BOOK
Kinn's Medical Assisting Fundamentals - E-Book
Brigitte Niedzwiecki | Julie Pepper | P. Ann Weaver
(2018)
Additional Information
Book Details
Abstract
Launch your Medical Assisting career with Kinn’s Medical Assisting Fundamentals: Administrative and Clinical Competencies with Anatomy & Physiology! This practical, hands-on text features an easy-to-understand writing style and detailed visuals designed to help you master all the Medical Assisting knowledge, procedures, and skills needed for career success. Based on trusted content from the bestselling Kinn’s product suite, this brand-new text and its accompanying resources incorporate the latest standards and competencies throughout, as well as approachable coverage of math, medical terminology, soft skills, and anatomy and physiology.
- Easy-to-grasp writing style is appropriate for all levels of learners in all types of Medical Assisting programs.
- Trusted Kinn’s content supports the following exam plans: CMA from the American Association of Medical Assistants; RMA and CMAS from American Medical Technologist; CCMA and CMAA from the National Healthcareer Association; NCMA from the National Center for Competency Testing; and CMAC from the American Medical Certification Association.
- Emphasis on anatomy and physiology — along with pathology, signs/symptoms, diagnostic procedures, and treatments — enables you to meet key competencies.
- Strong focus on medical terminology includes feature boxes that highlight chapter-related medical terminology to help you learn word parts, pronunciation, and definitions.
- Math exercises embedded throughout the text challenge you to sharpen your math skills.
- Procedures are mapped to CAAHEP and ABHES accreditation standards down to the step, offer rationales for each step, and can be conveniently performed in the classroom.
- Customer Service boxes in appropriate chapters help you develop the soft skills that employers seek when hiring Medical Assistants.
- Applied learning approach introduces a case scenario at the beginning of each chapter and then revisits it throughout the chapter to help you understand new concepts as they are presented.
- Chapter learning tools include vocabulary with definitions, critical thinking applications, and content that ties directly to the order of learning objectives.
- Pharmacology glossary of the top 100-150 most common over-the-counter and prescription medications gives you quick access to pronunciation guides, generic and trade names, and drug classification.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Procedures | IFC3 | ||
| UNIT 1 Medical Terminology, Anatomy, and Physiology | IFC3 | ||
| UNIT 2 Professional Medical Assistant | IFC3 | ||
| UNIT 3 Administrative Ambulatory Care | IFC3 | ||
| UNIT 4 Basic Clinical Procedures | IFC3 | ||
| UNIT 5 Advanced Clinical Procedures | IFC4 | ||
| UNIT 6 Medical Laboratory | IFC4 | ||
| UNIT 7 Employment Seeking | IFC4 | ||
| Kinn's Medical Assisting Fundamentals | i | ||
| Copyright Page | ii | ||
| Preface | iii | ||
| Features of this Textbook for Students | iii | ||
| Organization of this Textbook | iii | ||
| Study Guide Features for Students and Instructors | iii | ||
| Evolve | iii | ||
| Features | iv | ||
| Reviewers | vii | ||
| Table Of Contents | ix | ||
| Unit 1 Medical Terminology, Anatomy, and Physiology | 1 | ||
| 1 Medical Terminology Basics | 1 | ||
| Chapter Outline | 1 | ||
| Learning Objectives | 1 | ||
| Opening Scenario | 1 | ||
| You Will Learn | 1 | ||
| Where Does Medical Terminology Come From? | 1 | ||
| Types of Medical Terms | 2 | ||
| Decodable Terms | 2 | ||
| Nondecodable Terms | 2 | ||
| Abbreviations and Symbols | 3 | ||
| Decoding Terms | 3 | ||
| Check, Assign, Reverse, and Define (CARD) Method | 3 | ||
| Building Terms | 4 | ||
| Spelling Rules | 4 | ||
| Suffixes | 5 | ||
| Noun-Ending Suffixes. | 5 | ||
| Adjective Suffixes. | 5 | ||
| Pathology Suffixes. | 8 | ||
| Diagnostic Procedure Suffixes. | 8 | ||
| Therapeutic Intervention Suffixes. | 8 | ||
| Instrument Suffixes. | 8 | ||
| Specialty and Specialist Suffixes. | 9 | ||
| Prefixes | 9 | ||
| Singular/Plural Rules | 9 | ||
| Closing Comments | 11 | ||
| Chapter Review | 12 | ||
| Scenario Wrap-Up | 12 | ||
| 2 Anatomy and Physiology Basics | 13 | ||
| Chapter Outline | 13 | ||
| Learning Objectives | 13 | ||
| Opening Scenario | 13 | ||
| You Will Learn | 13 | ||
| Anatomy Basics | 14 | ||
| Structural Organization of the Body | 14 | ||
| Cells. | 14 | ||
| Tissues. | 15 | ||
| Organs. | 16 | ||
| Body Systems. | 16 | ||
| Organism. | 16 | ||
| Surface Anatomy Terminology | 18 | ||
| Positional and Directional Terminology | 18 | ||
| Body Cavities | 22 | ||
| Abdominopelvic Quadrants and Regions. | 22 | ||
| Body Planes | 23 | ||
| Acid-Base Balance | 24 | ||
| Pathology Basics | 25 | ||
| Pathology Terminology | 25 | ||
| Protection Mechanisms | 25 | ||
| Predisposing Factors | 25 | ||
| Causes of Disease | 28 | ||
| Genetics. | 28 | ||
| Infectious Pathogens. | 28 | ||
| Inflammatory Response. | 28 | ||
| Immunity. | 29 | ||
| Nutritional Imbalances. | 29 | ||
| Trauma and Environmental Agents. | 30 | ||
| Neoplasms. | 30 | ||
| Closing Comments | 32 | ||
| Chapter Review | 33 | ||
| Scenario Wrap-Up | 34 | ||
| 3 Musculoskeletal System | 35 | ||
| Chapter Outline | 35 | ||
| Learning Objectives | 35 | ||
| Opening Scenario | 35 | ||
| You Will Learn | 35 | ||
| Anatomy of the Musculoskeletal System | 36 | ||
| Skeleton | 36 | ||
| Bone: Formation and Structure. | 36 | ||
| Types of Bones. | 37 | ||
| Axial Skeleton. | 37 | ||
| Appendicular Skeleton. | 39 | ||
| Joints | 40 | ||
| Muscles | 45 | ||
| Structure of a Skeletal Muscle. | 46 | ||
| Muscle Naming Conventions. | 46 | ||
| Skeletal Muscles of the Human Body. | 46 | ||
| Physiology of the Musculoskeletal System | 46 | ||
| Muscle Cell in Action | 46 | ||
| Types of Muscle Contractions | 51 | ||
| Impact of Exercise on Skeletal Muscles | 51 | ||
| Types of Muscle Action | 51 | ||
| Diseases and Disorders of the Musculoskeletal System | 52 | ||
| Fractures | 54 | ||
| Etiology. | 54 | ||
| Signs and Symptoms. | 54 | ||
| Diagnostic Procedures. | 55 | ||
| Treatment. | 55 | ||
| Prognosis. | 58 | ||
| Prevention. | 58 | ||
| Additional Musculoskeletal Traumas | 58 | ||
| Definition of Additional Traumas | 58 | ||
| Etiology. | 58 | ||
| Arthritis | 59 | ||
| Bursitis | 59 | ||
| Etiology. | 59 | ||
| Signs and Symptoms. | 61 | ||
| Unit 2 Professional Medical Assistant | 342 | ||
| 15 Professionalism in Healthcare | 342 | ||
| Chapter Outline | 342 | ||
| Learning Objectives | 342 | ||
| Opening Scenario | 343 | ||
| You Will Learn | 343 | ||
| Introduction | 343 | ||
| Customer Service | 343 | ||
| Professionalism | 343 | ||
| Characteristics of Professional Medical Assistants | 343 | ||
| Courtesy and Respect. | 344 | ||
| Empathy and Compassion. | 344 | ||
| Tact and Diplomacy. | 344 | ||
| Respect for Individual Diversity. | 344 | ||
| Honesty, Dependability, and Responsibility. | 344 | ||
| Personal Boundaries With Communication. | 345 | ||
| Professional Appearance | 345 | ||
| Professionalism as a Team Member | 346 | ||
| Work Ethic and Punctuality. | 347 | ||
| Cooperation and Willingness to Help. | 347 | ||
| Prioritizing and Time Management Skills. | 348 | ||
| Responding to Criticism. | 349 | ||
| Problem Solving and Chain of Command. | 349 | ||
| Continuing Education | 349 | ||
| Achieving a Credential. | 349 | ||
| Barriers to Professionalism | 350 | ||
| Personal Problems and “Baggage”. | 350 | ||
| Gossip. | 350 | ||
| Personal Communication. | 350 | ||
| Nonverbal Communication | 350 | ||
| Physical Boundaries | 351 | ||
| Nonverbal Communication Delivery Factors | 352 | ||
| Cultural Differences | 352 | ||
