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Wednesday, May 04, 2005
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New times for the Medical Assistant and their training
Many of the older medical assistants are resisting the new innovative training of the new generation of medical assistants. The medical assistant now trained online by distance education programs are much better prepared for the new healthcare job market then the older traditional “chalk board” classroom trained medical assistant. Many older medical assistants are now resisting As Bob Dylan said "the times they are a changin' and if you you can't lend a hand get out of the way." Within the next 3-5 years over 70% of all trained medical assistants will have earned their medical assistant certificates online through the use of distance education technology. For the medical assistant distance education is more effective, affordable and practical.
Tuesday, May 03, 2005
Medical Association of Billers
Medical Association of BillersMembership In The
Medical Association of Billers
Complete Allied's Medical Billing Training Program And Receive A
One-Year Membership To A Professional Association!
There's never been a better time to enroll in Allied Schools' Medical Billing Specialist Program! We have formed a special partnership with The Medical Association of Billers (MAB), which means that Allied's course has been approved to satisfy MAB membership requirements. All Medical Billing students will automatically, upon passing the course, receive a one-year membership at no extra cost to the Medical Association of Billers (MAB). Membership to the MAB will increase your knowledge base, provide you with up-to-date news and information, and will show your present or future employer that you're dedicated to your career!
Gain A Competitive Edge in the Workplace
With Allied's comprehensive Medical Billing course and membership to this professional association, an unbeatable combination is formed! MAB membership affords you:
The ability to stay one step ahead of the ever-changing healthcare industry and the important rules and regulations you need to be aware of.
An additional sign of your commitment to your career, and an advantage in the job market, whether you have a home-based business or work in a medical office.
The opportunity to become a Certified Medical Billing Specialist (CMBS). Certification involves additional testing. Call Allied for more information.
Upon passing our Medical Billing Specialist Program, your MAB membership will become effective and will include the following benefits:
Twelve issues of Code Trends Newsletter - with the latest information on Managed Care, technology, legislation and more!
Discounted provider reports and services including business plans, policy and procedure manuals, custom fee reports and more!
Access to a National Support Group - find the answers you need from other billing professionals!
Online services including the MAB's Medical Online Forum and Medical and Billing Center Classifieds.
Advanced notification of medicare changes.
Access to the MAB's special Medical Internet Database Search which provides targeted information about the healthcare industry other traditional search engines won't find!
Membership Certificate and the ability to publicize your affiliation on your business cards, brochures, etc.
Medical Association of Billers
Complete Allied's Medical Billing Training Program And Receive A
One-Year Membership To A Professional Association!
There's never been a better time to enroll in Allied Schools' Medical Billing Specialist Program! We have formed a special partnership with The Medical Association of Billers (MAB), which means that Allied's course has been approved to satisfy MAB membership requirements. All Medical Billing students will automatically, upon passing the course, receive a one-year membership at no extra cost to the Medical Association of Billers (MAB). Membership to the MAB will increase your knowledge base, provide you with up-to-date news and information, and will show your present or future employer that you're dedicated to your career!
Gain A Competitive Edge in the Workplace
With Allied's comprehensive Medical Billing course and membership to this professional association, an unbeatable combination is formed! MAB membership affords you:
The ability to stay one step ahead of the ever-changing healthcare industry and the important rules and regulations you need to be aware of.
An additional sign of your commitment to your career, and an advantage in the job market, whether you have a home-based business or work in a medical office.
The opportunity to become a Certified Medical Billing Specialist (CMBS). Certification involves additional testing. Call Allied for more information.
Upon passing our Medical Billing Specialist Program, your MAB membership will become effective and will include the following benefits:
Twelve issues of Code Trends Newsletter - with the latest information on Managed Care, technology, legislation and more!
Discounted provider reports and services including business plans, policy and procedure manuals, custom fee reports and more!
Access to a National Support Group - find the answers you need from other billing professionals!
Online services including the MAB's Medical Online Forum and Medical and Billing Center Classifieds.
Advanced notification of medicare changes.
Access to the MAB's special Medical Internet Database Search which provides targeted information about the healthcare industry other traditional search engines won't find!
Membership Certificate and the ability to publicize your affiliation on your business cards, brochures, etc.
Monday, May 02, 2005
Healthcare: Medical Assistant Jobs
Medical Assistant: Nature of Health Care Work
Healthcare is a business and, like every other business, it needs good management to keep it running smoothly. The occupation, medical and health services manager, encompasses all individuals who plan, direct, coordinate, and supervise the delivery of healthcare. medical and health services managers include specialists and generalists. Specialists are in charge of specific clinical departments or services, while generalists manage or help to manage an entire facility or system.
The structure and financing of healthcare is changing rapidly. Future medical and health services managers must be prepared to deal with evolving integrated healthcare delivery systems, technological innovations, an increasingly complex regulatory environment, restructuring of work, and an increased focus on preventive care. They will be called upon to improve efficiency in healthcare facilities and the quality of the healthcare provided. Increasingly, medical and health services managers will work in organizations in which they must optimize efficiency of a variety of interrelated services—for example, those ranging from inpatient care to outpatient followup care.
Large facilities usually have several assistant administrators to aid the top administrator and to handle daily decisions. Assistant administrators may direct activities in clinical areas such as nursing, surgery, therapy, medical records, or health information. (Managers in nonhealth areas, such as administrative services, computer and information systems, finance, and human resources, are not included in this statement. For information about them, see the statements on management occupations elsewhere in the Handbook.)
In smaller facilities, top administrators handle more of the details of daily operations. For example, many nursing home administrators manage personnel, finance, facility operations, and admissions, and have a larger role in resident care.
Clinical managers have more specific responsibilities than do generalists, and have training or experience in a specific clinical area. For example, directors of physical therapy are experienced physical therapists, and most health information and medical record administrators have a bachelor’s degree in health information or medical record administration. Clinical managers establish and implement policies, objectives, and procedures for their departments; evaluate personnel and work; develop reports and budgets; and coordinate activities with other managers.
In group medical practices, managers work closely with physicians. Whereas an office manager may handle business affairs in small medical groups, leaving policy decisions to the physicians themselves, larger groups usually employ a full-time administrator to help formulate business strategies and coordinate day-to-day business.
A small group of 10 to 15 physicians might employ 1 administrator to oversee personnel matters, billing and collection, budgeting, planning, equipment outlays, and patient flow. A large practice of 40 to 50 physicians may have a chief administrator and several assistants, each responsible for different areas.
Medical and health services managers in managed care settings perform functions similar to those of their counterparts in large group practices, except that they may have larger staffs to manage. In addition, they may do more work in the areas of community outreach and preventive care than do managers of a group practice.
Some medical and health services managers oversee the activities of a number of facilities in health systems. Such systems may contain both inpatient and outpatient facilities and offer a wide range of patient services.
Working Conditions
Most medical and health services managers work long hours. Facilities such as nursing care facilities and hospitals operate around the clock, and administrators and managers may be called at all hours to deal with problems. They also may travel to attend meetings or inspect satellite facilities.
Some managers work in comfortable, private offices; others share space with other managers or staff. They may spend considerable time walking, to consult with coworkers.
Employment
Medical and health services managers held about 244,000 jobs in 2002. About 37 percent worked in hospitals, and another 17 percent worked in offices of physicians or nursing care facilities. The remainder worked mostly in home healthcare services, Federal government healthcare facilities, ambulatory facilities run by State and local governments, outpatient care centers, insurance carriers, and community care facilities for the elderly.
Training, Other Qualifications, and Advancement
Medical and health services managers must be familiar with management principles and practices. A master’s degree in health services administration, long-term care administration, health sciences, public health, public administration, or business administration is the standard credential for most generalist positions in this field. However, a bachelor’s degree is adequate for some entry-level positions in smaller facilities and at the departmental level within healthcare organizations. Physicians’ offices and some other facilities may substitute on-the-job experience for formal education.
For clinical department heads, a degree in the appropriate field and work experience may be sufficient for entry. However, a master’s degree in health services administration or a related field may be required to advance. For example, nursing service administrators usually are chosen from among supervisory registered nurses with administrative abilities and a graduate degree in nursing or health services administration.
Bachelor’s, master’s, and doctoral degree programs in health administration are offered by colleges, universities, and schools of public health, medicine, allied health, public administration, and business administration. In 2003, 67 schools had accredited programs leading to the master’s degree in health services administration, according to the Accrediting Commission on Education for Health Services Administration.
Some graduate programs seek students with undergraduate degrees in business or health administration; however, many graduate programs prefer students with a liberal arts or health profession background. Candidates with previous work experience in healthcare also may have an advantage. Competition for entry to these programs is keen, and applicants need above-average grades to gain admission. Graduate programs usually last between 2 and 3 years. They may include up to 1 year of supervised administrative experience, and course work in areas such as hospital organization and management, marketing, accounting and budgeting, human resources administration, strategic planning, health economics, and health information systems. Some programs allow students to specialize in one type of facility—hospitals, nursing care facilities, mental health facilities, or medical groups. Other programs encourage a generalist approach to health administration education.
New graduates with master’s degrees in health services administration may start as department managers or as staff employees. The level of the starting position varies with the experience of the applicant and the size of the organization. Hospitals and other health facilities offer postgraduate residencies and fellowships, which usually are staff positions. Graduates from master’s degree programs also take jobs in large group medical practices, clinics, mental health facilities, nursing care corporations, and consulting firms.
Graduates with bachelor’s degrees in health administration usually begin as administrative assistants or assistant department heads in larger hospitals. They also may begin as department heads or assistant administrators in small hospitals or nursing care facilities.
All States and the District of Columbia require nursing care facility administrators to have a bachelor’s degree, pass a licensing examination, complete a State-approved training program, and pursue continuing education. A license is not required in other areas of medical and health services management.
Medical and health services managers often are responsible for millions of dollars’ worth of facilities and equipment and hundreds of employees. To make effective decisions, they need to be open to different opinions and good at analyzing contradictory information. They must understand finance and information systems, and be able to interpret data. Motivating others to implement their decisions requires strong leadership abilities. Tact, diplomacy, flexibility, and communication skills are essential because medical and health services managers spend most of their time interacting with others.
Medical and health services managers advance by moving into more responsible and higher paying positions, such as assistant or associate administrator, or by moving to larger facilities.
Job Outlook
Employment of medical and health services managers is expected to grow faster than the average for all occupations through 2012, as the health services industry continues to expand and diversify. Opportunities will be especially good in offices of physicians and other health practitioners, home healthcare services, and outpatient care centers. Applicants with work experience in the healthcare field and strong business and management skills should have the best opportunities.
Hospitals will continue to employ the most medical and health services managers over the projection period. However, the number of new jobs created in hospitals is expected to increase at a slower rate than in many other industries, as hospitals focus on controlling costs and increasing the utilization of clinics and other alternate care sites. Medical and health services managers with experience in large facilities will enjoy the best job opportunities, as hospitals become larger and more complex. Employment will grow the fastest in practitioners’ offices and in home healthcare agencies. Many services previously provided in hospitals will continue to shift to these sectors, especially as medical technologies improve. Demand in medical group practice management will grow as medical group practices become larger and more complex. Medical and health services managers will need to deal with the pressures of cost containment and financial accountability, as well as with the increased focus on preventive care. They also will become more involved in trying to improve the health of their communities. Managers with specialized experience in a particular field, such as reimbursement, should have good opportunities.
Medical and health services managers also will be employed by healthcare management companies who provide management services to hospitals and other organizations, as well as to specific departments such as emergency, information management systems, managed care contract negotiations, and physician recruiting.
Earnings
Median annual earnings of medical and health services managers were $61,370 in 2002. The middle 50 percent earned between $47,910 and $80,150. The lowest 10 percent earned less than $37,460, and the highest 10 percent earned more than $109,080. Median annual earnings in the industries employing the largest numbers of medical and health services managers in 2002 were as follows:
General medical and surgical hospitals $65,950
Home health care services 56,320
Outpatient care centers 55,650
Offices of physicians 55,600
Nursing care facilities 55,320
Earnings of medical and health services managers vary by type and size of the facility, as well as by level of responsibility. For example, the Medical Group Management Association reported that, in 2002, median salaries for administrators were $78,258 in practices with fewer than 7 physicians; $92,727 in practices with 7 to 25 physicians; and $125,988 in practices with more than 26 physicians. According to a survey by Modern Healthcare magazine, median annual compensation in 2003 for managers of selected clinical departments was $71,800 in respiratory care, $79,000 in physical therapy, $84,500 in home healthcare, $85,100 in laboratory services, $89,100 in rehabilitation services, $89,500 in medical imaging/diagnostic radiology, and $98,400 in nursing services. Salaries also varied according to size of facility and geographic region.
ST AUGUSTINE MEDICAL ASSISTANT SCHOOL
www.medassistant.org
MEDICAL ASSISTANT
Healthcare is a business and, like every other business, it needs good management to keep it running smoothly. The occupation, medical and health services manager, encompasses all individuals who plan, direct, coordinate, and supervise the delivery of healthcare. medical and health services managers include specialists and generalists. Specialists are in charge of specific clinical departments or services, while generalists manage or help to manage an entire facility or system.
The structure and financing of healthcare is changing rapidly. Future medical and health services managers must be prepared to deal with evolving integrated healthcare delivery systems, technological innovations, an increasingly complex regulatory environment, restructuring of work, and an increased focus on preventive care. They will be called upon to improve efficiency in healthcare facilities and the quality of the healthcare provided. Increasingly, medical and health services managers will work in organizations in which they must optimize efficiency of a variety of interrelated services—for example, those ranging from inpatient care to outpatient followup care.
Large facilities usually have several assistant administrators to aid the top administrator and to handle daily decisions. Assistant administrators may direct activities in clinical areas such as nursing, surgery, therapy, medical records, or health information. (Managers in nonhealth areas, such as administrative services, computer and information systems, finance, and human resources, are not included in this statement. For information about them, see the statements on management occupations elsewhere in the Handbook.)
In smaller facilities, top administrators handle more of the details of daily operations. For example, many nursing home administrators manage personnel, finance, facility operations, and admissions, and have a larger role in resident care.
