The primary audience is the hospitals or clinic staff. Like the instructional document, the audience is dealing with medical research; however, the audience is explained as a problem for nurses or doctors doing blood transfusion. The secondary audience includes the patients and the upper-level managers of the hospital. September 22, 20172Possible external audiences include other scientists or people working for other hospitals or clinics that specialize in blood transfusion. Situational AnalysisThe context of the steroid pulse therapy document is mainly focused on medical research.
There are three reasons proper chart documentations are important: to avoid lawsuits, keep accurate medical information for patient, and to maintain proper communication from one professional to another. Avoiding Malpractice Suits People sue for a lot of reasons today, and one of them just happens to be improper charting that causes errors. Attorneys on the plaintiff side gather every chart and record that was made during the time in question. The proper chart documentation can either be the nail in the coffin for a case, or the factor that decides wrong doing and monetary compensation. It is imperative that documentation is done thoroughly and properly every time data is recorded.
The environment can contain a high level of stress and it is important for those who are working there to remain calm and be aware of their surroundings (36). It is important that all health professionals in this environment can effectively communicate with families and other providers as needed. They also need to be adequately prepared and trained for medical emergencies. Providers should also have the proper credentials and training such as BLS, ACLS, etc. This is one department where teamwork is essential and a lack of leadership amongst co-workers can lead to ineffective care (36).
These responsibilities requires a manager to gather information from physicians and other staff members. With all the information coded and on file, a manager will be able send out accurate billing statements to insurance companies and patients. In order to be successful in the accuracy of medical records, coding and billing, and insurance processing, students who are seeking an Associates of Applied Science in Medical Office Management must acquire detail oriented skills. Mastering this skill will not only further ones career, but help simplify their responsibilities and keep them organized. According to Kaplan University (n.d.), medical office managers must be competent in medical records management, billing and coding, and insurance processing.
Project 1 There are many confidentiality, privacy and security issues that relate to working as a medical receptionist in a medical practice. It is very important to have a senior person to oversee all administrative functions. A senior person will outline the tasks your job entails and will teach you the practice’s policies and procedures. They will teach you how to access patient records and how to know what information is relevant to your work. A senior person will also check your work and will be there for guidance if any conflict of interest occurs.
Phlebotomy A Phlebotomy Technician (Phlebotomist) is an integral member of the medical laboratory team whose primary function is the collection of blood samples from patients by venipuncture or microtechniques. The Phlebotomy Technician facilitates the collection and transportation of laboratory specimens, and is often the patient’s only contact with the medical laboratory. The need to assure quality and patient safety mandates strict professional behavior and standards of practice for Phlebotomists. The primary function of a Phlebotomy Technician is to obtain patient blood specimens by venipuncture or microtechniques. The Phlebotomy Technician aids in the collection and transportation of other laboratory specimens, and may be involved
While this might sound easy, proper documentation requires diligence by everyone involved as this data provides critical information for tracking processed instruments to the patient and assessing the reliability of the sterilization process. Sterilization documentation is used when instruments need to be recalled in the healthcare facility and determining the reason for a sterilization process failure. Documentation provides a permanent record that you’ve done everything you said you did, from cleaning to sterilization to instrument distribution. Simply put, documentation established accountability. An important aspect of quality control, this part of documentation or record keeping documents each item or instrument that is processed, assists in proper stock rotation, establishes accountability, and assists with recalls.
When a patient is taking these tests they will be asked about their medical history. This is important as it may indicate any previous conditions which may have had an effect on the current disorder they have. This stage should not be rushed as it is important in the diagnosis of the person, the doctor will investigate patterns based on the information the patient is giving about medical history and family
Some potential career paths include physician office or clinic assisting, hospital setting medical assisting, optometry assisting, and chiropractic assisting. This career field has numerous daily hand on patient care requirements such as recording patient history, medication lists, taking vitals, performing EKG’s, administering vaccines, and drawing blood. There are also numerous front office requirements such as “scheduling appointments, maintaining medical records, billing, and coding information for insurance purpose” (O-Net). The actual daily requirements on the job will be determined by the position held and the type of specialty that the office specialized in, but all of the skills are essential to know to be gainfully employable in this field. It is predicted by the Nevada Department of Employment, Training, and Rehabilitation that an increase of 14% will occur over the next ten years in the demand of medical assisting positions.
FETAC level 5 Medical Terminology SN2428 “The Role of the Medical Secretary Within a Chosen Healthcare Setting” Contents Introduction……………………………………………………………….. 1 Part One – Common medical terminology used in ….. Gastroenterology area …2 Part Two – importance of correct medical terminology usage in communicating with patients and medical practitioners …………………………………………………………… 5 Part Three – Illustration the rational and procedure to be followed in preparing and assembling X-ray reports………6 * …..6 * 8 Conclusion 10 Recommendations ...11 Bibliography.........................................................................13 Introduction, Aims & Objections A medical secretary has very important function in the medical profession. The job incorporates aspects of administrative duties with medical knowledge. They are usually the first point of contact for patients in a physician's office, a clinic or hospital and make the first impression for the entire office. Apart from having excellent general secretarial skills, they should be knowledgeable in medical terminology, lab procedures and legislation relating to the healthcare sector. The aims and objections of this project is to introduce common Medical Terminology in healthcare setting.