| Verbal Communication | 353 | ||
| Communication Cycle | 353 | ||
| Written Communication | 353 | ||
| Oral Communication | 353 | ||
| Styles of Oral Communication. | 353 | ||
| Therapeutic Communication | 354 | ||
| Active Listening. | 354 | ||
| Other Therapeutic Communication Techniques. | 355 | ||
| Barriers to Communication | 355 | ||
| Age and Disease Status Barriers. | 355 | ||
| Understanding Behavior | 357 | ||
| Maslow’s Hierarchy of Needs | 357 | ||
| Defense Mechanisms | 358 | ||
| Coping Mechanisms | 358 | ||
| Closing Comments | 359 | ||
| Chapter Review | 360 | ||
| Scenario Wrap-Up | 360 | ||
| 16 Legal Basics | 361 | ||
| Chapter Outline | 361 | ||
| Learning Objectives | 361 | ||
| Opening Scenario | 361 | ||
| You Will Learn | 362 | ||
| Introduction to the Law | 362 | ||
| Sources of Law | 362 | ||
| Balance of Power | 362 | ||
| Types of Laws | 362 | ||
| Criminal and Civil Law | 362 | ||
| Criminal Law | 362 | ||
| Civil Law | 363 | ||
| Tort Law | 363 | ||
| Intentional Torts | 363 | ||
| Negligent Torts | 364 | ||
| Defenses to Liability. | 366 | ||
| Proving Malpractice. | 366 | ||
| Damages. | 368 | ||
| Professional Insurance. | 368 | ||
| Contracts | 369 | ||
| Provider-Patient Relationship | 370 | ||
| Breach of Contract | 370 | ||
| Consent | 371 | ||
| Doctrine of Informed Consent | 371 | ||
| Patient’s Bill of Rights | 372 | ||
| Practice Requirements | 372 | ||
| Practice Acts and State Boards | 377 | ||
| Licensure. | 377 | ||
| Scope of Practice. | 377 | ||
| Disciplinary Action. | 377 | ||
| Certification and Registration | 378 | ||
| Accreditation | 378 | ||
| Closing Comments | 379 | ||
| Chapter Review | 379 | ||
| Scenario Wrap-Up | 379 | ||
| 17 Healthcare Laws | 380 | ||
| Chapter Outline | 380 | ||
| Learning Objectives | 380 | ||
| Opening Scenario | 380 | ||
| You Will Learn | 381 | ||
| Introduction to Law | 381 | ||
| Privacy and Confidentiality | 381 | ||
| Health Insurance Portability and Accountability Act | 381 | ||
| Privacy Rule. | 382 | ||
| Disclosure authorization process. | 384 | ||
| Record release process. | 385 | ||
| Security Rule. | 386 | ||
| Health Information Technology for Economic and Clinical Health Act | 386 | ||
| Genetic Information Nondiscrimination Act | 387 | ||
| Additional Healthcare Laws and Regulations | 387 | ||
| Drug Laws | 388 | ||
| Food, Drug, and Cosmetic Act. | 388 | ||
| Controlled Substances Act. | 388 | ||
| Insurance Law | 388 | ||
| Patient Protection and Affordable Care Act. | 388 | ||
| Medical Laboratory Regulations | 388 | ||
| Clinical Laboratory Improvement Amendments. | 388 | ||
| Workplace Safety Laws | 389 | ||
| Occupational Safety and Health Act. | 389 | ||
| Needlestick Safety and Prevention Act. | 389 | ||
| Good Samaritan Laws | 390 | ||
| Laws for End-of-Life Issues | 390 | ||
| Compliance Reporting | 391 | ||
| Compliance With Public Health Statutes | 391 | ||
| Reportable Diseases. | 391 | ||
| Wounds of Violence. | 391 | ||
| Child Abuse, Neglect, and Exploitation. | 391 | ||
| Adult Abuse, Neglect, and Exploitation. | 392 | ||
| Reporting Vaccination Issues | 393 | ||
| Compliance Programs | 393 | ||
| Financial Concerns. | 393 | ||
| Employment Concerns. | 394 | ||
| Environmental Safety Concerns. | 396 | ||
| Patient Safety Concerns. | 396 | ||
| Closing Comments | 399 | ||
| Chapter Review | 399 | ||
| Scenario Wrap-Up | 399 | ||
| 18 Healthcare Ethics | 400 | ||
| Chapter Outline | 400 | ||
| Learning Objectives | 400 | ||
| Opening Scenario | 400 | ||
| YOU Will Learn | 401 | ||
| Introduction to Ethics | 401 | ||
| Personal and Professional Ethics | 401 | ||
| Personal Ethics | 401 | ||
| Professional Ethics | 401 | ||
| Code of ethics for physicians. | 401 | ||
| Code of Ethics for Medical Assistants. | 402 | ||
| Separation Plan | 402 | ||
| Creating a Plan. | 403 | ||
| Principles of Healthcare Ethics | 403 | ||
| Autonomy | 404 | ||
| Nonmaleficence | 404 | ||
| Beneficence | 404 | ||
| Justice | 404 | ||
| Ethical Issues | 404 | ||
| Genetics Issues | 404 | ||
| Cloning. | 405 | ||
| Genetic Engineering. | 405 | ||
| Genetic testing. | 405 | ||
| Pharmacogenetics. | 405 | ||
| Stem cell transplants. | 405 | ||
| Gene therapy. | 405 | ||
| Reproductive Issues | 406 | ||
| Assisted Reproductive Technology. | 406 | ||
| Abortion. | 406 | ||
| Childhood Issues | 407 | ||
| Adoption. | 407 | ||
| Safe Haven Infant Protection Laws. | 407 | ||
| Confidential Healthcare for Minors. | 407 | ||
| End-of-Life Issues | 408 | ||
| Patient Self-Determination Act. | 408 | ||
| Advance directives. | 409 | ||
| Uniform Determination of Death Act. | 409 | ||
| Withholding or Withdrawing Life-Sustaining Treatment. | 410 | ||
| Euthanasia. | 410 | ||
| Organ Donation Issues | 410 | ||
| Uniform Anatomical Gift Act. | 410 | ||
| National Organ Transplant Act. | 410 | ||
| Xenotransplantation. | 411 | ||
| Closing Comments | 411 | ||
| Chapter Review | 411 | ||
| Scenario Wrap-Up | 411 | ||
| Unit 3 Administrative Ambulatory Care | 412 | ||
| 19 The Health Record | 412 | ||
| Chapter Outline | 412 | ||
| Learning Objectives | 412 | ||
| Opening Scenario | 413 | ||
| You Will Learn | 413 | ||
| Introduction | 413 | ||
| Types of Records | 413 | ||
| Importance of Accurate Health Records | 414 | ||
| Contents of the Health Record | 414 | ||
| Subjective Information | 414 | ||
| Personal Demographics. | 414 | ||
| Past Health, Family, and Social History. | 414 | ||
| Past health history. | 415 | ||
| Family history. | 415 | ||
| Social history. | 415 | ||
| Chief complaint. | 416 | ||
| Objective Information | 418 | ||
| Vital Signs and Anthropometric Measurements. | 418 | ||
| Findings and Laboratory and Radiology Reports. | 418 | ||
| Diagnosis. | 418 | ||
| Treatment Prescribed and Progress Notes. | 418 | ||
| The Medical Assistant’s Role | 418 | ||
| Ownership of the Health Record | 419 | ||
| Technologic Terms in Health Information | 419 | ||
| Health Information Technology for the Economic and Clinical Health Act (HITECH Act) and Meaningful Use | 420 | ||
| Capabilities of Electronic Health Record Systems | 420 | ||
| Maintaining A Connection With the Patient When Using the Electronic Health Record | 422 | ||
| Backup Systems for the Electronic Health Record | 424 | ||
| Retention and Destruction of Health Records | 424 | ||
| Releasing Health Record Information | 425 | ||
| Organization of the Health Record | 425 | ||
| Source-Oriented Records | 425 | ||
| Problem-Oriented Records | 425 | ||
| Documenting in an Electronic Health Record | 428 | ||
| Documenting in A Paper Health Record | 428 | ||
| Making Corrections and Alterations to Health Records | 428 | ||
| Dictation and Transcription | 429 | ||
| Voice Recognition Software | 429 | ||
| Creating an Efficient Paper Health Records Management System | 430 | ||
| Filing Equipment | 430 | ||
| Drawer Files. | 430 | ||
| Horizontal Shelf Files. | 430 | ||
| Rotary Circular Files. | 430 | ||
| Compactable Files. | 431 | ||
| Automated Files. | 431 | ||
| Card Files. | 431 | ||
| Filing Supplies | 431 | ||
| Divider Guides. | 431 | ||
| Out Guides. | 431 | ||
| File Folders. | 431 | ||
| Labels. | 431 | ||
| Indexing Rules | 432 | ||
| Filing Methods | 432 | ||
| Alphabetic Filing | 432 | ||
| Numeric Filing | 433 | ||
| Subject Filing | 434 | ||
| Color Coding | 435 | ||
| Alphabetic Color Coding. | 435 | ||
| Numeric Color Coding. | 435 | ||
| Organization of Files | 435 | ||
| Health-Related Correspondence | 435 | ||
| General Correspondence | 435 | ||
| Practice Management Files | 435 | ||
| Miscellaneous Files | 435 | ||
| Tickler or Follow-Up Files | 436 | ||
| Transitory or Temporary File | 436 | ||
| Closing Comments | 436 | ||
| Chapter Review | 436 | ||
| Scenario Wrap-Up | 437 | ||