Clinical managers have more specific responsibilities than do generalists, and have training or experience in a specific clinical area. For example, directors of physical therapy are experienced physical therapists, and most health information and medical record administrators have a bachelor’s degree in health information or medical record administration. Clinical managers establish and implement policies, objectives, and procedures for their departments; evaluate personnel and work; develop reports and budgets; and coordinate activities with other managers.
In group medical practices, managers work closely with physicians. Whereas an office manager may handle business affairs in small medical groups, leaving policy decisions to the physicians themselves, larger groups usually employ a full-time administrator to help formulate business strategies and coordinate day-to-day business.
A small group of 10 to 15 physicians might employ 1 administrator to oversee personnel matters, billing and collection, budgeting, planning, equipment outlays, and patient flow. A large practice of 40 to 50 physicians may have a chief administrator and several assistants, each responsible for different areas.
Medical and health services managers in managed care settings perform functions similar to those of their counterparts in large group practices, except that they may have larger staffs to manage. In addition, they may do more work in the areas of community outreach and preventive care than do managers of a group practice.
Some medical and health services managers oversee the activities of a number of facilities in health systems. Such systems may contain both inpatient and outpatient facilities and offer a wide range of patient services.
Working Conditions
Most medical and health services managers work long hours. Facilities such as nursing care facilities and hospitals operate around the clock, and administrators and managers may be called at all hours to deal with problems. They also may travel to attend meetings or inspect satellite facilities.
Some managers work in comfortable, private offices; others share space with other managers or staff. They may spend considerable time walking, to consult with coworkers.
Employment
Medical and health services managers held about 244,000 jobs in 2002. About 37 percent worked in hospitals, and another 17 percent worked in offices of physicians or nursing care facilities. The remainder worked mostly in home healthcare services, Federal government healthcare facilities, ambulatory facilities run by State and local governments, outpatient care centers, insurance carriers, and community care facilities for the elderly.
Training, Other Qualifications, and Advancement
Medical and health services managers must be familiar with management principles and practices. A master’s degree in health services administration, long-term care administration, health sciences, public health, public administration, or business administration is the standard credential for most generalist positions in this field. However, a bachelor’s degree is adequate for some entry-level positions in smaller facilities and at the departmental level within healthcare organizations. Physicians’ offices and some other facilities may substitute on-the-job experience for formal education.
For clinical department heads, a degree in the appropriate field and work experience may be sufficient for entry. However, a master’s degree in health services administration or a related field may be required to advance. For example, nursing service administrators usually are chosen from among supervisory registered nurses with administrative abilities and a graduate degree in nursing or health services administration.
Bachelor’s, master’s, and doctoral degree programs in health administration are offered by colleges, universities, and schools of public health, medicine, allied health, public administration, and business administration. In 2003, 67 schools had accredited programs leading to the master’s degree in health services administration, according to the Accrediting Commission on Education for Health Services Administration.
Some graduate programs seek students with undergraduate degrees in business or health administration; however, many graduate programs prefer students with a liberal arts or health profession background. Candidates with previous work experience in healthcare also may have an advantage. Competition for entry to these programs is keen, and applicants need above-average grades to gain admission. Graduate programs usually last between 2 and 3 years. They may include up to 1 year of supervised administrative experience, and course work in areas such as hospital organization and management, marketing, accounting and budgeting, human resources administration, strategic planning, health economics, and health information systems. Some programs allow students to specialize in one type of facility—hospitals, nursing care facilities, mental health facilities, or medical groups. Other programs encourage a generalist approach to health administration education.
New graduates with master’s degrees in health services administration may start as department managers or as staff employees. The level of the starting position varies with the experience of the applicant and the size of the organization. Hospitals and other health facilities offer postgraduate residencies and fellowships, which usually are staff positions. Graduates from master’s degree programs also take jobs in large group medical practices, clinics, mental health facilities, nursing care corporations, and consulting firms.
Graduates with bachelor’s degrees in health administration usually begin as administrative assistants or assistant department heads in larger hospitals. They also may begin as department heads or assistant administrators in small hospitals or nursing care facilities.
All States and the District of Columbia require nursing care facility administrators to have a bachelor’s degree, pass a licensing examination, complete a State-approved training program, and pursue continuing education. A license is not required in other areas of medical and health services management.
Medical and health services managers often are responsible for millions of dollars’ worth of facilities and equipment and hundreds of employees. To make effective decisions, they need to be open to different opinions and good at analyzing contradictory information. They must understand finance and information systems, and be able to interpret data. Motivating others to implement their decisions requires strong leadership abilities. Tact, diplomacy, flexibility, and communication skills are essential because medical and health services managers spend most of their time interacting with others.
Medical and health services managers advance by moving into more responsible and higher paying positions, such as assistant or associate administrator, or by moving to larger facilities.
Job Outlook
Employment of medical and health services managers is expected to grow faster than the average for all occupations through 2012, as the health services industry continues to expand and diversify. Opportunities will be especially good in offices of physicians and other health practitioners, home healthcare services, and outpatient care centers. Applicants with work experience in the healthcare field and strong business and management skills should have the best opportunities.
Hospitals will continue to employ the most medical and health services managers over the projection period. However, the number of new jobs created in hospitals is expected to increase at a slower rate than in many other industries, as hospitals focus on controlling costs and increasing the utilization of clinics and other alternate care sites. Medical and health services managers with experience in large facilities will enjoy the best job opportunities, as hospitals become larger and more complex. Employment will grow the fastest in practitioners’ offices and in home healthcare agencies. Many services previously provided in hospitals will continue to shift to these sectors, especially as medical technologies improve. Demand in medical group practice management will grow as medical group practices become larger and more complex. Medical and health services managers will need to deal with the pressures of cost containment and financial accountability, as well as with the increased focus on preventive care. They also will become more involved in trying to improve the health of their communities. Managers with specialized experience in a particular field, such as reimbursement, should have good opportunities.
Medical and health services managers also will be employed by healthcare management companies who provide management services to hospitals and other organizations, as well as to specific departments such as emergency, information management systems, managed care contract negotiations, and physician recruiting.
Earnings
Median annual earnings of medical and health services managers were $61,370 in 2002. The middle 50 percent earned between $47,910 and $80,150. The lowest 10 percent earned less than $37,460, and the highest 10 percent earned more than $109,080. Median annual earnings in the industries employing the largest numbers of medical and health services managers in 2002 were as follows:
General medical and surgical hospitals $65,950
Home health care services 56,320
Outpatient care centers 55,650
Offices of physicians 55,600
Nursing care facilities 55,320
Earnings of medical and health services managers vary by type and size of the facility, as well as by level of responsibility. For example, the Medical Group Management Association reported that, in 2002, median salaries for administrators were $78,258 in practices with fewer than 7 physicians; $92,727 in practices with 7 to 25 physicians; and $125,988 in practices with more than 26 physicians. According to a survey by Modern Healthcare magazine, median annual compensation in 2003 for managers of selected clinical departments was $71,800 in respiratory care, $79,000 in physical therapy, $84,500 in home healthcare, $85,100 in laboratory services, $89,100 in rehabilitation services, $89,500 in medical imaging/diagnostic radiology, and $98,400 in nursing services. Salaries also varied according to size of facility and geographic region.
ST AUGUSTINE MEDICAL ASSISTANT SCHOOL
www.medassistant.org
MEDICAL ASSISTANT
American Association of Medical Assistants
The mission of the American Association of Medical Assistants is to enable medical assisting professionals to enhance and demonstrate the knowledge, skills and professionalism required by employers and patients; protect medical assistants' right to practice; and promote effective, efficient health care delivery through optimal use of multiskilled Certified Medical Assistants (CMAs).
Sunday, May 01, 2005
Sunday, April 24, 2005
Medical Assistant Comments
St. Augustine Medical Assistant School
Medical Assistant Student Comments:
"This program really did fill my expectations. It is complete. It motivates people to continue going forward. I would say that St. Augustine School provides the help and time you need to make your efforts possible. The courses are complete and the goals reachable. I was a real pleasure being one of your students."-- Florentina, PR USA"I think this program is great. I think this is the best thing that has happened to me in a long time. I have been searching for a long time for a good school and I was very impressed by everything. I has been a great experience and I wouldn't tell you to change a thing. I have learned a lot and I am excited about what the future holds for me. I Thank you for giving me this opportunity"-- Julie, MI USA " This program definately met my expectations. I work full-time and have a family to take care of in the evenings. I was able to take this program and use it in my free time, it was very convenient for me. I learned a lot. Thank you for having this program online, I have recommended it to several people."-- Jennifer, PA USA "This experience has helped me in my career goal. This program was wonderful for me. I was able to complete it at my own pace and do all the work at home instead of in the classroom. I had a wonderful experience learning this way and would recommend it to anyone looking to advance their career in the medical field. Thank You!"- - Teresa, New York, USAThis is a really good program and there is nothing to change, it teahces you in a real mature way. This experience will help me in being a good Medical Assistant and to keep moving on in this medical field.-- Jeanette, New York, NY "The program was everything that I was expecting and I loved the freedom I had while doing this program."-- Virginia, Michigan, USA "I really enjoyed your Meidcal Assistant program. I am an estheticain and want top wotrk with aDermatologist or Plastic Surgeons. This program more then met my expectations. Thank you. I'm going to take your Pharmacy Technician program next."-- Gail, Washington USA "I loved the program! I am a certified nurse assistant for 5 years and wanted to improve my knowledge so I could be albe to help doctors and nurses at health facilities. I loved the program since I was able to do it at home. As a mother of 3 kids it is hard to attend school. This program will help me in the nursing program at the University of Massachusetts."- -Maria, Massachusetts, USA"St. Augustine Medical Assistant School provides an excellent program for people interested in becoming Medical Assistants. I recommend this program for anyone interested in the medical field. I have six excellent job offers since completing this on-line program. I recommend it to all!-- Karen, Virgina USA"I feel that by taking this course, it will help me in my everyday medical operations and experiences. It helped review things I already known and tought me things I did not have knowledge of. It will help acccomplish my career goals"-- Jennifer, PA USAI already work in a medical office and enjoyed this Medical Assistant program very much. This is a great step and building block for the career goal. It was a very thorough course with a lot of helpful videos and weblinks."-- Paul, North Carolina USA "I was able to find a great job in only a few days after finishing your online MA program. I recommend it to everyone interested in being a Medical Assistant or working in the health care field."-- Anne, Texas USA"This program was very well put together and helpful. I really enjoyed the lessons and explanations. I was happy with my experience and I looked forward to doing the lessons everyday. Thank you for the great program!"-- Kimberly, WY USA "This was an excellent Medical Assistant program. I learned more in a few weeks with your program then I did in 2 years at a community college. I recommend this program to everyone!"-- Dan, California USA I work in a clinic with a doctor and this Medical Assistant course will be extremely helpful. I feel this course was extremely beneficial."-- Denise, Kentucky USA"I plan to become a Physicians Assistant and this was a great course to start with. I learned a real lot about medical terminology and procedures"-- Debbie, Boston USA"An excellent and informative medical program! This was very helpful in finding a job."-- Jan, Canada "I loved the program. I was able to work at my own pace and use the internet for additional information with the links provided. The textbook gave all the information I needed to take the final and the CD was also a wonderful study guide."-- Christina, California USA "A very simple and easy to use program. I loved it and learned so much from the online instruction, web links, textbook and CD ROM. I recommend this program for all Medical Assistants or anyone entering the medical field."-- Barbara, Florida USA"I feel I am very well prepared to begin my new job as a Medical Assistant for a family medicine group here in Dallas. Thank you for allowing me to take your program. It was a great help and I'm looking forward to my new job. I recommend your program to everyone!"-- Sandy, Texas USA "This course will help me in my long term fo becoming a nurse. This program meet my every expectation. I learned a lot form this course. I would highly recommend this program!" -- Lisa, Huston, Texas, USA"This education experience was satisfying emotionally, mentally and financailly.The textbook contained all the essential information needed to compete the course and the program more then met my expectations."-- Anna, Florida, USA"I Have been a CNA for 10 years and I believe this expericence will help me in my career goals, this program was very helpful! Thank you for the wonderful experience."-- Kristy, MA USA "I am currently a premed student, I loved the flexibility of your program and all the extra links to aid in the studying and note taking. I am very happy to have finished the course. It turned out great!"-- Bianca, Florida USA "Your Nursing Assistant program more then meet my expectations. It is great that you have an internet program for working class people who have to support their family and still want to achieve their goal."-- Claudette, California, USA "This program has helped make my dreams come true,I enjoyed the no stress deadline. Everything being at my own pace helped me with the actual understanding of procedures and if I did not understand something I could go back and reread without the preasure of deadline. Thank you for this wonderful program!"-- Lori, NV USA Medical Assistant: St. Augustine Medical Assistant School
Medical Assistant Student Comments:
"This program really did fill my expectations. It is complete. It motivates people to continue going forward. I would say that St. Augustine School provides the help and time you need to make your efforts possible. The courses are complete and the goals reachable. I was a real pleasure being one of your students."-- Florentina, PR USA"I think this program is great. I think this is the best thing that has happened to me in a long time. I have been searching for a long time for a good school and I was very impressed by everything. I has been a great experience and I wouldn't tell you to change a thing. I have learned a lot and I am excited about what the future holds for me. I Thank you for giving me this opportunity"-- Julie, MI USA " This program definately met my expectations. I work full-time and have a family to take care of in the evenings. I was able to take this program and use it in my free time, it was very convenient for me. I learned a lot. Thank you for having this program online, I have recommended it to several people."-- Jennifer, PA USA "This experience has helped me in my career goal. This program was wonderful for me. I was able to complete it at my own pace and do all the work at home instead of in the classroom. I had a wonderful experience learning this way and would recommend it to anyone looking to advance their career in the medical field. Thank You!"- - Teresa, New York, USAThis is a really good program and there is nothing to change, it teahces you in a real mature way. This experience will help me in being a good Medical Assistant and to keep moving on in this medical field.-- Jeanette, New York, NY "The program was everything that I was expecting and I loved the freedom I had while doing this program."-- Virginia, Michigan, USA "I really enjoyed your Meidcal Assistant program. I am an estheticain and want top wotrk with aDermatologist or Plastic Surgeons. This program more then met my expectations. Thank you. I'm going to take your Pharmacy Technician program next."-- Gail, Washington USA "I loved the program! I am a certified nurse assistant for 5 years and wanted to improve my knowledge so I could be albe to help doctors and nurses at health facilities. I loved the program since I was able to do it at home. As a mother of 3 kids it is hard to attend school. This program will help me in the nursing program at the University of Massachusetts."- -Maria, Massachusetts, USA"St. Augustine Medical Assistant School provides an excellent program for people interested in becoming Medical Assistants. I recommend this program for anyone interested in the medical field. I have six excellent job offers since completing this on-line program. I recommend it to all!-- Karen, Virgina USA"I feel that by taking this course, it will help me in my everyday medical operations and experiences. It helped review things I already known and tought me things I did not have knowledge of. It will help acccomplish my career goals"-- Jennifer, PA USAI already work in a medical office and enjoyed this Medical Assistant program very much. This is a great step and building block for the career goal. It was a very thorough course with a lot of helpful videos and weblinks."-- Paul, North Carolina USA "I was able to find a great job in only a few days after finishing your online MA program. I recommend it to everyone interested in being a Medical Assistant or working in the health care field."-- Anne, Texas USA"This program was very well put together and helpful. I really enjoyed the lessons and explanations. I was happy with my experience and I looked forward to doing the lessons everyday. Thank you for the great program!"-- Kimberly, WY USA "This was an excellent Medical Assistant program. I learned more in a few weeks with your program then I did in 2 years at a community college. I recommend this program to everyone!"-- Dan, California USA I work in a clinic with a doctor and this Medical Assistant course will be extremely helpful. I feel this course was extremely beneficial."-- Denise, Kentucky USA"I plan to become a Physicians Assistant and this was a great course to start with. I learned a real lot about medical terminology and procedures"-- Debbie, Boston USA"An excellent and informative medical program! This was very helpful in finding a job."-- Jan, Canada "I loved the program. I was able to work at my own pace and use the internet for additional information with the links provided. The textbook gave all the information I needed to take the final and the CD was also a wonderful study guide."-- Christina, California USA "A very simple and easy to use program. I loved it and learned so much from the online instruction, web links, textbook and CD ROM. I recommend this program for all Medical Assistants or anyone entering the medical field."-- Barbara, Florida USA"I feel I am very well prepared to begin my new job as a Medical Assistant for a family medicine group here in Dallas. Thank you for allowing me to take your program. It was a great help and I'm looking forward to my new job. I recommend your program to everyone!"-- Sandy, Texas USA "This course will help me in my long term fo becoming a nurse. This program meet my every expectation. I learned a lot form this course. I would highly recommend this program!" -- Lisa, Huston, Texas, USA"This education experience was satisfying emotionally, mentally and financailly.The textbook contained all the essential information needed to compete the course and the program more then met my expectations."-- Anna, Florida, USA"I Have been a CNA for 10 years and I believe this expericence will help me in my career goals, this program was very helpful! Thank you for the wonderful experience."-- Kristy, MA USA "I am currently a premed student, I loved the flexibility of your program and all the extra links to aid in the studying and note taking. I am very happy to have finished the course. It turned out great!"-- Bianca, Florida USA "Your Nursing Assistant program more then meet my expectations. It is great that you have an internet program for working class people who have to support their family and still want to achieve their goal."-- Claudette, California, USA "This program has helped make my dreams come true,I enjoyed the no stress deadline. Everything being at my own pace helped me with the actual understanding of procedures and if I did not understand something I could go back and reread without the preasure of deadline. Thank you for this wonderful program!"-- Lori, NV USA Medical Assistant: St. Augustine Medical Assistant School
Wednesday, April 20, 2005
Medical assistants are in demand!
