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| Preface | p. xi |
| Acknowledgments | p. xv |
| Common Medical Abbreviations | |
| General Abbreviations | p. 2 |
| Measurement Abbreviations | p. 14 |
| Pharmacology Abbreviations | p. 15 |
| Symbols | p. 17 |
| Documentation Basics and Conducting In-office Screenings | |
| Introduction | p. 20 |
| Documentation Basics | p. 21 |
| Documenta... MORE | p. 22 |
| Simplified Chief Complaint | p. 23 |
| Comprehensive Chief Complaint | p. 25 |
| Gathering Questions for the History of the Present Illness | p. 28 |
| How to Use the Chart | p. 28 |
| Quick Glance History of the Present Illness (HPI) and Anticipation Chart | p. 29 |
| Follow-Up Appointments/Progress Notes | p. 41 |
| Documenting Medications | p. 43 |
| Documenting Prescriptions | p. 46 |
| Charting In-House Procedures | p. 48 |
| Completing and Documenting Referrals | p. 50 |
| Pre-certification/Documenting Outside Procedures | p. 53 |
| Telephone Screening | p. 56 |
| Documenting Patient Education Sessions | p. 59 |
| Telephone Screenings | |
| Introduction | p. 64 |
| How to Use the Charts | p. 65 |
| Action Abbreviation and Code Key | p. 67 |
| Abdominal Pain/Stomach Pain | p. 69 |
| Allergic Reaction/Anaphylaxis | p. 73 |
| Anxiety and Stress | p. 75 |
| Back Pain | p. 77 |
| Burns | p. 79 |
| Chest Pain | p. 84 |
| Colds, Cough, and Flu | p. 87 |
| Constipation | p. 89 |
| Depression | p. 91 |
| Diarrhea | p. 94 |
| Ear Pain | p. 97 |
| Eye Disorders | p. 100 |
| Fainting | p. 103 |
| Fever | p. 106 |
| Headaches and Head Trauma | p. 109 |
| Insect Bites or Stings | p. 113 |
| Nosebleeds | p. 116 |
| Rashes and Skin Disorders | p. 118 |
| Strains, Sprains, and Fractures | p. 124 |
| Urinary Tract Symptoms | p. 128 |
| Vaginal Symptoms | p. 131 |
| Wounds, Abrasions, Bruises, Lacerations, and Punctures | p. 134 |
| Assisting in an OB-Gyn Practice | |
| Introduction | p. 138 |
| Annual Pap and Pelvic Procedures | p. 139 |
| Pap Tray | p. 140 |
| Pelvic Exam | p. 141 |
| Pelvic Tray | p. 142 |
| Assisting with a Colposcopy and a Biopsy Punch | p. 143 |
| Assisting with Cryosurgery or Cryotherapy | p. 145 |
| Diseases That Can Be Spread through Sexual Contact | p. 146 |
| Sexually Transmitted Diseases | p. 147 |
| Gynecological Diagnostic Tests and Procedures | p. 149 |
| Assisting with Obstetrical Exams | p. 149 |
| Assisting with the Prenatal Exam | p. 151 |
| Diagnostic Tests and Procedures Routinely Performed During Pregnancy | p. 153 |
| Assisting in a Pediatric Office | |
| Introduction | p. 158 |
| Assisting with Routine Pediatric Exams | p. 159 |
| Recommended Childhood and Adolescent Immunization Schedule | p. 161 |
| Telephone Screening for the Pediatric Patient | p. 161 |
| Common Pediatric Diseases and Disorders | p. 164 |
| Pharmacology | |
| Introduction | p. 170 |
| Drug Classifications | p. 171 |
| Most Commonly Prescribed Medications | p. 176 |
| Over-the-Counter Medications | p. 187 |
| Most Common OTC Medications | p. 188 |
| Common Childhood Immunizations | p. 190 |
| Common Adult Immunizations | p. 194 |
| Common Injectables | p. 197 |
| Prescription Writing | p. 199 |
| Laboratory Regulations and Laboratory Normal Values | |
| Introduction | p. 202 |
| Clinical Laboratory Improvement Act (CLIA) | p. 203 |
| Process for Obtaining a Certificate of Waiver | p. 204 |
| Process for Obtaining a Certificate for Moderately Complex or Highly Complex Labs | p. 204 |
| Agencies Approved to Perform CLIA Inspections | p. 204 |
| Provider-Performed Microscopy (PPM) | p. 205 |
| Occupational Safety and Health Administration (OSHA) | p. 206 |
| Exposure Control Plan | p. 206 |
| Communication of Hazards to Employees | p. 206 |
| Post-Exposure Evaluation and Follow-Up Procedures | p. 207 |
| Record Keeping | p. 207 |
| Other Terms | p. 208 |
| Common Chemistry Tests | p. 209 |
| Common Hematology Tests | p. 212 |
| Critical Lab Values | p. 215 |
| Organizational Tips | p. 215 |
| Staff Responsibilities for Handling Critical Labs | p. 215 |
