Contents. Preface v Reviewers vii

Transcription

1 Contents Preface v Reviewers vii 1 Administrative Procedures Incoming Telephone Calls 1 Patient Appointments 1-2 New Patient Appointments Established Patient Appointments Referrals to an Outpatient Facility Admission to an Inpatient Facility 5 Medical Records 1-6 Creating a Medical File Filing Medical Records 7 Documentation Accounting Responsibilities 1-8 Bank Deposits Reconcile a Bank Statement Maintain a Petty Cash Account Check Writing 15 Written Communication Incident Reports ix

2 2 Clinical Procedures 21 Asepsis and Infection Control 2-1 Medical Aseptic Handwashing Removing Contaminated Gloves Cleaning Biohazardous Spills Sanitizing Equipment for Disinfection or Sterilization Wrapping Instruments for Sterilization in an Autoclave Operating an Autoclave 35 Patient Care 2-7 Obtaining a Medical History Measuring Weight Measuring Height Assisting with the Adult Physical Exam 39 Temperature 2-11 Using an Electronic Thermometer Using a Tympanic Thermometer Using a Temporal Artery Thermometer 45 Pulse 2-14 Measuring Radial Pulse Assessing the Pulse Using a Doppler Unit 47 x

3 Respiration 2-16 Measuring Respirations 49 Blood Pressure 2-17 Measuring Blood Pressure 51 3 Laboratory and Diagnostic Tests 57 Phlebotomy 3-1 Venipuncture Capillary Puncture 63 Hematology 3-3 Making a Peripheral Blood Smear Staining a Peripheral Blood Smear Hemoglobin Determination Microhematocrit Determination Westergren Erythrocyte Sedimentation Rate 71 Urinalysis 3-8 Clean Catch Midstream Urine Specimen hour Urine Specimen Determine Urine Color and Clarity Chemical Reagent Strip Analysis Preparing Urine Sediment 79 xi

4 Specimen Collection and Microbiology 3-13 Collecting a Throat Specimen Collecting a Nasopharyngeal Specimen Collecting a Wound Specimen Collecting a Sputum Specimen Collecting a Stool Specimen Testing Stool Specimen for Occult Blood Collecting Blood for Culture Collecting Genital Specimens for Culture Preparing a Smear for Microscopic Evaluation Performing a Gram Stain Inoculating a Culture 104 Immunology 3-24 Mono Testing HCG Pregnancy Test Rapid Group A Strep Testing 109 Chemistry Testing 3-27 Blood Glucose Testing Blood Cholesterol Testing 114 Diagnostic Imaging 3-29 Preparing a Patient for an X-ray 120 xii

5 4 Medication Administration Preparing Injections Intradermal Injection Subcutaneous Injection Intramuscular Injection Intramuscular Injection Using the Z-Track Method Applying Transdermal Medications Obtaining and Preparing an Intravenous Site Instilling Eye Medications Instilling Ear Medications Instilling Nasal Medications Nebulized Breathing Treatment Surgical Procedures Opening Sterile Surgical Packs Using Sterile Transfer Forceps Adding Sterile Solution to a Sterile Field Hair Removal and Skin Preparation Applying Sterile Gloves Applying a Sterile Dressing Changing an Existing Sterile Dressing Assisting with Excisional Surgery 188 xiii

6 5-9 Assisting with Incision and Drainage Removing Sutures Removing Staples Assisting with Lumbar Puncture Assisting with Colposcopy and Cervical Biopsy Special Procedures 201 Warm and Cold Applications 6-1 Applying a Warm or Cold Compress Assisting with Therapeutic Soaks Applying Cold Packs Using a Hot Water Bottle or Commercial Hot Pack 205 Orthopedic Procedures 6-5 Applying an Arm Sling Measuring a Patient for Axillary Crutches Instructing a Patient in Crutch Gaits 209 Eye and Ear Procedures 6-8 Distance Visual Acuity Color Perception Eye Irrigation Ear Irrigation Audiometry Testing 219 xiv

7 Pulmonary Procedures 6-13 Instruct a Patient on Using a Peak Flowmeter Perform a Pulmonary Function Test 221 Cardiac Procedures 6-15 Perform a 12-lead ECG Apply a Holter Monitor 230 Pediatric Procedures 6-17 Infant Length and Weight Infant Head and Chest Circumference Apply a Pediatric Urine Collection Device 236 Other Specialty Procedures 6-20 Apply a Tubular Gauze Bandage Assist with Colon Procedures Male Urinary Catheterization Female Urinary Catheterization Assist with the Pelvic Exam and Pap Smear Emergency Procedures Administer Oxygen Perform CPR (Adult) Use an Automatic External Defibrillator (AED) (Adult) 255 xv

8 7-4 Manage a Foreign Body Airway Obstruction (Adult) Control Bleeding Manage a Patient with a Diabetic Emergency Caring for a Patient During a Seizure Tools 265 HIPAA 265 Disinfection Methods, Uses, and Precautions 268 Abbreviations Commonly Used in Documentation 270 Celsius-Fahrenheit Temperature Conversion Scale 283 Metric Measurements 285 Key English to Spanish Health Care Phrases 286 Commonly Misused Words 291 Word Parts and Their Meanings 293 Pain Intensity Scales 309 xvi