Medical assistants are in demand! Medical assisting is one of the nation's fastest growing careers through 2012, according to the United States Bureau of Labor Statistics. This can be attributed to a predicted surge in the number of physicians' offices and outpatient care facilities. Technological advancements and the growing number of elderly Americans who need medical treatment are also factors for the increased demand for medical assistants.
Monday, April 11, 2005
Medical Assistant Career
Medical Assistant careers are gathering demand in the background of a healthcare industry boom worldwide. A Medical Assistant essentially is a healthcare professional with multiple responsibilities and skill sets required to execute the same. Both administrative and medical tasks that do not need much medical proficiency fall into the ambit of a Medical Assistant.Medical Assistants are indispensable in any modern day healthcare practice. Engaged under physicians, podiatrists, chiropractors, and other health practitioners. Medical Assistants attend to the complexities involved in delivering medical services.By accomplishing administrative and other responsibilities, Medical Assistants make it easier for the practitioners to concentrate on attending to and treating patients. Medical Assistants execute varied administrative, laboratory and clinical tasks in different health care institutions.Often, Medical Assistants are seen as generalists who are involved with many aspects of the medical profession but do not specialize in them.A detailed overview of the activities of a Medical Assistant is given here:Administrative duties: General administration which includes day-to-day activities and other tasks. These include:Communication - both internal and external and office correspondence.Patient welfare - maintenance of patient records, insurance forms, scheduling appointments, arranging for hospital admission. Billing and bookkeeping.Maintain medical and drug supplies. Clinical duties: Clinical duties require discreet manual dexterity and visual acuity. A Medical Assistant has to support the medical practitioner with the following:Recording vital signs.Preparing patients for examination, explaining treatment procedures to patients.Assisting the physician during the examination. Instructing patients about medications and special diets.Preparation and administration of medications.Laboratory tasks:Laboratory tasks include: Collection and preparation of laboratory specimens.Performing basic laboratory tests on the premises.Draw blood, prepare patients for X-rays, take electrocardiograms, remove sutures and change dressings.Disposal of contaminated supplies and sterilization of medical instruments. Medical Assistants employed at small medical outfits may undertake both administrative and clinical duties and report directly to the office manager or health practitioner. Larger medical outfits have Medical Assistants reporting to department administrators and specializing only in a particular area.Medical Assistant - Essential qualities and skills:Duties entailed in medical assisting vary with the type of health care facility, size, location and specialisation.A pleasant disposition is a must as Medical Assistants constantly interact with patients and public. Courteous manners, a well groomed personality and an aptitude for making people feel at ease are essential.Simple medical and clinical skills and administrative abilities are integral to the profile of a Medical Assistant.Traditionally, Medical Assistants did not need to be certified as they learnt on the job. This scenario has changed and contemporary medical practices prefer trained and certified Medical Assistant professionals to untrained individuals.Medical Assistant Training and Certification:Healthcare industry is increasingly in favour of trained Medical Assistants. The need for technically sound personnel who have the flexibility of handling both clinical and administrative tasks is on the rise. The trend is an offshoot of the need felt by doctors to concentrate on treating patients rather than on other functional details.Certification is a mark of the individual having been trained and qualified in the profession.A Medical Assistant certificate stands as a certainity of successful training. Also, securing a Medical Assistant certificate assures higher professional satisfaction and recognition. Compared to uncertified individuals, the formal education and the Medical Assistant certificate help them in advance faster in their profession.The Medical Assistant certificate can be secured by both experienced and inexperienced individuals. Experienced professionals may not have to take a certification exam. Inexperienced candidates though will have to undergo rigorous training from an accredited vocational training institution.Medical Assistant certification or registration will put the individual a step ahead from counterparts. Medical Assistant registration and certification are the same. It's just that different certifying bodies have different terms for referring to a Medical Assistant cerificate.With many Medical Assistant schools mushrooming in the market, it is important that one acquires education and secures Medical Assistant registration from a reputed and reliable source.Medical Assistant Education:Medical Assistant education obtained from a high grade vocational training institution is a sure way to a successful Medical Assistant career.Schools offering Medical Assistant education abound in the market. Making the right choice of schools makes the difference in education in medical assistance.St.Augustine's School of Medical Assistants offers accredited and affordable distance Medical Assistant education online.Medical Assistant education at St.Augustine's is comprehensive and does not leave out any element crucial to training. The 24/7 online training facility provides classes, knowledge resources and virtual laboratory training online. Distance Medical Assistant education:St. Augustine's Medical Assistants school offers distance education through online courses. Distance education is favoured by Medical Assistant aspirants who are already working and studying part time. Distance Medical Assistant education gives such candidates the flexibility of scheduling their study time around their working hours.The Medical Assistant Program at St.Augustine's:Medical Assistant program at St. Augustine's is an online training course that is available anytime and anywhere. With this program, accomplishing certifications is a matter of just 6-8 weeks from commencement. The program includes complete online courses along with training on laboratory skills and facilities to perform laboratory tasks. The advantage with St. Augustine's Medical Assistant program is that, the student can take up the course at his own pace and convenience. Since it is online, the course can be accessed from anywhere in the world.Whether it is a full time student or a working person wanting to study part time, the online Medical Assistant program is a convenient way to Medical Assistant registration.The course ware for the Medical Assistant program is developed and regularly updated by experts from diverse disciplines, health care professionals and practitioners making it one of the best available programs for Medical Assistants.Medical Assistant classes online: On signing up for the Medical Assistant program, students have the convenience of accessing classes online. According to individual schedules, Medical Assistant students can access these classes at their own convenience.Medical Assistant classes at St. Augustine's deal with the following subjects:Medical Terminology, Human Body Planes, Basic Human Anatomy and Physiology, Medical Office Professionalism, Patient Communication, Medical Records, Basic Medical Law, Scheduling Appointments, Medical Billing and Insurance Claims, Infection Control, Surgical Instruments, Emergency Care, Clinical Equipment, Patient History and Physicals, EKG and Lab Testing, Specimen Collection and Lab Safety, Introduction to Patient Medications. The classes also cover Clinical Laboratory training online. These include: Virtual Phlebotomy Lab (Collecting a Blood Sample), Virtual Injection Lab, Medication injections, Measuring A Pulse, Introduction to CPR and Basic Ultrasound. At St. Augustine's School of Medical Assistants, enrolling gives students the advantage of well designed Medical Assistant programs, curricula, online classes, an accredited Medical Assistant certificate within 6-8 weeks!St. Augustine's educational services:Educational services offered by St. Augustine's Medical Assistant school aim at providing vocational training for Medical Assistant aspirants.St. Augustine's educational services are unique in their approach to training, course design, teaching techniques etc. The ultimate goal is to give students the best value for the money they have invested in Medical Assistant registration training. The distance education program offered under St. Augustine educational services online is a high turnaaround, quality program that is accredited, affordable and convenient. St. Augustine's online educational services are affordable as they cut down travelling, instructional material and other costs. It can be accessed by students wherever they are, whenever they want and brings the convenience factor into education. Online educational services at St. Augustine's are accredited and hence give best value for money spent on educating oneself.St. Augustine's educational services online are a passport to a shining career as a Medical Assistant.Health care careers are fruitful for certified Medical Assistants:Health care careers are being sought after nowadays as high return professions both on the monetary front and on the satisfaction front. The booming health care industry is demanding technically qualified personnel and the market is ripe for professions like Medical Assistants, Hospital Assistants and others.Thanks to the boom, health care careers are highly in need of well trained staff. Vocational education in professions like Medical Assistants provides an effective solution for the demand. By training students for the specific job and also focusing on overall life skills, educational services like that offered by St.Augustine's are enhancing employability of individuals.Health care professionals - upgrade skills for advancing careers: Employment opportunities in flexible health care careers like that of Medical Assistants are predicted to increase mutifold. Infact Medical Assistant health care careers are expected to grow much faster than the average for all other occupations.Certified Medical Assistants with experience will definitely be highly sought after as a result. Health care professionals like registered Medical Assistants with experience stand to gain in a big way. Experienced and trained Medical Assistants may be able to advance faster than other health care professionals. By adding on to their existing skill sets and certifications, they can gain over health care professionals. Moreover pliable health care professionals like Medical Assistants have open occupational choices and opportunities form a variety of health care setups.The future certainly seems to be beckoning Medical Assistant careers. All one needs to do is to gear up with an accredited Medical Assistant certificate.The health care industry wants you - Medical Assistants, sit up and get registered!Advance your careers with online Medical Assistant distance education programs from St.Augustine. Medical Assistant Registration
Monday, March 28, 2005
The medical assistant should know about medications
Medical Assistant should know about:
COMMON MEDICATIONS AND THE ELDERLY
One of your duties as a medical assistant, whether you work in a medical office and a medical assistant, medical office assistant or in an assisted living facility, may be to assist the client/resident with their medications. It is important, therefore, that you are familiar with some of the common medications and their potential side effects, so that you know what to look for and report. In the following paragraphs, you will be provided with some basic information to assist you with this task.
LET’S TALK ABOUT ANALGESICS: Some of the most commonly used pain relievers that people use are Tylenol (Acetaminophen), Aspirin, and Motrin (Ibuprofen), which we are all familiar with. Generally, they are taken for relief of headache, body aches (backache, muscle aches, arthritic pain, menstrual cramps), and fever reduction. But overuse of these over the counter medications can have some harmful side effects that we should all be aware of. Massive doses of Tylenol can cause liver damage. Never take more than 2 tablets every 4 – 6 hrs (Max 12 tablets regular strength in a 24hr period). Do not take Tylenol for pain relief for more than 10 days, or to reduce fever for more than 3 consecutive days. In either one of these situations involving your client/resident, your supervisor should be notified, so that proper follow up is initiated with the client/resident’s medical practitioner. Aspirin, in addition to its pain reliever and fever reducing qualities, is sometimes used to ensure sufficient blood flow to the brain, to prevent stroke, and to decrease the possibility of reoccurrence of a heart attack. This is important information for the medical assistant to remember.
COMMON MEDICATIONS AND THE ELDERLY
One of your duties as a medical assistant, whether you work in a medical office and a medical assistant, medical office assistant or in an assisted living facility, may be to assist the client/resident with their medications. It is important, therefore, that you are familiar with some of the common medications and their potential side effects, so that you know what to look for and report. In the following paragraphs, you will be provided with some basic information to assist you with this task.
