Intravenous Therapy or IV
Fluids are introduced intravenously into the body in order to replace supply and electrolytes (Pearson 2010). These are large amounts of fluid, electrolytes or nutrients administered to a patient who needs them and cannot take them orally. Medication is also administered intravenously by a physician or by a nurse. The physician informs the nurse on the type, amount, and the rate of the solution to be injected. The nurse is responsible for carrying out the physician's exact instruction to start the therapy and other responsibilities attached to the instruction. State laws specify which health care professionals can start an IV and administer it. Some States allow medical assistants with advanced training and physician supervision to start an IV. Medical assistants, however, should be aware of the risks as they are not trained to push IV medications. Although they become acquainted with IV therapy, it is not a…...

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BIBLIOGRAPHY

BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009.

Retrieved on February 23, 2012 from  http://www.bls.gov/oco/ocos164.htm 

Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson

Corporation, 2006. Retrieved on February 22, 2012 from http://www.delmarlearning.com/companions/content/0766841464/curriclum/KeirSetUpdate.pdf

All Medical Assistants
The importance of customer service in a tertiary healthcare setting

As you all know, the healthcare industry has been transformed in substantive ways as a result of the Patient Protection and Affordable Care Act and the growing need for timely recordation of services rendered in order to attain appropriate reimbursement of physician services and overall expense reimbursement for the medical facility. This memorandum explains how and why customer service is the one thing that sets their organization apart from their competitors.

Importance of Customer Service from Medical Assistants' Perspective

Please know that our organization appreciates your unwavering efforts to provide the best possible medical care to our valued patients. Medical assistants are on the forefront of the provision of this care, and we need your support to ensure that your services are compensated appropriately. This is in everyone's best interests because unplanned turnover can cost this organization far more than anyone…...

According to the work of Fulford (1994) in an Oxford Practice Skills Project eport "Three elements of practice (ethics, law and communication skills) are approached in an integrated teaching programme which aims to address everyday clinical practice. The role of a central value of patient-centered health care in guiding the teaching is described. Although the final aim of the teaching is to improve the actual practice, we have found three 'sub-aims' helpful in the development of the programme. These sub-aims are: increasing students' awareness of ethical issues; enhancing their analytical thinking skills, and teaching specific knowledge. (Hope, 1994)

In the work of Miles, et al. (1989) entitled "Medical Ethics Education: Coming of Age it is stated that "medical ethics education is instruction that endeavors to teach the examination of the role of values in the doctor's relationship with patients, colleagues and society. It is one form of a broad curricular effort…...

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References

Fryer-Edwards, PhD (2005) Tough Talk: Helping Doctors Approach Difficult Conversations - Resources for Teaching- Domains for Small Group Teaching Prelude 3 Department of Medical History and Ethics University of Washington School of Medicine.

Siegler, Mark MD (2001) Lessons from 30 Years of Teaching Clinical Ethics AMA Journal 2001 October.

St. Onge, Joye (1997) Medical Education Must Make Room for Student-Specific Ethical Dilemmas" Canadian Medical Association Journal 15 Apr 1987, 156(8).

Hicks, L. et al. (2001) Understanding the Clinical Dilemmas that Shape Medical Students' Ethical Development: Questionnaire Survey and Focus Group study. BMJ Journal 2001;322-709-71- 24 march 2001.

Medical/Nursing Education
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."

As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing activity is…...

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References

Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science

Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.

Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):

Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.

Ethics Case Study: Medical Law and Ethics
Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all of the phone calls at the office while the receptionist is at lunch. During this period of time, a patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. The patient notes that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.

Does Jerry's Medical Training Qualify Him to efill the Order?

While Jerry's medical training qualifies him to receive a prescription order and transcribe it accurately for other nurses or physicians to implement or transmit to a…...

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References

Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from:   on 1 November 2011.http://www.myfloridacfo.com/wc/history.html 

Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:

  on 1 November 2011.http://www.state.mn.us/mn/externalDocs/Nursing/NURSES_AND_PRESCRIBING_090904125323_Prescribing%20FAQ2.pdf 

Nowicki, M. And Summers, J. (2004). Reducing your credibility liability. Healthcare Financial Management, 58.4: pp. 94-97. Web. Retrieved from: ProQuest Database.

Jerry McCall Dr. Williams Office Assistant
Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications

According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.

The Case:

Jerry McCall is…...

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References:

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at   (visited October 17, 2011).http://www.bls.gov/oco/ocos164.htm 

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at   (visited October 17, 2011).http://www.bls.gov/oco/ocos102.htm 

Couch, C., Minchella, K., Walker, R., Watson N. Occupational Analysis of the CMA (AAMA). (2008). American Association of Medical Assistants, 2007-2008. Available from  http://www.aama-ntl.org/resources/library/OA.pdf .

Ferrell, C.W., Aspy, C.B., Mold, J.W. (2006). Management of Prescription Refills in Primary Care: An Oklahoma Physicians Resource/Research Network (OKPRN) Study. Journal of the American Board of Family Medicine, 19, 1, 31-38.

