Additional Information
Book Details
Abstract
Bringing together the clinical know-how of Kathy Bonewit-West, the administrative expertise of Sue Hunt, and the anatomy and physiology knowledge of Edith Applegate, this unique, hands-on text guides you through the medical knowledge and skills you need to succeed in today's fast-paced medical office. The latest standards and competencies for the medical assistant have been incorporated into this new edition, along with expanded coverage on important topics such as nutrition, the electronic medical record, ICD-10, emergency preparedness and disaster planning, time management, and computerized prescription refills.
- Consistent, meticulous coverage throughout the main text, IRM, SG, DVDs, Evolve, and more provide reliable content and unparalleled accuracy.
- Over 90 procedural videos on DVD and online provide a visual representation of important procedures.
- Expanded Student Evolve site contains all animations, games (such as Quiz Show and Road to Recovery), drag-and-drop exercises, Apply your Knowledge exercises, Prepare for Certification exercises, matching exercises, and other helpful activities such as blood pressure readings, determining height and weight, and drawing up medication.
- What Would You Do? What Would You Not Do? boxes and responses offer applications of real-life case studies.
- Clear and concise Anatomy and Physiology coverage covers the basics of A&P and eliminates the need for a separate A&P text.
- Content updates reflect the latest competencies for medical assistants and ensure you have the most current information on the newest trends and updates in the medical assisting world.
- 8th grade reading level makes material approachable and easy to understand.
- New chapter on Emergency Preparedness offers a well-rounded perspective on what to do in specific emergency situations.
- New OSHA Bloodborne Pathogens video improves your understanding of personal safety following the OSHA standards.
- Pronunciation section in the Terminology Review gives you confidence with pronunciation and medical knowledge.
- Application to EMR where appropriate prepares you for the real world by dealing with electronic medical records.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| End sheet II | FM2 | ||
| Procedures | FM3 | ||
| Ch 17 Medical Asepsis and the OSHA Standard | FM3 | ||
| Ch 18 Sterilization and Disinfection | FM3 | ||
| Ch 19 Vital Signs | FM3 | ||
| Ch 20 The Physical Examination | FM3 | ||
| Ch 21 Eye and Ear Assessment and Procedures | FM3 | ||
| Ch 22 Physical Agents to Promote Tissue Healing | FM3 | ||
| Ch 23 The Gynecologic Examination and Prenatal Care | FM3 | ||
| Ch 24 The Pediatric Examination | FM3 | ||
| Ch 25 Minor Office Surgery | FM3 | ||
| Ch 26 Administration of Medication and Intravenous Therapy | FM3 | ||
| Ch 27 Cardiopulmonary Procedures | FM3 | ||
| Ch 28 Specialty Examinations and Procedures: Colon Procedures, Male Reproductive Health, and Radiology and Diagnostic Imaging | FM3 | ||
| Ch 30 Urinalysis | FM3 | ||
| Ch 31 Phlebotomy | FM3 | ||
| Ch 32 Hematology | FM3 | ||
| Ch 33 Blood Chemistry and Immunology | FM3 | ||
| Ch 34 Medical Microbiology | FM3 | ||
| Ch 36 The Medical Record | FM3 | ||
| Ch 37 Patient Reception | FM3 | ||
| Ch 39 Telephone Techniques | FM3 | ||
| Ch 40 Scheduling Appointments | FM3 | ||
| Ch 41 Medical Records Management | FM3 | ||
| Ch 42 Written Communications | FM3 | ||
| Ch 43 Mail | FM3 | ||
| Ch 44 Managing Practice Finances | FM3 | ||
| Ch 45 Medical Coding | FM3 | ||
| Ch 46 Medical Insurance | FM3 | ||
| Ch 47 Billing and Collections | FM3 | ||
| Ch 48 The Medical Assistant as Office Manager | FM3 | ||
| Ch 49 Emergency Protective Practices for the Medical Office | FM3 | ||
| Half title page | i | ||
| Evolve page | ii | ||
| Today's Medical Assistant, 2/e | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Reviewers | vii | ||
| Preface | ix | ||
| Features in this Textbook | ix | ||
| Important Features Include the Following: | ix | ||
| Standard Pedagogical Features in this Textbook | ix | ||
| Extensive Supplemental Resources | xii | ||
| Student DVDs | xii | ||
| Evolve Resources | xii | ||
| Study Guide | xii | ||
| Medical Assisting Online | xii | ||
| Acknowledgments | xv | ||
| Clinical Procedure Icons | xvii | ||
| Table of Contents | xix | ||
| 1 Introduction to Medical Assisting | 1 | ||
| 1 The Health Care System | 1 | ||
| Chapter Outline | 1 | ||
| Learning Objectives | 1 | ||
| Key Terms | 1 | ||
| Introduction to Health and the Health Care System | 2 | ||
| Shift From Hospital-Based to Community-Based Health Care | 2 | ||
| Managed Care Versus Patient Care: Competing Forces Facing the Medical Office in the Twenty-First Century | 2 | ||
| Fee-for-Service Insurance Plans | 2 | ||
| Government Insurance Plans | 3 | ||
| Managed Care | 6 | ||
| Health Care Reform | 6 | ||
| Ambulatory Care | 6 | ||
| Flow of Activity in Ambulatory Care | 7 | ||
| The Health Care Team | 8 | ||
| Members of the Health Care Team | 8 | ||
| Physicians and Other Health Care Providers | 8 | ||
| Effective Teamwork | 9 | ||
| Parts of the Medical Office | 10 | ||
| Reception Area and Waiting Room | 11 | ||
| Examination Rooms and Laboratory | 11 | ||
| Medical Records Storage and Business Office | 11 | ||
| Additional Areas Found in Many Offices | 12 | ||
| Medical Specialties | 12 | ||
| Primary Care | 12 | ||
| Osteopathy | 13 | ||
| Podiatry | 14 | ||
| Chiropractic | 14 | ||
| Practice Types | 14 | ||
| Solo Practice | 14 | ||
| Group Practice | 14 | ||
| Clinic | 15 | ||
| Complementary and Alternative Medicine | 15 | ||
| 2 The Professional Medical Assistant | 18 | ||
| Chapter Outline | 18 | ||
| Learning Objectives | 18 | ||
| Key Terms | 18 | ||
| Introduction to Professional Medical Assisting | 19 | ||
| Educational Programs for Medical Assistants | 19 | ||
| Characteristics of Medical Assistants | 20 | ||
| Character Traits | 20 | ||
| Personality Traits | 20 | ||
| Appearance | 21 | ||
| Initiative and Behavioral Skills | 22 | ||
| Professionalism | 23 | ||
| Professionalism for Physicians | 23 | ||
| Professionalism for Medical Assistants | 23 | ||
| Credentials of Medical Assistants | 25 | ||
| Certified Medical Assistant | 25 | ||
| Registered Medical Assistant | 25 | ||
| Obtaining Additional Credentials | 25 | ||
| Professional Organizations | 25 | ||
| Peer Support | 26 | ||
| Continuing Education | 26 | ||
| Legislative Advocacy | 26 | ||
| Publications, Newsletters, and Websites | 26 | ||
| Role of the Medical Assistant | 26 | ||
| Administrative Responsibilities | 26 | ||
| Clinical Responsibilities | 27 | ||
| Managing the Medical Office | 28 | ||
| Patient Education | 28 | ||
| Employment Opportunities | 28 | ||
| 3 Ethics and Law for the Medical Office | 32 | ||
| Chapter Outline | 33 | ||
| LEARNING OBJECTIVES | 32 | ||
| Key Terms | 33 | ||
| Introduction to Medical Ethics | 33 | ||
| Reasons to Study Ethics | 34 | ||
| Ethics and Health Care | 34 | ||
| Ethical Concepts | 34 | ||
| Rights | 34 | ||
| Right to Life | 34 | ||
| Right to Privacy | 34 | ||
| Right to Autonomy | 34 | ||
| Right to the Means to Sustain Life | 35 | ||
| Duties | 35 | ||
| Do No Harm | 35 | ||
| Do the Best Possible | 35 | ||
| Be Faithful to Reasonable Expectations | 35 | ||
| Be a Patient Advocate | 35 | ||
| Tell the Truth | 36 | ||
| Give Each Person a Fair Share | 36 | ||
| Ethical Conflict | 36 | ||
| Reproductive Issues | 36 | ||
| Stem Cell Research | 36 | ||
| Genetic Engineering and Cloning | 37 | ||
| Refusing or Withholding Treatment and Physician-Assisted Suicide | 37 | ||
| Advance Directives | 37 | ||
| Personal and Professional Ethics | 38 | ||
| Process Used to Make Ethical Decisions | 39 | ||
| Gathering Information | 39 | ||
| Identifying Conflicting Values | 39 | ||
| Determining Relative Importance of Conflicting Claims | 39 | ||
| Exploring Alternatives | 39 | ||
| Choosing and Justifying One Alternative | 39 | ||
| Implementing the Decision | 40 | ||
| Introduction to Law | 40 | ||
| Difference between Public Law and Private Law | 40 | ||
| Lawsuits | 40 | ||
| Specialized Areas of Public Law | 40 | ||
| Creation of Laws | 40 | ||
| Criminal Law | 40 | ||
| Nonviolent Crimes | 41 | ||
