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The Administrative Medical Assistant Ch. 12
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Recommended: The Administrative Medical Assistant Ch. 12
Amy is a medical administrative assistant (MAA) at B&SC Internal Medicine. She received a call from a 55-year-old patient requesting an immediate appointment because he was having an ongoing migraine due to uncontrolled hypertensor (high blood pressure). The pain became so bad he became lethargic, fell, and got a contusion on his head. The fall prompted a seizure. Amy sent a note to the triage nurse via the EMR messaging center. Amy’s note said, "Mr. X requested an immediate appointment due to an uncontrolled migraine and hypertensor (low blood pressure)." Delores, a 70-year-old female came to her dermatologist to examine an asymmetrical lesion with irregular edges that vary in color. The doctor took a biopsy to send a sample to
Arch Dermatol. 2007;143(1):124–125. Puchenkova, S. G. (1996). "
The receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while. Additionally, she was unable to focus on Ms. Patient and got distracted when another patient asked for indications. The receptionist clearly indicated unprofessionalism when she was unable to provide adequate information for the patient when she was disoriented. Also, the receptionist did not have any manners when she failed to excuse herself when another patient wanted to speak with her. Ms. Patient stated that she felt extremely vulnerable and lost when no one was able to help her understand what was going on. Therefore, the healthcare team in this case was unsuccessful in providing a caring and helpful environment for the
On 09-27-2016 at approximately 1310 hours, I, Security Offcier James Argyro A-10280, was dispatched to the security medical station for a employee medical. Upon arrival I made contact with Lisa Bowen A-5954, who stated that she tripped over a bucket behind the bar and landed on her left knee. Bowen stated that she did not report it because it did not hurt and she was able to get right back up. F&B Supervisor Allison Williams A-2318 stated that when she heard about the fall she made Bowen report it to security. Bowen stated that she was not in any pain at this time and did not wish to speak to Emergency Medical services. Bowen was released to her supervisor and given a medical packet. Security Shift supervisor Neil Grant A 3079 was notified.
Skin lesions are often difficult to assess only by visual inspection. Diagnostic testing, a history related to chief complaint and a provider’s experience may all be necessary to reach a definitive diagnosis. Diagnostic testing for presentations similar to this are not common, unless the lesion becomes persistent or reoccurring. In this case, the primary provider had the experience to ascertain the cause. The student could only categorize it as a skin lesion from possible
In order behave professionally, first of all, one needs the willingness to learn and be self-aware. Self-awareness would allow the respondent to realise her limitation on “between the flags” policy and be willing to learn and improve her clinical knowledge. If she had done so, she would realise the importance of documentation and the urgent need to arrange medical review for Patient A, preventing her condition from further deteriorating instead of making assumption that urgent medical assistant was unnecessary as long as the continuous administration of antibiotics. Additionally, with a sound professional experience and knowledge, clinical reasoning skills are also essential in professional behaviour. If the respondent had used problem solving, critical thinking and intuitive thinking skills to recognise and respond on Patient A’s deteriorating condition, she would have applied clinical judgement and decision making skill to prioritise the patient’ need to be urgently medical reviewed by the ED doctor even though she may receive some verbal abuse. Once she is confident with her clinical reasoning and judgement, she would take action on arranging urgent medical review, documenting her assessment for further examination and
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
Countrywide’s ambition to help more Americans take part in the “American dream” of homeownership was a noble gesture. However, as noble as the goal was Countrywide failed to protect themselves and the same people they desired to help. The demographic of borrowers Countrywide marketed to were specific: low-income and minorities. Countrywide saw a need and a wide open opportunity to make money, however, they also took a large risk with offering loans to borrowers that would not have met the standards for a “traditional” loan. At first the borrowers were able to keep up with their loan payments (the economy was stable and the job market was solid).
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
A confused man presents into the Emergency Department in a dishevelled and unkempt state, the nurse assigned to this patient recognises the following; the man is in his mid-sixties, confused and disorientate, anxious, has an acetone breath odour, also at examination locates a haematoma on the right side of his forehead while the patient also states repeatedly that he wants to pass urine. As acknowledged previously the nurse responded in an inappropriate manner therefore making a significant impact on the care of this patient for the upcoming shift, the nurse presented signs of neglect thus actions need to be taken to keep the patient safe with the best suitable care possible.
After a review of the clinical information provided by Lenox Hill Hospital, the Medical Director has denied the admission to Lenox Hill Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. We have to deny this inpatient admission as the information was never submitted by the provider, is limited and/or incomplete for this requested service. We have requested information and it has not been submitted in a timely manner. This would include but not limited to your presenting symptoms, pertinent blood work results, imaging performed such as x-rays, vital signs upon presentation, physical examination and the course of treatment received in the
The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015).
Mr. Anderson has a narrow focus; he continues to insist he needs more surgery. Mr. Anderson is very weak with large muscle atrophy. He walks using 2 canes refusing to use a walker which would be safer. He is a fall risk. He refuses to participate in physical therapy to strengthen and improve his muscle tone so he could walk safer and increase his endurance. He reports his pain level will not allow him to be active. He has an extremely high pain level consistently which never improves even with medical
Rooks, A. & Burns, T. (2010). Rook’s textbook of Dermatology. Vol 4 (Chapter 12). John Wiley and Sons.
In an emergency room, the failure to diagnose could be the result of fatigue or distraction. • Mistakes With Medications – This is another common medical malpractice claim; however, in the hectic environment of an emergency room, it can easily happen. Doctors can make mistakes in prescribing medications and nurses can make mistakes in interpreting a doctor’s instructions and/or notes. • Negligence – Negligence can take many forms. If a medical professional fails to adhere to the industry’s standard of care, he or she can be guilty of medical