Medical Office management, health and medicine homework help

Office Management ass 4

Sources must be cited in APA
format. Your response should be at least two and one-half (2 1⁄2) double-spaced pages;
refer to the “Assignment Format” page located on the Course Home page for specific
format requirements.

In Lessons 1 through 4, you learned foundational information on the clinical
competencies of medical assistants. You learned about infection control and vital signs,
assisting 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.

Complete Parts A, B, and C for this assignment.

Part A:

Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice, is
taking the medical history of Edna Helm, an obese elderly woman with
congestive heart disease. Edna states, “I’m always short of breath, and I perspire
all the time. I guess I’m 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’ve even started to wear red nail polish to hide the funny blue
color of my nails.

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:

Conditions

Positive Babinski sign
Allergic rhinitis
Aortic insufficiency
Ascites

Gastritis
Osteoarthritis

Tests

Holter monitor testing
Radioimmunoassay test
Protein bound iodine test
Glucose tolerance test

Surgical Procedures

Basal cell carcinoma
removed in 1992
Sebaceous cyst removed
in 1982

Meniscectomy in 1978
Rhytidectomy in 1970

Using correct medical terms, chart Edna’s presenting symptoms. Define each of
the procedures and conditions listed on her medical record. Your response
should be one (1) page in length.

Part B:

Victor Krenz is assisting 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’s 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.

Provide detailed answers for each of the following questions. Your response
should be one-half (1/2) page in length.

• Can Victor justify not changing into new gloves?
• What could happen to Ms. Wall as a result of Victor’s needlestick?
• How should Victor handle this situation?
  José Menendez is an elderly patient of Dr. Juárez, a board-certified urologist.
  José has a history of recurrent UTIs dating back more than 10 years. When he
  becomes symptomatic, he has been instructed to call Dr. Juárez’s office and
  schedule a urinalysis. Dr. Juárez’s 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. Juárez’s medical assistant, to take the call from Mr. Menendez.
  Emilia listens as Mr. Menendez recounts that he is experiencing dysuria—
  painful, 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. “Why can’t you call in a prescription for Bactrim? That is what I
  took last time, and it helped.”
  Provide detailed answers for each of the following questions. Your response
  should be one (1) page in length.

• What is your response?
• Should 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.
  Juárez?

Part C:

• What, if anything, could or should Emilia say to Mr. Menendez to persuade
  him to come in for the urinalysis?
• Might 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?
• Is it appropriate in this case, given the patient’s extensive history, to indeed
  call in a prescription for Bactrim?
• If not, how should Emilia handle Mr. Menendez’s request for his
  prescription?
• If so, what procedure should Emilia follow to arrange for a prescription?
• How should this telephone call be charted?
• What, if anything, should Dr. Juárez be told about the conversation with Mr.
  Menendez?