LET’S TALK ABOUT ANALGESICS: Some of the most commonly used pain relievers that people use are Tylenol (Acetaminophen), Aspirin, and Motrin (Ibuprofen), which we are all familiar with. Generally, they are taken for relief of headache, body aches (backache, muscle aches, arthritic pain, menstrual cramps), and fever reduction. But overuse of these over the counter medications can have some harmful side effects that we should all be aware of. Massive doses of Tylenol can cause liver damage. Never take more than 2 tablets every 4 – 6 hrs (Max 12 tablets regular strength in a 24hr period). Do not take Tylenol for pain relief for more than 10 days, or to reduce fever for more than 3 consecutive days. In either one of these situations involving your client/resident, your supervisor should be notified, so that proper follow up is initiated with the client/resident’s medical practitioner. Aspirin, in addition to its pain reliever and fever reducing qualities, is sometimes used to ensure sufficient blood flow to the brain, to prevent stroke, and to decrease the possibility of reoccurrence of a heart attack. This is important information for the medical assistant to remember.
Saturday, March 12, 2005
Basic Phlebotomy for the Medical Assistant
Basic Phlebotomy for the Medical AssistantROUTINE VENIPUNCTURE AND SPECIMEN HANDLING
Objectives for the tutorial:
Describe and perform the venipuncture process including:
Proper patient identification procedures.
Proper equipment selection and use.
Proper labelling procedures and completion of laboratory requisitions.
Order of draw for multiple tube phlebotomy.
Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery.
Patient care following completion of venipuncture.
Safety and infection control procedures.
Quality assurance issues.
Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes.
List six areas to be avoided when performing venipuncture and the reasons for the restrictions.
Summarize the problems that may be encountered in accessing a vein, including the procedure to follow when a specimen is not obtained.
List several effects of exercise, posture, and tourniquet application upon laboratory values.
VENIPUNCTURE PROCEDURE
The venipuncture procedure is complex, requiring both knowledge and skill to perform. Each phlebotomist generally establishes a routine that is comfortable for her or him. Several essential steps are required for every successful collection procedure:
Identify the patient.
Assess the patient's physical disposition (i.e. diet, exercise, stress, basal state).
Check the requisition form for requested tests, patient information, and any special requirements.
Select a suitable site for venipuncture.
Prepare the equipment, the patient and the puncture site.
Perform the venipuncture.
Collect the sample in the appropriate container.
Recognize complications associated with the phlebotomy procedure.
Assess the need for sample recollection and/or rejection.
Label the collection tubes at the bedside or drawing area.
Promptly send the specimens with the requisition to the laboratory.
ORDER FORM / REQUISITION
A requisition form must accompany each sample submitted to the laboratory. This requisition form must contain the proper information in order to process the specimen. The essential elements of the requisition form are:
Patient's surname, first name, and middle initial.
Patient's ID number.
Patient's date of birth and sex.
Requesting physician's complete name.
Source of specimen. This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific.
Date and time of collection.
Initials of phlebotomist.
Indicating the test(s) requested.
An example of a simple requisition form with the essential elements is shown below:
LABELING THE SAMPLE
A properly labelled sample is essential so that the results of the test match the patient. The key elements in labelling are:
Patient's surname, first and middle.
Patient's ID number.
NOTE: Both of the above MUST match the same on the requisition form.
Date, time and initials of the phlebotomist must be on the label of EACH tube.
An example of a simple requisition form with the essential elements is shown below:
EQUIPMENT:
THE FOLLOWING ARE NEEDED FOR ROUTINE VENIPUNCTURE:
Evacuated Collection Tubes - The tubes are designed to fill with a predetermined volume of blood by vacuum. The rubber stoppers are color coded according to the additive that the tube contains. Various sizes are available. Blood should NEVER be poured from one tube to another since the tubes can have different additives or coatings (see illustrations at end).
Needles - The gauge number indicates the bore size: the larger the gauge number, the smaller the needle bore. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system.
Holder/Adapter - use with the evacuated collection system.
Tourniquet - Wipe off with alcohol and replace frequently.
Alcohol Wipes - 70% isopropyl alcohol.
Povidone-iodine wipes/swabs - Used if blood culture is to be drawn.
Gauze sponges - for application on the site from which the needle is withdrawn.
Adhesive bandages / tape - protects the venipuncture site after collection.
Needle disposal unit - needles should NEVER be broken, bent, or recapped. Needles should be placed in a proper disposal unit IMMEDIATELY after their use.
Gloves - can be made of latex, rubber, vinyl, etc.; worn to protect the patient and the phlebotomist.
Syringes - may be used in place of the evacuated collection tube for special circumstances.
ORDER OF DRAW:
Blood collection tubes must be drawn in a specific order to avoid cross-contamination of additives between tubes. The recommended order of draw is:
First - blood culture tube (yellow-black stopper)
Second - non-additive tube (red stopper or SST)
Third - coagulation tube (light blue stopper). If just a routine coagulation assay is the only test ordered, then a single light blue stopper tube may be drawn. If there is a concern regarding contamination by tissue fluids or thromboplastins, then one may draw a non-additive tube first, and then the light blue stopper tube.
Last draw - additive tubes in this order:
Last draw - additive tubes in this order:
SST (red-gray, or gold, stopper). Contains a gel separator and clot activator.
Sodium heparin (dark green stopper)
PST (light green stopper). Contains lithium heparin anticoagulant and a gel separator.
EDTA (lavender stopper)
ACDA or ACDB (pale yellow stopper). Contains acid citrate dextrose.
Oxalate/fluoride (light gray stopper)
NOTE:Tubes with additives must be thoroughly mixed. Erroneous test results may be obtained when the blood is not thoroughly mixed with the additive.
NOTE:For plastic tubes, the order of draw for tubes 2 and 3 is reversed.
PROCEDURAL ISSUES
PATIENT RELATIONS AND IDENTIFICATION:
The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. Greet the patient and identify yourself and indicate the procedure that will take place. Effective communication - both verbal and nonverbal - is essential.
Proper patient identification MANDATORY. If an inpatient is able to respond, ask for a full name and always check the armband for confirmation. DO NOT DRAW BLOOD IF THE ARMBAND IS MISSING. An outpatient must provide identification other than the verbal statement of a name. Using the requisition for reference, ask a patient to provide additional information such as a surname or birthdate.
If possible, speak with the patient during the process. The patient who is at ease will be less focused on the procedure. Always thank the patient and excuse yourself courteously when finished.
PATIENT'S BILL OF RIGHTS:
The Patient's Bill of Rights has been adopted by many hospitals as declared by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The basic patient rights endorsed by the JCAHO follow in condensed form are given below.
The patient has the right to:
Impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or sources of payment for care.
Considerate, respectful care.
Confidentiality of all communications and other records pertaining to the patient's care.
Expect that any discussion or consultation involving the patient's case will be conducted discreetly and that individuals not directly involved in the case will not be present without patient permission.
Expect reasonable safety congruent with the hospital practices and environment.
Know the identity and professional status of individuals providing service and to know which physician or other practitioner is primarily responsible for his or her care.
Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand.
Reasonable informed participation in decisions involving the patient's health care. The patient shall be informed if the hospital proposes to engage in or perform human experimentation or other research/educational profits affecting his or her care or treatment. The patient has the right to refuse participation in such activity.
Consult a specialist at the patient's own request and expense.
Refuse treatment to the extent permitted by law.
Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital.
Be informed of the hospital rules and regulations regarding patient conduct.
VENIPUNCTURE SITE SELECTION:
Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, wrist and hand veins are also acceptable for venipuncture.
Certain areas are to be avoided when choosing a site:
Extensive scars from burns and surgery - it is difficult to puncture the scar tissue and obtain a specimen.
The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema.
Hematoma - may cause erroneous test results. If another site is not available, collect the specimen distal to the hematoma.
Intravenous therapy (IV) / blood transfusions - fluid may dilute the specimen, so collect from the opposite arm if possible. Otherwise, satisfactory samples may be drawn below the IV by following these procedures:
Turn off the IV for at least 2 minutes before venipuncture.
Apply the tourniquet below the IV site. Select a vein other than the one with the IV.
Perform the venipuncture. Draw 5 ml of blood and discard before drawing the specimen tubes for testing.
Cannula/fistula/heparin lock - hospitals have special policies regarding these devices. In general, blood should not be drawn from an arm with a fistula or cannula without consulting the attending physician.
Edematous extremities - tissue fluid accumulation alters test results.
PROCEDURE FOR VEIN SELECTION:
Palpate and trace the path of veins with the index finger. Arteries pulsate, are most elastic, and have a thick wall. Thrombosed veins lack resilience, feel cord-like, and roll easily.
If superficial veins are not readily apparent, you can force blood into the vein by massaging the arm from wrist to elbow, tap the site with index and second finger, apply a warm, damp washcloth to the site for 5 minutes, or lower the extremity over the bedside to allow the veins to fill.
PERFORMANCE OF A VENIPUNCTURE:
Approach the patient in a friendly, calm manner. Provide for their comfort as much as possible, and gain the patient's cooperation.
Identify the patient correctly.
Properly fill out appropriate requisition forms, indicating the test(s) ordered.
Verify the patient's condition. Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition.
Position the patient. The patient should either sit in a chair, lie down or sit up in bed. Hyperextend the patient's arm.
Apply the tourniquet 3-4 inches above the selected puncture site. Do not place too tightly or leave on more than 2 minutes.
The patient should make a fist without pumping the hand.
Select the venipuncture site.
Prepare the patient's arm using an alcohol prep. Cleanse in a circular fashion, beginning at the site and working outward. Allow to air dry.
Grasp the patient's arm firmly using your thumb to draw the skin taut and anchor the vein. The needle should form a 15 to 30 degree angle with the surface of the arm. Swiftly insert the needle through the skin and into the lumen of the vein. Avoid trauma and excessive probing.
When the last tube to be drawn is filling, remove the tourniquet.
Remove the needle from the patient's arm using a swift backward motion.
Press down on the gauze once the needle is out of the arm, applying adequate pressure to avoid formation of a hematoma.
Dispose of contaminated materials/supplies in designated containers.
Mix and label all appropriate tubes at the patient bedside.
Deliver specimens promptly to the laboratory.
PHLEBOTOMY PROCEDURE ILLUSTRATED:
Patient identification
Filling out the requisition
Equipment
Apply tourniquet and palpate for vein
Sterilize the site
Insert needle
Drawing the specimen
Drawing the specimen
Releasing the tourniquet
Applying pressure over the vein
Applying bandage
Disposing needle into sharps
Labelling the specimens
PERFORMANCE OF A FINGERSTICK:
Follow the procedure as outlined above for greeting and identifying the patient. As always, properly fill out appropriate requisition forms, indicating the test(s) ordered.
Verify the patient's condition. Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition.
Position the patient. The patient should either sit in a chair, lie down or sit up in bed. Hyperextend the patient's arm.
The best locations for fingersticks are the 3rd and 4th fingers of the non-dominant hand. Do not use the tip of the finger or the center of the finger. Avoid the side of the finger where there is less soft tissue, where vessels and nerves are located, and where the bone is closer to the surface. The 2nd (index) finger tends to have thicker, callused skin. The fifth finger tends to have less soft tissue overlying the bone. Avoid puncturing a finger that is cold or cyanotic, swollen, scarred, or covered with a rash.
Using a sterile lancet, make a skin puncture just off the center of the finger pad. The puncture should be made perpendicular to the ridges of the fingerprint so that the drop of blood does not run down the ridges.
Wipe away the first drop of blood, which tends to contain excess tissue fluid.
Collect drops of blood into the collection device by gently massaging the finger. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood.
Cap, rotate and invert the collection device to mix the blood collected.
Have the patient hold a small gauze pad over the puncture site for a couple of minutes to stop the bleeding.
Dispose of contaminated materials/supplies in designated containers.
Label all appropriate tubes at the patient bedside.
Deliver specimens promptly to the laboratory.
FINGERSTICK PROCEDURE ILLUSTRATED:
Equipment
Proper location on finger
Puncture with lancet
Drop of blood
Wipe first drop
Collecting the specimen
Specimen container
ADDITIONAL CONSIDERATIONS:
To prevent a hematoma:
Puncture only the uppermost wall of the vein
Remove the tourniquet before removing the needle
Use the major superficial veins
Make sure the needle fully penetrates the upper most wall of the vein. (Partial penetration may allow blood to leak into the soft tissue surrounding the vein by way of the needle bevel)
Apply pressure to the venipuncture site
To prevent hemolysis (which can interfere with many tests):
Mix tubes with anticoagulant additives gently 5-10 times
Avoid drawing blood from a hematoma
Avoid drawing the plunger back too forcefully, if using a needle and syringe, and avoid frothing of the sample
Make sure the venipuncture site is dry
Avoid a probing, traumatic venipuncture
Indwelling Lines or Catheters:
Potential source of test error
Most lines are flushed with a solution of heparin to reduce the risk of thrombosis
Discard a sample at least three times the volume of the line before a specimen is obtained for analysis
Hemoconcentration: An increased concentration of larger molecules and formed elements in the blood may be due to several factors:
Prolonged tourniquet application (no more than 2 minutes)
Massaging, squeezing, or probing a site
Long-term IV therapy
Sclerosed or occluded veins
Prolonged Tourniquet Application:
Primary effect is hemoconcentration of non-filterable elements (i.e. proteins). The hydrostatic pressure causes some water and filterable elements to leave the extracellular space.
Significant increases can be found in total protein, aspartate aminotransferase (AST), total lipids, cholesterol, iron
Affects packed cell volume and other cellular elements
Patient Preparation Factors:
Therapeutic Drug Monitoring: different pharmacologic agents have patterns of administration, body distribution, metabolism, and elimination that affect the drug concentration as measured in the blood. Many drugs will have "peak" and "trough" levels that vary according to dosage levels and intervals. Check for timing instructions for drawing the appropriate samples.
Effects of Exercise: Muscular activity has both transient and longer lasting effects. The creatine kinase (CK), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and platelet count may increase.
Stress: May cause transient elevation in white blood cells (WBC's) and elevated adrenal hormone values (cortisol and catecholamines). Anxiety that results in hyperventilation may cause acid-base imbalances, and increased lactate.