Internal rate of return is 72%.
Conversely, Proposal 2 operates at a $150,000 deficit for its first year of operation. Totals costs for the CT scan equipment are $1.1 million ($500,000 variable costs from $500 per patient and $600,000 fixed cost for insurance and equipment leases) while revenue for year one is only $950,000 (from per visit payments of $950 per patient). One thousand patients are expected in year one of operation. The initial cost of investment for Proposal 2 was $50,000 putting the total budget deficit for Proposal 2,-year 1 at $200,000. Total costs for year two are $1,350,000 while gross revenue reaches $1,425,000. This presents a positive cash flow of $75,000 however because of the loss of $200,000 in year one, net profits for year two are negative at $125,000 ($200,000 [year one net profit] - $75,000 [year two cash flow]).

Like Proposal 1, Proposal 2 becomes profitable over…...

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Sources

Fridson, Martin S., and Fernando Alvarez. Financial Statement Analysis: a Practitioner's Guide. New York: John Wiley & Sons, 2002. Print.

Friedlob, G. Thomas., and Franklin James Plewa. Understanding Return on Investment. New York: Wiley, 1996. Print.

Hofstrand, Don. "Understanding Cash Flow Analysis - File C3-14 December 2009." Iowa State University Extension. Web. 15 Mar. 2011.

.

Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment has revealed required resources of about four or five medical services providers such as physician assistants and nurse practitioners. Support personnel may be provided, but an additional challenge will arise when implementing the curriculum in a real world setting such as a trauma center, emergency room, or intensive care unit. Adequate space and time must be carved out for the curriculum implementation, without disturbing standard operating procedures. At the same time, improving trauma triage management will ultimately facilitate patient service delivery and maximize care outcomes, goals that should continually be communicated to the institutional administration as well as all participants in the program.
Each phase of the ADDIE model, an industry benchmark for curriculum development, "requires constant evaluation," (Allen, 2006, p. 439).…...

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References

Allen, W.C. (2006). Overview and evolution of the ADDIE training system. Advances in Developing Human Resources 8(4): 430-441.

Bass, E.B. (n.d.). Step 1: Problem identification and general needs assessment.

Swanson, R.A. & Holton, E.F. (2009). Training and development practices. Chapter 12 in Foundations of Human Resource Development.

Essay 2: In what collegiate extracurriculars did you engage? (400 characters) As Vice President of Phi Kappa Sigma, I co-managed the annual $30k budget, participated in 100+ hours of community service, volunteered for the Rutgers Dance Marathon, raised funds for the Embrace the Kids Foundation, and organized the annual Phi-Esta fundraiser for the Eric Legrand’s Foundation with several other fraternities. I also volunteered for the Leukemia Lymphoma Society.
Essay 3: Did you work for compensation during college during the year or the summer? (300 Word limit)
Yes, every summer I worked full-time. During the summers of my undergraduate career, I worked at Selco Associates, a distribution and warehousing company. There I coordinated with management personnel to provide high quality customer service. I also managed apparel and footwear inventory for major companies and assisted in opening new accounts. This experience helped me to develop communication, organization, and problem-solving skills that I expect to be…...

Personal Digital Assistants in Healthcare
Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare

Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a critical review…...

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References

Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.

Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.

Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.

Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.

Also, overall organizational costs have increased as well. Thus, two central questions must be answered. First of all, what is the hospital's ethical policy on a patient's right to die? How can the policy be rectified so that it is coherent with the law and with the director's policies? The assistant cannot alone determine this statement, but can demand that the rights of the patient to refuse or accept treatment for their own physical persons and their children be clearly stated by some organizational manifesto. If there is a coherent organizational policy that the hospital can hereafter adhere to, then patients will have some idea what they are 'getting into' before coming to the hospital, and the board of directors can have some say as to the overall hospital policy. Secondly, regarding the increase of costs, the financial department must be consulted as to how many Medicaid and Medicare…...

Executive Assistant
This case study examines the decision making process from a collective viewpoint. It attempts to resolve issues within a community hospital that have arisen due to failed organizational management, ethical considerations and a poorly established communication system.

Framing the Problem:

Identify the Problem-

The primary problems that exist within Faith community hospital center around the following as outlined by the CEO: (1) a lack of organizational processes that ensure uniformity, (2) a lack of standardized procedures with regard to ethical considerations working in a medical environment, and (3) lack of appropriate communication systems to ensure that everyone is thinking alone the same lines.

At this point in time Faith Community Hospital has developed a mission statement that clearly identifies the organizations mission which is among other things to provide a quality continuum of service to community members.

However variant interpretations of the mission have led to a chaotic management style and organizational foundation…...

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References:

Mattison, M. (2000). "Ethical decision making: The person in the process." Social Work,

45(3): 201

Reamer, F. (1995). "Social work values and ethics." New York: Columbia University

Press.

Introduction Factors related to hospitals and the patient population influence incidents of discharge Against Medical Advice, also known as AMA (Karimi et al., 2014). There is a high rate of discharges against the doctor’s advice after admission into emergency units. There is a need to probe the reasons behind such a trend (Shirani et al., 2010). It should be noted with concern that AMA is a healthcare institutions’ problem across the world because, in cases where children are discharged in such a manner, the blame cannot fall on these children. Children do not contribute to such decisions (Mohseni et al., 2013). Figures show that out of every 65 to 120 discharges from general hospitals across the world, one is a case of AMA. Such action is prone to dire consequences including litigation (Devitt et al., 2000). The scenario is a challenge to physicians across the globe (Taqueti, 2007). It is difficult…...

