A medical assistant should recognize that which of the following procedures is usually performed by a registered nurse?
Administering IV medication
Performing a heel stick on an infant
Drawing blood for a glucose tolerance test
Performing venipuncture with a winged collection device
The Correct Answer is A
A. Administering IV medication: Administering intravenous (IV) medication is typically within the scope of practice for registered nurses (RNs) due to the complexity and need for careful monitoring.
B. Performing a heel stick on an infant: This procedure is often performed by medical assistants, especially in a pediatric setting, as it is part of routine blood collection practices.
C. Drawing blood for a glucose tolerance test: Medical assistants are usually trained to perform blood draws, including for glucose tolerance tests.
D. Performing venipuncture with a winged collection device: Medical assistants are generally trained to perform venipunctures, including using winged collection devices (butterfly needles)
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Correct Answer is A
Explanation
A. Obtain a regular referral: If the cardiologist consultation has not been initiated, the medical assistant should obtain or process the referral to ensure the patient sees the specialist as required.
B. Have the patient obtain a second opinion: This action is unnecessary and might be premature if the original referral was not processed.
C. Initiate a referral to a different cardiologist: There is no need to refer to a different cardiologist unless there is a specific issue with the initial referral or cardiologist.
D. Send the patient to the emergency department for evaluation: Sending the patient to the emergency department is not appropriate unless the patient has an urgent issue. The issue here is with the referral process, not an emergency.
Correct Answer is C
Explanation
A. CLIA: CLIA regulates lab testing but does not require unique patient identifiers.
B. OSHA: OSHA regulates workplace safety but does not require unique patient identifiers.
C. HIPAA (Health Insurance Portability and Accountability Act): This is correct. HIPAA requires the use of unique identifiers to protect patient privacy and ensure the confidentiality of medical records.
D. CDC: The CDC focuses on public health and disease control, not patient identifiers.