| Radiographic Procedures | |
| Introduction | p. 220 |
| Information Needed When Ordering X Rays | p. 221 |
| Routine Flat Films | p. 222 |
| Ultrasound | p. 224 |
| Computerized Tomography (CT Scan) | p. 225 |
| Magnetic Resonance Imaging (MRI) | p. 226 |
| Routine Procedures Performed in the Medical Office | |
| Introduction | p. 228 |
| Bandaging | p. 229 |
| Assisting with Cardiac Procedures | p. 231 |
| Electrocardiograms (3-Channel Version) | p. 232 |
| Holter Monitor Application | p. 236 |
| Ear and Eye Procedures | p. 239 |
| Ear Instillation | p. 239 |
| Ear Irrigation | p. 241 |
| Eye Instillation | p. 243 |
| Eye Irrigation | p. 246 |
| Visual Acuity Testing | p. 248 |
| Color Vision by Ishihara Method | p. 250 |
| Measuring Near Vision (Jaegar Procedure) | p. 251 |
| Emergency Procedures | p. 253 |
| Foreign Body Airway Management for the Conscious Patient | p. 253 |
| Cardiopulmonary Resuscitation for the Health Care Provider | p. 255 |
| Crash Cart Equipment | p. 257 |
| Laboratory Procedures | p. 258 |
| Capillary Puncture Procedure | p. 258 |
| Hematocrit/Finger Puncture Method | p. 261 |
| Hemoglobin (Hemoglobinometer Method) | p. 263 |
| Blood Glucose (Glucose Meter Method) | p. 265 |
| Glucose Tolerance Test (GTT) | p. 266 |
| Venipuncture | p. 269 |
| Venipuncture (Evacuated Tube Method) | p. 269 |
| Venipuncture (Syringe Method) | p. 272 |
| Venipuncture (Butterfly Method) | p. 274 |
| Vacuum Tube Stopper Color Chart | p. 276 |
| Tube Order for Vacuum Method | p. 278 |
| Hematoma Prevention Tips | p. 278 |
| Rapid Test Kits | p. 279 |
| Performing an HCG Urine Pregnancy Test | p. 279 |
| Obtaining a Throat Swab and Performing a Rapid Strep Test | p. 280 |
| Urinary Procedures | p. 282 |
| Collecting a Clean Catch Urine Sample | p. 282 |
| Collecting a 24-Hour Urine Specimen | p. 284 |
| Physical Urinalysis | p. 286 |
| Measuring Specific Gravity | p. 289 |
| Performing a Chemical Urinalysis | p. 291 |
| Microscopic Analysis of Urine | p. 295 |
| Medication Administration | p. 298 |
| Adult Dosage Calculations | p. 298 |
| General Guidelines for Administering Medications | p. 303 |
| Administering Oral Medications | p. 305 |
| Withdrawing Medication from a Vial | p. 307 |
| Combining Two Drugs into One Syringe | p. 308 |
| Withdrawing Medication from an Ampule | p. 310 |
| Administering an Intradermal Injection | p. 311 |
| Administering a Subcutaneous Injection | p. 313 |
| Administering an Adult Intramuscular Injection | p. 317 |
| Administering a Z-Track Injection | p. 322 |
| Minor Surgical Procedures | p. 323 |
| Aseptic Procedures | p. 323 |
| Medical Aseptic Handwashing | p. 326 |
| Surgical Gloving | p. 327 |
| Application of Sterile Adhesive Skin Closures | p. 329 |
| Removal of Sutures | p. 331 |
| Tray Setups | p. 334 |
| Complete Physical Exam | p. 334 |
| Cyst Removal | p. 335 |
| Eye, Ear, Nose, and Throat Tray | p. 336 |
| Electrosurgical Tray | p. 337 |
| Excision Trays (Mole, Skin Tags, and Wart Removal) | p. 337 |
| Incision and Drainage or ID Tray | p. 338 |
| Joint Injection | p. 339 |
| Laceration/Suture Tray | p. 340 |
| Lumbar Puncture Tray | p. 341 |
| Rectal Exam | p. 341 |
| Sigmoidoscopy | p. 342 |
| Positioning | p. 343 |
| Vital Signs | p. 346 |
| Blood Pressure (Palpatory Method) | p. 346 |
| Measuring a Radial Pulse | p. 349 |
| Measuring an Apical Pulse | p. 351 |
| Measuring Respiration | p. 353 |
| Measuring Temperature | p. 355 |
| Instrument Identification | |
| Introduction | p. 360 |
| Illustrations of Instruments | p. 362 |
| Hugs in the Hallway | |
| Introduction | p. 372 |
| Setting the Scene for Hugs in the Hallway | p. 373 |
| She Couldn't Come to Their World, So They Went to Her World | p. 373 |
| "You Want My Picture?" | p. 375 |
| Fond Memories | p. 378 |
| Fond Memories Continued | p. 379 |
| "I Can't Find the Pound Key" | p. 379 |
| Bibliography | p. 381 |
| Index | p. 383 |
| Table of Contents provided by Ingram. All Rights Reserved. |