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 D
Explanation
A. Alcohol: Alcohol can be used for cleaning but may not be sufficient for all minor surgical preparations. It is not considered an antiseptic in the context of preoperative skin cleaning.
B. Normal saline: Normal saline is used for irrigation and wound cleaning but does not have antiseptic properties.
C. Disinfectant: Disinfectants are used to clean surfaces and equipment but are not typically used directly on the skin for surgical preparation.
D. Antiseptic: Antiseptics, such as iodine-based solutions or chlorhexidine, are used to clean the skin and reduce the risk of infection before a minor surgical procedure.
Correct Answer is B
Explanation
A. Negotiate with insurance companies for increased reimbursement. Negotiating with insurance companies is typically not a responsibility of a medical assistant within a PCMH.
B. Communicate with a nurse coordinator for transportation needs. This is correct. In a PCMH model, medical assistants may coordinate with other members of the healthcare team, including nurse coordinators, to address various patient needs, including transportation.
C. Schedule admissions to a facility. While scheduling may be part of a medical assistant’s duties, it is not specific to the PCMH model.
D. Focus strictly on the course of treatment. The PCMH model involves a holistic approach to patient care, not just focusing on treatment. It includes coordination of care, addressing social determinants of health, and ensuring continuity of care.