| Civil Law | 41 | ||
| Law and Professional Liability | 41 | ||
| Physician-Patient Relationship | 41 | ||
| The Physician | 42 | ||
| The Patient | 42 | ||
| Terminating the Physician-Patient Relationship | 42 | ||
| Personal and Professional Liability | 43 | ||
| Standard of Care | 43 | ||
| Informed Consent | 44 | ||
| Professional Negligence | 45 | ||
| Requirements to Prove Professional Negligence | 45 | ||
| Professional Liability Insurance | 45 | ||
| Malpractice Litigation | 46 | ||
| Initiating a Lawsuit | 46 | ||
| Response to a Possible Lawsuit | 46 | ||
| Alternative Dispute Resolution | 46 | ||
| Tort Defenses | 46 | ||
| Privilege | 46 | ||
| Consent | 46 | ||
| Self-Defense or the Defense of Others | 47 | ||
| Expiration of the Statute of Limitations | 47 | ||
| Contributory or Comparative Negligence | 47 | ||
| Assumption of Risk | 47 | ||
| Federal and State Laws Affecting the Medical Office | 47 | ||
| Controlled Substances and Prescriptions | 47 | ||
| Controlled Substances | 47 | ||
| Prescriptions | 48 | ||
| Federal and State Laws Protecting Employees | 48 | ||
| Hiring and Firing | 48 | ||
| Preemployment Testing | 48 | ||
| Occupational Safety and Health Act of 1970 | 49 | ||
| Family and Medical Leave Act | 49 | ||
| Sexual Harassment | 49 | ||
| Minimum Wage and Overtime | 49 | ||
| Employee Retirement Income Security Act | 49 | ||
| Health Insurance Portability and Accountability Act of 1996 | 49 | ||
| Health Insurance Availability and Coverage | 49 | ||
| Privacy Rule | 49 | ||
| Transaction and Code Set Rule | 50 | ||
| Security Rule | 50 | ||
| Other Provisions | 50 | ||
| Health Information Technology for Economic and Clinical Health Act | 50 | ||
| Mandatory Reporting | 50 | ||
| State Regulation of Health Occupations | 51 | ||
| Revoking or Suspending a Physician’s License | 51 | ||
| Facility Licensing and Accreditation | 51 | ||
| State Requirements | 51 | ||
| Federal Requirements | 51 | ||
| Voluntary Accreditation | 51 | ||
| 4 Interacting with Patients | 56 | ||
| Chapter Outline | 56 | ||
| LEARNING OBJECTIVES | 56 | ||
| Key Terms | 57 | ||
| Introduction to Communication | 57 | ||
| Communicating with Patients | 57 | ||
| Verbal and Nonverbal Communication | 57 | ||
| Interference with Communication | 57 | ||
| Listening Skills | 58 | ||
| Nonverbal Measures to Facilitate Communication | 59 | ||
| Interviewing Techniques | 60 | ||
| Closed Questions | 60 | ||
| Open Questions | 60 | ||
| Keeping the Conversation Going | 60 | ||
| Drawing Patients Out | 60 | ||
| Avoiding Responses That Inhibit Communication | 60 | ||
| Barriers to Effective Communication | 61 | ||
| Impaired Level of Understanding | 61 | ||
| Sight Impaired | 62 | ||
| Hearing Impaired | 62 | ||
| Language Barriers | 63 | ||
| Understanding and Meeting the Needs of Patients | 63 | ||
| Patient Expectations of Health Care | 63 | ||
| How Basic Needs Affect the Behavior of Patients | 64 | ||
| Maslow’s Hierarchy of Needs | 64 | ||
| Effects of Unmet Needs during Illness | 64 | ||
| Establishing Caring Relationships | 64 | ||
| Empathy | 64 | ||
| Expression of Caring | 65 | ||
| Value of Effective Relationships with Patients | 65 | ||
| Personal Boundaries | 65 | ||
| Emotional Responses to Illness | 66 | ||
| Guilt | 66 | ||
| Loss of Control | 66 | ||
| Anxiety | 66 | ||
| Anger | 67 | ||
| The Grieving Process | 67 | ||
| Cultural Influences Affecting Health Care | 69 | ||
| Causes of Illness | 69 | ||
| Treatments and Traditional Practices | 69 | ||
| Behavioral Requirements | 70 | ||
| 2 Anatomy and Physiology | 73 | ||
| 5 Introduction to Anatomy and Physiology | 73 | ||
| Chapter Outline | 73 | ||
| LEARNING OBJECTIVES | 73 | ||
| Key Terms | 74 | ||
| A Brief Summary of Medical History | 74 | ||
| The Human Body | 75 | ||
| Anatomy and Physiology | 75 | ||
| Levels of Organization | 75 | ||
| Chemical Level | 75 | ||
| Cells | 75 | ||
| Tissues | 75 | ||
| Organs | 75 | ||
| Body Systems | 75 | ||
| Total Organism | 75 | ||
| Organ Systems | 75 | ||
| Integumentary System | 75 | ||
| Skeletal System | 75 | ||
| Muscular System | 76 | ||
| Nervous System | 76 | ||
| Endocrine System | 76 | ||
| Cardiovascular System | 76 | ||
| Lymphatic System | 77 | ||
| Digestive System | 78 | ||
| Respiratory System | 78 | ||
| Urinary System | 79 | ||
| Reproductive System | 79 | ||
| Homeostasis | 79 | ||
| Negative and Positive Feedback | 79 | ||
| Anatomic Terms | 79 | ||
| Anatomic Position | 79 | ||
| Directions in the Body | 79 | ||
| Planes and Sections of the Body | 80 | ||
| Body Cavities | 80 | ||
| Regions of the Body | 81 | ||
| Cell Structure and Function | 82 | ||
| Structure of the Generalized Cell | 82 | ||
| Plasma Membrane | 83 | ||
| Cytoplasm | 83 | ||
| Nucleus | 83 | ||
| Cytoplasmic Organelles | 85 | ||
| Mitochondria | 85 | ||
| Ribosomes | 85 | ||
| Endoplasmic Reticulum | 85 | ||
| Golgi Apparatus | 85 | ||
| Lysosomes | 85 | ||
| Filamentous Protein Organelles | 85 | ||
| Cytoskeleton | 85 | ||
| Centrioles | 86 | ||
| Cilia | 86 | ||
| Flagella | 86 | ||
| Cell Functions | 86 | ||
| Movement of Substances across the Cell Membrane | 86 | ||
| Diffusion | 86 | ||
| Osmosis | 86 | ||
| Filtration | 88 | ||
| Active Transport | 88 | ||
| Endocytosis | 88 | ||
| Exocytosis | 89 | ||
| Cell Division | 89 | ||
| Mitosis | 89 | ||
| Interphase | 89 | ||
| Prophase | 90 | ||
| Metaphase | 90 | ||
| Anaphase | 90 | ||
| Telophase | 90 | ||
| Meiosis | 90 | ||
| DNA Replication and Protein Synthesis | 90 | ||
| Tissues and Membranes | 90 | ||
| Body Tissues | 90 | ||
| Epithelial Tissue | 90 | ||
| Simple Squamous Epithelium | 91 | ||
| Simple Cuboidal Epithelium | 91 | ||
| Simple Columnar Epithelium | 91 | ||
| Pseudostratified Columnar Epithelium | 93 | ||
| Stratified Squamous Epithelium | 93 | ||
| Transitional Epithelium | 93 | ||
| Glandular Epithelium | 93 | ||
| Connective Tissue | 94 | ||
| Loose Connective Tissue | 94 | ||
| Adipose Tissue | 94 | ||
| Dense Fibrous Connective Tissue | 94 | ||
| Elastic Connective Tissue | 94 | ||
| Cartilage | 94 | ||
| Bone | 95 | ||
| Blood | 95 | ||
| Muscle Tissue | 95 | ||
| Skeletal Muscle | 95 | ||
| Smooth Muscle | 96 | ||
| Cardiac Muscle | 96 | ||
| Nervous Tissue | 96 | ||
| Body Membranes | 97 | ||
| Mucous Membranes | 97 | ||
| Serous Membranes | 97 | ||
| Synovial Membranes | 98 | ||
| Meninges | 98 | ||
| 6 Integumentary System | 100 | ||
| Chapter Outline | 100 | ||
| LEARNING OBJECTIVES | 100 | ||
| Key Terms | 100 | ||
| Introduction to the Integumentary System | 101 | ||
| Structure of the Skin | 101 | ||
| Epidermis | 101 | ||
| Dermis | 101 | ||
| Subcutaneous Layer | 102 | ||
| Skin Color | 102 | ||
| Epidermal Derivatives | 102 | ||
| Hair and Hair Follicles | 102 | ||
| Nails | 103 | ||
| Glands | 103 | ||
| Sebaceous Glands | 103 | ||
| Sweat (Sudoriferous) Glands | 103 | ||
| Ceruminous Glands | 103 | ||
| Functions of the Skin | 103 | ||
| Protection | 103 | ||
| Sensory Reception | 103 | ||
| Regulation of Body Temperature | 104 | ||
| Synthesis of Vitamin D | 104 | ||
| Aging of the Integumentary System | 104 | ||
| 7 Skeletal System | 106 | ||
| Chapter Outline | 106 | ||
| LEARNING OBJECTIVES | 106 | ||
| Key Terms | 107 | ||
| Introduction to the Skeletal System | 107 | ||
| Overview of the Skeletal System | 107 | ||
| Functions of the Skeletal System | 107 | ||
| Support | 107 | ||
| Protection | 107 | ||
| Movement | 107 | ||
| Storage | 107 | ||
| Blood Cell Formation | 107 | ||
| Structure of Bone Tissue | 107 | ||
| Compact Bone | 107 | ||
| Spongy (Cancellous) Bone | 107 | ||
| Classification of Bones | 109 | ||
| General Features of a Long Bone | 109 | ||
| Bone Development and Growth | 110 | ||
| Bone Growth in Length | 110 | ||
| Divisions of the Skeleton | 110 | ||
| Bones of the Axial Skeleton | 110 | ||
| Skull | 110 | ||
| Cranium | 111 | ||
| Frontal Bone | 111 | ||
| Parietal Bones | 111 | ||
| Occipital Bone | 111 | ||
| Temporal Bones | 111 | ||
| Sphenoid Bone | 112 | ||
| Ethmoid Bone | 112 | ||
| Facial Bones | 112 | ||
| Maxillary Bones | 112 | ||
| Palatine Bones | 112 | ||
| Nasal Bones | 112 | ||
| Lacrimal Bones | 112 | ||
| Zygomatic Bones | 112 | ||
| Inferior Nasal Conchae | 112 | ||
| Vomer | 112 | ||
