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MO 260 Unit Two
Clinical Skills for the
Medical Office Manager
Agenda
◦ Review Unit One
◦ Overview Unit Two
◦ Discussion/Presentation
 Discussion Board-Good Samaritan Laws (1st choice)
 Seminar Discussion-Patient History Form/Medical
Records Video
 Unit Two Activities/Readings
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Asepsis-Infection Control/OSHA/Biohazardous Waste
Prepping Patient Exam Room
Obtaining Patient Vital Signs
In-House Emergencies
◦ Questions weekly deliverables ??
Let’s Review
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Patient Termination
Professionalism
License renewal-Physician & CMA/RMA
Liability & HIPAA
•
www.youtube.com/watch?v=fTjZ7GokQw4
• The Patient Chart
• Our Discussion Board
Unit Two
Discussion –Good Samaritan
 Seminar-Here we are!
 Assignment
 Assessment
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◦ Activities
 Asepsis, Prep Pt Room, Basic Charting, Emergencies
On the Discussion Board: Good Samaritan Laws
STATEMENT
This bill supplements the "Good Samaritan Act," P.L.1963, c.140 (C.2A:62A-1 et seq.) to clarify that
the immunity from liability for civil damages afforded under that act extends to include municipal,
county and State firefighters, both paid or volunteer, who render emergency assistance at the
scene of an accident.
Under common law, while a person is under no obligation to provide emergency assistance at the
scene of an accident, a person who chooses to do so may be held civilly liable if he or she is found
to have acted in a negligent manner. To encourage individuals to render assistance at accident
scenes, New Jersey and many other states have adopted "Good Samaritan" acts to provide civil
immunity for individuals who in good faith render emergency care at the scene of an accident or
in an emergency.
In its present form, New Jersey's "Good Samaritan Act" provides immunity to (1) any individual,
including health care professionals; (2) the members of volunteer first aid, rescue and ambulance
squads and (3) municipal, county and State law enforcement officers, who in good faith render
emergency care at the scene of an accident or in an emergency or who, in the case of volunteer
members or first aid, rescue and ambulance squads, transport the victims of an accident or
emergency to a hospital or other facility for treatment. This bill would add municipal, county and
State firefighters, both paid and volunteer, to those specifically afforded immunity under the
"Good Samaritan Act."
Resource: http://www.njleg.state.nj.us/9899/Bills/a2500/2270_i1.pdf
Medical History: Collecting the information
Besides being useful for diagnosing and treating
the patient, the self-history allows the patient
more participation in the process.
 The form may be mailed to the patient’s home
before the appointment or may be completed in
the office during the first visit.
 If you are responsible for taking a portion of the
medical history, conduct the interview in a
private area free from outside interference and
beyond the hearing range of other patients.
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Seminar Discussion
The Importance of Medical Records
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http://youtu.be/TZzIw6RpQVg
Aseptic Techniques:
Prevention of Disease Transmission
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Medical asepsis.
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Surgical asepsis.
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Medical aseptic techniques: Create an environment
as free of pathogens as possible to prevent
reinfection or cross-infection.
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Surgical aseptic or sterile technique: Used when the
patient’s skin or mucous membranes are disrupted.
Prevents patient exposure to all microbes (e.g., for
minor surgery, urinary catheterizations, injections).
Asepsis: Removing pathogenic organisms or
protecting against infection by these organisms
Handwashing
 Sanitization
 Disinfection
 Sterilization
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OSHA Standards for Healthcare Workers
Healthcare workers face significant health risks
from occupational exposure to blood or other
potentially infectious materials that may contain
hepatitis B virus (HBV), hepatitis C virus (HCV),
or the human immunodeficiency virus (HIV).
 The MA should use precautions for all patients,
regardless of knowledge of their individual health
histories.
 Implementation of the Bloodborne Pathogen
Standard also protects patients from any bloodborne infection the healthcare worker may be
carrying.
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Chain of Infection
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Infectious diseases can spread only if certain
factors occur. These factors, or links, make
up the chain of infection. Break the chain,
and you break the infectious process.
The chain begins with the infectious agent,
which invades the reservoir host, and
continues with the means or portal of exit
from the host, the method of transmission,
the means or portal of entry into a new
host, and the presence of a susceptible host.
Chain of Infection
Transmission
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Direct—contact with infected person or
with discharges (feces, urine, sputum, etc.)
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Indirect—from droplets expelled with
coughing, sneezing, or speaking; vectors;
contaminated food; contaminated objects
called fomites.
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Controlled with sanitization, disinfection,
sterilization, and so on
Exposure Control Plan
Plan must detail employee protection procedures.
Must identify job classifications and/or specific
work-related tasks that might lead to exposure.
 Must contain specifics on controls including PPE,
training, hepatitis B immunization, record keeping,
postexposure follow-up, and labeling and disposal
of biohazard waste.
 Must be reviewed and updated at least annually to
incorporate the use of safer medical devices.
 Must be available to employees for review and
training.
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Biohazardous Waste
Basic Charting
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Interviewing the patient
◦ Open ended/closed ended questions
◦ Documenting on the progress notes
 Soap notes: Subjective, Objective, Assessment and
Plan
◦ Source Oriented/Problem Oriented Charts
In-House Emergency Guidelines
What is the office policy?
 What types of emergencies can occur in
the medical office?
 Who is the decision maker?
 Who calls 911?
 What equipment should you have?
 Healthcare Provider CPR?
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