| 20 Telephone Techniques and Scheduling | 438 | ||
| Chapter Outline | 438 | ||
| Learning Objectives | 438 | ||
| Opening Scenario | 439 | ||
| You Will Learn | 439 | ||
| Introduction | 439 | ||
| Telephone Techniques | 440 | ||
| Telephone Equipment | 440 | ||
| Multiple-Line Telephone. | 440 | ||
| Headset. | 440 | ||
| Features. | 440 | ||
| Cell Phones. | 442 | ||
| Effective Use of the Telephone | 442 | ||
| Active Listening. | 442 | ||
| Developing a Pleasing Telephone Personality. | 442 | ||
| Managing Telephone Calls | 443 | ||
| Thinking Ahead. | 443 | ||
| Confidentiality. | 444 | ||
| Answering Promptly. | 444 | ||
| Identifying the Facility. | 444 | ||
| Identifying the Caller. | 444 | ||
| Screening Incoming Calls. | 444 | ||
| Getting the Information the Provider Needs. | 445 | ||
| Placing Callers on Hold. | 445 | ||
| Transferring a Call. | 445 | ||
| Taking a Message. | 445 | ||
| Messages taken on paper. | 446 | ||
| Messages recorded electronically. | 446 | ||
| Taking Action on Telephone Messages. | 446 | ||
| Retaining Records of Telephone Messages. | 446 | ||
| Typical Incoming Calls | 447 | ||
| Requests for Prescription Refills. | 447 | ||
| Requests for Directions. | 447 | ||
| Radiology and Laboratory Reports. | 448 | ||
| Progress Reports From Patients. | 448 | ||
| Inquiries About Bills. | 448 | ||
| Inquiries About Fees. | 449 | ||
| Requests for Assistance With Insurance. | 449 | ||
| Questions about participating providers. | 449 | ||
| Requests for referrals. | 449 | ||
| Non-Patient–Related Calls. | 449 | ||
| Special Incoming Calls | 449 | ||
| Patients Who Refuse to Discuss Symptoms. | 449 | ||
| Requests for Test Results. | 449 | ||
| Requests for Information From Third Parties. | 450 | ||
| Complaints About Care or Fees. | 450 | ||
| Calls From Staff Members’ Families or Friends. | 450 | ||
| Handling Difficult Calls | 450 | ||
| Angry Callers. | 450 | ||
| Unauthorized Inquiry Calls. | 450 | ||
| Callers Who Have Difficulty Communicating. | 450 | ||
| Typical Outgoing Calls | 451 | ||
| Time Zones. | 451 | ||
| Long-Distance Calling. | 451 | ||
| Using Directory Assistance | 452 | ||
| Telephone Services | 452 | ||
| Answering Services. | 452 | ||
| Automatic Call Routing. | 452 | ||
| Scheduling Appointments | 452 | ||
| Establishing the Appointment Schedule | 452 | ||
| Patient Needs. | 453 | ||
| Provider Preferences and Habits. | 453 | ||
| Creating the Appointment Matrix | 453 | ||
| Establishing Guidelines for Appointment Scheduling. | 453 | ||
| Available Facilities. | 454 | ||
| Methods of Scheduling Appointments | 454 | ||
| Computerized Scheduling. | 454 | ||
| Appointment Book Scheduling. | 455 | ||
| Self-Scheduling. | 455 | ||
| Legality of the Appointment Scheduling System | 456 | ||
| Types of Appointment Scheduling | 456 | ||
| Time-Specified (Stream) Scheduling. | 456 | ||
| Wave Scheduling. | 456 | ||
| Modified Wave Scheduling. | 456 | ||
| Double-Booking. | 457 | ||
| Open Office Hours. | 457 | ||
| Grouping Procedures. | 457 | ||
| Telephone Scheduling | 457 | ||
| Scheduling Appointments for New Patients | 457 | ||
| Scheduling Appointments for Established Patients | 459 | ||
| In Person. | 459 | ||
| By Telephone. | 459 | ||
| Scheduling Other Types of Appointments | 459 | ||
| Inpatient Surgeries. | 461 | ||
| Outpatient and Inpatient Procedure Appointments. | 461 | ||
| Outside Visits. | 461 | ||
| Pharmaceutical Representatives. | 461 | ||
| Salespeople. | 463 | ||
| Special Circumstances | 463 | ||
| Late Patients. | 463 | ||
| Rescheduling Appointments. | 463 | ||
| Emergency Situations. | 464 | ||
| Patients Without Appointments. | 464 | ||
| Failed Appointments | 464 | ||
| No-Show Policy. | 464 | ||
| Increasing Appointment Show Rates | 464 | ||
| Automated Call Routing. | 464 | ||
| Appointment Cards. | 464 | ||
| Confirmation Calls. | 464 | ||
| Email Reminders. | 465 | ||
| Mailed Reminders. | 465 | ||
| Handling Cancellations and Delays | 465 | ||
| When the Patient Cancels. | 465 | ||
| When the Provider Is Delayed. | 466 | ||
| When the Provider Is Called to an Emergency. | 466 | ||
| When the Provider Is Ill or Out of Town. | 466 | ||
| Closing Comments | 466 | ||
| Chapter Review | 466 | ||
| Scenario Wrap-Up | 467 | ||
| 21 Technology and Written Communication | 468 | ||
| Chapter Outline | 468 | ||
| Learning Objectives | 468 | ||
| Opening Scenario | 468 | ||
| You Will Learn | 469 | ||
| Introduction | 469 | ||
| Electronic Technology in the Ambulatory Care Center | 469 | ||
| Personal Computer Hardware | 469 | ||
| Input Devices. | 469 | ||
| Output Devices. | 472 | ||
| Internal Components. | 472 | ||
| Secondary Storage Devices. | 473 | ||
| Network and Internet Access Devices. | 473 | ||
| Maintaining Computer Hardware | 474 | ||
| Computer Workstation Ergonomics | 475 | ||
| Software Used in the Ambulatory Care Center | 475 | ||
| Computer Network Privacy and Security | 476 | ||
| Continual Technology Advances in Healthcare | 478 | ||
| Fundamentals of Written Communication | 480 | ||
| Parts of Speech | 480 | ||
| Appropriate Use of Words | 480 | ||
| Capitalization, Numbers, and Punctuation | 480 | ||
| Written Correspondence | 482 | ||
| Parts of a Professional Letter | 482 | ||
| Sender’s Address. | 482 | ||
| Date. | 482 | ||
| Inside Address. | 482 | ||
| Reference Line. | 482 | ||
| Salutation. | 482 | ||
| Subject Line. | 483 | ||
| Body of the Letter. | 484 | ||
| Closing. | 484 | ||
| Signature Block. | 484 | ||
| End Notations. | 484 | ||
| Continuation Pages. | 484 | ||
| Business Letter Formats | 484 | ||
| Full Block Letter Format. | 484 | ||
| Modified Block Letter Format. | 485 | ||
| Semi–Block Letter Format. | 485 | ||
| Letter Templates | 485 | ||
| Preparing the Letter for Delivery | 486 | ||
| Postage. | 487 | ||
| Memorandums | 488 | ||
| Professional Emails | 488 | ||
| Faxed Communication | 490 | ||
| Closing Comments | 491 | ||
| Chapter Review | 492 | ||
| Scenario Wrap-Up | 492 | ||
| 22 Reception and Daily Operations | 493 | ||
| Chapter Outline | 493 | ||
| Learning Objectives | 493 | ||
| Opening Scenario | 494 | ||
| You Will Learn | 494 | ||
| Introduction | 494 | ||
| Opening the Healthcare Facility | 494 | ||
| Opening Tasks for the Medical Assistant | 494 | ||
| The Reception Area. | 497 | ||
| Patient Processing Tasks | 497 | ||
| Patient’s Arrival | 497 | ||
| Sign-in Register. | 498 | ||
| Infection Control in the Reception Area. | 499 | ||
| Registration for New Patients. | 499 | ||
| Check-in Procedures for All Patients. | 500 | ||
| Patients With Special Needs. | 500 | ||
| Showing Consideration for Patients’ Time | 500 | ||
| Escorting Patients to the Exam Room | 500 | ||
| Challenging Situations | 501 | ||
| Talkative Patients. | 501 | ||
| Children. | 502 | ||
| Angry Patients in the Reception Area. | 502 | ||
| Patient Checkout | 502 | ||
| Closing the Healthcare Facility | 502 | ||
| Daily and Monthly Duties | 503 | ||
| Equipment and Supplies | 503 | ||
| Equipment | 503 | ||
| Equipment Inventory. | 503 | ||
| Equipment Safety and Maintenance. | 503 | ||
| Service Calls and Warranties. | 504 | ||
| Purchasing Equipment. | 505 | ||
| Supplies | 506 | ||
| Inventory Management. | 506 | ||
| Inventory Control Systems. | 507 | ||
| Taking Inventory. | 507 | ||
| Price Consideration When Ordering Supplies. | 507 | ||
| Ordering Supplies. | 509 | ||
| Receiving the Order. | 509 | ||
| Handling Mail | 511 | ||
| Private Delivery Services | 511 | ||
| Incoming Mail | 511 | ||
| Safety and Security | 512 | ||
| Body Mechanics | 512 | ||
| Providing a Safe Environment | 513 | ||
| Workplace Violence. | 513 | ||
| Evaluating the Work Environment | 513 | ||
| Preventing Falls and Injuries. | 514 | ||
| Preventing Electrical Issues and Fires. | 514 | ||
