Medical Office management, health and medicine homework help

Office Management ass 4

Sources must be cited in APA
format. Your response should be at least two and one-half (2 1⁄2) double-spaced pages;
refer to the “Assignment Format” page located on the Course Home page for specific
format requirements.

In Lessons 1 through 4, you learned foundational information on the clinical
competencies of medical assistants. You learned about infection control and vital signs,
assisting the physician with physical examinations and various medical specialties,
laboratory tests, and specimen collection. For this written assignment, the concepts
learned from Lessons 1-4 will be applied. Please review the learning objectives for
Lessons 1-4 prior to beginning work on this assignment.

Complete Parts A, B, and C for this assignment.

Part A:

Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice, is
taking the medical history of Edna Helm, an obese elderly woman with
congestive heart disease. Edna states, “I’m always short of breath, and I perspire
all the time. I guess I’m gaining weight, but the funny thing is that only my legs
seem heavier. My heart is pounding when I lie down at night; it even seems to
stop sometimes. I’ve even started to wear red nail polish to hide the funny blue
color of my nails.

Edna gives you a copy of her medical history from an out-of-state physician.
The medical history indicates that she has had the following conditions, tests,
and procedures:


Positive Babinski sign
Allergic rhinitis
Aortic insufficiency



Holter monitor testing
Radioimmunoassay test
Protein bound iodine test
Glucose tolerance test

Surgical Procedures

Basal cell carcinoma
removed in 1992
Sebaceous cyst removed
in 1982

Meniscectomy in 1978
Rhytidectomy in 1970

Using correct medical terms, chart Edna’s presenting symptoms. Define each of
the procedures and conditions listed on her medical record. Your response
should be one (1) page in length.

Part B:

Victor Krenz is assisting Dr. Connors with the fifth cataract surgery for the day.
The patient is Kathy Wall, a diabetic patient, whose condition has been stable
enough for her to undergo a surgical procedure. Victor has performed a six-
minute surgical scrub on his hands before each of the five procedures. Dr.
Connors indicates that he is in a hurry to get back to his office for a heavy
afternoon schedule of patients. After both Dr. Connors and Victor are scrubbed,
gowned, and ready to begin the operation, Victor feels a slight prick on the tip
of his gloved finger as he moves the sterile syringe and needle on the tray. Dr.
Connors, who does not notice the accidental needlestick to Victor’s glove, states
again that he is in a hurry to finish this procedure. Victor knows that it will
delay the surgery if he has to change gloves. He also knows that his hands have
had a surgical scrub five times that morning and that they are clean.

Provide detailed answers for each of the following questions. Your response
should be one-half (1/2) page in length.

  • Can Victor justify not changing into new gloves?
  • What could happen to Ms. Wall as a result of Victor’s needlestick?
  • How should Victor handle this situation?
    José Menendez is an elderly patient of Dr. Juárez, a board-certified urologist.
    José has a history of recurrent UTIs dating back more than 10 years. When he
    becomes symptomatic, he has been instructed to call Dr. Juárez’s office and
    schedule a urinalysis. Dr. Juárez’s receptionist has just received a call from Mr.
    Menendez. He says he knows he is supposed to come in for a urine test but that
    he just wants a prescription phoned in to his pharmacy instead. The receptionist
    asks Emilia, Dr. Juárez’s medical assistant, to take the call from Mr. Menendez.
    Emilia listens as Mr. Menendez recounts that he is experiencing dysuria—
    painful, burning urination. She asks him to come in for a urinalysis, explaining
    that, as per standing orders, a clean-catch midstream specimen needs to be
    collected. Mr. Menendez repeats to Emilia that he does not want to come in to
    the office. “Why can’t you call in a prescription for Bactrim? That is what I
    took last time, and it helped.”
    Provide detailed answers for each of the following questions. Your response
    should be one (1) page in length.
  • What is your response?
  • Should the responsibility for this call have fallen on Emilia, or should the
    receptionist have either handled the call herself or passed it on to Dr.

Part C:

  • What, if anything, could or should Emilia say to Mr. Menendez to persuade
    him to come in for the urinalysis?
  • Might the cost of the procedure be a factor in the reason why Mr. Menendez
    does not want to have a urinalysis, and, if so, what, if anything, can Emilia
    do or say about the cost?
  • Is it appropriate in this case, given the patient’s extensive history, to indeed
    call in a prescription for Bactrim?
  • If not, how should Emilia handle Mr. Menendez’s request for his
  • If so, what procedure should Emilia follow to arrange for a prescription?
  • How should this telephone call be charted?
  • What, if anything, should Dr. Juárez be told about the conversation with Mr.