| Mandible | 114 | ||
| Auditory Ossicles | 114 | ||
| Hyoid Bone | 114 | ||
| Vertebral Column | 114 | ||
| General Structure of Vertebrae | 114 | ||
| Composition of the Vertebral Column | 114 | ||
| Thoracic Cage | 115 | ||
| Sternum | 115 | ||
| Ribs | 115 | ||
| Bones of the Appendicular Skeleton | 115 | ||
| Pectoral Girdle | 115 | ||
| Upper Extremity | 116 | ||
| Arm | 116 | ||
| Forearm | 116 | ||
| Hand | 117 | ||
| Pelvic Girdle | 117 | ||
| Lower Extremity | 117 | ||
| Thigh | 117 | ||
| Leg | 118 | ||
| Foot | 118 | ||
| Patella | 119 | ||
| Articulations | 119 | ||
| Synarthroses | 119 | ||
| Amphiarthroses | 119 | ||
| Diarthroses | 121 | ||
| Aging of the Skeletal System | 121 | ||
| 8 Muscular System | 123 | ||
| Chapter Outline | 123 | ||
| LEARNING OBJECTIVES | 123 | ||
| Key Terms | 123 | ||
| Introduction to the Muscular System | 124 | ||
| Characteristics and Functions of the Muscular System | 124 | ||
| Structure of Skeletal Muscle | 124 | ||
| Whole Skeletal Muscle | 124 | ||
| Skeletal Muscle Fibers | 124 | ||
| Nerve and Blood Supply | 125 | ||
| Skeletal Muscle Attachments | 125 | ||
| Contraction of Skeletal Muscle | 125 | ||
| Stimulus for Contraction | 125 | ||
| Energy Sources and Oxygen Debt | 126 | ||
| Movements | 127 | ||
| Skeletal Muscle Groups | 127 | ||
| Naming Muscles | 127 | ||
| Muscles of the Head and Neck | 130 | ||
| Muscles of Facial Expression | 130 | ||
| Muscles of Mastication | 130 | ||
| Neck Muscles | 130 | ||
| Muscles of the Trunk | 130 | ||
| Vertebral Column Muscles | 130 | ||
| Thoracic Wall Muscles | 130 | ||
| Abdominal Wall Muscles | 131 | ||
| Pelvic Floor Muscles | 131 | ||
| Muscles of the Upper Extremity | 131 | ||
| Muscles That Move the Shoulder and Arm | 131 | ||
| Muscles That Move the Forearm and Hand | 134 | ||
| Muscles of the Lower Extremity | 134 | ||
| Muscles That Move the Thigh | 134 | ||
| Muscles That Move the Leg | 134 | ||
| Muscles That Move the Ankle and Foot | 134 | ||
| Aging of the Muscular System | 134 | ||
| 9 Nervous System | 136 | ||
| Chapter Outline | 136 | ||
| LEARNING OBJECTIVES | 136 | ||
| Key Terms | 137 | ||
| Introduction to the Nervous System | 137 | ||
| Functions of the Nervous System | 137 | ||
| Organization of the Nervous System | 137 | ||
| Central Nervous System | 137 | ||
| Peripheral Nervous System | 137 | ||
| Nerve Tissue | 139 | ||
| Neurons | 139 | ||
| Neuroglia | 139 | ||
| Nerve Impulses | 139 | ||
| Resting Membrane | 141 | ||
| Stimulation of a Neuron | 141 | ||
| Conduction along a Neuron | 141 | ||
| Saltatory Conduction | 141 | ||
| Refractory Period | 141 | ||
| All-or-None Principle | 142 | ||
| Conduction across a Synapse | 142 | ||
| Reflex Arcs | 143 | ||
| Central Nervous System | 144 | ||
| Meninges | 144 | ||
| Brain | 144 | ||
| Cerebrum | 144 | ||
| Diencephalon | 146 | ||
| Brain Stem | 146 | ||
| Cerebellum | 147 | ||
| Ventricles and Cerebrospinal Fluid | 148 | ||
| Spinal Cord | 148 | ||
| Peripheral Nervous System | 149 | ||
| Structure of a Nerve | 149 | ||
| Cranial Nerves | 150 | ||
| Spinal Nerves | 150 | ||
| Autonomic Nervous System | 151 | ||
| General Features | 151 | ||
| Sympathetic Division | 151 | ||
| Parasympathetic Division | 151 | ||
| Aging of the Nervous System | 153 | ||
| 10 The Senses | 155 | ||
| Chapter Outline | 155 | ||
| LEARNING OBJECTIVES | 155 | ||
| Key Terms | 155 | ||
| Introduction to the Senses | 156 | ||
| Receptors and Sensations | 156 | ||
| General Senses | 156 | ||
| Touch and Pressure | 156 | ||
| Proprioception | 156 | ||
| Temperature | 156 | ||
| Pain | 157 | ||
| Gustatory Sense | 157 | ||
| Olfactory Sense | 158 | ||
| Visual Sense | 158 | ||
| Protective Features and Accessory Structures of the Eye | 158 | ||
| Structure of the Eyeball | 159 | ||
| Pathway of Light and Refraction | 160 | ||
| Photoreceptors | 160 | ||
| Visual Pathway | 161 | ||
| Auditory Sense | 161 | ||
| Structure of the Ear | 161 | ||
| External Ear | 162 | ||
| Middle Ear | 162 | ||
| Inner Ear | 162 | ||
| Physiology of Hearing | 163 | ||
| Initiation of Impulses | 163 | ||
| Pitch and Loudness | 163 | ||
| Sense of Equilibrium | 163 | ||
| Static Equilibrium | 163 | ||
| Dynamic Equilibrium | 163 | ||
| Aging of the Senses | 164 | ||
| 11 Endocrine System | 166 | ||
| Chapter Outline | 166 | ||
| LEARNING OBJECTIVES | 166 | ||
| Key Terms | 166 | ||
| Introduction to the Endocrine System | 167 | ||
| Comparison of the Endocrine and Nervous Systems | 167 | ||
| Comparison of Exocrine and Endocrine Glands | 167 | ||
| Characteristics of Hormones | 167 | ||
| Chemical Nature of Hormones | 167 | ||
| Mechanism of Hormone Action | 167 | ||
| Endocrine Glands and their Hormones | 167 | ||
| Pituitary Gland | 167 | ||
| Hormones of the Anterior Lobe (Adenohypophysis) | 168 | ||
| Growth Hormone | 168 | ||
| Thyroid-Stimulating Hormone | 168 | ||
| Adrenocorticotropic Hormone | 168 | ||
| Gonadotropic Hormones | 170 | ||
| Prolactin | 171 | ||
| Hormones of the Posterior Lobe (Neurohypophysis) | 171 | ||
| Antidiuretic Hormone | 171 | ||
| Oxytocin | 171 | ||
| Thyroid Gland | 171 | ||
| Thyroxine and Triiodothyronine | 171 | ||
| Calcitonin | 171 | ||
| Parathyroid Glands | 171 | ||
| Adrenal (Suprarenal) Glands | 172 | ||
| Hormones of the Adrenal Cortex | 172 | ||
| Hormones of the Adrenal Medulla | 172 | ||
| Pancreas—Islets of Langerhans | 172 | ||
| Glucagon | 173 | ||
| Insulin | 173 | ||
| Gonads (Test+12es and Ovaries) | 173 | ||
| Testes | 173 | ||
| Ovaries | 173 | ||
| Pineal Gland | 173 | ||
| Thymus Gland | 174 | ||
| Aging of the Endocrine System | 174 | ||
| 12 Circulatory System | 175 | ||
| Chapter Outline | 175 | ||
| LEARNING OBJECTIVES | 175 | ||
| Key Terms | 175 | ||
| Introduction to the Circulatory System | 176 | ||
| Heart | 176 | ||
| Overview of the Heart | 176 | ||
| Form, Size, and Location of the Heart | 176 | ||
| Coverings of the Heart | 176 | ||
| Structure of the Heart | 176 | ||
| Layers of the Heart Wall | 176 | ||
| Chambers of the Heart | 177 | ||
| Valves of the Heart | 180 | ||
| Atrioventricular Valves | 180 | ||
| Semilunar Valves | 180 | ||
| Pathway of Blood through the Heart | 180 | ||
| Blood Supply to the Myocardium | 181 | ||
| Physiology of the Heart | 181 | ||
| Conduction System | 181 | ||
| Components of the Conduction System | 181 | ||
| Sinoatrial Node | 181 | ||
| Atrioventricular Node | 182 | ||
| Atrioventricular Bundle, Bundle Branches, and Conduction Myofibers | 182 | ||
| Cardiac Cycle | 182 | ||
| Heart Sounds | 182 | ||
| Blood | 183 | ||
| Functions and Characteristics of Blood | 183 | ||
| Composition of Blood | 183 | ||
| Plasma | 183 | ||
| Plasma Proteins | 183 | ||
| Other Solutes | 184 | ||
| Formed Elements | 184 | ||
| Erythrocytes | 184 | ||
| Characteristics and Functions | 184 | ||
| Production of Erythrocytes | 184 | ||
| Destruction of Erythrocytes | 184 | ||
| Leukocytes | 186 | ||
| Characteristics and Functions | 186 | ||
| Types of Leukocytes | 186 | ||
| Thrombocytes | 186 | ||
| Hemostasis | 187 | ||
| Vascular Constriction | 187 | ||
| Platelet Plug Formation | 187 | ||
| Coagulation | 187 | ||
| Blood Types | 188 | ||
| ABO Blood Groups | 188 | ||
| Rh Blood Groups | 188 | ||
| Blood Vessels | 188 | ||
| Classification and Structure of Blood Vessels | 188 | ||
| Arteries | 188 | ||
| Capillaries | 189 | ||
| Veins | 189 | ||
| Circulatory Pathways | 190 | ||
| Pulmonary Circuit | 190 | ||
| Systemic Circuit | 190 | ||
| Aging of the Circulatory System | 190 | ||
| 13 Respiratory System | 194 | ||
| Chapter Outline | 194 | ||
| LEARNING OBJECTIVES | 194 | ||
| Key Terms | 194 | ||
| Introduction to the Respiratory System | 195 | ||
| Functions and Overview of Respiration | 195 | ||
| Ventilation | 195 | ||
| Conducting Passages | 195 | ||
| Nose and Nasal Cavities | 195 | ||
| Pharynx | 196 | ||
| Larynx | 196 | ||
| Trachea | 198 | ||
| Bronchi and Bronchial Tree | 198 | ||
| Lungs | 199 | ||
| Mechanics of Ventilation | 199 | ||
| Inhalation | 199 | ||
| Exhalation | 199 | ||
| Respiration | 199 | ||
| External Respiration | 199 | ||
| Internal Respiration | 199 | ||
| Regulation of Respiration | 200 | ||
| Respiratory Center | 200 | ||
| Factors That Influence Breathing | 200 | ||
