CMAA 11-12 2015 - California Certifying Board for … Annual Meeting March10 –13,2016...

CALIFORNIA MEDICAL ASSISTANTPublished Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals

CALIFORNIA MEDICAL ASSISTANT — NOVEMBER/DECEMBER 2015 1

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NOVEMBER/DECEMBER2015

________________________CALIFORNIA

MEDICAL ASSISTANTSASSOCIATION, INC.

P.O. Box 5694Petaluma, CA 94954-5694Toll Free 1.888.464.2622

Fax 208.730.3763

www.cmaa-ca.orgEmail address: [email protected]

Greetings CMAA Members!

Fall Conference in review: Our FallConference Co-chairmen Margie Hattoxand Theresa Henderson worked so hardto put together a fun and informativeconference for CMAA. Alvarado Hospitalwas a great location for the meeting andthe surrounding San Diego area providedwonderful night life and entertainmentwhen the conference wasn’t in session.See Fall Conference Pictorial Highlightson page 3.

I am thrilled to introduce the new SanDiego Regional Representative LisaAllan. Lisa is an MA Program Directorand Instructor in the San Diego area. Shemade some key connections at the con-ference with other local members and Iam certain that this Region will beginmeeting on a regular basis very soon!

Some key business decisions were madeduring this conference. The 2016 Budgetthat our Secretary/Treasurer Byron Clintonpresented was approved by our members.Our Ways and Means Chairman, BaileyNelson had many items available for saleand had an exciting drawing as well. Sheand her committee members did a greatjob and they brought in over $300 forCMAA. The CMAA logo vinyl windowclings were handmade by Bailey! Theywere very popular and Bailey is able tomail them to you! Contact her directly [email protected] toorder yours.

We have seen a trend over the years andfound both membership and attendance atstate meetings declining. As a result,CMAA is struggling to stay afloat. Becauseof this, the members were faced withsome tough decisions to make. Thesedecisions were made with the support ofall the Past Presidents in attendance andwere made unanimously. The members

voted to suspend all dues disbursementsfor all regions in lieu of a dues increase.Secondly, the members voted and agreedto dissolve the Kinn fund and put thatmoney into the general fund for operatingexpenses. The Kinn Fund was establishedby one of CMAA’s founding members,Mary Kinn. She is a true Medical Assistingtrail blazer and brought much recognitionto our profession over the years. Thefunds have always been earmarked tohelp fund education for our organization.While it began with a donation fromMary Kinn herself, members have donatedto this fund in honor of other memberover the years. This decision was made asan effort to hold the organization steadyfor the time being. Many members pres-ent are willing to seek out donations anddouble their current efforts to increaseour membership and market the benefitsof CMAA.

More than ever before, your opinionmatters! Please plan now to attend theCMAA Annual Meeting in Sacramentonext March. The Sacramento Region isplanning now to host a wonderfulconference that may even include a tour!Mark your calendars now and watch ourwebsite and Facebook page for registra-tion and speaker updates as they occur.The conference will be March 10ththrough the 13th. �

Let’s Get Back to the Future at CMAA Annual Meeting 2016!

Shannon Tinsley, CCMA-ACCMAA State President

WHAT’S INSIDE� PRESIDENT’S MESSAGE .................... 1

� CMAA HEADQUARTERS:CMAA Wants to Come to You............ 2

� FALL CONFERENCE 2015:Pictorial Highlights ............................. 3

� ANNUAL MEETING 2016:Announcement ..................................... 4Tenative Agenda ................................. 5

� MARKETING/MEMBERSHIP:A Message From the Desk ofDebra A. Carpenter, Chairman .......... 6

� SOUTH OF THE BORDERVISIT WITH EDUCATION: ................... 7

� CERTIFYING BOARD UPDATE:Newly Certified CMAs .................. 8-10

� CONTINUING EDUCATION:Dialysis and How It Works...............11-13Self-Assessment Test ....................... 14Article Order Form............................. 15Personal Certificate ofParticipation Form............................. 16

mailto:[email protected]

http://www.cmaa-ca.org/

California Medical Assistant

E D I T O R

KIM JONES, CCMA-CEast Bay Region

Email: [email protected]

P U B L I C AT I O N C OMM I T T E EC H A I R M A N

THERESA HENDERSON, CCMA-ACRiverside Region

Certifying Board Administrator

C O O R D I N AT O R

VICKEY MARTINEZ, CCMA-CRiverside Region

C M A A P R E S I D E N T

SHANNON TINSLEY, CCMA-AC

Sonoma Region


For Advertising contact:

CALIFORNIA MEDICAL ASSISTANTSASSOCIATION, INC.

at

CMAA, INC.P.O. Box 5694

Petaluma, CA 94954-5694

Toll Free: 1.888.464.2622

Fax: 208.730.3763


Material contained herein may NOTbe used without the permission of the

California Medical Assistants Association, Inc.