Diurnal Rhythms: Diurnal rhythms are body fluid and analyte fluctuations during the day. For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. Serum iron levels tend to drop during the day. You must check the timing of these variations for the desired collection point.
Posture: Postural changes (supine to sitting etc.) are known to vary lab results of some analytes. Certain larger molecules are not filterable into the tissue, therefore they are more concentrated in the blood. Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position.
Other Factors: Age, gender, and pregnancy have an influence on laboratory testing. Normal reference ranges are often noted according to age.
SAFETY AND INFECTION CONTROL
Because of contacts with sick patients and their specimens, it is important to follow safety and infection control procedures.
PROTECT YOURSELF
Practice universal precautions:
Wear gloves and a lab coat or gown when handling blood/body fluids.
Change gloves after each patient or when contaminated.
Wash hands frequently.
Dispose of items in appropriate containers.
Dispose of needles immediately upon removal from the patient's vein. Do not bend, break, recap, or resheath needles to avoid accidental needle puncture or splashing of contents.
Clean up any blood spills with a disinfectant such as freshly made 10% bleach.
If you stick yourself with a contaminated needle:
Remove your gloves and dispose of them properly.
Squeeze puncture site to promote bleeding.
Wash the area well with soap and water.
Record the patient's name and ID number.
Follow institution's guidelines regarding treatment and follow-up.
NOTE: The use of prophylactic zidovudine following blood exposure to HIV has shown effectiveness (about 79%) in preventing seroconversion
PROTECT THE PATIENT
Place blood collection equipment away from patients, especially children and psychiatric patients.
Practice hygiene for the patient's protection. When wearing gloves, change them between each patient and wash your hands frequently. Always wear a clean lab coat or gown.
TROUBLESHOOTING GUIDELINES:
IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED:
Change the position of the needle. Move it forward (it may not be in the lumen)
or move it backward (it may have penetrated too far).
Adjust the angle (the bevel may be against the vein wall).
Loosen the tourniquet. It may be obstructing blood flow.
Try another tube. There may be no vacuum in the one being used.
Re-anchor the vein. Veins sometimes roll away from the point of the needle and puncture site.
IF BLOOD STOPS FLOWING INTO THE TUBE:
The vein may have collapsed; resecure the tourniquet to increase venous filling. If this is not successful, remove the needle, take care of the puncture site, and redraw.
The needle may have pulled out of the vein when switching tubes. Hold equipment firmly and place fingers against patient's arm, using the flange for leverage when withdrawing and inserting tubes.
PROBLEMS OTHER THAN AN INCOMPLETE COLLECTION:
A hematoma forms under the skin adjacent to the puncture site - release the tourniquet immediately and withdraw the needle. Apply firm pressure.
The blood is bright red (arterial) rather than venous. Apply firm pressure for more than 5 minutes.
BLOOD COLLECTION ON BABIES:
The recommended location for blood collection on a newborn baby or infant is the heel. The diagram below indicates in green the proper area to use for heel punctures for blood collection:
Prewarming the infant's heel (42 C for 3 to 5 minutes) is important to obtain capillary blood blood gas samples and warming also greatly increases the flow of blood for collection of other specimens. However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury.
Clean the site to be punctured with an alcohol sponge. Dry the cleaned area with a dry cotton sponge. Hold the baby's foot firmly to avoid sudden movement.
Using a sterile blood lancet, puncture the side of the heel in the appropriate regions shown above in green. Do not use the central portion of the heel because you might injure the underlying bone, which is close to the skin surface. Do not use a previous puncture site. Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines.
Wipe away the first drop of blood with a piece of clean, dry cotton. Since newborns do not often bleed immediately, use gentle pressure to produce a rounded drop of blood. Do not use excessive pressure or heavy massaging because the blood may become diluted with tissue fluid.
Fill the capillary tube(s) or micro collection device(s) as needed.
When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped.
Be sure to dispose of the lancet in the appropriate sharps container. Dispose of contaminated materials in appropriate waste receptacles. Remove your gloves and wash your hands.
Objectives for the tutorial:
Describe and perform the venipuncture process including:
Proper patient identification procedures.
Proper equipment selection and use.
Proper labelling procedures and completion of laboratory requisitions.
Order of draw for multiple tube phlebotomy.
Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery.
Patient care following completion of venipuncture.
Safety and infection control procedures.
Quality assurance issues.
Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes.
List six areas to be avoided when performing venipuncture and the reasons for the restrictions.
Summarize the problems that may be encountered in accessing a vein, including the procedure to follow when a specimen is not obtained.
List several effects of exercise, posture, and tourniquet application upon laboratory values.
VENIPUNCTURE PROCEDURE
The venipuncture procedure is complex, requiring both knowledge and skill to perform. Each phlebotomist generally establishes a routine that is comfortable for her or him. Several essential steps are required for every successful collection procedure:
Identify the patient.
Assess the patient's physical disposition (i.e. diet, exercise, stress, basal state).
Check the requisition form for requested tests, patient information, and any special requirements.
Select a suitable site for venipuncture.
Prepare the equipment, the patient and the puncture site.
Perform the venipuncture.
Collect the sample in the appropriate container.
Recognize complications associated with the phlebotomy procedure.
Assess the need for sample recollection and/or rejection.
Label the collection tubes at the bedside or drawing area.
Promptly send the specimens with the requisition to the laboratory.
ORDER FORM / REQUISITION
A requisition form must accompany each sample submitted to the laboratory. This requisition form must contain the proper information in order to process the specimen. The essential elements of the requisition form are:
Patient's surname, first name, and middle initial.
Patient's ID number.
Patient's date of birth and sex.
Requesting physician's complete name.
Source of specimen. This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific.
Date and time of collection.
Initials of phlebotomist.
Indicating the test(s) requested.
An example of a simple requisition form with the essential elements is shown below:
LABELING THE SAMPLE
A properly labelled sample is essential so that the results of the test match the patient. The key elements in labelling are:
Patient's surname, first and middle.
Patient's ID number.
NOTE: Both of the above MUST match the same on the requisition form.
Date, time and initials of the phlebotomist must be on the label of EACH tube.
An example of a simple requisition form with the essential elements is shown below:
EQUIPMENT:
THE FOLLOWING ARE NEEDED FOR ROUTINE VENIPUNCTURE:
Evacuated Collection Tubes - The tubes are designed to fill with a predetermined volume of blood by vacuum. The rubber stoppers are color coded according to the additive that the tube contains. Various sizes are available. Blood should NEVER be poured from one tube to another since the tubes can have different additives or coatings (see illustrations at end).
Needles - The gauge number indicates the bore size: the larger the gauge number, the smaller the needle bore. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system.
Holder/Adapter - use with the evacuated collection system.
Tourniquet - Wipe off with alcohol and replace frequently.
Alcohol Wipes - 70% isopropyl alcohol.
Povidone-iodine wipes/swabs - Used if blood culture is to be drawn.
Gauze sponges - for application on the site from which the needle is withdrawn.
Adhesive bandages / tape - protects the venipuncture site after collection.
Needle disposal unit - needles should NEVER be broken, bent, or recapped. Needles should be placed in a proper disposal unit IMMEDIATELY after their use.
Gloves - can be made of latex, rubber, vinyl, etc.; worn to protect the patient and the phlebotomist.
Syringes - may be used in place of the evacuated collection tube for special circumstances.
ORDER OF DRAW:
Blood collection tubes must be drawn in a specific order to avoid cross-contamination of additives between tubes. The recommended order of draw is:
First - blood culture tube (yellow-black stopper)
Second - non-additive tube (red stopper or SST)
Third - coagulation tube (light blue stopper). If just a routine coagulation assay is the only test ordered, then a single light blue stopper tube may be drawn. If there is a concern regarding contamination by tissue fluids or thromboplastins, then one may draw a non-additive tube first, and then the light blue stopper tube.
Last draw - additive tubes in this order:
Last draw - additive tubes in this order:
SST (red-gray, or gold, stopper). Contains a gel separator and clot activator.
Sodium heparin (dark green stopper)
PST (light green stopper). Contains lithium heparin anticoagulant and a gel separator.
EDTA (lavender stopper)
ACDA or ACDB (pale yellow stopper). Contains acid citrate dextrose.
Oxalate/fluoride (light gray stopper)
NOTE:Tubes with additives must be thoroughly mixed. Erroneous test results may be obtained when the blood is not thoroughly mixed with the additive.
NOTE:For plastic tubes, the order of draw for tubes 2 and 3 is reversed.
PROCEDURAL ISSUES
PATIENT RELATIONS AND IDENTIFICATION:
The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. Greet the patient and identify yourself and indicate the procedure that will take place. Effective communication - both verbal and nonverbal - is essential.
Proper patient identification MANDATORY. If an inpatient is able to respond, ask for a full name and always check the armband for confirmation. DO NOT DRAW BLOOD IF THE ARMBAND IS MISSING. An outpatient must provide identification other than the verbal statement of a name. Using the requisition for reference, ask a patient to provide additional information such as a surname or birthdate.
If possible, speak with the patient during the process. The patient who is at ease will be less focused on the procedure. Always thank the patient and excuse yourself courteously when finished.
PATIENT'S BILL OF RIGHTS:
The Patient's Bill of Rights has been adopted by many hospitals as declared by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The basic patient rights endorsed by the JCAHO follow in condensed form are given below.
The patient has the right to:
Impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or sources of payment for care.
Considerate, respectful care.
Confidentiality of all communications and other records pertaining to the patient's care.
Expect that any discussion or consultation involving the patient's case will be conducted discreetly and that individuals not directly involved in the case will not be present without patient permission.
Expect reasonable safety congruent with the hospital practices and environment.
Know the identity and professional status of individuals providing service and to know which physician or other practitioner is primarily responsible for his or her care.
Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand.
Reasonable informed participation in decisions involving the patient's health care. The patient shall be informed if the hospital proposes to engage in or perform human experimentation or other research/educational profits affecting his or her care or treatment. The patient has the right to refuse participation in such activity.
Consult a specialist at the patient's own request and expense.
Refuse treatment to the extent permitted by law.
Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital.
Be informed of the hospital rules and regulations regarding patient conduct.
VENIPUNCTURE SITE SELECTION:
Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, wrist and hand veins are also acceptable for venipuncture.
Certain areas are to be avoided when choosing a site:
Extensive scars from burns and surgery - it is difficult to puncture the scar tissue and obtain a specimen.
The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema.
Hematoma - may cause erroneous test results. If another site is not available, collect the specimen distal to the hematoma.
Intravenous therapy (IV) / blood transfusions - fluid may dilute the specimen, so collect from the opposite arm if possible. Otherwise, satisfactory samples may be drawn below the IV by following these procedures:
Turn off the IV for at least 2 minutes before venipuncture.
Apply the tourniquet below the IV site. Select a vein other than the one with the IV.
Perform the venipuncture. Draw 5 ml of blood and discard before drawing the specimen tubes for testing.
Cannula/fistula/heparin lock - hospitals have special policies regarding these devices. In general, blood should not be drawn from an arm with a fistula or cannula without consulting the attending physician.
Edematous extremities - tissue fluid accumulation alters test results.
PROCEDURE FOR VEIN SELECTION:
Palpate and trace the path of veins with the index finger. Arteries pulsate, are most elastic, and have a thick wall. Thrombosed veins lack resilience, feel cord-like, and roll easily.
If superficial veins are not readily apparent, you can force blood into the vein by massaging the arm from wrist to elbow, tap the site with index and second finger, apply a warm, damp washcloth to the site for 5 minutes, or lower the extremity over the bedside to allow the veins to fill.
PERFORMANCE OF A VENIPUNCTURE:
Approach the patient in a friendly, calm manner. Provide for their comfort as much as possible, and gain the patient's cooperation.
Identify the patient correctly.
Properly fill out appropriate requisition forms, indicating the test(s) ordered.
Verify the patient's condition. Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition.
Position the patient. The patient should either sit in a chair, lie down or sit up in bed. Hyperextend the patient's arm.
Apply the tourniquet 3-4 inches above the selected puncture site. Do not place too tightly or leave on more than 2 minutes.
The patient should make a fist without pumping the hand.
Select the venipuncture site.
Prepare the patient's arm using an alcohol prep. Cleanse in a circular fashion, beginning at the site and working outward. Allow to air dry.
Grasp the patient's arm firmly using your thumb to draw the skin taut and anchor the vein. The needle should form a 15 to 30 degree angle with the surface of the arm. Swiftly insert the needle through the skin and into the lumen of the vein. Avoid trauma and excessive probing.
When the last tube to be drawn is filling, remove the tourniquet.
Remove the needle from the patient's arm using a swift backward motion.
Press down on the gauze once the needle is out of the arm, applying adequate pressure to avoid formation of a hematoma.
Dispose of contaminated materials/supplies in designated containers.
Mix and label all appropriate tubes at the patient bedside.
Deliver specimens promptly to the laboratory.
PHLEBOTOMY PROCEDURE ILLUSTRATED:
Patient identification
Filling out the requisition
Equipment
Apply tourniquet and palpate for vein
Sterilize the site
Insert needle
Drawing the specimen
Drawing the specimen
Releasing the tourniquet
Applying pressure over the vein
Applying bandage
Disposing needle into sharps
Labelling the specimens
PERFORMANCE OF A FINGERSTICK:
Follow the procedure as outlined above for greeting and identifying the patient. As always, properly fill out appropriate requisition forms, indicating the test(s) ordered.
Verify the patient's condition. Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition.
Position the patient. The patient should either sit in a chair, lie down or sit up in bed. Hyperextend the patient's arm.
The best locations for fingersticks are the 3rd and 4th fingers of the non-dominant hand. Do not use the tip of the finger or the center of the finger. Avoid the side of the finger where there is less soft tissue, where vessels and nerves are located, and where the bone is closer to the surface. The 2nd (index) finger tends to have thicker, callused skin. The fifth finger tends to have less soft tissue overlying the bone. Avoid puncturing a finger that is cold or cyanotic, swollen, scarred, or covered with a rash.
Using a sterile lancet, make a skin puncture just off the center of the finger pad. The puncture should be made perpendicular to the ridges of the fingerprint so that the drop of blood does not run down the ridges.