| Chemoreceptors | 200 | ||
| Stimulus from Higher Brain Centers | 200 | ||
| Temperature | 200 | ||
| Nonrespiratory Air Movements | 200 | ||
| Aging of the Respiratory System | 200 | ||
| 14 Digestive System | 202 | ||
| Chapter Outline | 202 | ||
| LEARNING OBJECTIVES | 202 | ||
| Key Terms | 202 | ||
| Introduction to the Digestive System | 203 | ||
| Functions of the Digestive System | 203 | ||
| General Structure of the Digestive Tract | 203 | ||
| Mucosa | 204 | ||
| Submucosa | 204 | ||
| Muscular Layer | 204 | ||
| Serosa or Adventitia | 204 | ||
| Components of the Digestive Tract | 204 | ||
| Mouth | 204 | ||
| Lips and Cheeks | 204 | ||
| Palate | 204 | ||
| Tongue | 206 | ||
| Teeth | 206 | ||
| Salivary Glands | 207 | ||
| Pharynx | 208 | ||
| Esophagus | 208 | ||
| Stomach | 208 | ||
| Structure | 208 | ||
| Gastric Secretions | 208 | ||
| Regulation of Gastric Secretions | 209 | ||
| Stomach Emptying | 209 | ||
| Small Intestine | 209 | ||
| Structure | 209 | ||
| Secretions of the Small Intestine | 210 | ||
| Large Intestine | 211 | ||
| Characteristics | 211 | ||
| Regions of the Large Intestine | 211 | ||
| Functions of the Large Intestine | 211 | ||
| Accessory Organs of Digestion | 212 | ||
| Liver | 212 | ||
| Structure of the Liver | 212 | ||
| Blood Supply to the Liver | 212 | ||
| Functions of the Liver | 213 | ||
| Bile | 213 | ||
| Gallbladder | 213 | ||
| Pancreas | 214 | ||
| Chemical Digestion | 214 | ||
| Carbohydrate Digestion | 214 | ||
| Protein Digestion | 214 | ||
| Lipid Digestion | 214 | ||
| Absorption | 215 | ||
| Aging of the Digestive System | 215 | ||
| 15 Urinary System | 217 | ||
| Chapter Outline | 217 | ||
| LEARNING OBJECTIVES | 217 | ||
| Key Terms | 217 | ||
| Introduction to the Urinary System | 218 | ||
| Components of the Urinary System | 218 | ||
| Kidneys | 218 | ||
| Location | 218 | ||
| Macroscopic Structure | 218 | ||
| Nephrons | 219 | ||
| Collecting Ducts | 221 | ||
| Juxtaglomerular Apparatus | 221 | ||
| Blood Flow through the Kidney | 221 | ||
| Ureters | 221 | ||
| Urinary Bladder | 222 | ||
| Urethra | 222 | ||
| Urine Formation | 222 | ||
| Glomerular Filtration | 222 | ||
| Tubular Reabsorption | 223 | ||
| Tubular Secretion | 223 | ||
| Regulation of Urine Concentration and Volume | 223 | ||
| Micturition | 223 | ||
| Aging of the Urinary System | 224 | ||
| 16 Reproductive System | 225 | ||
| Chapter Outline | 225 | ||
| LEARNING OBJECTIVES | 225 | ||
| Key Terms | 225 | ||
| Introduction to the Reproductive System | 226 | ||
| Male Reproductive System | 226 | ||
| Testes | 226 | ||
| Structure | 226 | ||
| Spermatogenesis | 227 | ||
| Duct System | 229 | ||
| Epididymis | 229 | ||
| Ductus Deferens | 229 | ||
| Ejaculatory Duct | 229 | ||
| Urethra | 229 | ||
| Accessory Glands | 229 | ||
| Seminal Vesicles | 229 | ||
| Prostate | 229 | ||
| Bulbourethral Glands | 229 | ||
| Seminal Fluid | 230 | ||
| Penis | 230 | ||
| Male Sexual Response | 230 | ||
| Hormonal Control | 230 | ||
| Female Reproductive System | 231 | ||
| Ovaries | 231 | ||
| Structure | 231 | ||
| Oogenesis | 231 | ||
| Ovarian Follicle Development | 233 | ||
| Ovulation | 233 | ||
| Genital Tract | 233 | ||
| Uterine Tubes | 233 | ||
| Uterus | 234 | ||
| Vagina | 234 | ||
| External Genitalia | 234 | ||
| Female Sexual Response | 235 | ||
| Hormonal Control | 235 | ||
| Ovarian Cycle | 236 | ||
| Uterine (Menstrual) Cycle | 236 | ||
| Menopause | 236 | ||
| Mammary Glands | 237 | ||
| Aging of the Reproductive System | 237 | ||
| 3 Clinical Component | 239 | ||
| 17 Medical Asepsis and the OSHA Standard | 239 | ||
| Chapter Outline | 240 | ||
| Key Terms | 240 | ||
| Introduction to Medical Asepsis and the OSHA Standard | 240 | ||
| Microorganisms and Medical Asepsis | 240 | ||
| Growth Requirements for Microorganisms | 240 | ||
| Infection Process Cycle | 241 | ||
| Protective Mechanisms of the Body | 241 | ||
| Medical Asepsis in the Medical Office | 241 | ||
| Hand Hygiene | 241 | ||
| Resident and Transient Flora | 242 | ||
| Handwashing | 242 | ||
| Antiseptic Handwashing | 243 | ||
| Alcohol-Based Hand Rubs | 243 | ||
| Infection Control | 243 | ||
| Gloves | 243 | ||
| Types of Gloves | 248 | ||
| Glove Guidelines | 248 | ||
| OSHA Bloodborne Pathogens Standard | 249 | ||
| Purpose of the Standard | 249 | ||
| Needlestick Safety and Prevention Act | 249 | ||
| OSHA Terminology | 249 | ||
| Components of the OSHA Standard | 250 | ||
| Exposure Control Plan | 250 | ||
| Labeling Requirements | 250 | ||
| Communicating Hazards to Employees | 251 | ||
| Record-Keeping | 252 | ||
| Control Measures | 252 | ||
| Engineering Controls | 252 | ||
| Safer Medical Devices | 252 | ||
| Work Practice Controls | 252 | ||
| Personal Protective Equipment | 254 | ||
| Personal Protective Equipment Guidelines | 254 | ||
| Housekeeping | 255 | ||
| Hepatitis B Vaccination | 255 | ||
| Universal Precautions | 257 | ||
| Regulated Medical Waste | 257 | ||
| Handling Regulated Medical Waste | 257 | ||
| Disposal of Regulated Medical Waste | 259 | ||
| Bloodborne Diseases | 259 | ||
| Hepatitis B | 260 | ||
| Postexposure Prophylaxis | 260 | ||
| Hepatitis C | 260 | ||
| Acquired Immune Deficiency Syndrome | 260 | ||
| 18 Sterilization and Disinfection | 267 | ||
| Chapter Outline | 268 | ||
| Key Terms | 268 | ||
| Introduction to Sterilization and Disinfection | 268 | ||
| Definitions of Terms | 268 | ||
| Hazard Communication Standard | 269 | ||
| Hazard Communication Program | 269 | ||
| Inventory of Hazardous Chemicals | 269 | ||
| Labeling of Hazardous Chemicals | 269 | ||
| Container Label Requirements | 270 | ||
| Material Safety Data Sheets | 270 | ||
| Material Safety Data Sheet Requirements | 270 | ||
| Employee Information and Training | 272 | ||
| Sanitization | 273 | ||
| Sanitizing Instruments | 273 | ||
| Cleaning Instruments | 273 | ||
| Manual Method | 273 | ||
| Ultrasound Method | 273 | ||
| Guidelines for Sanitizing Instruments | 274 | ||
| Disinfection | 279 | ||
| Levels of Disinfection | 279 | ||
| High-Level Disinfection | 279 | ||
| Intermediate-Level Disinfection | 280 | ||
| Low-Level Disinfection | 280 | ||
| Sterilization | 280 | ||
| Sterilization Methods | 280 | ||
| Autoclave | 280 | ||
| Monitoring Program | 281 | ||
| Sterilization Indicators | 281 | ||
| Chemical Indicators | 282 | ||
| Autoclave Tape. | 282 | ||
| Sterilization Strips. | 282 | ||
| Biologic Indicators | 282 | ||
| Wrapping Articles | 284 | ||
| Sterilization Paper | 284 | ||
| Sterilization Pouches | 284 | ||
| Muslin | 284 | ||
| Operating the Autoclave | 287 | ||
| Guidelines for Autoclave Operation | 287 | ||
| Location of the Autoclave | 287 | ||
| Filling the Water Reservoir | 287 | ||
| Loading the Autoclave | 288 | ||
| Timing the Load | 289 | ||
| Drying the Load | 289 | ||
| Handling and Storing Packs | 290 | ||
| Maintaining the Autoclave | 290 | ||
| Daily Maintenance | 290 | ||
| Weekly Maintenance | 290 | ||
| Monthly Maintenance | 290 | ||
| Other Sterilization Methods | 290 | ||
| Dry Heat Oven | 290 | ||
| Ethylene Oxide Gas Sterilization | 291 | ||
| Cold Sterilization | 291 | ||
| Radiation | 291 | ||
| 19 Vital Signs | 297 | ||
| Chapter Outline | 298 | ||
| Key Terms | 298 | ||
| Introduction to Vital Signs | 298 | ||
| Temperature | 299 | ||
| Regulation of Body Temperature | 299 | ||
| Heat Production | 299 | ||
| Heat Loss | 299 | ||
| Body Temperature Range | 300 | ||
| Alterations in Body Temperature | 300 | ||
| Variations in Body Temperature | 300 | ||
| Fever | 301 | ||
| Stages of a Fever | 301 | ||
| Assessment of Body Temperature | 301 | ||
| Assessment Sites | 301 | ||
| Oral Temperature | 302 | ||
| Axillary Temperature | 302 | ||
| Rectal Temperature | 302 | ||
| Aural Temperature | 302 | ||
| Forehead Temperature | 303 | ||
| Types of Thermometers | 303 | ||
| Electronic Thermometer | 303 | ||
| Tympanic Membrane Thermometer | 303 | ||
| Temporal Artery Thermometer | 304 | ||
| Earlobe Temperature Measurement | 304 | ||
| Care and Maintenance | 304 | ||
| Chemical Thermometers | 305 | ||
| Disposable Chemical Single-Use Thermometers | 305 | ||
| Temperature-Sensitive Strips | 305 | ||
| Pulse | 316 | ||
| Mechanism of the Pulse | 316 | ||
| Factors Affecting Pulse Rate | 316 | ||