Furthermore, the supervisor must have a keen understanding of the laws and guidelines of the institution so that he can help in interpreting them to the staff. During the interview, there were times when directions were asked of the manager from the employees on how to go about tackling a problem. Sometimes the problems were so technical requiring the quoting of laws. I realized that this is a vital part of the managerial skill that has to be cultivated in order to make an effective manager. Also as the manager was doing his rounds, I realized that many people were asking him to solve their problems, be it social or technical, therefore, a leader should be have the ability of solving problems in a logical and reasoned manner and also be able to motivate people towards the efficient completion of tasks.
Learning about human resource is vital to understand about…...

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References

Veo, P. (2010). Concept mapping for applying theory to nursing practice. Journal for Nurses in Staff Development, 26(1), 17-22.

Kingma, M. (2006). Nurses on the move: global health care Migration and the economy. Nursing Leadership, 19(2), 92-94.

Morgan, J.C., & Lynn, M.R. (2009). Satisfaction in nursing in the context of shortage. Journal of nursing management, 17(3), 401-410.

Redman, R.W., & Potempa, K.M. (2009). Nursing education in human resources in: A worldwide crisis. Collegian: Nursing Journal of the Royal College of Australia, 16(1), 19-23.

com and 50 U.S. top distributors) has been properly covered. If there is a discrepancy between expectancies and results, the organization will identify the causes and try to eliminate them.
Still, even if final control is compulsory, the marketing department should periodically check the accomplishment of tasks. Therefore, the plan should prescribe deadlines, budgets, and activities that must be closely obeyed in order to timely detect and remediate potential causes of failure.

A b) for an accurate evaluation of its marketing efforts, Sonic should assess the customers' attitude towards its products before, during and after implementing the plan. Thus, by using questionnaires, the company can find out what changes have occurred as a result of their communication initiatives. Secondly, the success of the marketing efforts could be inferred after calculating several indicators related to the objectives stated in the plan (market shares, sales volume, awareness etc.).

A c) the most significant barometer for…...

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Bibliography

Kotler, P., & Keller, P. (2003). Marketing Management (12th Ed.). Upper Saddle River: Prentice Hall.

Kotler, P. (1986). Principles of Marketing. Englewood Cliffs, New Jersey: Prentice-Hall.

How to Write a Marketing Plan (2007). On the Internet at: www.knowthis.com/tutorials/marketing/marketingplan1.htm. Retrieved March 22.

Information on Sales Promotion (2007). On the Internet at   March 22, 2007.http://en.wikipedia.org/wiki/Sales_promotion.Retrieved 

My honest answer to this question is that, as a medical assistant, it is highly unlikely that I would be establishing the practice’s policy in terms of cancellations and patients who show up without appointments.  Generally, the doctor(s) and the office manager establish those policies and the appropriate policies may vary tremendously depending on the type of practice, the demands of the practice, patient utilization, current prevailing conditions (for example, the COVID-19 pandemic could change how a practice approaches drop-in patients), and the patient’s own medical history.  As a medical assistant, I would follow the policies and....

Challenges in Transitioning from Admin Support to Medical Billing
Transitioning from administrative support to medical billing poses several challenges due to the specialized knowledge and skills required in the medical field. Key challenges include:
1. Medical Terminology and Knowledge:
Admin support typically involves general office tasks, while medical billing requires a comprehensive understanding of medical terminology, anatomy, and physiology.
Coders must accurately translate medical diagnoses and procedures into medical codes for reimbursement purposes.
2. Compliance Regulations:
The healthcare industry is heavily regulated, and medical billers must adhere to a complex set of rules and regulations.
Non-compliance can result in penalties, fines, or even....

1. Strong communication skills: Medical assistants must be able to effectively communicate with patients, doctors, and other healthcare professionals. This includes listening to the needs and concerns of patients, explaining medical procedures, and reporting information accurately.

2. Attention to detail: Medical assistants often work with sensitive information and must pay close attention to detail to ensure the accuracy of medical records and patient information.

3. Organizational skills: Medical assistants may be responsible for scheduling appointments, managing medical records, and keeping track of supplies. Strong organizational skills are essential to successfully juggle multiple tasks and responsibilities.

4. Clinical skills: Medical assistants are often involved....

Medical assistants serve as the backbone of the healthcare system, playing a crucial role in providing patient care and administrative support. To thrive in this demanding field, medical assistants require a comprehensive skillset that encompasses both technical proficiency and interpersonal abilities. Here are the essential skills that pave the way for success in the healthcare industry:

1. Clinical Skills: Medical assistants are often the first point of contact for patients, and thus, they need to possess a solid foundation in clinical skills. These include vital sign measurement, patient preparation for examinations, specimen collection, and assisting with minor procedures. Proficiency in these....