| Emergency Response Plan | 514 | ||
| Evacuation Procedures. | 514 | ||
| Fire Response. | 516 | ||
| Effects of Stress | 518 | ||
| Closing Comments | 519 | ||
| Chapter Review | 520 | ||
| Scenario Wrap-Up | 520 | ||
| 23 Health Insurance Basics | 521 | ||
| Chapter Outline | 521 | ||
| Learning Objectives | 521 | ||
| Opening Scenario | 521 | ||
| You Will Learn | 522 | ||
| Introduction | 522 | ||
| Benefits | 522 | ||
| Health Insurance Plans | 522 | ||
| Government Health Insurance Plans | 523 | ||
| Medicare. | 523 | ||
| Medicaid. | 524 | ||
| Government Managed Care Plans. | 524 | ||
| Children’s Health Insurance Program. | 524 | ||
| TRICARE. | 524 | ||
| Civilian Health and Medical Program of the Veterans Administration. | 525 | ||
| Workers’ Compensation. | 525 | ||
| Private Health Insurance Plans | 525 | ||
| Employer Group Plans. | 525 | ||
| Individual Health Insurance Plans. | 526 | ||
| Health Insurance Models | 526 | ||
| Traditional Health Insurance | 526 | ||
| Managed Care Organizations | 526 | ||
| Models of Managed Care Organizations. | 526 | ||
| Health maintenance organization. | 526 | ||
| Preferred provider organization. | 527 | ||
| Exclusive provider organization. | 527 | ||
| Utilization Management/Utilization Review. | 527 | ||
| Participating Provider Contracts | 527 | ||
| Contracted Fee Schedules | 528 | ||
| The Medical Assistant’s Role | 528 | ||
| Health Insurance Identification Card | 528 | ||
| Verifying Eligibility | 528 | ||
| Other Types of Insurance | 529 | ||
| Disability Insurance | 529 | ||
| Life Insurance | 530 | ||
| Long-Term Care Insurance | 530 | ||
| Liability Insurance | 530 | ||
| The Affordable Care Act | 530 | ||
| Closing Comments | 531 | ||
| Chapter Review | 531 | ||
| Scenario Wrap-Up | 531 | ||
| 24 Diagnostic Coding Basics | 532 | ||
| Chapter Outline | 532 | ||
| Learning Objectives | 532 | ||
| Opening Scenario | 532 | ||
| You Will Learn | 533 | ||
| Introduction | 533 | ||
| What Is Diagnostic Coding? | 533 | ||
| Getting to Know the ICD-10-CM | 533 | ||
| Structure and Format of the ICD-10-CM | 533 | ||
| The Alphabetic Index | 534 | ||
| Supplementary Sections of the Alphabetic Index. | 535 | ||
| The Tabular List | 536 | ||
| Conventions Used in the Tabular List. | 536 | ||
| Preparing for Diagnostic Coding | 538 | ||
| Abstracting Diagnostic Statements | 538 | ||
| Encounter Form. | 538 | ||
| History and Physical Exam. | 538 | ||
| Progress Notes. | 538 | ||
| Discharge Summary. | 538 | ||
| Operative Report. | 539 | ||
| Radiology, Laboratory, and Pathology Reports. | 539 | ||
| Steps in ICD-10-CM Coding | 539 | ||
| Using the Alphabetic Index | 539 | ||
| Using the Tabular List | 542 | ||
| Encoder Software | 542 | ||
| Understanding Coding Guidelines | 543 | ||
| Coding of Signs and Symptoms | 543 | ||
| Coding the Etiology and Manifestation | 543 | ||
| Coding Organism-Caused Diseases | 543 | ||
| Coding Human Immunodeficiency Virus (HIV) Infection and Acquired Immunodeficiency Syndrome (AIDS) | 543 | ||
| Coding Neoplasms | 544 | ||
| Six Steps for Coding Neoplasms. | 545 | ||
| Coding for Diabetes Mellitus | 545 | ||
| Coding for Complications of Pregnancy, Childbirth, and the Puerperium | 545 | ||
| Coding for Burns and Corrosions | 545 | ||
| Coding for External Causes of Morbidity | 546 | ||
| Place of Occurrence Guideline | 546 | ||
| Activity Codes | 546 | ||
| Coding for Health Status and Contact With Health Services | 546 | ||
| Maximizing Third-Party Reimbursement | 546 | ||
| Providers and Accurate Coding | 546 | ||
| Closing Comments | 547 | ||
| Chapter Review | 547 | ||
| Scenario Wrap-Up | 547 | ||
| 25 Procedural Coding Basics | 548 | ||
| Chapter Outline | 548 | ||
| Learning Objectives | 548 | ||
| Opening Scenario | 549 | ||
| You Will Learn | 549 | ||
| Introduction to Procedural Coding | 549 | ||
| Introduction to the CPT Manual | 549 | ||
| Code Categories in the CPT Manual | 549 | ||
| Category I Codes | 549 | ||
| Category II Codes | 550 | ||
| Category III Codes | 550 | ||
| Organization of the CPT Manual | 550 | ||
| The Alphabetic Index | 550 | ||
| The Tabular List | 550 | ||
| Unlisted Procedure or Service Code | 550 | ||
| CPT Coding Guidelines | 551 | ||
| Modifiers | 551 | ||
| CPT Conventions | 552 | ||
| Documentation for CPT Coding | 552 | ||
| Using the Alphabetic Index | 552 | ||
| Searching the Alphabetic Index | 554 | ||
| Using See and See Also in the Alphabetic Index | 554 | ||
| Single Codes and Code Ranges | 554 | ||
| Using the Tabular List | 554 | ||
| Use of the Semicolon | 555 | ||
| Common CPT Coding Guidelines: Evaluation and Management Section | 555 | ||
| Identifying the Place of Service | 555 | ||
| Identifying the Patient Status | 555 | ||
| Determining the Level of Service Provided | 555 | ||
| Key Components and Contributing Factors. | 555 | ||
| History. | 559 | ||
| Levels of history. | 559 | ||
| Examination. | 560 | ||
| Levels of examination. | 560 | ||
| Medical Decision Making. | 560 | ||
| Number of diagnoses and management options. | 560 | ||
| Amount and complexity of data reviewed. | 560 | ||
| Risk of complications and morbidity or mortality. | 560 | ||
| Complexity levels in medical decision making. | 560 | ||
| Factors That Contribute to E/M Complexity | 560 | ||
| Counseling. | 560 | ||
| Nature of the Presenting Problem. | 560 | ||
| Coordination of Care. | 560 | ||
| Time. | 560 | ||
| Common CPT Coding Guidelines: Surgical Section | 561 | ||
| Surgical Package Definition | 561 | ||
| Integumentary System – Excision of Lesions— Benign or Malignant | 561 | ||
| Levels of Closure (Repair). | 561 | ||
| Listing Services for Wound Repair. | 561 | ||
| Musculoskeletal System | 561 | ||
| Fractures. | 561 | ||
| Maternity Care and Delivery | 562 | ||
| Common CPT Coding Guidelines: Pathology and Laboratory Section | 562 | ||
| HCPCS Code Set and Manual | 562 | ||
| Common HCPCS Coding Guidelines | 563 | ||
| Medical and Surgical Supplies | 563 | ||
| Durable Medical Equipment | 563 | ||
| Closing Comments | 564 | ||
| Chapter Review | 564 | ||
| Scenario Wrap-Up | 564 | ||
| 26 Billing and Reimbursement | 565 | ||
| Chapter Outline | 565 | ||
| Learning Objectives | 565 | ||
| Opening Scenario | 566 | ||
| You Will Learn | 566 | ||
| Introduction | 566 | ||
| Medical Billing Process | 566 | ||
| Types of Information Found in the Patient’s Billing Record | 567 | ||
| Managed Care Policies and Procedures | 569 | ||
| Precertification/Preauthorization | 569 | ||
| Referrals | 571 | ||
| Submitting Claims to Third-Party Payers | 571 | ||
| Generating Electronic Claims | 571 | ||
| Electronic Claims Submission | 571 | ||
| Direct Billing. | 571 | ||
| Clearinghouse Submissions. | 571 | ||
| Completing the CMS-1500 Health Insurance Claim Form | 572 | ||
| Section 1: Carrier – Block 1 (Fig. 26.2) | 572 | ||
| Section 2: Patient and Insured Information – Blocks 1a Through 13 (Fig. 26.3) | 572 | ||
| Blocks 1a, 4, 7, and 11 a-d. | 572 | ||
| Blocks 2, 3, 5, 6, and 10 a-c. | 572 | ||
| Block 9. | 572 | ||
| Blocks 12 and 13. | 572 | ||
| Section 3a: Physician or Supplier Information – Blocks 14 Through 23 (Fig. 26.4) | 573 | ||
| Block 14 | 573 | ||
| Date of current illness, injury, or pregnancy (LMP). | 573 | ||
| Block 15 | 573 | ||
| Other date. | 573 | ||
| Block 16 | 574 | ||
| Dates patient unable to work in current occupation. | 574 | ||
| Block 17 and 17b | 574 | ||
| Name of referring provider or other source. | 574 | ||
| Block 18 | 574 | ||
| Hospitalization dates related to current services. | 574 | ||
| Block 19 | 574 | ||
| Additional claim information (designated by the National Uniform Claim Committee [NUCC]). | 574 | ||
| Block 20 | 574 | ||
| Outside lab charges. | 574 | ||
| Block 21 | 574 | ||