Wipe away the first drop of blood, which tends to contain excess tissue fluid.
Collect drops of blood into the collection device by gently massaging the finger. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood.
Cap, rotate and invert the collection device to mix the blood collected.
Have the patient hold a small gauze pad over the puncture site for a couple of minutes to stop the bleeding.
Dispose of contaminated materials/supplies in designated containers.
Label all appropriate tubes at the patient bedside.
Deliver specimens promptly to the laboratory.
FINGERSTICK PROCEDURE ILLUSTRATED:
Equipment
Proper location on finger
Puncture with lancet
Drop of blood
Wipe first drop
Collecting the specimen
Specimen container
ADDITIONAL CONSIDERATIONS:
To prevent a hematoma:
Puncture only the uppermost wall of the vein
Remove the tourniquet before removing the needle
Use the major superficial veins
Make sure the needle fully penetrates the upper most wall of the vein. (Partial penetration may allow blood to leak into the soft tissue surrounding the vein by way of the needle bevel)
Apply pressure to the venipuncture site
To prevent hemolysis (which can interfere with many tests):
Mix tubes with anticoagulant additives gently 5-10 times
Avoid drawing blood from a hematoma
Avoid drawing the plunger back too forcefully, if using a needle and syringe, and avoid frothing of the sample
Make sure the venipuncture site is dry
Avoid a probing, traumatic venipuncture
Indwelling Lines or Catheters:
Potential source of test error
Most lines are flushed with a solution of heparin to reduce the risk of thrombosis
Discard a sample at least three times the volume of the line before a specimen is obtained for analysis
Hemoconcentration: An increased concentration of larger molecules and formed elements in the blood may be due to several factors:
Prolonged tourniquet application (no more than 2 minutes)
Massaging, squeezing, or probing a site
Long-term IV therapy
Sclerosed or occluded veins
Prolonged Tourniquet Application:
Primary effect is hemoconcentration of non-filterable elements (i.e. proteins). The hydrostatic pressure causes some water and filterable elements to leave the extracellular space.
Significant increases can be found in total protein, aspartate aminotransferase (AST), total lipids, cholesterol, iron
Affects packed cell volume and other cellular elements
Patient Preparation Factors:
Therapeutic Drug Monitoring: different pharmacologic agents have patterns of administration, body distribution, metabolism, and elimination that affect the drug concentration as measured in the blood. Many drugs will have "peak" and "trough" levels that vary according to dosage levels and intervals. Check for timing instructions for drawing the appropriate samples.
Effects of Exercise: Muscular activity has both transient and longer lasting effects. The creatine kinase (CK), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and platelet count may increase.
Stress: May cause transient elevation in white blood cells (WBC's) and elevated adrenal hormone values (cortisol and catecholamines). Anxiety that results in hyperventilation may cause acid-base imbalances, and increased lactate.
Diurnal Rhythms: Diurnal rhythms are body fluid and analyte fluctuations during the day. For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. Serum iron levels tend to drop during the day. You must check the timing of these variations for the desired collection point.
Posture: Postural changes (supine to sitting etc.) are known to vary lab results of some analytes. Certain larger molecules are not filterable into the tissue, therefore they are more concentrated in the blood. Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position.
Other Factors: Age, gender, and pregnancy have an influence on laboratory testing. Normal reference ranges are often noted according to age.
SAFETY AND INFECTION CONTROL
Because of contacts with sick patients and their specimens, it is important to follow safety and infection control procedures.
PROTECT YOURSELF
Practice universal precautions:
Wear gloves and a lab coat or gown when handling blood/body fluids.
Change gloves after each patient or when contaminated.
Wash hands frequently.
Dispose of items in appropriate containers.
Dispose of needles immediately upon removal from the patient's vein. Do not bend, break, recap, or resheath needles to avoid accidental needle puncture or splashing of contents.
Clean up any blood spills with a disinfectant such as freshly made 10% bleach.
If you stick yourself with a contaminated needle:
Remove your gloves and dispose of them properly.
Squeeze puncture site to promote bleeding.
Wash the area well with soap and water.
Record the patient's name and ID number.
Follow institution's guidelines regarding treatment and follow-up.
NOTE: The use of prophylactic zidovudine following blood exposure to HIV has shown effectiveness (about 79%) in preventing seroconversion
PROTECT THE PATIENT
Place blood collection equipment away from patients, especially children and psychiatric patients.
Practice hygiene for the patient's protection. When wearing gloves, change them between each patient and wash your hands frequently. Always wear a clean lab coat or gown.
TROUBLESHOOTING GUIDELINES:
IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED:
Change the position of the needle. Move it forward (it may not be in the lumen)
or move it backward (it may have penetrated too far).
Adjust the angle (the bevel may be against the vein wall).
Loosen the tourniquet. It may be obstructing blood flow.
Try another tube. There may be no vacuum in the one being used.
Re-anchor the vein. Veins sometimes roll away from the point of the needle and puncture site.
IF BLOOD STOPS FLOWING INTO THE TUBE:
The vein may have collapsed; resecure the tourniquet to increase venous filling. If this is not successful, remove the needle, take care of the puncture site, and redraw.
The needle may have pulled out of the vein when switching tubes. Hold equipment firmly and place fingers against patient's arm, using the flange for leverage when withdrawing and inserting tubes.
PROBLEMS OTHER THAN AN INCOMPLETE COLLECTION:
A hematoma forms under the skin adjacent to the puncture site - release the tourniquet immediately and withdraw the needle. Apply firm pressure.
The blood is bright red (arterial) rather than venous. Apply firm pressure for more than 5 minutes.
BLOOD COLLECTION ON BABIES:
The recommended location for blood collection on a newborn baby or infant is the heel. The diagram below indicates in green the proper area to use for heel punctures for blood collection:
Prewarming the infant's heel (42 C for 3 to 5 minutes) is important to obtain capillary blood blood gas samples and warming also greatly increases the flow of blood for collection of other specimens. However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury.
Clean the site to be punctured with an alcohol sponge. Dry the cleaned area with a dry cotton sponge. Hold the baby's foot firmly to avoid sudden movement.
Using a sterile blood lancet, puncture the side of the heel in the appropriate regions shown above in green. Do not use the central portion of the heel because you might injure the underlying bone, which is close to the skin surface. Do not use a previous puncture site. Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines.
Wipe away the first drop of blood with a piece of clean, dry cotton. Since newborns do not often bleed immediately, use gentle pressure to produce a rounded drop of blood. Do not use excessive pressure or heavy massaging because the blood may become diluted with tissue fluid.
Fill the capillary tube(s) or micro collection device(s) as needed.
When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped.
Be sure to dispose of the lancet in the appropriate sharps container. Dispose of contaminated materials in appropriate waste receptacles. Remove your gloves and wash your hands.
Friday, March 11, 2005
Medical Assistants :: Medical Assistant Schools
According to the US Department of Labor, Medical Assisting is one of the fastest growing and most in-demand professions in the country. With outstanding opportunities for employment, salaries increasing annually and the majority of MAs receiving health benefits, there has never been a better time to pursue a career in this exciting field.
The Medical Assistant plays a crucial role, performing a multitude of tasks - from clinical to administrative - that physicians rely on to keep their offices running efficiently. MAs chart each patient's medical history, measure height, weight, pulse, respiration, temperature, prepare and administer injections, apply bandages, dressings and record electrocardiograms. MAs may also be expected to maintain records, schedule patients, process insurance forms and perform basic bookkeeping.
Medical Assistants can often advance to office manager and may qualify for any number of administrative support positions, or even teach Medical Assisting. With additional education, a Medical Assistant can enter into the fields of nursing and medical technology. Prospects are best for those with formal training, so take your first step into the world of Medical Assisting. Search for a school today.
The Medical Assistant plays a crucial role, performing a multitude of tasks - from clinical to administrative - that physicians rely on to keep their offices running efficiently. MAs chart each patient's medical history, measure height, weight, pulse, respiration, temperature, prepare and administer injections, apply bandages, dressings and record electrocardiograms. MAs may also be expected to maintain records, schedule patients, process insurance forms and perform basic bookkeeping.
Medical Assistants can often advance to office manager and may qualify for any number of administrative support positions, or even teach Medical Assisting. With additional education, a Medical Assistant can enter into the fields of nursing and medical technology. Prospects are best for those with formal training, so take your first step into the world of Medical Assisting. Search for a school today.
Thursday, March 10, 2005
Medical Assistant Duties
Medical assistants perform many administrative duties, including answering telephones, greeting patients, updating and filing patients’ medical records, filling out insurance forms, handling correspondence, scheduling appointments, arranging for hospital admission and laboratory services, and handling billing and bookkeeping.
The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner’s specialty. In small practices, medical assistants usually are generalists, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area, under the supervision of department administrators.Clinical duties vary according to State law and include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medications and special diets, prepare and administer medications as directed by a physician, authorize drug refills as directed, telephone prescriptions to a pharmacy, draw blood, prepare patients for x rays, take electrocardiograms, remove sutures, and change dressings.
Medical assistants also may arrange examining room instruments and equipment, purchase and maintain supplies and equipment, and keep waiting and examining rooms neat and clean.
The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner’s specialty. In small practices, medical assistants usually are generalists, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area, under the supervision of department administrators.Clinical duties vary according to State law and include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medications and special diets, prepare and administer medications as directed by a physician, authorize drug refills as directed, telephone prescriptions to a pharmacy, draw blood, prepare patients for x rays, take electrocardiograms, remove sutures, and change dressings.
Medical assistants also may arrange examining room instruments and equipment, purchase and maintain supplies and equipment, and keep waiting and examining rooms neat and clean.
Friday, March 04, 2005
Registered Medical Assistant :: RMA
Register for medical assistant program at: http://www.medassistant.org/registration.html
Thursday, March 03, 2005
MEDICAL ASSISTANT
MEDICAL ASSISTANT
Medical Assistants perform routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly. Medical assistants should not be confused with physician assistants who examine, diagnose, and treat patients, under the direct supervision of a physician.The duties of the Medical Assistants vary from office to office, depending on office location, size, and specialty. In small practices, Medical Assistants are usually "generalists," handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area under the supervision of department administrators.Medical Assistants perform many administrative duties. They answer telephones, greet patients, update and file patient medical records, fill out insurance forms, handle correspondence, schedule appointments, arrange for hospital admission and laboratory services, and handle billing and bookkeeping.Clinical duties vary according to State law and include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medication and special diets, prepare and administer medications as directed by a physician, authorize drug refills as directed, telephone prescriptions to a pharmacy, draw blood, prepare patients for x rays, take electrocardiograms, remove sutures, and change dressings. Medical Assistant:: Medical Assistant:
Medical Assistants may also arrange examining room instruments and equipment, purchase and maintain supplies and equipment, and keep waiting and examining rooms neat and clean.Assistants who specialize have additional duties. Podiatric medical assistants make castings of feet, expose and develop x rays, and assist podiatrists in surgery. Ophthalmic medical assistants help ophthalmologists provide medical eye care. They administer diagnostic tests, measure and record vision, and test the functioning of eyes and eye muscles. They also show patients how to use eye dressings, protective shields, and safety glasses, and how to insert, remove, and care for contact lenses. Under the direction of the physician, they may administer medications, including eye drops. They also maintain optical and surgical instruments and assist the ophthalmologist in surgery.Medical assistants work in well-lighted, clean environments. They constantly interact with other people, and may have to handle several responsibilities at once. Most full-time medical assistants work a regular 40-hour week. Some work part-time, evenings or weekends.Employment
Medical assistants held about 365,000 jobs in 2002. Almost sixty percent worked in offices of physicians; about fourteen percent worked in public and private hospitals, including inpatient and outpatient facilities; and almost ten percent worked in offices of other health practitioners, such as chiropractors and podiatrists. The rest worked mostly in outpatient care centers, public and private educational services, other ambulatory healthcare services, State and local government agencies, medical and diagnostic laboratories, nursing care facilities, and employment services.Although formal training in medical assisting is available, such training while generally preferred is not always required. Some medical assistants are trained on the job, although this is less common than in the past. Applicants usually need a high school diploma or the equivalent. Recommended high school courses include mathematics, health, biology, typing, bookkeeping, computers, and office skills. Volunteer experience in the health care field is also helpful.Although there is no licensing for medical assistants, some States require them to take a test or a short course before they can take x rays or perform other specific clinical tasks. Employers prefer to hire experienced workers or certified applicants who have passed a national examination, indicating that the medical assistant meets certain standards of competence. The American Association of Medical Assistants awards the Certified Medical Assistant credential; the American Medical Technologists awards the Registered Medical Assistant credential; the American Society of Podiatric Medical Assistants awards the Podiatric Medical Assistant Certified credential; and the Joint Commission on Allied Health Personnel in Ophthalmology awards the Ophthalmic Medical Assistant credential at three levels: Certified Ophthalmic Assistant, Certified Ophthalmic Technician, and Certified Ophthalmic Medical Technologist.Because medical assistants deal with the public, they must be neat and well-groomed and have a courteous, pleasant manner. Medical assistants must be able to put patients at ease and explain physicians' instructions. They must respect the confidential nature of medical information. Clinical duties require a reasonable level of manual dexterity and visual acuity.Medical assistants may be able to advance to office manager. They may qualify for a wide variety of administrative support occupations, or may teach medical assisting. Some, with additional education, enter other health occupations such as nursing and medical technology.
MEDICAL ASSISTANT Job Outlook:
Employment of medical assistants is expected to grow much faster than the average for all occupations through the year 2012 as the health services industry expands because of technological advances in medicine, and a growing and aging population. Increasing utilization of medical assistants in the rapidly-growing healthcare industries will result in fast employment growth for the occupation. In fact, medical assistants is projected to be the fastest growing occupation over the 2002 to 2012 period.Employment growth will be driven by the increase in the number of group practices, clinics, and other healthcare facilities that need a high proportion of support personnel, particularly the flexible medical assistant who can handle both administrative and clinical duties. Medical assistants work primarily in outpatient settings, which are expected to exhibit much faster-than-average growth.In view of the preference of many healthcare employers for trained personnel, job prospects should be best for medical assistants with formal training or experience, and particularly for those with certification. Source: U.S. Department of Labor Bureau of Labor Statistics. Medical Assistant Jobs - Medical Assistant Schools : Many medical assistant now train online to become medical assistants and work in medical assistant jobs.
