ASSIGNMENT 4
\nH02 Medical Office Management 2
\nDirections: Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Your response should be at least two and one-half (2 \u00bd) double-spaced pages; refer to the “Assignment Format” page located on the Course Home page for specific format requirements.<\/p>\n
In Lessons 1 through 4, you learned foundational information on the clinical competencies of medical Helpants. You learned about infection control and vital signs, Helping the physician with physical examinations and various medical specialties, laboratory tests, and specimen collection. For this written assignment, the concepts learned from Lessons 1-4 will be applied. Please review the learning objectives for Lessons 1-4 prior to beginning work on this assignment.<\/p>\n
Complete Parts A, B, and C for this assignment.<\/p>\n
Part A:\tSheila Meyer, a medical Helpant in Dr. Ryan\u2019s large cardiovascular practice, is taking the medical history of Edna Helm, an obese elderly woman with congestive heart disease. Edna states, \u201cI\u2019m always short of breath, and I perspire all the time. I guess I\u2019m gaining weight, but the funny thing is that only my legs seem heavier. My heart is pounding when I lie down at night; it even seems to stop sometimes. I\u2019ve even started to wear red nail polish to hide the funny blue color of my nails. Part A: Sheila Meyer, a medical Helpant in Dr. Ryan’s large cardiovascular practice, is taking Edna Helm’s medical history. Edna Helm is an overweight elderly woman with congestive heart disease. Edna says, “I always feel like I can’t catch my breath, and I sweat all the time. I think I’m gaining weight, but what’s funny is that it seems like only my legs are getting heavier. When I lie down at night, my heart is pounding, and sometimes it seems to stop. Even though my nails are a weird blue color, I’ve started to cover them up with red nail polish.<\/p>\n
Edna gives you a copy of her medical history from an out-of-state physician. The medical history indicates that she has had the following conditions, tests, and procedures:<\/p>\n
Conditions\tTests\tSurgical Procedures
\nPositive Babinski sign
\nAllergic rhinitis
\nAortic insufficiency
\nAscites
\nGastritis
\nOsteoarthritis\tHolter monitor testing
\nRadioimmunoassay test
\nProtein bound iodine test
\nGlucose tolerance test\tBasal cell carcinoma removed in 1992
\nSebaceous cyst removed in 1982
\nMeniscectomy in 1978
\nRhytidectomy in 1970<\/p>\n
Using correct medical terms, chart Edna\u2019s presenting symptoms. Define each of the procedures and conditions listed on her medical record. Your response should be one (1) page in length.<\/p>\n
Part B:\tVictor Krenz is Helping Dr. Connors with the fifth cataract surgery for the day. The patient is Kathy Wall, a diabetic patient, whose condition has been stable enough for her to undergo a surgical procedure. Victor has performed a six-minute surgical scrub on his hands before each of the five procedures. Dr. Connors indicates that he is in a hurry to get back to his office for a heavy afternoon schedule of patients. After both Dr. Connors and Victor are scrubbed, gowned, and ready to begin the operation, Victor feels a slight prick on the tip of his gloved finger as he moves the sterile syringe and needle on the tray. Dr. Connors, who does not notice the accidental needlestick to Victor\u2019s glove, states again that he is in a hurry to finish this procedure. Victor knows that it will delay the surgery if he has to change gloves. He also knows that his hands have had a surgical scrub five times that morning and that they are clean.<\/p>\n
Provide detailed answers for each of the following questions. Your response should be one-half (1\/2) page in length.<\/p>\n
\u2022\tCan Victor justify not changing into new gloves?<\/p>\n
\u2022\tWhat could happen to Ms. Wall as a result of Victor\u2019s needlestick?<\/p>\n
\u2022\tHow should Victor handle this situation?<\/p>\n
Part C:\tJos\u00e9 Menendez is an elderly patient of Dr. Ju\u00e1rez, a board-certified urologist. Jos\u00e9 has a history of recurrent UTIs dating back more than 10 years. When he becomes symptomatic, he has been instructed to call Dr. Ju\u00e1rez\u2019s office and schedule a urinalysis. Dr. Ju\u00e1rez\u2019s receptionist has just received a call from Mr. Menendez. He says he knows he is supposed to come in for a urine test but that he just wants a prescription phoned in to his pharmacy instead. The receptionist asks Emilia, Dr. Ju\u00e1rez\u2019s medical Helpant, to take the call from Mr. Menendez.<\/p>\n
Emilia listens as Mr. Menendez recounts that he is experiencing dysuria\u2014painful, burning urination. She asks him to come in for a urinalysis, explaining that, as per standing orders, a clean-catch midstream specimen needs to be collected. Mr. Menendez repeats to Emilia that he does not want to come in to the office. \u201cWhy can\u2019t you call in a prescription for Bactrim? That is what I took last time, and it helped.\u201d<\/p>\n
Provide detailed answers for each of the following questions. Your response should be one (1) page in length.<\/p>\n
\u2022\tWhat is your response?<\/p>\n
\u2022\tShould the responsibility for this call have fallen on Emilia, or should the receptionist have either handled the call herself or passed it on to Dr. Ju\u00e1rez?<\/p>\n
\u2022\tWhat, if anything, could or should Emilia say to Mr. Menendez to persuade him to come in for the urinalysis?<\/p>\n
\u2022\tMight the cost of the procedure be a factor in the reason why Mr. Menendez does not want to have a urinalysis, and, if so, what, if anything, can Emilia do or say about the cost?<\/p>\n
\u2022\tIs it appropriate in this case, given the patient\u2019s extensive history, to indeed call in a prescription for Bactrim?<\/p>\n
\u2022\tIf not, how should Emilia handle Mr. Menendez\u2019s request for his prescription?<\/p>\n
\u2022\tIf so, what procedure should Emilia follow to arrange for a prescription?<\/p>\n
\u2022\tHow should this telephone call be charted?<\/p>\n
\u2022\tWhat, if anything, should Dr. Ju\u00e1rez be told about the conversation with Mr. Menendez?<\/p>\n
Grading Rubric
\nPlease refer to the rubric on the next page for the grading criteria for this assignment.<\/p>\n","protected":false},"excerpt":{"rendered":"
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