| Diagnosis or nature of illness or injury. | 574 | ||
| Block 22 | 574 | ||
| Resubmission code and/or original reference number. | 574 | ||
| Block 23 | 574 | ||
| Prior authorization number. | 574 | ||
| Section 3b: Physician or Supplier Information – Blocks 24 Through 33 (Fig. 26.5) | 575 | ||
| Block 24 | 575 | ||
| Procedures and charges | 575 | ||
| Block 25 | 576 | ||
| Facility information. | 576 | ||
| Block 26 | 576 | ||
| Patient’s account no. | 576 | ||
| Block 27 | 576 | ||
| Accept assignment? | 576 | ||
| Block 28 | 576 | ||
| Total Charge. | 576 | ||
| Block 29 | 576 | ||
| Amount Paid. | 576 | ||
| Block 30 | 576 | ||
| Reserved for NUCC Use. | 576 | ||
| Block 31 | 576 | ||
| Signature of Physician or Supplier. | 576 | ||
| Block 32 | 576 | ||
| Service Facility Location Information. | 576 | ||
| Block 33 | 576 | ||
| Billing Provider Info & PH | 576 | ||
| Block 33a | 576 | ||
| Accurate Coding to Prevent Fraud and Abuse | 577 | ||
| Preventing Rejection of a Claim | 580 | ||
| Communicating With Providers About Third-Party Requirements | 580 | ||
| Checking the Status of a Claim | 581 | ||
| Explanation of Benefits | 581 | ||
| Reading an Explanation of Benefits | 581 | ||
| Rejected Claims | 581 | ||
| Denied Claims | 581 | ||
| Medical Necessity | 582 | ||
| The Patient’s Financial Responsibility | 582 | ||
| Calculating the Co-insurance and Deductible | 582 | ||
| Allowed Amount | 583 | ||
| Discussing the Patient’s Financial Responsibility | 583 | ||
| Showing Sensitivity When Discussing the Patient’s Finances | 584 | ||
| Closing Comments | 586 | ||
| Chapter Review | 586 | ||
| Scenario Wrap-Up | 586 | ||
| 27 Accounts, Collections, and Banking | 587 | ||
| Chapter Outline | 587 | ||
| Learning Objectives | 587 | ||
| Opening Scenario | 588 | ||
| You Will Learn | 588 | ||
| Introduction | 588 | ||
| Managing Funds in the Healthcare Facility | 588 | ||
| Bookkeeping in the Healthcare Facility | 589 | ||
| Accounts Receivable (A/R) | 589 | ||
| Patient Ledger | 589 | ||
| Entering and Posting Transactions in the Patient Ledger. | 589 | ||
| Posting Charges. | 591 | ||
| Posting Payments. | 592 | ||
| Posting Adjustments. | 593 | ||
| Credit balances. | 595 | ||
| Payment at the Time of Service. | 596 | ||
| Payment Agreements. | 596 | ||
| Truth in Lending Act. | 596 | ||
| Monthly Patient Account Statements | 597 | ||
| Billing Minors. | 597 | ||
| Medical Care for Those Who Cannot Pay. | 597 | ||
| Fees in Hardship Cases. | 598 | ||
| Collection Procedures | 598 | ||
| When to Start Collection Procedures. | 598 | ||
| Preparing Patient Accounts for Collection Activity. | 598 | ||
| Collection Telephone Calls. | 598 | ||
| General Rules for Telephone Collections | 599 | ||
| What to do: | 599 | ||
| What not to do: | 600 | ||
| Collection Letters. | 600 | ||
| Personal Finance Interviews. | 600 | ||
| Special Collection Situations | 601 | ||
| Tracing “skips.” | 601 | ||
| Claims against estates. | 601 | ||
| Bankruptcy. | 601 | ||
| Using a Collection Agency. | 601 | ||
| Posting collection agency transactions. | 602 | ||
| Small Claims Court. | 603 | ||
| Accounts Payable (A/P) | 604 | ||
| Banking in Today’s Business World | 604 | ||
| Common Types of Bank Accounts | 605 | ||
| Checking accounts. | 605 | ||
| Savings accounts. | 605 | ||
| Money market savings account. | 605 | ||
| Signature Cards. | 605 | ||
| Online Banking. | 605 | ||
| Checks | 605 | ||
| Routing and Account Numbers. | 606 | ||
| Types of Negotiable Instruments. | 606 | ||
| Personal check. | 606 | ||
| Cashier’s check. | 606 | ||
| Money order. | 606 | ||
| Business checks. | 606 | ||
| Voucher check. | 606 | ||
| How Checks Are Processed From One Bank to Another. | 606 | ||
| Electronic checks. | 606 | ||
| Patient Payment Management | 606 | ||
| Cash Payments. | 606 | ||
| Checks. | 608 | ||
| Debit Cards. | 608 | ||
| Credit Cards. | 608 | ||
| Contactless payment systems. | 608 | ||
| Online payment options. | 609 | ||
| Precautions for Accepting Credit and Debit Cards. | 609 | ||
| Banking Procedures in the Ambulatory Care Setting | 609 | ||
| Making Bank Deposits. | 609 | ||
| Preparing the Deposit. | 609 | ||
| Check Endorsements. | 609 | ||
| Types of endorsements. | 609 | ||
| Methods of endorsement. | 609 | ||
| Overdraft. | 611 | ||
| Stop-Payments. | 611 | ||
| Bank Statements and Reconciliation | 611 | ||
| What to Do When the Balances Do Not Match. | 611 | ||
| Paying Bills to Maximize Cash Flow | 613 | ||
| Invoices and Statements. | 614 | ||
| Online Bill Pay. | 614 | ||
| Direct Deposit. | 614 | ||
| Employee Payroll | 614 | ||
| Closing Comments | 615 | ||
| Chapter Review | 615 | ||
| Scenario Wrap-Up | 615 | ||
| Unit 4 Basic Clinical Procedures | 616 | ||
| 28 Infection Control | 616 | ||
| Chapter Outline | 616 | ||
| Learning Objectives | 616 | ||
| Opening Scenario | 616 | ||
| You Will Learn | 616 | ||
| Introduction | 617 | ||
| Disease | 617 | ||
| Chain of Infection | 617 | ||
| Inflammatory Response | 620 | ||
| Types of Infection | 621 | ||
| Acute Infection | 621 | ||
| Chronic Infection | 621 | ||
| Latent Infection | 621 | ||
| Opportunistic Infections | 622 | ||
| Occupational Safety and Health Administration Standards for the Healthcare Setting | 622 | ||
| Bloodborne Pathogens Standard | 622 | ||
| Compliance Guidelines | 625 | ||
| Barrier Protection. | 625 | ||
| Environmental Protection. | 625 | ||
| Housekeeping Controls. | 627 | ||
| Hepatitis B Vaccination. | 629 | ||
| Postexposure Follow-Up. | 629 | ||
| Aseptic Techniques: Preventing Disease Transmission | 630 | ||
| Hand Hygiene | 632 | ||
| Sanitization | 632 | ||
| Ultrasonic Sanitization. | 632 | ||
| Disinfection | 634 | ||
| Sterilization | 634 | ||
| Role of the Medical Assistant in Asepsis | 634 | ||
| Closing Comments | 635 | ||
| Chapter Review | 635 | ||
| Scenario Wrap-Up | 635 | ||
| 29 Vital Signs | 636 | ||
| Chapter Outline | 636 | ||
| Learning Objectives | 636 | ||
| Opening Scenario | 637 | ||
| You Will Learn | 637 | ||
| Introduction | 637 | ||
| Factors That May Influence Vital Signs | 637 | ||
| Temperature | 637 | ||
| Fever | 638 | ||
| Sites | 638 | ||
| Types of Thermometers and Their Uses | 639 | ||
| Digital Thermometer. | 639 | ||
| Tympanic Thermometer. | 640 | ||
| Temporal Artery Thermometer. | 640 | ||
| Pulse | 641 | ||
| Pulse Sites | 643 | ||
| Characteristics of a Pulse | 646 | ||
| Rate. | 646 | ||
| Rhythm. | 646 | ||
| Volume. | 646 | ||
| Determining the Pulse Rate | 648 | ||
| Radial and Apical Pulse Rates. | 648 | ||
| Femoral, Popliteal, and Pedal Pulses. | 649 | ||
| Respiration | 649 | ||
| Characteristics of Respirations | 649 | ||
| Counting Respirations | 650 | ||
| Blood Pressure | 651 | ||
| Factors Affecting Blood Pressure | 651 | ||
| Evaluating the Blood Pressure | 651 | ||
| Measuring Blood Pressure | 653 | ||
| Effects of Body Position on Blood Pressure Measurement. | 654 | ||
| Korotkoff Sounds | 656 | ||
| Phase I. | 656 | ||
| Phase II. | 656 | ||
| Phase III. | 656 | ||
| Phase IV. | 656 | ||
| Phase V. | 657 | ||
| Palpatory Method | 657 | ||
| Pulse Oximetry | 658 | ||
| Anthropometric Measurements | 658 | ||
| Measuring Weight and Height | 658 | ||
| Weight. | 660 | ||
| Height. | 661 | ||
| Closing Comments | 661 | ||
| Chapter Review | 661 | ||
| Scenario Wrap-Up | 661 | ||
| 30 Physical Examination | 662 | ||
| Chapter Outline | 662 | ||
| Learning Objectives | 662 | ||
| Opening Scenario | 663 | ||
| You Will Learn | 663 | ||
| Introduction | 663 | ||
| Medical History | 664 | ||
| Collecting the History Information | 664 | ||
| Components of the Medical History | 664 | ||
| Understanding and Communicating With Patients | 665 | ||
| Sensitivity to Diverse Patient Groups | 666 | ||
| Therapeutic Techniques | 668 | ||