| Pulse Sites | 316 | ||
| Radial | 316 | ||
| Apical | 316 | ||
| Brachial | 316 | ||
| Ulnar | 316 | ||
| Temporal | 317 | ||
| Carotid | 317 | ||
| Femoral | 317 | ||
| Popliteal | 317 | ||
| Posterior Tibial | 317 | ||
| Dorsalis Pedis | 317 | ||
| Assessment of Pulse | 317 | ||
| Pulse Rate | 318 | ||
| Pulse Rhythm and Volume | 318 | ||
| Respiration | 318 | ||
| Mechanism of Respiration | 318 | ||
| Control of Respiration | 319 | ||
| Assessment of Respiration | 319 | ||
| Respiratory Rate | 319 | ||
| Rhythm and Depth of Respiration | 321 | ||
| Color of the Patient | 321 | ||
| Respiratory Abnormalities | 321 | ||
| Breath Sounds | 321 | ||
| Pulse Oximetry | 322 | ||
| Assessment of Oxygen Saturation | 322 | ||
| Mechanism of Action | 322 | ||
| Interpretation of Results | 323 | ||
| Purpose of Pulse Oximetry | 323 | ||
| Components of the Pulse Oximeter | 324 | ||
| Monitor | 324 | ||
| Probe | 324 | ||
| Factors Affecting Pulse Oximetry | 325 | ||
| Pulse Oximeter Care and Maintenance | 326 | ||
| Blood Pressure | 331 | ||
| Mechanism of Blood Pressure | 331 | ||
| Interpretation of Blood Pressure | 331 | ||
| Pulse Pressure | 331 | ||
| Factors Affecting Blood Pressure | 331 | ||
| Assessment of Manual Blood Pressure | 332 | ||
| Stethoscope | 332 | ||
| Stethoscope Chest Piece | 333 | ||
| Sphygmomanometer | 333 | ||
| Aneroid Sphygmomanometer | 333 | ||
| Mercury Sphygmomanometer | 334 | ||
| Cuff Sizes | 335 | ||
| Korotkoff Sounds | 337 | ||
| Automated Oscillometric Blood Pressure Device | 337 | ||
| Advantages | 337 | ||
| Disadvantages | 339 | ||
| 20 The Physical Examination | 348 | ||
| Chapter Outline | 349 | ||
| Key Terms | 349 | ||
| Introduction to the Physical Examination | 349 | ||
| Definitions of Terms | 349 | ||
| Preparation of the Examining Room | 350 | ||
| Preparation of the Patient | 351 | ||
| Measuring Weight and Height | 353 | ||
| Body Mechanics | 361 | ||
| Principles | 361 | ||
| Application of Body Mechanics | 362 | ||
| Standing | 362 | ||
| Sitting | 362 | ||
| Lifting | 362 | ||
| Positioning and Draping | 363 | ||
| Wheelchair Transfer | 372 | ||
| Assessment of the Patient | 376 | ||
| Inspection | 377 | ||
| Palpation | 377 | ||
| Percussion | 377 | ||
| Auscultation | 378 | ||
| Assisting the Physician | 378 | ||
| 21 Eye and Ear Assessment and Procedures | 384 | ||
| Chapter Outline | 384 | ||
| Key Terms | 384 | ||
| Introduction to the Eye | 385 | ||
| Visual Acuity | 385 | ||
| Assessment of Distance Visual Acuity (DVA) | 386 | ||
| Conducting a Snellen Test | 387 | ||
| Assessing Distance Visual Acuity in Preschool Children | 387 | ||
| Assessment of Near Visual Acuity (NVA) | 388 | ||
| Assessment of Color Vision | 389 | ||
| Ishihara Test | 389 | ||
| Eye Irrigation | 393 | ||
| Eye Instillation | 393 | ||
| Introduction to the Ear | 397 | ||
| Assessment of Hearing Acuity | 397 | ||
| Types of Hearing Loss | 397 | ||
| Hearing Acuity Tests | 398 | ||
| Gross Screening Test | 398 | ||
| Tuning Fork Tests | 398 | ||
| Audiometry | 398 | ||
| Tympanometry | 399 | ||
| Ear Irrigation | 400 | ||
| Ear Instillation | 400 | ||
| 22 Physical Agents to Promote Tissue Healing | 409 | ||
| Chapter Outline | 409 | ||
| Key Terms | 409 | ||
| Introduction to Tissue Healing | 410 | ||
| Local Application of Heat and Cold | 410 | ||
| Factors Affecting the Application of Heat and Cold | 410 | ||
| Heat | 411 | ||
| Local Effects of Heat | 411 | ||
| Purpose of Applying Heat | 411 | ||
| Types of Heat Applications | 411 | ||
| Heating Pad | 411 | ||
| Hot Soak | 411 | ||
| Hot Compress | 412 | ||
| Chemical Hot Pack | 412 | ||
| Cold | 412 | ||
| Local Effects of Cold | 412 | ||
| Purpose of Applying Cold | 412 | ||
| Types of Cold Applications | 412 | ||
| Ice Bag | 412 | ||
| Cold Compress | 412 | ||
| Chemical Cold Pack | 412 | ||
| Ambulatory AIDS | 418 | ||
| Crutches | 418 | ||
| Axillary Crutch Measurement | 418 | ||
| Crutch Guidelines | 418 | ||
| Crutch Gaits | 419 | ||
| Canes | 420 | ||
| Walkers | 420 | ||
| 23 The Gynecologic Examination and Prenatal Care | 427 | ||
| Chapter Outline | 428 | ||
| Key Terms | 428 | ||
| 4 Administrative Component | 869 | ||
| 36 The Medical Record | 869 | ||
| Chapter Outline | 870 | ||
| Key Terms | 870 | ||
| Introduction to the Medical Record | 871 | ||
| Components of the Medical Records | 871 | ||
| Medical Office Administrative Documents | 873 | ||
| Patient Registration Record | 873 | ||
| Demographic Information | 874 | ||
| Billing Information | 874 | ||
| NPP Acknowledgment Form | 874 | ||
| Correspondence | 874 | ||
| Medical OFFICE Clinical Documents | 874 | ||
| Health History Report | 874 | ||
| Physical Examination Report | 875 | ||
| Progress Notes | 875 | ||
| Medication Record | 875 | ||
| Prescription and Over-the-Counter Medication Record Form | 875 | ||
| Medication Administration Record Form | 875 | ||
| Consultation Report | 875 | ||
| Home Health Care Report | 875 | ||
| Laboratory Documents | 876 | ||
| Diagnostic Procedure Documents | 876 | ||
| Electrocardiogram Report | 876 | ||
| Holter Monitor Report | 876 | ||
| Sigmoidoscopy Report | 876 | ||
| Colonoscopy Report | 876 | ||
| Spirometry Report | 878 | ||
| Radiology Report | 878 | ||
| Diagnostic Imaging Report | 878 | ||
| Therapeutic Service Documents | 878 | ||
| Physical Therapy | 878 | ||
| Occupational Therapy | 878 | ||
| Speech Therapy | 879 | ||
| Hospital Documents | 879 | ||
| History and Physical Report | 879 | ||
| Operative Report | 879 | ||
| Discharge Summary Report | 884 | ||
| Pathology Report | 885 | ||
| Emergency Department Report | 885 | ||
| Consent Documents | 887 | ||
| Consent to Treatment Form | 887 | ||
| Release of Medical Information Form | 888 | ||
| Mailed or Faxed Requests for Release of Medical Information | 890 | ||
| Types of Medical Records | 892 | ||
| Electronic Medical Record | 892 | ||
| Medical Record Formats | 892 | ||
| Source-Oriented Record | 892 | ||
| Problem-Oriented Record | 892 | ||
| Database | 893 | ||
| Problem List | 893 | ||
| Plan | 893 | ||
| Progress Notes | 893 | ||
| Preparing A Medical Record for A New Patient | 893 | ||
| Medical Record Supplies | 893 | ||
| File Folders | 893 | ||
| Folder Labels | 894 | ||
| Chart Dividers | 894 | ||
| Taking A Health History | 899 | ||
| Components of the Health History | 899 | ||
| Identification Data | 899 | ||
| Chief Complaint | 899 | ||
| Recording Chief Complaints | 899 | ||
| Correct Examples | 899 | ||
| Incorrect Examples | 899 | ||
| Present Illness | 903 | ||
| Past History | 903 | ||
| Family History | 903 | ||
| Social History | 903 | ||
| Review of Systems | 903 | ||
| Charting in the Medical Record | 903 | ||
| Charting Guidelines | 903 | ||
| Charting Progress Notes | 907 | ||
| Charting Patient Symptoms | 907 | ||
| Other Activities That Need to Be Charted | 909 | ||
| Procedures | 909 | ||
| Administration of Medication | 910 | ||
| Specimen Collection | 910 | ||
| Diagnostic Procedures and Laboratory Tests | 910 | ||
| Results of Laboratory Tests | 910 | ||
| Patient Instructions | 910 | ||
| 37 Patient Reception | 915 | ||
| Chapter Outline | 915 | ||
| Key Terms | 915 | ||
| Introduction to Patient Reception | 916 | ||
| Preparing for Patients | 916 | ||
| Opening the Medical Office | 916 | ||
| Checking for Messages and/or Faxes | 916 | ||
| Preparing for the Day’s Activities | 916 | ||
| Making Sure Patient Charts Are Prepared | 916 | ||
| Checking the Office and Waiting Room | 916 | ||
| Checking Equipment and Supplies | 917 | ||
| Closing the Medical Office | 917 | ||
| Patient Check-In | 919 | ||
| Maintaining Confidentiality | 919 | ||
| New Patients | 919 | ||
| Acknowledgement of Receipt of HIPAA Privacy Practices | 919 | ||
| Patient History Form | 921 | ||
| Verifying Insurance and Obtaining Authorizations | 921 | ||
| Verifying a Managed Care Referral | 923 | ||
| Established Patients | 923 | ||
| Accepting Copayments | 923 | ||
| Indicating That the Patient Is in the Waiting Room | 925 | ||
| Orienting Patients to the Medical Office | 925 | ||
| Information for New or Prospective Patients | 925 | ||
| Patient Informational Materials | 925 | ||
| 38 Medical Office Computerization | 929 | ||
| Chapter Outline | 930 | ||
