Chapter 15 The Physician`s Office

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Chapter 15
The Physician’s Office
Health Care
Science
Technology
Copyright © The McGraw-Hill Companies, Inc.
Objectives
Define the educational
requirements needed to become
a physician, physician assistant,
and medical assistant.
 Compare the job responsibilities
of the physician, the physician
assistant, and the medical
assistant.
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Chapter 15
Objectives (cont.)
Specify the licensure,
certification, and credentialing
of the physician office
professional.
 List and define various medical
specialties.
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Chapter 15
Objectives (cont.)
Differentiate between administrative
duties and clinical duties in the
physician’s office.
 Discuss basic anatomy relative to the
common skills needed in the
physician’s office.
 Successfully complete 5 physician’s
office procedures.
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Chapter 15
Careers in the
Physician’s Office 15-1
The Physician
 The Physician Assistant
 The Medical Assistant
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Chapter 15
The Physician
Most physicians are doctors of
medicine (MD), but some are doctors
of osteopathic medicine (DO).
 Physicians may specialize.
 Education includes 4 years of
college, followed by 4 years of
medical school, then a period of
residency or internship.
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Chapter 15
The Physician (cont.)
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Job Responsibilities
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Must be able to communicate with a
variety of people.
Typical responsibilities include:
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Obtaining a client’s medical history.
Performing a physical exam.
Listening to heart and lung sounds.
Prescribing medications.
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Chapter 15
The Physician (cont.)
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Ordering laboratory or radiology
tests.
Consulting with other
physicians or health care team
members.
Interpreting laboratory results.
Educating clients.
Performing minor office
procedures.
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Chapter 15
The Physician Assistant
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Requirements include:
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Prior college credit.
An associate or bachelor’s degree.
Evidence of knowledge in specific areas.
Documented experience working with
clients in a health care environment.
Passing the Physician Assistant’s
National Certifying Exam.
Copyright © The McGraw-Hill Companies, Inc.
Chapter 15
The Physician Assistant (cont.)

Job Responsibilities
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Recording clients’
medical histories.
Performing physical
examinations.
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Chapter 15
The Physician Assistant (cont.)

Job Responsibilities (cont.)
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Ordering laboratory and X-ray
procedures.
Interpreting the results of laboratory
and X-ray tests.
Prescribing appropriate medications
and treatments.
Suturing lacerations.
Applying splints or casts.
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Chapter 15
The Medical Assistant
Works under the
direction of a physician,
but does not diagnose
diseases or prescribe
medications.
 Education may include
a 2-year college degree.
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Chapter 15
The Medical Assistant (cont.)

Job Responsibilities
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Operating and maintaining
office equipment.
Scheduling clients for
appointments.
Maintaining financial and
medical records.
Ordering supplies.
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Chapter 15
The Medical Assistant (cont.)

Job Responsibilities
(cont.)
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Completing general
office correspondence.
Billing and processing
insurance claims.
Obtaining clients’
medical records.
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Chapter 15
The Medical Assistant (cont.)

Job Responsibilities (cont.)
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Administering medications.
Obtaining blood or other specimens.
Processing specimens.
Performing visual and hearing screening
tests.
Taking and recording vital signs and
other pertinent data.
Documenting client’s chief complaint.
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Chapter 15
The Medical Assistant (cont.)

Job Responsibilities (cont.)
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Assisting the physician with minor
office procedures.
Removing sutures.
Making sure the client has received
follow-up instructions and that followup appointments are scheduled.
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Chapter 15
The Medical Assistant (cont.)

Job Responsibilities
(cont.)
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Cleaning the examination
room after the client
leaves.
Processing simple X
rays. This requires
additional training and
certification.
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Chapter 15
Section 15-1
Apply Your Knowledge
How many specialties are
available to the physician?
Answer: 24.
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Chapter 15
Physician Office Procedures 15-2
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Additional Career Skills
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Chapter 15
Additional Career Skills

Measuring Blood Glucose
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Blood glucose is blood sugar.
Performed with a glucometer.
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Chapter 15
Additional Career Skills (cont.)
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Assisting with Minor Office Surgery
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The physician explains and performs the
surgery.
The office staff must prepare the treatment area,
surgical tray, and the client.
A consent form must be signed.
During the procedure the assistant must
reassure the client and assist the physician.
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Chapter 15
Additional Career Skills (cont.)
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Sutures
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Sutures are either absorbable or nonabsorbable,
which means they must be removed.
A trained office staff member removes the
sutures.
An open wound draining purulent, or puscontaining materials, should be reported to the
physician.
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Chapter 15
Additional Career Skills (cont.)
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Opening Vials and Ampules
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Medications should be checked regularly for
outdated containers.
Medications should be stored alphabetically in
an area inaccessible to unauthorized persons.
A vial is a small glass bottle with rubber stopper.
An ampule is a small glass container that may
be sealed and sterilized.
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Chapter 15
Additional Career Skills (cont.)
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Performing Injections
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Medications are usually ordered using grams or
milligrams.
Dosage calculations must be accurate.
Intramuscular injections are placed into a
muscle.
Intradermal injections are placed into the dermis
(superficial layer of the skin).
Subcutaneous injections are made into the soft
tissue beneath the skin.
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Chapter 15
Section 15-2
Apply Your Knowledge
Do clients need to be instructed
in the clean-catch method of
urine collection? If so, why?
Answer:
Yes, to ensure the specimen has the
least amount of contamination so the
urine test will be accurate.
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Chapter 15
Procedures in Student Text
15A
15B
15C
15D
15E
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Positioning Clients for a
Physical Examination
Assisting with Gynecological
Examinations
Obtaining a Throat Culture
Collecting a Clean-Catch Urine
Specimen
Applying Bandages
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Chapter 15
Additional Procedures
in Lab Activity Manual
LM15-1
LM15-2
LM15-3
LM15-4
LM15-5
LM15-6
27
LM15-7
Measuring Blood Glucose Using a
Glucometer
Assisting with Minor Office Surgery
Removing Sutures
Opening Medication Vials and
Ampules
Aspirating Medication from Vials
and Ampules
Reconstituting Powder Medication
for Injection
Performing Injections
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Chapter 15
Chapter 15 Credits
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Terry Wild Studio
Terry Wild Studio
Cliff Moore
Terry Wild Studio
Terry Wild Studio
Cliff Moore
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Chapter 15
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