| Active Listening Techniques. | 668 | ||
| Nonverbal Communication. | 669 | ||
| Open-Ended Questions or Statements. | 669 | ||
| Closed Questions. | 670 | ||
| Interviewing the Patient | 670 | ||
| Interview Barriers | 671 | ||
| Providing Unwarranted Assurance. | 671 | ||
| Giving Advice. | 672 | ||
| Using Medical Terminology. | 672 | ||
| Leading Questions. | 672 | ||
| Talking Too Much. | 672 | ||
| Defense Mechanisms. | 672 | ||
| Communication Across the Life Span | 672 | ||
| Assessing the Patient | 674 | ||
| Signs and Symptoms | 674 | ||
| Documentation | 675 | ||
| Documentation Guidelines | 675 | ||
| Physical Examination | 675 | ||
| Preparing the Examination Room | 675 | ||
| Assisting the Patient | 676 | ||
| Assisting the Provider | 677 | ||
| Supplies and Instruments Needed for the Physical Examination | 677 | ||
| Principles of Body Mechanics | 679 | ||
| Transferring a Patient | 679 | ||
| Assisting With the Physical Examination | 680 | ||
| Positioning and Draping the Patient for the Physical Examination | 680 | ||
| Fowler Position. | 682 | ||
| Semi-Fowler Position. | 682 | ||
| Supine (Horizontal Recumbent) Position. | 683 | ||
| Dorsal Recumbent Position. | 683 | ||
| Lithotomy Position. | 684 | ||
| Sims Position. | 684 | ||
| Prone Position. | 684 | ||
| Knee-Chest Position. | 685 | ||
| Trendelenburg Position. | 685 | ||
| Methods of Examination | 685 | ||
| Inspection. | 686 | ||
| Palpation. | 686 | ||
| Percussion. | 686 | ||
| Auscultation. | 687 | ||
| Mensuration. | 687 | ||
| Manipulation. | 688 | ||
| Examination Sequence | 688 | ||
| General Appearance. | 689 | ||
| Speech. | 689 | ||
| Skin. | 689 | ||
| Head. | 689 | ||
| Eyes. | 689 | ||
| Ears. | 689 | ||
| Nose and Sinuses. | 690 | ||
| Mouth and Throat. | 690 | ||
| Neck. | 690 | ||
| Chest. | 690 | ||
| Abdomen. | 690 | ||
| Reflexes. | 690 | ||
| Breast and Testicles. | 690 | ||
| Rectum. | 691 | ||
| Vision and Hearing Screenings | 691 | ||
| Disorders of the Eye | 691 | ||
| Refractive Errors. | 691 | ||
| Hyperopia (farsightedness). | 691 | ||
| Myopia (nearsightedness). | 691 | ||
| Presbyopia. | 691 | ||
| Astigmatism. | 691 | ||
| Treatment of Refractive Errors. | 693 | ||
| Diagnostic Procedures | 693 | ||
| Distance Visual Acuity (DVA). | 694 | ||
| Near Visual Acuity (NVA). | 696 | ||
| Ishihara Color Vision Test. | 696 | ||
| Disorders of the Ear | 698 | ||
| Hearing Loss. | 698 | ||
| Otitis. | 698 | ||
| Impacted cerumen. | 698 | ||
| Diagnostic Procedures | 699 | ||
| Tuning Fork Testing. | 699 | ||
| Audiometric Testing. | 699 | ||
| Closing Comments | 702 | ||
| Chapter Review | 702 | ||
| Scenario Wrap-Up | 702 | ||
| 31 Assisting With Obstetrics and Gynecology | 703 | ||
| Chapter Outline | 703 | ||
| Learning Objectives | 703 | ||
| Opening Scenario | 704 | ||
| You Will Learn | 704 | ||
| Introduction | 704 | ||
| Gynecology | 704 | ||
| Setting Up for a Gynecologic Examination | 704 | ||
| Preparation for the Gynecologic Examination | 704 | ||
| Assisting With an Examination | 704 | ||
| Breast Examination | 705 | ||
| Abdominal Examination | 706 | ||
| Pelvic Examination | 706 | ||
| Specimen Collection | 706 | ||
| Pap Test. | 706 | ||
| Direct smear method | 706 | ||
| Liquid-based method | 706 | ||
| Maturation Index. | 707 | ||
| Vaginal Infections. | 707 | ||
| Contraception | 707 | ||
| Barrier Methods. | 708 | ||
| Hormonal Contraceptives. | 708 | ||
| Intrauterine Devices. | 710 | ||
| Permanent Methods. | 710 | ||
| Post-Examination Duties | 710 | ||
| Special Procedures | 710 | ||
| Cryotherapy. | 710 | ||
| Colposcopy With or Without a Biopsy. | 710 | ||
| Loop Electrosurgical Excision Procedure. | 711 | ||
| Menopause | 711 | ||
| Obstetrics | 713 | ||
| Prenatal Record | 713 | ||
| Demographic Information. | 713 | ||
| Menstrual History. | 713 | ||
| Obstetric History. | 713 | ||
| Medical and Surgical History. | 714 | ||
| Family and Social History. | 715 | ||
| First Prenatal Examination | 716 | ||
| Return Prenatal Visits | 716 | ||
| Fetal Heart Tones. | 717 | ||
| Fundal Height Measurement. | 717 | ||
| Postpartum Visit | 717 | ||
| Special Tests and Procedures | 717 | ||
| Ultrasound. | 718 | ||
| Laboratory Testing. | 718 | ||
| Amniocentesis. | 718 | ||
| Chorionic Villus Sampling (CVS). | 719 | ||
| Recognizing Domestic Abuse | 719 | ||
| Closing Comments | 720 | ||
| Chapter Review | 720 | ||
| Scenario Wrap-Up | 721 | ||
| 32 Assisting in Pediatrics | 722 | ||
| Chapter Outline | 722 | ||
| Learning Objectives | 722 | ||
| Opening Scenario | 722 | ||
| You Will Learn | 722 | ||
| Introduction | 722 | ||
| Normal Growth and Development | 723 | ||
| Growth Patterns | 723 | ||
| Developmental Patterns | 723 | ||
| Developmental Theories | 725 | ||
| Pediatric Diseases and Disorders | 725 | ||
| Colic | 725 | ||
| Diarrhea | 725 | ||
| Failure to Thrive | 726 | ||
| Obesity | 726 | ||
| Otitis Media | 726 | ||
| Immunizations | 727 | ||
| The Pediatric Patient | 729 | ||
| Well-Child Visits | 729 | ||
| Sick-Child Visits | 733 | ||
| The Medical Assistant’s Role in Pediatric Procedures | 733 | ||
| Measurements | 734 | ||
| Assisting with the Examination | 734 | ||
| Obtaining a Urine Sample | 739 | ||
| The Adolescent Patient | 739 | ||
| Injury Prevention | 739 | ||
| Child Abuse | 740 | ||
| Closing Comments | 741 | ||
| Chapter Review | 741 | ||
| Scenario Wrap-Up | 741 | ||
| 33 Assisting in Geriatrics | 742 | ||
| Chapter Outline | 742 | ||
| Learning Objectives | 742 | ||
| Opening Scenario | 742 | ||
| You Will Learn | 742 | ||
| Introduction | 742 | ||
| Changes in Anatomy and Physiology | 744 | ||
| Cardiovascular System | 744 | ||
| Endocrine System | 745 | ||
| Gastrointestinal System | 746 | ||
| Integumentary System | 746 | ||
| Musculoskeletal System | 747 | ||
| Osteoporosis. | 748 | ||
| Falls. | 748 | ||
| Nervous System | 749 | ||
| Alzheimer’s Disease. | 749 | ||
| Pulmonary System | 750 | ||
| Sensory Organs | 750 | ||
| Vision. | 750 | ||
| Cataracts, glaucoma, and macular degeneration. | 751 | ||
| Hearing. | 751 | ||
| Taste and Smell. | 752 | ||
| Nutritional status. | 752 | ||
| Urinary System | 753 | ||
| Reproductive System | 754 | ||
| Sleep Disorders | 754 | ||
| Living Arrangements | 754 | ||
| The Medical Assistant’s Role in Caring for the Older Patient | 755 | ||
| Closing Comments | 756 | ||
| Chapter Review | 756 | ||
| Scenario Wrap-Up | 756 | ||
| 34 Assisting With Minor Surgery | 757 | ||
| Chapter Outline | 757 | ||
| Learning Objectives | 757 | ||
| Opening Scenario | 758 | ||
| You Will Learn: | 758 | ||
| Introduction | 758 | ||
| Minor Surgery Room | 758 | ||
| Surgical Solutions and Medications | 758 | ||
| Surgical Instruments | 759 | ||
| Classifications of Surgical Instruments | 761 | ||
| Cutting and Dissecting Instruments | 761 | ||
| Disposable Scalpels. | 761 | ||
| Grasping and Clamping Instruments | 761 | ||
| Retractors | 761 | ||
| Senn Retractor (Fig. 34.15) | 765 | ||
| Probes and Dilators | 765 | ||
| Miscellaneous Instruments (Table 34.4) | 766 | ||
| Drapes, Sutures, and Needles | 767 | ||
| Sutures | 767 | ||
| Absorbable Sutures. | 767 | ||
| Nonabsorbable Sutures. | 767 | ||
| Suture Sizing and Packaging. | 767 | ||
| Needles. | 768 | ||
| Other Closure Materials | 768 | ||
| Surgical Asepsis and Assisting With Surgical Procedures | 769 | ||
| Care and Handling of Instruments | 769 | ||
| Sterilization | 770 | ||
| Autoclave. | 770 | ||
| Wrapping materials. | 771 | ||
| Wrapping instruments. | 774 | ||
| Sterilization indicators. | 774 | ||
| Chemical sterilization indicators. | 774 | ||
| Biologic sterilization indicators. | 774 | ||
| Quality-assurance records for office sterilization. | 774 | ||
| Loading the autoclave. | 774 | ||