Medical Assistants perform routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly. Medical assistants should not be confused with physician assistants who examine, diagnose, and treat patients, under the direct supervision of a physician.The duties of the Medical Assistants vary from office to office, depending on office location, size, and specialty. In small practices, Medical Assistants are usually "generalists," handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area under the supervision of department administrators.Medical Assistants perform many administrative duties. They answer telephones, greet patients, update and file patient medical records, fill out insurance forms, handle correspondence, schedule appointments, arrange for hospital admission and laboratory services, and handle billing and bookkeeping.Clinical duties vary according to State law and include taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medication and special diets, prepare and administer medications as directed by a physician, authorize drug refills as directed, telephone prescriptions to a pharmacy, draw blood, prepare patients for x rays, take electrocardiograms, remove sutures, and change dressings. Medical Assistant:: Medical Assistant:
Medical Assistants may also arrange examining room instruments and equipment, purchase and maintain supplies and equipment, and keep waiting and examining rooms neat and clean.Assistants who specialize have additional duties. Podiatric medical assistants make castings of feet, expose and develop x rays, and assist podiatrists in surgery. Ophthalmic medical assistants help ophthalmologists provide medical eye care. They administer diagnostic tests, measure and record vision, and test the functioning of eyes and eye muscles. They also show patients how to use eye dressings, protective shields, and safety glasses, and how to insert, remove, and care for contact lenses. Under the direction of the physician, they may administer medications, including eye drops. They also maintain optical and surgical instruments and assist the ophthalmologist in surgery.Medical assistants work in well-lighted, clean environments. They constantly interact with other people, and may have to handle several responsibilities at once. Most full-time medical assistants work a regular 40-hour week. Some work part-time, evenings or weekends.Employment
Medical assistants held about 365,000 jobs in 2002. Almost sixty percent worked in offices of physicians; about fourteen percent worked in public and private hospitals, including inpatient and outpatient facilities; and almost ten percent worked in offices of other health practitioners, such as chiropractors and podiatrists. The rest worked mostly in outpatient care centers, public and private educational services, other ambulatory healthcare services, State and local government agencies, medical and diagnostic laboratories, nursing care facilities, and employment services.Although formal training in medical assisting is available, such training while generally preferred is not always required. Some medical assistants are trained on the job, although this is less common than in the past. Applicants usually need a high school diploma or the equivalent. Recommended high school courses include mathematics, health, biology, typing, bookkeeping, computers, and office skills. Volunteer experience in the health care field is also helpful.Although there is no licensing for medical assistants, some States require them to take a test or a short course before they can take x rays or perform other specific clinical tasks. Employers prefer to hire experienced workers or certified applicants who have passed a national examination, indicating that the medical assistant meets certain standards of competence. The American Association of Medical Assistants awards the Certified Medical Assistant credential; the American Medical Technologists awards the Registered Medical Assistant credential; the American Society of Podiatric Medical Assistants awards the Podiatric Medical Assistant Certified credential; and the Joint Commission on Allied Health Personnel in Ophthalmology awards the Ophthalmic Medical Assistant credential at three levels: Certified Ophthalmic Assistant, Certified Ophthalmic Technician, and Certified Ophthalmic Medical Technologist.Because medical assistants deal with the public, they must be neat and well-groomed and have a courteous, pleasant manner. Medical assistants must be able to put patients at ease and explain physicians' instructions. They must respect the confidential nature of medical information. Clinical duties require a reasonable level of manual dexterity and visual acuity.Medical assistants may be able to advance to office manager. They may qualify for a wide variety of administrative support occupations, or may teach medical assisting. Some, with additional education, enter other health occupations such as nursing and medical technology.
MEDICAL ASSISTANT Job Outlook:
Employment of medical assistants is expected to grow much faster than the average for all occupations through the year 2012 as the health services industry expands because of technological advances in medicine, and a growing and aging population. Increasing utilization of medical assistants in the rapidly-growing healthcare industries will result in fast employment growth for the occupation. In fact, medical assistants is projected to be the fastest growing occupation over the 2002 to 2012 period.Employment growth will be driven by the increase in the number of group practices, clinics, and other healthcare facilities that need a high proportion of support personnel, particularly the flexible medical assistant who can handle both administrative and clinical duties. Medical assistants work primarily in outpatient settings, which are expected to exhibit much faster-than-average growth.In view of the preference of many healthcare employers for trained personnel, job prospects should be best for medical assistants with formal training or experience, and particularly for those with certification. Source: U.S. Department of Labor Bureau of Labor Statistics. Medical Assistant Jobs - Medical Assistant Schools : Many medical assistant now train online to become medical assistants and work in medical assistant jobs.
Tuesday, March 01, 2005
Certified Medical Assistants
What is a Certified Medical Assistant?
Certified Medical Assistants (CMAs) have a great amount of variety in their jobs and are cross-trained to perform many administrative and clinical duties. Of course, duties vary from office to office depending on location, size and specialty The Certified Medical Assistant® (CMA) is in greater demand than ever. Offered by American Association of Medical Assistants.
Medical assistants are the only allied health professionals specifically trained to work in ambulatory settings, such as physicians' offices, clinics and group practices. These multiskilled personnel can perform administrative and clinical procedures. Physicians value this unique versatility more and more, as managed care compels them to contain costs and manage human resources efficiently. Not surprisingly, the demand for medical assistants is expanding rapidly. According to the United States Bureau of Labor Statistics, medical assisting is projected to be
one of the fastest growing professions through the year 2012.-->
What sets the CMA apart among medical assistants is the certification. A medical assistant first earns the CMA credential by passing a rigorous examination that requires a thorough, broad and current understanding of health care delivery. The CMA credential is offered by the American Association of Medical Assistants (AAMA) - the only medical assisting organization granted Official Observer Status to the American Medical Association's House of Delegates. The National Board of Medical Examiners - responsible for many national examinations for physicians - serves as test consultant for the AAMA CMA Certification/Recertification Examination. As a result, the reliability and validity of the CMA credential is of the highest order.
The CMA's recertification requirement can be met by examination or through continuing education. All CMAs employed or seeking employment must have current certified status to use the CMA credential in connection with employment.
Certified Medical Assistants (CMAs) have a great amount of variety in their jobs and are cross-trained to perform many administrative and clinical duties. Of course, duties vary from office to office depending on location, size and specialty The Certified Medical Assistant® (CMA) is in greater demand than ever. Offered by American Association of Medical Assistants.
Medical assistants are the only allied health professionals specifically trained to work in ambulatory settings, such as physicians' offices, clinics and group practices. These multiskilled personnel can perform administrative and clinical procedures. Physicians value this unique versatility more and more, as managed care compels them to contain costs and manage human resources efficiently. Not surprisingly, the demand for medical assistants is expanding rapidly. According to the United States Bureau of Labor Statistics, medical assisting is projected to be
one of the fastest growing professions through the year 2012.-->
What sets the CMA apart among medical assistants is the certification. A medical assistant first earns the CMA credential by passing a rigorous examination that requires a thorough, broad and current understanding of health care delivery. The CMA credential is offered by the American Association of Medical Assistants (AAMA) - the only medical assisting organization granted Official Observer Status to the American Medical Association's House of Delegates. The National Board of Medical Examiners - responsible for many national examinations for physicians - serves as test consultant for the AAMA CMA Certification/Recertification Examination. As a result, the reliability and validity of the CMA credential is of the highest order.
The CMA's recertification requirement can be met by examination or through continuing education. All CMAs employed or seeking employment must have current certified status to use the CMA credential in connection with employment.
Thursday, February 03, 2005
What does a medical assistant do? What is the medical assistant?
Medical assistants
Employers prefer to hire experienced workers or certified applicants who have passed a national examination, indicating that the medical assistant meets ... Medical Assistants
Medical assistant career guide, educational self-study resources, scope of practice examples, message boards, and jobs in all disciplines for medical ...Medical assistant - Wikipedia, the free encyclopedia
The term "Medical Assistant" may have legal status in some nations, whereas elsewhere they may be a loosely defined group. ...Medical Assistant :: Medical Assistant Certificate Program
Medical Assistant - Choose to become a Medical Assistant with our authentic Medical Assistant Certificate Program. In order to enable medical assisting ...Educational self-study reviews, career tips, networking tools, and job offers for new and working medical assistant professionals in clinical, ...The Medical Assistant program will prepare the student to perform routine tasks for the offices and clinics of physicians, podiatrists, chiropractors, ...“Medical Assistant”! We’re sending you to our partner’s site so you can fill out an application for American Medical Technologists is a national agency that certifies health practitioners as Medical Technologists (MT), Medical Laboratory Technicians (MLT) ...it. We also found other jobs like that one and will open ...Medical Assistant Training Course
Medical Assistant Medical Assistant
Medical Assistant incorporates clinical and medical management responsibilities.Medical Assistant Education-classes and programs
Medical Assisting and Medical Office
All students that successfully complete the program are eligible to sit for the national certification exam to become a Certified Medical Assistant. ...How to Become a CMA :: AAMA - The American Association of Medical ...
So, you've decided to become a Certified Medical Assistant (CMA) because it means a professional edge, increased prestige among peers and employers, ... MEDICAL ASSISTANT CLASSES AND MEDICAL ASSISTANT SCHOOLS :: MEDICAL ASSISTANT
Employers prefer to hire experienced workers or certified applicants who have passed a national examination, indicating that the medical assistant meets ... Medical Assistants
Medical assistant career guide, educational self-study resources, scope of practice examples, message boards, and jobs in all disciplines for medical ...Medical assistant - Wikipedia, the free encyclopedia
The term "Medical Assistant" may have legal status in some nations, whereas elsewhere they may be a loosely defined group. ...Medical Assistant :: Medical Assistant Certificate Program
Medical Assistant - Choose to become a Medical Assistant with our authentic Medical Assistant Certificate Program. In order to enable medical assisting ...Educational self-study reviews, career tips, networking tools, and job offers for new and working medical assistant professionals in clinical, ...The Medical Assistant program will prepare the student to perform routine tasks for the offices and clinics of physicians, podiatrists, chiropractors, ...“Medical Assistant”! We’re sending you to our partner’s site so you can fill out an application for American Medical Technologists is a national agency that certifies health practitioners as Medical Technologists (MT), Medical Laboratory Technicians (MLT) ...it. We also found other jobs like that one and will open ...Medical Assistant Training Course
Medical Assistant Medical Assistant
Medical Assistant incorporates clinical and medical management responsibilities.Medical Assistant Education-classes and programs
Medical Assisting and Medical Office
All students that successfully complete the program are eligible to sit for the national certification exam to become a Certified Medical Assistant. ...How to Become a CMA :: AAMA - The American Association of Medical ...
So, you've decided to become a Certified Medical Assistant (CMA) because it means a professional edge, increased prestige among peers and employers, ... MEDICAL ASSISTANT CLASSES AND MEDICAL ASSISTANT SCHOOLS :: MEDICAL ASSISTANT
Tuesday, February 01, 2005
Nursing Assistant Classes
Nursing Assistant classes are now offered online at: www.nursingassistant.us St.Augustine provides online nursing assistant programs designed by the experts in the industry, like physicians, nurses, medical assistants and other healthcare professionals. Our comprehensive web-based Nursing Assistant program delivers unparalleled convenience and flexibility to our students. Our online nursing assistant programs are an excellent way for today's busy students to earn their Nursing Assistant certificate and our certificate can help them as credentials in any walks of the healthcare profession. Our web-based nursing assistant courses and programs allow you to earn your Nursing Assistant Certificate, while managing work and family responsibilities the same time.
Friday, January 28, 2005
Medical Assistant Career – Opening doors to a profession in healthcare services.
Medical Assistant careers are gathering demand in the background of a healthcare industry boom worldwide. A Medical Assistant essentially is a healthcare professional with multiple responsibilities and skill sets required to execute the same. Both administrative and medical tasks that do not need much medical proficiency fall into the ambit of a Medical Assistant.
Medical Assistants are indispensable in any modern day healthcare practice. Engaged under physicians, podiatrists, chiropractors, and other health practitioners. Medical Assistants attend to the complexities involved in delivering medical services.
By accomplishing administrative and other responsibilities, Medical Assistants make it easier for the practitioners to concentrate on attending to and treating patients.
Medical Assistants execute varied administrative, laboratory and clinical tasks in different health care institutions.
Often, Medical Assistants are seen as generalists who are involved with many aspects of the medical profession but do not specialize in them.
A detailed overview of the activities of a Medical Assistant is given here:Administrative duties:
General administration which includes day-to-day activities and other tasks. These include:
Communication – both internal and external and office correspondence.
Patient welfare - maintenance of patient records, insurance forms, scheduling appointments, arranging for hospital admission.
Billing and bookkeeping.
Maintain medical and drug supplies.
Clinical duties:
Clinical duties require discreet manual dexterity and visual acuity. A Medical Assistant has to support the medical practitioner with the following:
Recording vital signs.
Preparing patients for examination, explaining treatment procedures to patients.
Assisting the physician during the examination.
Instructing patients about medications and special diets.
Preparation and administration of medications.
Laboratory tasks:
Laboratory tasks include:
Collection and preparation of laboratory specimens.
Performing basic laboratory tests on the premises.
Draw blood, prepare patients for X-rays, take electrocardiograms, remove sutures and change dressings.
Disposal of contaminated supplies and sterilization of medical instruments.
Medical Assistants employed at small medical outfits may undertake both administrative and clinical duties and report directly to the office manager or health practitioner.
Larger medical outfits have Medical Assistants reporting to department administrators and specializing only in a particular area.
Medical Assistant - Essential qualities and skills:
Duties entailed in medical assisting vary with the type of health care facility, size, location and specialisation.
A pleasant disposition is a must as Medical Assistants constantly interact with patients and public. Courteous manners, a well groomed personality and an aptitude for making people feel at ease are essential.
Simple medical and clinical skills and administrative abilities are integral to the profile of a Medical Assistant.