| LEARNING OBJECTIVES | 929 | ||
| Key Terms | 930 | ||
| Introduction to Medical Office Computerization | 931 | ||
| Computer Concepts | 931 | ||
| Data Processing Cycle | 931 | ||
| Input | 932 | ||
| Processing | 932 | ||
| Output | 932 | ||
| Components of the Computer System | 932 | ||
| Software | 932 | ||
| System Software | 932 | ||
| Application Software | 932 | ||
| Documentation | 933 | ||
| Hardware | 934 | ||
| Main Computer Unit | 934 | ||
| Mainboard | 934 | ||
| Central Processing Unit | 934 | ||
| Main Computer Memory | 934 | ||
| Storage Capacity | 935 | ||
| Other Personal Computer Components | 935 | ||
| Sound Card and Video Card | 935 | ||
| Power Supply | 935 | ||
| Care and Maintenance of the Main Computer Unit | 935 | ||
| Computer Monitor | 936 | ||
| Types of Monitors | 936 | ||
| Screen Size | 936 | ||
| Monitor Resolution | 936 | ||
| Monitor Controls | 936 | ||
| Monitor Ergonomics | 936 | ||
| Monitor Care and Maintenance | 937 | ||
| Computer Keyboard | 937 | ||
| Special Keys | 937 | ||
| Mouse | 938 | ||
| Keyboard Ergonomics | 938 | ||
| Keyboard Care and Maintenance | 938 | ||
| Printer | 939 | ||
| Inkjet Printer | 939 | ||
| Laser Printer | 939 | ||
| Printer Care and Maintenance | 940 | ||
| Storage Devices | 940 | ||
| Hard Disks | 940 | ||
| Hard Disk Drive | 941 | ||
| Optical Discs | 941 | ||
| USB Flash Drive | 941 | ||
| Medical Office Computerization | 941 | ||
| Prerequisite Computer Concepts | 941 | ||
| Impact of Medical Office Computerization | 942 | ||
| Advantages of Computerization | 942 | ||
| Disadvantages of Computerization | 942 | ||
| Computer System Malfunctions | 943 | ||
| Measures to Promote Efficient Computer Operation | 943 | ||
| Medical Practice Management Program | 943 | ||
| Patient Registration System | 943 | ||
| Appointment System | 943 | ||
| Posting Transactions System | 944 | ||
| Patient Billing System | 944 | ||
| Insurance Billing System | 944 | ||
| Reports System | 944 | ||
| File Maintenance System | 944 | ||
| Electronic Medical Record | 944 | ||
| Advantages of the Electronic Medical Record | 945 | ||
| Disadvantages of the Electronic Medical Record | 945 | ||
| Electronic Medical Record Documents | 946 | ||
| Electronic Medical Record Administrative Documents | 946 | ||
| Electronic Medical Record Clinical Documents | 946 | ||
| Electronic Information Transfer | 949 | ||
| Internet | 949 | ||
| 949 | |||
| Clinical Messaging | 949 | ||
| Electronic Transmission of Billing and Insurance Information | 949 | ||
| E-Prescribing | 949 | ||
| Medical Assistant’s Use of the Electronic Medical Record | 950 | ||
| Functions Performed by the Medical Assistant | 950 | ||
| Physician’s Use of the Electronic Medical Record | 952 | ||
| Computer Network Security | 952 | ||
| Authentication | 952 | ||
| Levels of Authorization | 952 | ||
| Automatic Logoff | 952 | ||
| Audit Controls | 952 | ||
| Antivirus Software | 952 | ||
| Firewall | 952 | ||
| Backups | 952 | ||
| System Maintenance | 953 | ||
| Disk Cleanup | 953 | ||
| Disk Defragmentation | 953 | ||
| System Administration | 953 | ||
| Service Agreements | 953 | ||
| 39 Telephone Techniques | 958 | ||
| Chapter Outline | 958 | ||
| Key Terms | 958 | ||
| Introduction to Telephone Techniques | 959 | ||
| Using the Telephone Effectively | 959 | ||
| Telephone Courtesy | 959 | ||
| Telephone Personality | 959 | ||
| Effective Telephone Communication | 959 | ||
| Telephone Technology | 960 | ||
| Multiline Phones | 960 | ||
| Special Features | 960 | ||
| Answering Machines and Voicemail | 961 | ||
| Cell Phones and Smartphones | 961 | ||
| Pagers | 961 | ||
| Incoming Calls | 962 | ||
| Centralized or Electronic Routing | 962 | ||
| Managing Incoming Calls | 962 | ||
| Performing Telephone Screening | 962 | ||
| Calls the Medical Assistant Usually Handles | 962 | ||
| Taking Messages | 963 | ||
| Taking Messages Using the Computer | 963 | ||
| Patients Requesting Test Results | 963 | ||
| Patients Reporting Satisfactory or Unsatisfactory Progress | 963 | ||
| Requests for Medication or Prescription Refills | 964 | ||
| Calls for Referrals or Requesting Laboratory or Diagnostic Tests | 964 | ||
| Patients with Medical Questions | 964 | ||
| Calls from Other Physicians | 964 | ||
| Calls from Salespeople | 964 | ||
| Urgent or Emergency Calls | 964 | ||
| Dealing with Problem Calls | 965 | ||
| The Caller Who Refuses to Give Information | 965 | ||
| Complaints | 965 | ||
| Patients with Special Problems | 965 | ||
| Outgoing Calls | 969 | ||
| Local Calls | 969 | ||
| Appointment Reminders | 969 | ||
| Long-Distance Calls | 969 | ||
| Conference Calls | 969 | ||
| 40 Scheduling Appointments | 973 | ||
| Chapter Outline | 974 | ||
| Key Terms | 974 | ||
| Introduction to Appointment Scheduling | 974 | ||
| Guidelines for Appointment Scheduling | 974 | ||
| Methods of Scheduling | 975 | ||
| Appointment Book Scheduling | 975 | ||
| Computer Scheduling | 975 | ||
| Daily Appointment Schedule | 975 | ||
| Types of Scheduling | 975 | ||
| Time-Specified (Stream) Scheduling | 975 | ||
| Wave Scheduling | 976 | ||
| Modified Wave Scheduling | 976 | ||
| Double Booking | 977 | ||
| Open Booking | 977 | ||
| Patient Appointment Requests and Self-Scheduling | 977 | ||
| Clustering or Categorization | 977 | ||
| Multiple Offices | 977 | ||
| Setting Up the Appointment Schedule | 977 | ||
| Appointment Intervals | 978 | ||
| Physician’s Preferences and Needs | 978 | ||
| Facilities and Equipment Requirements | 979 | ||
| Guidelines for Scheduling | 980 | ||
| Established Patients | 980 | ||
| Special Situations | 980 | ||
| New Patients | 980 | ||
| Same-Day Appointments | 980 | ||
| Urgent Care and Emergencies | 981 | ||
| Walk-in Patients | 981 | ||
| Individuals Who Are Not Patients | 981 | ||
| Managing the Appointment Schedule | 983 | ||
| Changing Appointments | 983 | ||
| Late Patients | 983 | ||
| Appointment Reminders | 983 | ||
| Storing Appointment Books and Daily Schedules | 984 | ||
| Scheduling Referral Appointments, Diagnostic Tests, Procedures, and Admissions | 985 | ||
| Referrals | 985 | ||
| Scheduling Diagnostic Procedures and Hospital Admissions | 986 | ||
| Scheduling a Diagnostic Procedure | 986 | ||
| Scheduling an Inpatient Admission | 986 | ||
| Scheduling Surgery | 987 | ||
| Giving a Patient Instructions before Surgery | 987 | ||
| Documenting an Appointment for Surgery | 987 | ||
| 41 Medical Record Management | 992 | ||
| Chapter Outline | 992 | ||
| Key Terms | 992 | ||
| Introduction to Medical Records | 993 | ||
| Paper-Based Medical Records | 993 | ||
| Electronic Medical Records | 993 | ||
| Equipment and Supplies | 994 | ||
| Storage Equipment | 994 | ||
| File Cabinets | 994 | ||
| Shelf Filing Units | 994 | ||
| Filing Supplies | 994 | ||
| File Folders | 994 | ||
| Folder Labels | 995 | ||
| Chart Dividers | 995 | ||
| Mounting Sheets | 996 | ||
| Other Supplies | 996 | ||
| Filing Systems | 996 | ||
| Alphabetic Filing | 996 | ||
| Rule 1: Individual Names | 996 | ||
| Rule 2: Prefixes | 997 | ||
| Rule 3: Abbreviations and Nicknames | 997 | ||
| Rule 4: Hyphenation | 997 | ||
| Rule 5: Titles and Seniority Terms | 997 | ||
| Rule 6: Names of Married Women | 997 | ||
| Rule 7: Companies and Businesses | 998 | ||
| Rule 8: Identical Names | 998 | ||
| Numeric Filing | 998 | ||
| Terminal Digit Filing Systems | 998 | ||
| Consecutive Filing Systems | 998 | ||
| Subject Filing | 998 | ||
| Chronologic Filing | 999 | ||
| Choosing a Filing System | 999 | ||
| Retrieving OR Filing A Paper Medical Record | 1000 | ||
| Retrieving Patient Records | 1000 | ||
| Filing Records | 1000 | ||
| Filing Reports and Correspondence | 1000 | ||
| Measures to Ensure Accuracy or Locate Misplaced Records | 1001 | ||
| Electronic Medical Record | 1002 | ||
| Storing Medical Records | 1002 | ||
| Active Records | 1002 | ||
| Inactive Records | 1002 | ||
| Retention of Records | 1002 | ||
| Storing Computerized Records | 1003 | ||
| 42 Written Communications | 1007 | ||
| Chapter Outline | 1007 | ||
| Key Terms | 1007 | ||
| Introduction to Written Communication | 1008 | ||
| Business Letters | 1008 | ||
| Equipment and Supplies | 1008 | ||
| Parts of a Business Letter | 1008 | ||
| Heading | 1008 | ||