| Unloading guidelines. | 774 | ||
| Shelf life of sterilized packs. | 774 | ||
| Chemical Sterilization. | 775 | ||
| Surgical Procedures | 775 | ||
| Electrosurgery. | 776 | ||
| Laser Surgery. | 776 | ||
| Microsurgery. | 777 | ||
| Endoscopic Procedures. | 777 | ||
| Cryosurgery. | 777 | ||
| Assisting With Surgical Procedures | 777 | ||
| Preparation of the Patient. | 777 | ||
| Informed consent. | 778 | ||
| Positioning. | 778 | ||
| Skin preparation. | 778 | ||
| Preparation of the Room. | 778 | ||
| Sterile Technique. | 778 | ||
| Sterile field. | 786 | ||
| Assisting the Provider During Surgery. | 786 | ||
| Passing instruments. | 787 | ||
| Specimen collection. | 790 | ||
| Completing the surgical procedure. | 790 | ||
| Postoperative responsibilities. | 790 | ||
| Postoperative instructions and care. | 792 | ||
| Warning signs. | 793 | ||
| Follow-up. | 793 | ||
| Wound Care | 793 | ||
| Wound Healing. | 793 | ||
| Dressings. | 796 | ||
| Bandages. | 796 | ||
| Closing Comments | 797 | ||
| Chapter Review | 797 | ||
| Scenario Wrap-Up | 798 | ||
| Unit 5 Advanced Clinical Procedures | 799 | ||
| 35 Patient Coaching With Health Promotion | 799 | ||
| Chapter Outline | 799 | ||
| Learning Objectives | 799 | ||
| Opening Scenario | 800 | ||
| You Will Learn | 800 | ||
| Introduction | 800 | ||
| Coaching | 800 | ||
| Making Changes for Health | 801 | ||
| Stages of Grief | 801 | ||
| Health Belief Model | 801 | ||
| Basics of Teaching and Learning | 802 | ||
| Domains of Learning | 802 | ||
| Cognitive Domain. | 802 | ||
| Psychomotor Domain. | 802 | ||
| Affective Domain. | 802 | ||
| Adapting Coaching to the Patient | 802 | ||
| Developmental Level. | 802 | ||
| Cultural Diversity. | 803 | ||
| Communication Barriers. | 806 | ||
| Teaching-Learning Process | 806 | ||
| Coaching on Disease Prevention | 806 | ||
| Coaching on Health Maintenance and Wellness | 809 | ||
| Self-Exams | 809 | ||
| Breast Self-Exam. | 809 | ||
| Testicular Self-Exam. | 810 | ||
| Skin Self-Exam. | 810 | ||
| Oral Cancer Self-Exam. | 812 | ||
| Regular Screenings | 812 | ||
| One-Time Screenings | 814 | ||
| Additional Screenings | 815 | ||
| Coaching on Diagnostic Tests | 817 | ||
| Coaching on Treatment Plans | 817 | ||
| Medication Administration at Home | 818 | ||
| Casts and Splints | 818 | ||
| Cold and Hot Therapy | 820 | ||
| Cold Therapy. | 820 | ||
| Heat Therapy. | 820 | ||
| Paraffin bath therapy. | 821 | ||
| Heat lamp therapy. | 821 | ||
| Ultrasound Therapy | 821 | ||
| RICE Therapy | 822 | ||
| Exercise Therapy | 823 | ||
| Electrical Muscle Stimulation. | 823 | ||
| Complementary Therapies | 823 | ||
| Massage Therapy. | 823 | ||
| Chiropractic Care. | 823 | ||
| Acupressure and Acupuncture. | 823 | ||
| Assistive Devices | 823 | ||
| Crutches. | 824 | ||
| Using axillary crutches. | 824 | ||
| Walkers. | 825 | ||
| Canes. | 828 | ||
| Wheelchairs. | 828 | ||
| Care Coordination | 828 | ||
| Closing Comments | 831 | ||
| Chapter Review | 831 | ||
| Scenario Wrap-Up | 832 | ||
| 36 Patient Coaching With Nutrition | 833 | ||
| Chapter Outline | 833 | ||
| Learning Objectives | 833 | ||
| Opening Scenario | 834 | ||
| You Will Learn | 834 | ||
| Introduction | 834 | ||
| Metabolism | 834 | ||
| Dietary Nutrients | 834 | ||
| Carbohydrates | 835 | ||
| Glycemic Index. | 836 | ||
| Protein | 836 | ||
| Fat | 837 | ||
| Minerals and Electrolytes | 837 | ||
| Vitamins | 838 | ||
| Water | 838 | ||
| Unit 6 Medical Laboratory | 990 | ||
| 41 Assisting in the Clinical Laboratory | 990 | ||
| Chapter Outline | 990 | ||
| Learning Objectives | 990 | ||
| Opening Scenario | 991 | ||
| You Will Learn | 991 | ||
| Introduction: The Clinical Laboratory and Patient Care | 991 | ||
| Personnel in the Clinical Laboratory | 991 | ||
| Clinical Laboratory Testing | 992 | ||
| Departments of the Clinical Laboratory | 993 | ||
| Urinalysis. | 993 | ||
| Hematology. | 993 | ||
| Chemistry. | 993 | ||
| Microbiology. | 993 | ||
| Government Legislation Affecting Clinical Laboratory Testing | 994 | ||
| Clinical Laboratory Improvement Amendments | 994 | ||
| CLIA-Waived Tests and Laboratories. | 994 | ||
| Moderate- and High-Complexity Tests and Laboratories. | 994 | ||
| Quality Assurance Guidelines | 996 | ||
| Three Stages of Quality Assurance in the Laboratory | 996 | ||
| Preanalytic Stage | 996 | ||
| Analytic Stage | 996 | ||
| Postanalytic Stage | 996 | ||
| Quality Control Guidelines | 997 | ||
| Laboratory Safety | 999 | ||
| Safety Standards and Governing Agencies | 1000 | ||
| Chemical Hazards | 1000 | ||
| Biohazards and Infection Control | 1001 | ||
| Standard Precautions. | 1001 | ||
| Bloodborne Pathogens Standard. | 1003 | ||
| Safety Guidelines for Other Potentially Infectious Materials. | 1003 | ||
| Physical Hazards | 1004 | ||
| Specimen Collection, Processing, and Storage | 1004 | ||
| Laboratory Requisitions and Reports | 1004 | ||
| Specimen Collection | 1005 | ||
| Preventing Contamination. | 1006 | ||
| Handling, Processing, and Storing Specimens | 1007 | ||
| Chain of Custody. | 1007 | ||
| Laboratory Mathematics and Measurement | 1007 | ||
| Measuring Time | 1007 | ||
| Measuring Temperature | 1007 | ||
| Units of Measurement | 1008 | ||
| Measuring Liquid Volume | 1008 | ||
| Laboratory Equipment | 1008 | ||
| Microscope | 1008 | ||
| Centrifuge | 1011 | ||
| Incubator | 1012 | ||
| Closing Comments | 1013 | ||
| Chapter Review | 1013 | ||
| Scenario Wrap-Up | 1013 | ||
| 42 Assisting in the Analysis of Urine | 1014 | ||
| Chapter Outline | 1014 | ||
| Learning Objectives | 1014 | ||
| Opening Scenario | 1015 | ||
| You Will Learn | 1015 | ||
| Introduction | 1015 | ||
| Urine Formation | 1015 | ||
| Elimination of Urine | 1015 | ||
| Collecting A Urine Specimen: Patient Sensitivity | 1017 | ||
| Containers | 1017 | ||
| Methods of Specimen Collection | 1019 | ||
| Handling and Transporting a Specimen | 1019 | ||
| Routine Urinalysis | 1021 | ||
| Physical Examination of Urine: Appearance | 1022 | ||
| Color. | 1022 | ||
| Turbidity. | 1022 | ||
| Volume. | 1022 | ||
| Foam. | 1023 | ||
| Odor. | 1024 | ||
| Specific Gravity. | 1024 | ||
| Chemical Examination of Urine | 1025 | ||
| pH. | 1025 | ||
| Glucose. | 1028 | ||
| Ketones. | 1028 | ||
| Protein. | 1028 | ||
| Blood. | 1028 | ||
| Bilirubin and Urobilinogen. | 1029 | ||
| Nitrite. | 1029 | ||
| Leukocyte Esterase. | 1029 | ||
| Limitations of Reagent Strip Testing | 1029 | ||
| Quality Assurance and Quality Control in Urinalysis | 1030 | ||
| Microscopic Preparation and Examination of Urine Sediment | 1030 | ||
| Microscopic Preparation of Urine | 1030 | ||
| Microscopic Examination of Urine | 1032 | ||
| Casts. | 1032 | ||
| Cells. | 1032 | ||
| Crystals. | 1032 | ||
| Miscellaneous Findings. | 1034 | ||
| Understanding the Results of Microscopic Examination | 1038 | ||
| Additional CLIA-Waived Tests Performed on Urine | 1038 | ||
| Clinitest | 1038 | ||
| Urine Pregnancy Testing | 1039 | ||
| Ovulation Testing | 1041 | ||
| Menopause Testing | 1041 | ||
| Urine Toxicology | 1041 | ||
| Adulteration Testing and Chain of Custody. | 1042 | ||
| Closing Comments | 1045 | ||
| Chapter Review | 1045 | ||
| Scenario Wrap-Up | 1045 | ||
| 43 Assisting in Blood Collection | 1046 | ||
| Chapter Outline | 1046 | ||
| Learning Objectives | 1046 | ||
| Opening Scenario | 1046 | ||
| You Will Learn | 1047 | ||
| Introduction | 1047 | ||
| Venipuncture Equipment | 1047 | ||
| Personal Protective Equipment | 1048 | ||
| Tourniquets | 1048 | ||
| Antiseptics | 1049 | ||
| Evacuated Collection Tubes | 1049 | ||
| Tube Additives. | 1050 | ||
| Order of the Draw | 1052 | ||
| Needles and Supplies Used in Phlebotomy | 1052 | ||
| Multisample Needles | 1053 | ||
| Needle Holders | 1053 | ||
| Syringes | 1053 | ||
