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Medical Assisting, 4055 - nocti

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JOB READY ASSESSMENT BLUEPRINT<br />

<strong>Medical</strong> <strong>Assisting</strong><br />

Test Code: <strong>4055</strong><br />

Version: 01<br />

Specific Competencies and Skills Tested in this Assessment:<br />

<strong>Medical</strong> Office Procedures<br />

Greet and receive patients and visitors<br />

Place, receive, and properly document and disseminate office telecommunications<br />

Take and record patient’s demographic data and insurance information<br />

Schedule and maintain patient appointment log, including no-shows, reschedules, and cancellations<br />

Demonstrate knowledge about managed care and referral forms<br />

Prepare and maintain patient’s medical records<br />

Demonstrate knowledge of insurance forms, procedures, terminology, and billing process<br />

Maintain database of professional contacts<br />

Identify and apply procedure and diagnosis coding<br />

Demonstrate the process of ordering, inventory maintenance, and stock control<br />

Demonstrate basic computer skills<br />

Demonstrate basic medical transcribing skills<br />

General Laboratory Procedures and Diagnostic Testing<br />

Demonstrate proper ECG procedures and other cardiovascular testing<br />

Collect and prepare specimens<br />

Demonstrate proficiency with laboratory procedures, such as urinalysis, (limited) blood tests, and cultures<br />

Perform and properly document visual and hearing diagnostic tests<br />

Demonstrate understanding of biomedical equipment usage and maintenance<br />

Complete ancillary medical services requisitions and logs<br />

Perform venipuncture<br />

Demonstrate knowledge of pulmonary diagnostic testing<br />

Perform intradermal testing (e.g., Mantoux, allergy, Tine tests)<br />

Demonstrate knowledge of radiologic procedures


<strong>Medical</strong> <strong>Assisting</strong> continued<br />

Clinical Procedures<br />

Prepare examination room and gather appropriate equipment for patient procedures<br />

Assist medical care provider with patient examinations, treatments, and minor surgeries<br />

Set up and maintain a sterile field<br />

Clean and disinfect instruments and supplies<br />

Demonstrate knowledge of appropriate handling and disposal of contaminated materials or spills<br />

Take and record ambulatory patient’s height and weight<br />

Take and record vital signs and appropriately report abnormalities<br />

Obtain medical history, including allergy information and subjective findings<br />

Position and drape patient for examination and/or treatment<br />

Demonstrate proper handwashing techniques<br />

Take and record an infant’s height, weight, and head circumference<br />

Prepare packaging for sterilization and use of autoclave<br />

Identify basic medical instruments<br />

Calculate proper medication dosages<br />

Demonstrate knowledge of medication administration routes<br />

Identify various drugs, drug classifications, and clinical indications<br />

Administer injections<br />

Perform ear irrigation<br />

Perform suture or staple removal<br />

Perform dressing changes<br />

Administer nebulizer treatment<br />

Perform basic first aid and CPR<br />

Demonstrate knowledge of proper nutrition and therapeutic diets<br />

Perform urinary catheterization<br />

Demonstrate knowledge of ambulatory assistance devices<br />

Demonstrate knowledge of principles of cast care<br />

Follow appropriate standard precautions<br />

Patient Instruction<br />

Instruct patients in proper technique for collection of specimens<br />

Instruct patients regarding proper preparation for diagnostic tests<br />

Instruct patients on specialist referral<br />

Give discharge instructions<br />

Explain procedures to patients<br />

Foundations for Healthcare<br />

Identify and adhere to legal standards and ethics<br />

Maintain patient confidentiality, privacy, and security<br />

Demonstrate knowledge of applicable laws, statutes, and regulations<br />

Obtain signatures for various medical consents<br />

Recognize and use medical terminology<br />

Recognize the relationship between physiology and pathology<br />

Display teamwork skills necessary for the medical field


<strong>Medical</strong> <strong>Assisting</strong> continued<br />

Written Assessment:<br />

Administration Time: 3 hours<br />

Number of Questions: 199<br />

Areas Covered:<br />

18% <strong>Medical</strong> Office Procedures<br />

16% General Laboratory Procedures and Diagnostic Testing<br />

40% Clinical Procedures<br />

8% Patient Instruction<br />

18% Foundations for Healthcare<br />

Sample Questions:<br />

The holder of the insurance policy is referred to as the<br />

A. employer<br />

B. dependent<br />

C. carrier<br />

D. subscriber<br />

A normal urine specimen is<br />

A. dark amber<br />

B. turbid<br />

C. slightly cloudy<br />

D. clear or transparent<br />

A pap smear is used to detect<br />

A. syphilis<br />

B. herpes virus<br />

C. ovarian cyst<br />

D. cervical cancer<br />

Nephrology is the branch of medical science that deals with<br />

A. kidneys<br />

B. liver<br />

C. spleen<br />

D. endocrine<br />

The common name for verruca is<br />

A. stone<br />

B. wart<br />

C. chicken pox<br />

D. vein


<strong>Medical</strong> <strong>Assisting</strong> continued<br />

Performance Assessment:<br />

Administration Time: 2 hours<br />

Number of Procedures: 6<br />

Areas Covered:<br />

21% Infant Length, Weight, and Head Circumference<br />

Gather materials, handle infant appropriately, measure infant, weigh infant, measure head<br />

circumference, chart measurements, and clean up.<br />

10% Applying and Removing Sterile Gloves<br />

Gather equipment, handwashing simulation, proper techniques while applying and<br />

removing gloves, proper disposal of gloves in biohazard bag, handwashing after glove<br />

disposal, and clean up.<br />

13% Capillary Puncture (Simulation)<br />

Gather materials, identify patient, explain procedure to patient, demonstrate simulation,<br />

technique, standard precautions, documentation, and clean up.<br />

16% Electrocardiogram<br />

Gather equipment, identify patient, explain procedure to patient, patient positioning,<br />

properly drape patient and maintain privacy, electrode placement, ECG, maintain safety,<br />

documentation, and clean up.<br />

20% Blood Pressure and Pulse Measurement<br />

Gather equipment, identify patient, explain procedure to patient, locate radial pulse, count<br />

radial pulse, cuff placement and location of brachial pulse, stethoscope location, radial<br />

pulse, blood pressure, comfort and safety, and clean up.<br />

20% Appointment Scheduling<br />

Prepare an appointment sheet with heading date, opening and closing times, lunch,<br />

morning emergency buffer, and recording of appointments.<br />

Sample Job:<br />

Maximum Job Time:<br />

Participant Activity:<br />

Applying and Removing Sterile Gloves<br />

10 minutes<br />

The participant will prepare for sterile gloving by simulating handwashing technique.<br />

Apply and remove sterile gloves, maintaining the sterility of gloves and avoiding<br />

contamination of self. Appropriately dispose of gloves and simulate handwashing<br />

technique after disposal. When finished, the participant will clean area and return to pretest<br />

conditions.

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