Traditionally, Medical Assistants did not need to be certified as they learnt on the job. This scenario has changed and contemporary medical practices prefer trained and certified Medical Assistant professionals to untrained individuals.
Medical Assistant Training and Certification
Healthcare industry is increasingly in favour of trained Medical Assistants. The need for technically sound personnel who have the flexibility of handling both clinical and administrative tasks is on the rise. The trend is an offshoot of the need felt by doctors to concentrate on treating patients rather than on other functional details.
Certified medical assistant = Successful medical assistant
Certification is a mark of the individual having been trained and qualified in the profession.
A Medical Assistant certificate stands as a certainity of successful training. Also, securing a Medical Assistant certificate assures higher professional satisfaction and recognition. Compared to uncertified individuals, the formal education and the Medical Assistant certificate help them in advance faster in their profession.
The Medical Assistant certificate can be secured by both experienced and inexperienced individuals. Experienced professionals may not have to take a certification exam. Inexperienced candidates though will have to undergo rigorous training from an accredited vocational training institution.
Medical Assistant certification or registration will put the individual a step ahead from counterparts.
Medical Assistant registration and certification are the same. It's just that different certifying bodies have different terms for referring to a Medical Assistant cerificate.
With many Medical Assistant schools mushrooming in the market, it is important that one acquires education and secures Medical Assistant registration from a reputed and reliable source.
Medical Assistant Education:
Medical Assistant education obtained from a high grade vocational training institution is a sure way to a successful Medical Assistant career.
Schools offering Medical Assistant education abound in the market. Making the right choice of schools makes the difference in education in medical assistance.
St.Augustine's School of Medical Assistants offers accredited and affordable distance Medical Assistant education online.
Medical Assistant education at St.Augustine's is comprehensive and does not leave out any element crucial to training. The 24/7 online training facility provides classes, knowledge resources and virtual laboratory training online.
Distance Medical Assistant education:
St. Augustine's Medical Assistants school offers distance education through online courses. Distance education is favoured by Medical Assistant aspirants who are already working and studying part time. Distance Medical Assistant education gives such candidates the flexibility of scheduling their study time around their working hours.
The Medical Assistant Program at St.Augustine's:
Medical Assistant program at St. Augustine's is an online training course that is available anytime and anywhere. With this program, accomplishing certifications is a matter of just 6-8 weeks from commencement.
The program includes complete online courses along with training on laboratory skills and facilities to perform laboratory tasks.
Medical Assistant careers are gathering demand in the background of a healthcare industry boom worldwide. A Medical Assistant essentially is a healthcare professional with multiple responsibilities and skill sets required to execute the same. Both administrative and medical tasks that do not need much medical proficiency fall into the ambit of a Medical Assistant.
Medical Assistants are indispensable in any modern day healthcare practice. Engaged under physicians, podiatrists, chiropractors, and other health practitioners. Medical Assistants attend to the complexities involved in delivering medical services.
By accomplishing administrative and other responsibilities, Medical Assistants make it easier for the practitioners to concentrate on attending to and treating patients.
Medical Assistants execute varied administrative, laboratory and clinical tasks in different health care institutions.
Often, Medical Assistants are seen as generalists who are involved with many aspects of the medical profession but do not specialize in them.
A detailed overview of the activities of a Medical Assistant is given here:Administrative duties:
General administration which includes day-to-day activities and other tasks. These include:
Communication – both internal and external and office correspondence.
Patient welfare - maintenance of patient records, insurance forms, scheduling appointments, arranging for hospital admission.
Billing and bookkeeping.
Maintain medical and drug supplies.
Clinical duties:
Clinical duties require discreet manual dexterity and visual acuity. A Medical Assistant has to support the medical practitioner with the following:
Recording vital signs.
Preparing patients for examination, explaining treatment procedures to patients.
Assisting the physician during the examination.
Instructing patients about medications and special diets.
Preparation and administration of medications.
Laboratory tasks:
Laboratory tasks include:
Collection and preparation of laboratory specimens.
Performing basic laboratory tests on the premises.
Draw blood, prepare patients for X-rays, take electrocardiograms, remove sutures and change dressings.
Disposal of contaminated supplies and sterilization of medical instruments.
Medical Assistants employed at small medical outfits may undertake both administrative and clinical duties and report directly to the office manager or health practitioner.
Larger medical outfits have Medical Assistants reporting to department administrators and specializing only in a particular area.
Medical Assistant - Essential qualities and skills:
Duties entailed in medical assisting vary with the type of health care facility, size, location and specialisation.
A pleasant disposition is a must as Medical Assistants constantly interact with patients and public. Courteous manners, a well groomed personality and an aptitude for making people feel at ease are essential.
Simple medical and clinical skills and administrative abilities are integral to the profile of a Medical Assistant.
Traditionally, Medical Assistants did not need to be certified as they learnt on the job. This scenario has changed and contemporary medical practices prefer trained and certified Medical Assistant professionals to untrained individuals.
Medical Assistant Training and Certification
Healthcare industry is increasingly in favour of trained Medical Assistants. The need for technically sound personnel who have the flexibility of handling both clinical and administrative tasks is on the rise. The trend is an offshoot of the need felt by doctors to concentrate on treating patients rather than on other functional details.
Certified medical assistant = Successful medical assistant
Certification is a mark of the individual having been trained and qualified in the profession.
A Medical Assistant certificate stands as a certainity of successful training. Also, securing a Medical Assistant certificate assures higher professional satisfaction and recognition. Compared to uncertified individuals, the formal education and the Medical Assistant certificate help them in advance faster in their profession.
The Medical Assistant certificate can be secured by both experienced and inexperienced individuals. Experienced professionals may not have to take a certification exam. Inexperienced candidates though will have to undergo rigorous training from an accredited vocational training institution.
Medical Assistant certification or registration will put the individual a step ahead from counterparts.
Medical Assistant registration and certification are the same. It's just that different certifying bodies have different terms for referring to a Medical Assistant cerificate.
With many Medical Assistant schools mushrooming in the market, it is important that one acquires education and secures Medical Assistant registration from a reputed and reliable source.
Medical Assistant Education:
Medical Assistant education obtained from a high grade vocational training institution is a sure way to a successful Medical Assistant career.
Schools offering Medical Assistant education abound in the market. Making the right choice of schools makes the difference in education in medical assistance.
St.Augustine's School of Medical Assistants offers accredited and affordable distance Medical Assistant education online.
Medical Assistant education at St.Augustine's is comprehensive and does not leave out any element crucial to training. The 24/7 online training facility provides classes, knowledge resources and virtual laboratory training online.
Distance Medical Assistant education:
St. Augustine's Medical Assistants school offers distance education through online courses. Distance education is favoured by Medical Assistant aspirants who are already working and studying part time. Distance Medical Assistant education gives such candidates the flexibility of scheduling their study time around their working hours.
The Medical Assistant Program at St.Augustine's:
Medical Assistant program at St. Augustine's is an online training course that is available anytime and anywhere. With this program, accomplishing certifications is a matter of just 6-8 weeks from commencement.
The program includes complete online courses along with training on laboratory skills and facilities to perform laboratory tasks.
Monday, January 03, 2005
Medical Assistant links
What is a Medical Assistant?
Medical assistants are unlicensed health care workers who perform administrative and clinical tasks to keep the offices of physicians, podiatrists, chiropractors, and other health practitioners running smoothly. They should not be confused with physician assistants, who examine, diagnose, and treat patients under the direct supervision of a physician. The term "Medical Assistant" may have legal status in some nations, whereas elsewhere they may be a loosely defined group.
Medical Assistant :: Traditionally medical assistants in United States (ca. 1950s) were trained-on-the-job medical support staff without any particular group identity. With encouragement and support from the American Medical Association (AMA), the American Association of Medical Assistants (AAMA) was formed in 1956.[
Traditionally, medical assistants have held jobs almost exclusively in ambulatory care centers, urgent care facilities, and physicians’ clinics. Recently this has begun to change. MAs now find employment in both private and public hospitals, as well as inpatient and outpatient facilities. They may now assist a wide variety of medical doctors, including specialists such as podiatrists, and are no longer bound as simply generalists.
The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner’s specialty. In small practices, medical assistants usually are generalists, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area, under the supervision of department administrators.
Some of the duties performed by MA’s:
Taking medical histories
Recording vital signs
Explaining treatment procedures to patients
Preparing patients for examination
Assisting the physician during the examination
Collect and prepare laboratory specimens
Perform basic laboratory tests on the premises
Dispose of contaminated supplies
Sterilize medical instruments
Instruct patients about medication and special diets
Prepare and administer medications as directed by a physician
Authorize drug refills as directed
Telephone prescriptions to a pharmacy
Draw blood
Prepare patients for x-rays
Take electrocardiograms
Remove sutures
Change dressings
Arrange examining room instruments and equipment
Purchase and maintain supplies and equipment
Keep waiting and examining rooms neat and clean
Allergy skin testing
Processing insurance claims
Operating a computerized patient management system
Scheduling appointments
Managing office emergencies
Performing CPR and emergency first aid
Specialized areas of Medical Assistants are:
Podiatric medical assistants: make castings of feet, expose and develop x rays, and assist in podiatrists in surgery
Ophthalmic medical assistants: help ophthalmologists provide medical eye care; conduct diagnostic tests, measure and record vision, and test eye muscle function. Show patients how to insert, remove and care for contact lenses; apply eye dressings. May administer eye medications under care of the physician and they maintain optical and surgical instruments. They may also assist the ophthalmologist in surgery.
Education Requirements:
Most employers prefer graduates who graduated from an accredited Medical Assisting program. Accredited Medical Assisting programs are offered in postsecondary vocational schools, junior colleges and in colleges and universities. Postsecondary programs usually last either one year or less which results in a certificate or diploma or two years with an associate degree.
Formal training is not mandatory but recommended. Some high schools offer courses covering those needed and with the volunteering in a health care setting provides enough education to begin a career in medical assisting. However, without formal training, certification is not eligible until five years of experience is reached. Formal education is recommended by many employers.
Courses/topics covered are:
Anatomy
Physiology
Medical terminology
Typing
Transcription
Recordkeeping
Accounting
Insurance processing
Laboratory techniques
Clinical and diagnostic procedures
Pharmaceutical principles
Medication administration
First aid
Office practices and procedures
Patient relations
Medical law
Ethics
Medical Assistant Salaries:
The earnings of medical assistants vary, depending on their experience, skill level, and location. Median annual earnings of medical assistants were $24,610 in May 2004. The middle 50 percent earned between $20,650 and $28,930. The lowest 10 persent earned less than $18,010, and the highest 10 percent earned more than $34,650.
Medical assistants are unlicensed health care workers who perform administrative and clinical tasks to keep the offices of physicians, podiatrists, chiropractors, and other health practitioners running smoothly. They should not be confused with physician assistants, who examine, diagnose, and treat patients under the direct supervision of a physician. The term "Medical Assistant" may have legal status in some nations, whereas elsewhere they may be a loosely defined group.
Medical Assistant :: Traditionally medical assistants in United States (ca. 1950s) were trained-on-the-job medical support staff without any particular group identity. With encouragement and support from the American Medical Association (AMA), the American Association of Medical Assistants (AAMA) was formed in 1956.[
Traditionally, medical assistants have held jobs almost exclusively in ambulatory care centers, urgent care facilities, and physicians’ clinics. Recently this has begun to change. MAs now find employment in both private and public hospitals, as well as inpatient and outpatient facilities. They may now assist a wide variety of medical doctors, including specialists such as podiatrists, and are no longer bound as simply generalists.
The duties of medical assistants vary from office to office, depending on the location and size of the practice and the practitioner’s specialty. In small practices, medical assistants usually are generalists, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area, under the supervision of department administrators.
Some of the duties performed by MA’s:
Taking medical histories
Recording vital signs
Explaining treatment procedures to patients
Preparing patients for examination
Assisting the physician during the examination
Collect and prepare laboratory specimens
Perform basic laboratory tests on the premises
Dispose of contaminated supplies
Sterilize medical instruments
Instruct patients about medication and special diets
Prepare and administer medications as directed by a physician
Authorize drug refills as directed
Telephone prescriptions to a pharmacy
Draw blood
Prepare patients for x-rays
Take electrocardiograms
Remove sutures
Change dressings
Arrange examining room instruments and equipment
Purchase and maintain supplies and equipment
Keep waiting and examining rooms neat and clean
Allergy skin testing
Processing insurance claims
Operating a computerized patient management system
Scheduling appointments
Managing office emergencies
Performing CPR and emergency first aid
Specialized areas of Medical Assistants are:
Podiatric medical assistants: make castings of feet, expose and develop x rays, and assist in podiatrists in surgery
Ophthalmic medical assistants: help ophthalmologists provide medical eye care; conduct diagnostic tests, measure and record vision, and test eye muscle function. Show patients how to insert, remove and care for contact lenses; apply eye dressings. May administer eye medications under care of the physician and they maintain optical and surgical instruments. They may also assist the ophthalmologist in surgery.
Education Requirements:
Most employers prefer graduates who graduated from an accredited Medical Assisting program. Accredited Medical Assisting programs are offered in postsecondary vocational schools, junior colleges and in colleges and universities. Postsecondary programs usually last either one year or less which results in a certificate or diploma or two years with an associate degree.
Formal training is not mandatory but recommended. Some high schools offer courses covering those needed and with the volunteering in a health care setting provides enough education to begin a career in medical assisting. However, without formal training, certification is not eligible until five years of experience is reached. Formal education is recommended by many employers.
Courses/topics covered are:
Anatomy
Physiology
Medical terminology
Typing
Transcription
Recordkeeping
Accounting
Insurance processing
Laboratory techniques
Clinical and diagnostic procedures
Pharmaceutical principles
Medication administration
First aid
Office practices and procedures
Patient relations
Medical law
Ethics
Medical Assistant Salaries:
The earnings of medical assistants vary, depending on their experience, skill level, and location. Median annual earnings of medical assistants were $24,610 in May 2004. The middle 50 percent earned between $20,650 and $28,930. The lowest 10 persent earned less than $18,010, and the highest 10 percent earned more than $34,650.
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