| Winged Infusion Sets (Butterfly Assembly) | 1053 | ||
| Needle Safety | 1054 | ||
| Postexposure Needlestick Follow-Up | 1056 | ||
| Routine Venipuncture | 1056 | ||
| Patient Preparation | 1056 | ||
| Preparing for the Venipuncture | 1056 | ||
| Performing the Venipuncture | 1057 | ||
| Completing the Venipuncture | 1057 | ||
| Problems Associated With Venipuncture | 1066 | ||
| Hematoma | 1066 | ||
| Nerve Damage and Other Complications | 1066 | ||
| Fainting | 1066 | ||
| Specimen Recollection | 1067 | ||
| Capillary Puncture | 1067 | ||
| Equipment | 1068 | ||
| Skin Puncture Devices. | 1068 | ||
| Collection Containers. | 1069 | ||
| Routine Capillary Puncture | 1069 | ||
| Site Selection | 1069 | ||
| Patient Preparation | 1070 | ||
| Collecting the Specimen | 1070 | ||
| Specimen Handling | 1071 | ||
| Pediatric Phlebotomy | 1071 | ||
| Handling the Specimen After Collection | 1074 | ||
| Chain of Custody | 1074 | ||
| Closing Comments | 1074 | ||
| Chapter Review | 1075 | ||
| Scenario Wrap-Up | 1075 | ||
| 44 Assisting in the Analysis of Blood | 1076 | ||
| Chapter Outline | 1076 | ||
| Learning Objectives | 1076 | ||
| Opening Scenario | 1077 | ||
| You Will Learn | 1077 | ||
| Introduction | 1077 | ||
| Hematology | 1077 | ||
| Plasma | 1078 | ||
| Hematology in the Physician Office Laboratory (POL) | 1078 | ||
| Hematocrit | 1078 | ||
| Hemoglobin | 1082 | ||
| Erythrocyte Sedimentation Rate | 1084 | ||
| Coagulation Testing | 1086 | ||
| Hematology in the Reference Laboratory | 1086 | ||
| Complete Blood Count (CBC) Laboratory Reports | 1089 | ||
| Red Blood Cell Count. | 1089 | ||
| Red Blood Cell Indices. | 1089 | ||
| White Blood Cell Count. | 1091 | ||
| Differential Cell Count. | 1091 | ||
| Preparation of blood smears for the differential. | 1091 | ||
| Staining blood smears. | 1092 | ||
| Identification of Normal Blood Cells | 1092 | ||
| Differential Examination | 1092 | ||
| Red Blood Cell Morphology. | 1092 | ||
| Size. | 1092 | ||
| Shape. | 1092 | ||
| Content. | 1092 | ||
| Platelet Analysis | 1093 | ||
| Immunohematology | 1093 | ||
| Blood Typing | 1093 | ||
| Other Blood Types | 1094 | ||
| Legal and Ethical Issues Related to Blood Transfusion | 1094 | ||
| Blood Chemistry in the Physician Office Laboratory | 1094 | ||
| Blood Glucose Testing | 1095 | ||
| Hemoglobin A1c Testing | 1095 | ||
| Cholesterol Testing | 1096 | ||
| Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Testing | 1097 | ||
| Thyroid Hormone Testing | 1097 | ||
| Reference Laboratory Chemistry Panels and Single Analyte Testing and Monitoring | 1099 | ||
| Closing Comments | 1102 | ||
| Chapter Review | 1102 | ||
| Scenario Wrap-Up | 1103 | ||
| 45 Assisting in Microbiology and Immunology | 1104 | ||
| Chapter Outline | 1104 | ||
| Learning Objectives | 1104 | ||
| Opening Scenario | 1105 | ||
| You Will Learn | 1105 | ||
| Introduction | 1105 | ||
| Classification of Microorganisms | 1106 | ||
| Naming Microorganisms | 1106 | ||
| Characteristics of Bacteria | 1107 | ||
| Bacterial Staining Properties | 1107 | ||
| Bacterial Shapes | 1107 | ||
| Bacterial Oxygen Requirements | 1108 | ||
| Bacterial Physical Structures | 1108 | ||
| Unusual Pathogenic Bacteria: Chlamydia, Mycoplasma, and Rickettsia | 1108 | ||
| Pathogenic Fungi | 1109 | ||
| Pathogenic Protozoa | 1110 | ||
| Pathogenic Parasites | 1110 | ||
| Pathogenic Helminths (Worms) | 1111 | ||
| Pathogenic Viruses | 1111 | ||
| Specimen Collection and Transport in the Physician Office Laboratory | 1111 | ||
| Collection of Pinworms | 1114 | ||
| CLIA-Waived Microbiology Testing | 1116 | ||
| Rapid Strep Testing | 1116 | ||
| Influenza A and B Testing | 1116 | ||
| Respiratory Syncytial Virus Testing | 1116 | ||
| CLIA-Waived Immunology Testing | 1119 | ||
| Infectious Mononucleosis Testing | 1119 | ||
| Helicobacter pylori Testing | 1121 | ||
| Lyme Disease Testing | 1121 | ||
| HIV Testing | 1121 | ||
| Microbiology Reference Laboratory: Identification of Pathogens | 1122 | ||
| Staining | 1122 | ||
| Gram Stain. | 1122 | ||
| Acid-Fast Stain. | 1122 | ||
| Inoculating Equipment | 1122 | ||
| Assessing a Culture | 1123 | ||
| Throat Cultures. | 1123 | ||
| Urine Cultures. | 1124 | ||
| Microbiology Culture and Sensitivity Testing | 1124 | ||
| Closing Comments | 1124 | ||
| Chapter Review | 1125 | ||
| Scenario Wrap-Up | 1125 | ||
| Unit 7 Employment Seeking | 1126 | ||
| 46 Career Development | 1126 | ||
| Chapter Outline | 1126 | ||
| Learning Objectives | 1126 | ||
| Opening Scenario | 1127 | ||
| You Will Learn | 1127 | ||
| Introduction to Career Development | 1127 | ||
| Understanding Personality Traits Important to Employers | 1127 | ||
| Collaboration and Interpersonal Skills | 1127 | ||
| Professionalism | 1128 | ||
| Compassion | 1128 | ||
| Genuine Interest | 1128 | ||
| Assessing Your Strengths and Skills | 1128 | ||
| Personality Traits | 1128 | ||
| Technical Skills | 1129 | ||
| Transferable Job Skills | 1129 | ||
| Developing Career Objectives | 1129 | ||
| Identifying Personal Needs | 1130 | ||
| Finding a Job | 1130 | ||
| Two Best Job Search Methods | 1130 | ||
| Networking. | 1130 | ||
| Job Boards. | 1130 | ||
| Additional Job Search Methods | 1131 | ||
| School Career Placement Offices. | 1131 | ||
| Newspaper Ads. | 1131 | ||
| Employment Agencies. | 1131 | ||
| Developing a Resume | 1131 | ||
| Resume Formats | 1131 | ||
| Resume Content | 1132 | ||
| Header. | 1132 | ||
| Education. | 1133 | ||
| Work Experience. | 1134 | ||
| Summary and Skills. | 1135 | ||
| Certifications. | 1135 | ||
| Appearance of the Resume | 1135 | ||
| Developing a Cover Letter | 1136 | ||
| Completing Online Profiles and Job Applications | 1138 | ||
| Creating a Career Portfolio | 1140 | ||
| Job Interview | 1140 | ||
| Preparation for the Interview | 1140 | ||
| Research the Healthcare Facility. | 1140 | ||
| Practice Answers to Questions. | 1141 | ||
| Decide on Your Interview Attire. | 1141 | ||
| Prepare for the Interview Day. | 1141 | ||
| During the Interview | 1142 | ||
| Answering Interview Questions. | 1142 | ||
| Illegal Interview Questions. | 1143 | ||
| Phone Interview. | 1144 | ||
| Face-to-Face Interview. | 1144 | ||
| Video Interview. | 1144 | ||
| Follow-Up After the Interview | 1144 | ||
| Negotiation | 1145 | ||
| Improving Your Opportunities | 1145 | ||
| Finding Job Postings | 1145 | ||
| Increasing Interview Opportunities | 1145 | ||
| Increasing Job Offers | 1145 | ||
| You Got the Job! | 1146 | ||
| Human Resource Requirements | 1146 | ||
| Getting Started | 1146 | ||
| Maintaining Your Job | 1147 | ||
| Leaving a Job | 1147 | ||
| Closing Comments | 1147 | ||
| Chapter Review | 1147 | ||
| Scenario Wrap-Up | 1148 | ||
| Appendix A Word Parts and Definitions | 1149 | ||
| Appendix B Definitions and Word Parts | 1157 | ||
| Appendix C Abbreviations | 1164 | ||
| Appendix D Medication Classifications | 1169 | ||
| Glossary | 1180 | ||
| A | 1180 | ||
| B | 1181 | ||
| C | 1181 | ||
| D | 1182 | ||
| E | 1183 | ||
| F | 1184 | ||
| G | 1184 | ||
| H | 1185 | ||
| I | 1185 | ||
| J | 1186 | ||
| K | 1186 | ||
| L | 1186 | ||
| M | 1186 | ||
| N | 1187 | ||
| O | 1187 | ||
| P | 1187 | ||
| Q | 1189 | ||
| R | 1189 | ||
| S | 1190 | ||
| T | 1191 | ||
| U | 1191 | ||
| V | 1191 | ||
| W | 1191 | ||
| Y | 1191 | ||
| Z | 1191 | ||
| Index | 1192 | ||
| A | 1192 | ||
| B | 1194 | ||
| C | 1195 | ||
| D | 1199 | ||
| E | 1201 | ||
| F | 1203 | ||
| G | 1204 | ||
| H | 1205 | ||
| I | 1206 | ||
| J | 1208 | ||
| K | 1208 | ||
| L | 1208 | ||
| M | 1209 | ||
| N | 1212 | ||
| O | 1213 | ||
| P | 1214 | ||
| Q | 1217 | ||
| R | 1217 | ||
| S | 1219 | ||
| T | 1221 | ||
| U | 1223 | ||
| V | 1223 | ||
| W | 1224 | ||
| X | 1225 | ||
| Y | 1225 | ||
| Z | 1225 | ||
| Inside Back Cover | ibc1 |