CCMA Exam

HIPPA

Law protecting release of personal information

Personal Health Information (PHI)

Name, dob, medical record, diagnosis, insurance, SSN

Stream scheduling

Each patient assigned specific time slot, most common, predictable flow

Wave scheduling

All patients scheduled at top of hour, good for unpredictable arrival times/visit lengths

Modified wave scheduling

2-3 patients scheduled at top of hour, then staggered to reduce wait

Double booking

2 patients scheduled at same time; face-paced clinics

Cluster/categorization scheduling

Group similar visit types together; efficient set up, used in specialty clinics

Open booking (tidal flow)

First come, first serve; flexible urgent care settings

HITECH Act

promotes use of electronic health records; improves privacy and security of EHRS; notifies patients in HHS if PHI breach occurs

SNOMED CT

Standard coding system for diagnosis (Dx) & symptoms (Sx)

ICD-10-CM

Diagnostic coding for diseases & conditions

CPT

Coding for billing; “charges, procedures, treatment”

Personal health record (PHR)

Medical record maintained by patients; portable

Electronic document management system (EDMS)

digitial filing - stores manages & retrieves paper docs

Composite healthcare system (CHCS)

EHR system used by military and hospitals in VA

Incident report (includes) (6)

Name, time/date, Incident, Action taken, witnesses, military time

Stethoscope

BP, ausculation

Otoscope

eardrum canal & nasal canal

Opthalmoscope

eye; detects glaucoma via retinal/optic nerve visualization

Lucae bayonet forceps

Used w/ speculum to enlarge nostril

Vaginal speculum

visualize cervix/vagina

Sphygomomanometer

BP using cuff & dial; adults - 80% of upper arm, children 2/3 circumference of arm

Ultrasonic instrument sterilization

sound waves + solution to loosen debris

Autoclave instrument sterilization

steam water under pressure (250-254 degrees F) w DI water and autoclave tape

Flash sterilization

3.5 minutes at 270 degrees F

Cold sterilization

Chemical soak for delicate tools; no heat

Anatomical position

upright, hands at sides, thumbs out, palms up, feet forward

Transverse position

divides into superior and inferior

Sagital position

divides into left and right

Midsagital position

divides into medial and lateral

Cronal position

Divides into anterior and posterior

Parasagital position

Uneven division of left and right

Superior

above

Inferior

below

Cephalad

toward head

Caudad

toward feet

Medial

toward midline

Lateral

away from midline

Anterior/ventral

front

Posterior/dorsal

back

Proximal

closer to center

Distal

further from center

superficial

close to surface

deep

far from surface

central

toward center

peripheral

toward edge

parietal

outer wall of body cavity

visceral

covering organs

external

closer to outside

internal

deeper inside

ipsilateral

same side of body

contralateral

opposite side of body

afferent

carrying to/toward

efferent

carrying away from

supine

flat on back; anterior/ventral view of body

prone

face down; posterior/dorsal view

dorsal body cavity

backside of body; contains cranial cavity and spinal canal

cranial cavity

brain

spinal canal

spinal cord/nerves

ventral body cavity

front; contains thoracic, pleural, abdominopelvic, abdominal, and pelvic cavities

Retroperitoneal space

contains kidneys, adrenal glands, pancreas, duodenum, large intestine

Integumentary system

epidermis (superior), dermis (a. papillary - superficial, reticular - deep)

Muscular system

external oblique (superficial), internal oblique (deep, opposite fiber dxn)

Nervous system

CNS & PNS; afferent: sensory —> CNS , efferent: CNS —> motor

CNS

brain,spinal cord

PNS

cranial/spinal nerves

Cardiovascular system

LV —> arteries —> capillaries —> veins —> RA —> RV —> lungs —> LA —> LV

cephalid

blood to upper body

caudad

blood to lower body

spleen location

LUQ

appendix location

RLQ

patient identifiers

full name, DOB, MRN, phone number, SSN, ID, address

TPRBO

temp, pulse, respirations, bp, oxygen saturation

celsius to fahrenheit EQUATION

(C*9)/5 + 32

fahrenheit to celsius EQUATION

5(F-32)/9

hypothalamus role

thermostat for body; thermoregulation via perspiration or goosebumps

radiation

emission of energy from body

conduction

heat transfer from one object to another

convection

loss of heat from fan or air

evaporation

water —> gas

NORMAL BODY TEMP infant

99.7 - 99.5

NORMAL BODY TEMP adult

98.6

NORMAL BODY TEMP elder

<97

pyrexia

fever

febrile

having fever

afebrile

no fever

hyperthermia

excess body heat

hypothermia

low body temp

TEMP SITE - ear/aural

must be >1 YO; pull pinna down if >3 YO

TEMP SITE - armpit/axillary

least accurate, used for young

TEMP SITE - recital

most accurate, invasive (1 in for adults, ½ in <6 )

TEMP SITE - mouth/oral

most common, wait 15 mins after drinking; must be >5

TEMP SITE - temporal/forehead

easiest & becoming popular

PULSE SITE - radial

wrist on thumb side, most common

PULSE SITE - carotid

groove of neck between trachea and sternomastoid

PULSE SITE - brachial

medial arm at elbow fold

PULSE SITE - femoral

groin on anterior

PULSE SITE - temporal

over temporal bone

PULSE SITE - popliteal

back of knee

PULSE SITE - dorsalis pedis

superior surface of foot