| Inside Address | 1008 | ||
| Salutation or Greeting | 1008 | ||
| Body of the Letter | 1008 | ||
| Complimentary Closing | 1008 | ||
| Signature, Printed Signature, and Title | 1008 | ||
| End Notations | 1009 | ||
| Format of Business Letters | 1010 | ||
| Setting up a Letter | 1010 | ||
| Letter Styles | 1010 | ||
| Composing a Business Letter | 1010 | ||
| Responding to Written Communication | 1012 | ||
| Grammar and Punctuation | 1014 | ||
| Parts of Speech | 1014 | ||
| Sentence Structure | 1014 | ||
| Sentence Errors | 1015 | ||
| Comma Rules | 1015 | ||
| Spelling and Proofreading | 1016 | ||
| Spelling | 1016 | ||
| Proofreading | 1016 | ||
| Preparing Memoranda | 1016 | ||
| Electronic Data Transmission | 1016 | ||
| 1016 | |||
| Clinical Messaging | 1018 | ||
| E-mail Attachments | 1018 | ||
| Fax Transmissions | 1018 | ||
| Fax Machine | 1018 | ||
| Sending a Fax | 1019 | ||
| Photocopying | 1020 | ||
| 43 Mail | 1023 | ||
| Chapter Outline | 1023 | ||
| Key Terms | 1023 | ||
| Introduction to Mail and Shipping | 1024 | ||
| U.S. Postal System | 1024 | ||
| ZIP Code and Bar Code Systems | 1024 | ||
| Classifications of Domestic Mail | 1024 | ||
| Express Mail | 1025 | ||
| First-Class Mail | 1025 | ||
| Priority Mail | 1025 | ||
| Standard Mail | 1025 | ||
| Parcel Post and Other Packages | 1025 | ||
| Insurance and Delivery Confirmation Services | 1025 | ||
| Certified Mail | 1025 | ||
| Return Receipt | 1025 | ||
| Signature Confirmation | 1025 | ||
| Certificate of Mailing | 1026 | ||
| Restricted Delivery | 1026 | ||
| Registered Mail | 1026 | ||
| Insured Mail | 1027 | ||
| Special Handling | 1027 | ||
| Collect on Delivery | 1027 | ||
| Postal Money Orders | 1027 | ||
| Other Package Delivery Services | 1028 | ||
| Processing Incoming Mail | 1028 | ||
| Opening Mail | 1028 | ||
| Automated Mail Processing | 1030 | ||
| Postal Addressing Standards | 1030 | ||
| Letters and Large Envelopes | 1030 | ||
| Complete Address | 1030 | ||
| Recipient Line | 1031 | ||
| Optional Attention Line | 1031 | ||
| Delivery Address Line | 1031 | ||
| City, State, and ZIP Code Line | 1031 | ||
| Address Format | 1031 | ||
| Return Address | 1033 | ||
| Outgoing Mail | 1034 | ||
| Preparing Envelopes or Mailing Labels | 1034 | ||
| Folding and Inserting Letters into Envelopes | 1034 | ||
| No. 10 Envelope | 1034 | ||
| No. Envelope | 1034 | ||
| Window Envelope | 1034 | ||
| Adding Postage | 1034 | ||
| Postage Meters | 1034 | ||
| Safety Precautions | 1035 | ||
| Online Postage Services | 1035 | ||
| 44 Managing Practice Finances | 1039 | ||
| Chapter Outline | 1039 | ||
| Key Terms | 1039 | ||
| Introduction to Daily Financial Activities | 1040 | ||
| Maintaining Patient Accounts | 1040 | ||
| Components of A Patient Account | 1041 | ||
| Charge Slip | 1041 | ||
| Fee Schedule | 1043 | ||
| Patient Account Ledger | 1043 | ||
| Posting Payments to the Patient Account | 1043 | ||
| Posting Adjustments to the Patient Account | 1044 | ||
| Day Sheet | 1044 | ||
| Printing Day Sheets and Other Reports | 1046 | ||
| Banking Activities | 1051 | ||
| Types of Accounts | 1051 | ||
| Checking Account | 1051 | ||
| Savings Account | 1051 | ||
| Money Market Account | 1051 | ||
| Checks | 1051 | ||
| Types of Checks | 1051 | ||
| Check Format | 1051 | ||
| Business Checkbook with Stubs | 1052 | ||
| Computer-Generated Checks | 1052 | ||
| Online Payment | 1052 | ||
| Preparing a Check | 1053 | ||
| Bank Deposits | 1053 | ||
| Balancing the Cash Drawer | 1053 | ||
| Preparing a Bank Deposit | 1053 | ||
| Precautions for Accepting Checks | 1054 | ||
| Endorsing Checks | 1054 | ||
| Blank Endorsement | 1055 | ||
| Special Endorsement | 1055 | ||
| Restrictive Endorsement | 1055 | ||
| Making a Deposit | 1055 | ||
| Reconciling a Bank Statement | 1055 | ||
| Other Financial Accounts | 1059 | ||
| Accounts Payable or Record of Cash Disbursements | 1059 | ||
| Petty Cash | 1059 | ||
| 45 Medical Coding | 1063 | ||
| Chapter Outline | 1063 | ||
| Key Terms | 1063 | ||
| Introduction to Coding | 1064 | ||
| Procedure Coding | 1064 | ||
| Levels of Procedure Codes | 1064 | ||
| Level I Codes | 1064 | ||
| Level II Codes | 1064 | ||
| CPT Manual | 1064 | ||
| Sections of the CPT Manual | 1064 | ||
| Category II Codes | 1065 | ||
| Category III Codes | 1065 | ||
| Appendices | 1066 | ||
| Looking up CPT Codes in the Index | 1066 | ||
| Selecting a Specific CPT Code | 1066 | ||
| Evaluation and Management | 1067 | ||
| Medical History | 1068 | ||
| Physical Examination | 1068 | ||
| Medical Decision Making | 1068 | ||
| Secondary Factors | 1068 | ||
| Anesthesia | 1068 | ||
| Surgery | 1069 | ||
| Radiology | 1069 | ||
| Pathology and Laboratory | 1069 | ||
| Medicine | 1070 | ||
| Healthcare Common Procedure Coding System Level II Codes | 1072 | ||
| Looking up HCPCS Level II Codes | 1072 | ||
| Diagnosis Coding | 1073 | ||
| History of Diagnosis Coding | 1073 | ||
| ICD-9-CM Manual | 1073 | ||
| Format of ICD-9-CM Codes | 1073 | ||
| Numeric Codes (001-999.9) | 1073 | ||
| Codes for Individuals Who Do Not Have a Disease or Injury | 1074 | ||
| Using the Index (Volume 2) | 1074 | ||
| Examples | 1074 | ||
| Using the Tabular List (Volume 1) | 1074 | ||
| Selecting the Correct Fifth Digit | 1074 | ||
| ICD-10-CM Manual | 1075 | ||
| Format of ICD-10-CM Codes | 1075 | ||
| Looking up Diagnosis Codes in the Alphabetic Index | 1075 | ||
| Codes for Individuals Who Do Not Have A Disease or Injury (Z01 to Z99) | 1076 | ||
| External Cause Codes (V01 to Y99) | 1076 | ||
| Using the Alphabetic Index | 1076 | ||
| Examples | 1077 | ||
| Using the Tabular List | 1077 | ||
| Instructional Notations | 1077 | ||
| Selecting the Code with the Correct Level of Detail | 1078 | ||
| 46 Medical Insurance | 1083 | ||
| Chapter Outline | 1083 | ||
| Key Terms | 1084 | ||
| Introduction to Health Insurance | 1084 | ||
| History of Health Insurance | 1084 | ||
| Obtaining Health Insurance | 1085 | ||
| Paying for Health Insurance and Health Care | 1085 | ||
| Factors Affecting Insurance Reimbursement | 1086 | ||
| Primary, Secondary, and Tertiary Insurance | 1086 | ||
| Coordination of Benefits | 1086 | ||
| Participating and Nonparticipating Providers | 1086 | ||
| Types of Reimbursement | 1087 | ||
| Types of Insurance | 1087 | ||
| Fee-for-Service Plans | 1087 | ||
| Managed Care Plans | 1088 | ||
| Health Maintenance Organization Models | 1088 | ||
| Staff Model Health Maintenance Organization | 1089 | ||
| Network Health Maintenance Organization | 1089 | ||
| Other Managed Care Models | 1089 | ||
| Preferred Provider Organization | 1089 | ||
| Exclusive Provider Organization | 1089 | ||
| Independent Practice Association | 1089 | ||
| Point-of-Service Plans | 1089 | ||
| Government Plans | 1089 | ||
| Medicare | 1089 | ||
| Medicaid | 1090 | ||
| Children’s Health Insurance Program | 1090 | ||
| Insurance Plans for Dependents of Members of the Armed Services and Veterans | 1091 | ||
| Workers’ Compensation | 1091 | ||
| Insurance and Managed Care Policies and Procedures | 1091 | ||
| Meeting Requirements for Insurance and Managed Care Plans | 1091 | ||
| Obtaining Preauthorization (Precertification) | 1092 | ||
| Referrals | 1093 | ||
| Formulary Exceptions | 1095 | ||
| Insurance Claim Forms | 1095 | ||
| The CMS-1500 Claim Form | 1095 | ||
| Guidelines for Processing Insurance Claims | 1095 | ||
| Completing the Insurance Claim Form | 1095 | ||
| Carrier Information | 1095 | ||
| Patient and Insured Information | 1095 | ||
| Patient Information | 1095 | ||
| Subscriber and Insurance Information | 1100 | ||
| Physician Information | 1100 | ||
| Submitting Insurance Claims | 1100 | ||
| Electronic Claims | 1100 | ||
| Paper Claims | 1100 | ||
| Tracking Insurance Reimbursement | 1101 | ||
| Using a Claims Register | 1101 | ||
| Explanation of Benefits Forms | 1102 | ||
| Follow-up and Resubmission of Claims | 1102 | ||
| 47 Billing and Collections | 1107 | ||
| Chapter Outline | 1107 | ||
| Key Terms | 1107 | ||
| Introduction to Billing | 1108 | ||
| Billing Cycle | 1108 | ||
| Billing Process | 1108 | ||
| Billing Problems | 1109 | ||
| Problems with Checks | 1109 | ||
| Insufficient Funds in the Office Account | 1109 | ||
| Stopping Payment | 1109 | ||
