
117
It is a 10 digit number that is unique to each provider and it is required to file an insurance claim form
National Provider Identifier (NPI)
118
Companies that specialize in submitting claims to insurance companies
Clearing house
119
Track disease trends and epidemics around the world
International Classification of Diseases (ICD)
120
Used for coding most inpatient procedures. Is organized into an Alphabetic Index and Tabular List and ranges from 3-7 characters
ICD-10-CM
121
Organized by type of procedure and body system and contain 7 characters
ICD-10-PCS
122
The standard codes used to bill insurers for most outpatient procedures. All ___ codes contains 5 characters
Codes-Current Procedural Terminology (CPT)
123
__________ ______________ _______ referred to as MARs
Medication Administration Records