Expert Solution Preview


As a medical professor responsible for creating college assignments and providing answers for medical college students, in this assignment, we will be applying the concepts learned in Lessons 1 to 4, which involve the clinical competencies of medical assistants. The questions in this assignment will focus on medical history charting, infection control, and patient communication.

Part A:

Edna Helm, an obese elderly woman with congestive heart disease, presents with shortness of breath, weight gain, and perspiration. She complains of her legs feeling heavier, palpitations, and blue coloration of her nails. Using medical terms, her symptoms can be charted as dyspnea, edema, tachycardia, and cyanosis.
The procedures and conditions listed in her medical history are as follows:
1. Positive Babinski sign – a neurological condition that indicates that the upper motor neurons in the brain are not functioning correctly.
2. Allergic rhinitis – inflammation of the nasal passages caused by an allergen.
3. Aortic insufficiency – also known as aortic regurgitation, a condition in which the blood flows backward through the aortic valve into the left ventricle.
4. Ascites – abnormal fluid buildup in the abdomen.
5. Gastritis – inflammation of the lining of the stomach.
6. Osteoarthritis – a degenerative joint disease, causing stiffness, pain, and loss of joint movement.

1. Holter monitor testing – continuous monitoring of the heart’s electrical activity for 24 hours.
2. Radioimmunoassay test – measures the level of insulin in the blood.
3. Protein-bound iodine test – measures the amount of thyroxine in the blood.
4. Glucose tolerance test – a diagnostic test for diabetes.

Surgical Procedures:
1. Basal cell carcinoma removal in 1992 – a type of skin cancer.
2. Sebaceous cyst removal in 1982 – a common skin cyst.
3. Meniscectomy in 1978 – removal of the damaged meniscus in the knee.
4. Rhytidectomy in 1970 – facelift surgery.

Part B:

1. Victor should not justify not changing into new gloves as he has been exposed to a needlestick injury.
2. As a result of the needlestick, Ms. Wall could be at risk of contracting a bloodborne disease, such as hepatitis B or C or Human Immunodeficiency Virus (HIV).
3. Victor should inform Dr.Connors immediately of the needlestick incident and follow the hospital’s infection control protocols, which would involve changing his gloves and taking appropriate follow-up measures.

Part C:

1. Emilia should educate Mr. Menendez on the importance of collecting a clean-catch midstream specimen to verify the presence of bacteria in his urine accurately. She should also inform him that prescribing meds without a proper diagnosis can lead to the development of antibiotic-resistant strains, making the treatment challenging in the future.
2. The cost of the procedure can be a factor that makes Mr. Menendez reluctant to come in for a urinalysis. Emilia can check if the clinic has programs or services to help with the cost or suggest affordable options.
3. Given the extensive history of UTIs, prescribing Bactrim is appropriate. However, a proper diagnosis should be obtained before proceeding with the treatment.
4. If the sale of medications is prohibited, Emilia should explain the clinic’s policy and advise Mr. Menendez to come in for a urinalysis to confirm the presence of bacteria and obtain an accurate diagnosis.
5. If the medication can be sold, Emilia should obtain a prescription from the doctor and process it with the pharmacist following the clinic’s policy and procedures.
6. The telephone call should be documented in the patient’s medical record, including the conversation’s details, the reason for the call, and any actions or instructions taken.
7. Dr. Juárez should be informed of the conversation with Mr. Menendez, his request for medication, and the actions taken by Emilia.

Table of Contents

Calculate your order
Pages (275 words)
Standard price: $0.00

Latest Reviews

Impressed with the sample above? Wait there is more

Related Questions

#1: Confirmation & Refutation

 Assignment Prompt: This will be a two-paragraphs-only essay (dispense with the introduction and conclusion): (I) Confirmation: In the first paragraph (less than a page), present

Google-Ethics in Information Systems

Submit your finalized report to the Assignments/Assignment 2: Ethics in Information Systems – Part 2 (140 Points) – Click on below View/Complete link (Click on

Nursing Powerpoint

Choose one measuring or evaluative question for a palliative care australia that could form the foundation of an impact measurement approach. Design an impact measurement/evaluation

New questions

Don't Let Questions or Concerns Hold You Back - Make a Free Inquiry Now!