| Insufficient Funds in a Patient Account | 1110 | ||
| Overpayments and Refunds | 1110 | ||
| Account Aging | 1113 | ||
| Accounts Receivable Aging Records and Reports | 1113 | ||
| Examining Accounts for Those Overdue | 1113 | ||
| Collection Activities | 1114 | ||
| Past Due Accounts | 1114 | ||
| Collection Letters | 1115 | ||
| Credit Agreements | 1117 | ||
| Truth in Lending Agreements | 1117 | ||
| Policy for Patients with Outstanding Balances | 1117 | ||
| Other Collection Techniques and Special Circumstances | 1117 | ||
| Tracing “Skips” | 1117 | ||
| Sending Accounts to a Collection Agency | 1118 | ||
| Small Claims Court | 1120 | ||
| Billing an Estate | 1120 | ||
| Bankruptcy | 1121 | ||
| 48 The Medical Assistant as Office Manager | 1124 | ||
| Chapter Outline | 1124 | ||
| Key Terms | 1125 | ||
| Introduction to Medical Office Management | 1125 | ||
| Maintaining the Office | 1125 | ||
| Administrative Area | 1125 | ||
| Examination and Treatment Rooms | 1126 | ||
| Waiting Room | 1126 | ||
| Security Systems | 1126 | ||
| Routine Maintenance | 1127 | ||
| Temperature and Ventilation | 1127 | ||
| General Cleaning | 1127 | ||
| Cleaning Cabinets and Drawers | 1128 | ||
| Miscellaneous Tasks | 1128 | ||
| Patient and Employee Safety | 1128 | ||
| Safe Work Practices | 1129 | ||
| Signs and Instructions | 1129 | ||
| Monitoring Environmental Safety | 1130 | ||
| Maintaining Equipment | 1130 | ||
| Inventory | 1130 | ||
| Monitoring Equipment Function and Readiness for Use | 1131 | ||
| Service Contracts | 1131 | ||
| Service Calls | 1131 | ||
| New Equipment Purchases | 1131 | ||
| Supplies | 1132 | ||
| Supply Inventory | 1132 | ||
| Restocking | 1135 | ||
| Ordering Supplies | 1135 | ||
| Receiving Supplies | 1135 | ||
| Creating an Environment for Teamwork | 1135 | ||
| Staff Meetings | 1136 | ||
| Orienting and Training Employees | 1136 | ||
| Working with New Employees or Medical Assisting Students | 1136 | ||
| Preparing Payroll | 1136 | ||
| Deductions | 1137 | ||
| Income Taxes | 1137 | ||
| Social Security and Medicare | 1137 | ||
| State Taxes | 1137 | ||
| Employer Obligations | 1137 | ||
| Unemployment Tax | 1137 | ||
| Preparing Payroll Checks | 1137 | ||
| Managing Physician and Employee Schedules | 1137 | ||
| Physician Schedules | 1137 | ||
| Employee Schedules | 1138 | ||
| Providing Resources for Staff and Patients | 1138 | ||
| Office Policy and Procedure Manuals | 1138 | ||
| Medical Office Policies | 1138 | ||
| Written Procedures | 1138 | ||
| Locating Community Resources | 1139 | ||
| Risk Management | 1140 | ||
| Minimizing Risk of Injury or Illness | 1140 | ||
| Incident Reports | 1140 | ||
| Liability Coverage | 1140 | ||
| 49 Emergency Protective Practices for the Medical Office | 1144 | ||
| Chapter Outline | 1144 | ||
| Key Terms | 1144 | ||
| Introduction to Disaster and Emergency Planning | 1145 | ||
| Types of System-Wide Disasters and Emergencies | 1145 | ||
| Natural Disasters | 1145 | ||
| Man-made Disasters and Emergencies | 1145 | ||
| Psychological Effects of Serious Emergencies | 1145 | ||
| The Stress Response | 1145 | ||
| Managing Anxiety | 1146 | ||
| Posttraumatic Stress Disorder | 1147 | ||
| Fire Safety | 1148 | ||
| Fire Hazards in the Workplace | 1148 | ||
| Fire Protection and Fire Safety Plan | 1148 | ||
| Emergency Response | 1150 | ||
| Emergency Preparedness in the Medical Office | 1150 | ||
| Emergency Action Plan | 1150 | ||
| Evacuation Plan | 1150 | ||
| Orienting and Training Employees | 1150 | ||
| Fire Drills and Disaster Drills | 1150 | ||
| Medical Assistant’s Role | 1152 | ||
| Community and National Disaster Planning | 1152 | ||
| Community and National Organizations | 1153 | ||
| Community Resources | 1153 | ||
| 50 Obtaining Employment | 1157 | ||
| Chapter Outline | 1157 | ||
| Learning Objectives | 1157 | ||
| Key Terms | 1157 | ||
| Introduction to Obtaining Employment | 1158 | ||
| Successful Job Search | 1158 | ||
| Setting Goals | 1158 | ||
| Identifying Potential Employers | 1158 | ||
| Tools for A Job Search | 1158 | ||
| Preparing a Résumé | 1158 | ||
| Résumé Styles | 1159 | ||
| Information to Include | 1159 | ||
| Personal Demographics | 1159 | ||
| Objective | 1159 | ||
| Education | 1159 | ||
| Previous Experience | 1159 | ||
| Describing Responsibilities Using Verbs in the Past Tense | 1160 | ||
| Appendix A Medical Abbreviations | e1 | ||
| Appendix B Spanish-English Phrases | e10 | ||
| Hints for Pronunciation of Spanish Words | e10 | ||
| Introductory | e10 | ||
| General | e10 | ||
| Pain | e10 | ||
| Head | e11 | ||
| Appendix C Community Resources for the Medical Assistant | e14 | ||
| Professional Organizations Related to Medical Assisting | e14 | ||
| AHDI (Association for Healthcare Documentation Integrity): www.ahdionline.org | e14 | ||
| Ahima (American Health Information Management Association): www.ahima.org | e14 | ||
| American Association of Medical Assistants: www.aama-ntl.org | e14 | ||
| American Medical Technologists: www.americanmedtech.com | e14 | ||
| American Society of Phlebotomy Technicians: www.aspt.org | e14 | ||
| American Society of Podiatric Medical Assistants: www.aspma.org | e14 | ||
| Joint Commission on Allied Health Personnel in Ophthalmology: www.jcahpo.org | e14 | ||
| Organizations That Provide CPR Certification | e14 | ||
| American Heart Association: www.heart.org | e14 | ||
| American Red Cross: www.redcross.org | e14 | ||
| Accrediting Agencies | e14 | ||
| Accreditation Association for Ambulatory Health Care: www.aaahc.org | e14 | ||
| Accrediting Bureau of Health Education Schools: www.abhes.org | e14 | ||
| Commission on Accreditation of Allied Health Education Programs: www.caahep.org | e15 | ||
| Joint Commission: www.jointcommission.org | e15 | ||
| Agencies of the United States Government | e15 | ||
| Centers for Disease Control and Prevention: www.cdc.gov | e15 | ||
| Centers for Medicare and Medicaid Services: www.cms.gov | e15 | ||
| Drug Enforcement Administration: www.dea.gov | e15 | ||
| Food and Drug Administration: www.fda.gov | e15 | ||
| National Institutes of Health: www.nih.gov | e15 | ||
| Occupational Safety and Health Administration: www.osha.gov | e15 | ||
| U.S. Department of Health and Human Services: www.dhhs.gov | e15 | ||
| Glossary | 1173 | ||
| Figure Credits | 1192 | ||
| Chapter One | 1192 | ||
| Chapter Four | 1192 | ||
| Chapter Five | 1192 | ||
| Chapter Six | 1192 | ||
| Chapter Seven | 1192 | ||
| Chapter Eight | 1192 | ||
| Chapter Nine | 1192 | ||
| Chapter Ten | 1192 | ||
| Chapter Eleven | 1192 | ||
| Chapter Twelve | 1192 | ||
| Chapter Thirteen | 1193 | ||
| Chapter Fourteen | 1193 | ||
| Chapter Fifteen | 1193 | ||
| Chapter Sixteen | 1193 | ||
| Chapter Seventeen | 1193 | ||
| Chapter Eighteen | 1193 | ||
| Chapter Nineteen | 1193 | ||
| Chapter Twenty | 1193 | ||
| Chapter Twenty-One | 1193 | ||
| Chapter Twenty-Two | 1193 | ||
| Chapter Twenty-Three | 1194 | ||
| Chapter Twenty-Four | 1194 | ||
| Chapter Twenty-Five | 1194 | ||
| Chapter Twenty-Six | 1195 | ||
| Chapter Twenty-Seven | 1195 | ||
| Chapter Twenty-Eight | 1195 | ||
| Chapter Twenty-Nine | 1196 | ||
| Chapter Thirty | 1196 | ||
| Chapter Thirty-One | 1196 | ||
| Chapter Thirty-Two | 1196 | ||
| Chapter Thirty-Three | 1196 | ||
| Chapter Thirty-Four | 1196 | ||
| Chapter Thirty-Five | 1196 | ||
| Chapter Thirty-Six | 1197 | ||
| Chapter Thirty-Seven | 1197 | ||
| Chapter Thirty-Eight | 1197 | ||
| Chapter Thirty-Nine | 1197 | ||
| Chapter Forty | 1197 | ||
| Chapter Forty-One | 1197 | ||
| Chapter Forty-Two | 1197 | ||
| Chapter Forty-Three | 1197 | ||
| Chapter Forty-Four | 1197 | ||
| Chapter Forty-Five | 1197 | ||
| Chapter Forty-Six | 1197 | ||
| Chapter Forty-Seven | 1197 | ||
| Chapter Forty-Eight | 1197 | ||
| Chapter Forty-Nine | 1198 | ||
| Chapter Fifty | 1198 | ||
| Index | 1199 | ||
| A | 1199 | ||
| B | 1201 | ||
| C | 1203 | ||
| D | 1207 | ||
| E | 1208 | ||
| F | 1211 | ||
| G | 1212 | ||
| H | 1213 | ||
| I | 1215 | ||
| J | 1216 | ||
| K | 1216 | ||
| L | 1216 | ||
| M | 1218 | ||
| N | 1221 | ||
| O | 1222 | ||
| P | 1223 | ||
| Q | 1227 | ||
| R | 1227 | ||
| S | 1228 | ||
| T | 1232 | ||
| U | 1233 | ||
| V | 1234 | ||
| W | 1235 | ||
| X | 1236 | ||
| Y | 1236 | ||
| Z | 1236 |