Which of the following actions should a medical assistant who is participating in patient-centered medical home care expect to perform?
Negotiate with insurance companies for increased reimbursement.
Communicate with a nurse coordinator for transportation needs.
Schedule admissions to a facility.
Focus strictly on the course of treatment.
The Correct Answer is B
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.
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Correct Answer is D
Explanation
A. Have the patient sit upright: The patient should be kept in a position that promotes blood flow to vital organs; sitting upright may exacerbate shock.
B. Keep the patient cool: The patient should be kept warm to help maintain body temperature and prevent further complications.
C. Give fluids to the patient orally: In cases of shock, fluids should be administered intravenously by medical professionals to ensure proper management.
D. Elevate the patient's feet 8 to 12 inches: Elevating the patient's feet helps to increase blood flow to the vital organs by promoting venous return to the heart.
Correct Answer is C
Explanation
A. Convulsions: Convulsions are not a common complication of phlebotomy; they are unrelated to the procedure.
B. Petechiae: Petechiae are small red spots that can occur but are less common than hematomas in phlebotomy.
C. Hematoma: A hematoma, or bruise, is the most common complication resulting from the accumulation of blood outside the vein after a blood draw.
D. Hypovolemia: Hypovolemia, or low blood volume, is not a common complication from routine phlebotomy.