ALL ITEMS FOR PUBLICATIONSHOULD BE SENT

DIRECTLY TO THE EDITOR.

2 CALIFORNIA MEDICAL ASSISTANT — NOVEMBER/DECEMBER 2015

MISS ION STATEMENT

CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.

The purpose of the California Medical Assistants Association, Incorporated,is to promote the professional and educational growth of medical assistants.

CM

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California Medical Assistant

— NEXT ISSUE —

January/February 2016

To submit items to be published in thisnewsletter, please mail or email:

KIM JONES, CCMA-C


DEADLINE: December 1, 2015All materials must be submitted by the

deadline date to be included in the next issue!

CMAA WANTSTO COME TO

YOUWe need your meeting

space!

Does your company have a meeting room that couldbe used by CMAA to host an Education Day?

Would you be willing to assist our Education Chairmanwith planning a seminar in your town?

Please email Carol at CMAA Headquartersso we can schedule a date for this year.

[email protected]


http://www.cmaa-ca.org/




C a l i f o r n i a M e d i c a l A s s i s t a n t s A s s o c i a t i o n , I n c .


Pictorial HighlightsPictorial Highlights2 0 1 5 F A L L C O N F E R E N C E

CMAAAnnualMeetingMarch 10–13, 2016RANCHO CORDOVA, CA


Upcoming C.M.A.A. Meeting

Mark your calendars nowand plan to go

“Back to the Futurewith CMAA”

March 10–13, 2016!

Sacramento Region will be hosting us in Rancho Cordova

and they have already secured some educational speakers

for us as well as an exciting tour that is eligible for CEU’s!

We have James Champlain the Director of the Optical

Program at National Career Education Center. He has

a wide area of expertise in the optical industry. He’s an

awesome instructor who was awarded teacher of the

year. He will be providing us with 2 clinical CEU’s on

All Things Optical. Kellie Zumont, PA with the Neurology

Department at Dignity will educate us on Headaches and

the use of Botox to treat migraines. Please join us in our

state’s capitol area for education, fun, and networking.

Take a tour:Shriners Hospitals for ChildrenNorthern CaliforniaTHURSDAY, MARCH 10TH

2425 Stockton BoulevardSacramento, CA 95817(916) 453-2000


Hosted by the Sacramento Region • Rancho Cordova, CaliforniaMarch 10-13, 2016

C a l i f o r n i a M e d i c a l A s s i s t a n t s A s s o c i a t i o n , I n c .

~ TENTATIVE AGENDA ~THURSDAY, September 10, 2016

12:00 noon TOUR of Shriner’s Children’s Hospital with CEU Opportunity!

6:00 pm Executive Committee Meeting

FRIDAY, March 11, 20168:00 am Registration Opens

8:00 – 12:00 noon Education Session12:00 noon Lunch with Vendors

1:00 – 2:00 pm Education Session2:15 pm All Members Register with Credentials

2:30 pm CMAA Business Meeting with Members and Guests

2:45 pm Honoring all New CCMA’s during the Business Meeting

3:30 – 5:30 pm Education Session7:00 pm Dinner Flashback to the Past (dress representing your favorite decade)

SATURDAY, March 12, 20168:00 am Registration Opens

8:30 – 10:00 am Reference Comittees (All members are encouraged to attend!)

10:00 – 12:00 noon Education Session12:00 noon Lunch honoring 2015 CMAA Officers and Committee Chairmen

1:30 – 2:30 pm Education Session2:45 pm All Members Register with Credentials

3:00 pm CMAA Business Meeting continued

4:00 – 5:00 pm Education Session7:00 pm Installation Banquet

SUNDAY, March 13, 20168:00 am Combined Executive Committee Breakfast Meeting

9:30 – 10:30 am Education Session10:45 am All Members Register with Credentials

11:00 am Closing Business Session for Members and Guests.

2016 ANNUAL MEETING


Greetings Fellow CMAA Members:

I would like to take this opportunity to address the membership as your

Marketing/Membership Chairman.

First, I would like to encourage all members to make a difference by attending the annual

state meetings and conferences. When members attend they are eligible to vote on all issues,

projects and elections concerning the CMAA. All members are encouraged to be active so we

can all make a difference.

Next, I would like to say, “Support the CMAA!” Any association needs their membership

to be active and participate. We all made the same career choice to become CMA’s and when

we participate in all of the CMAA’s activities, we are networking a support group for every

member. My own personal experience and decision in joining the CMAA was when I attended a

conference in San Luis Obispo and all of us newly certified medical assistants were honored at

the conference by the California Certifying Board for Medical Assistants. It was such a positive

experience I decided then to become a member. There is a feeling of comradery at the meetings

between the members, which make it a positive experience.

In conclusion, we all need to look to the year 2016 with positive aspirations. Our member-

ship can only grow and I know we will see more attendance and participation from all of our

current members. Be sure to keep updated by reading all of the newsletters and by utilizing the

CMAA website.

If anyone has any questions, concerns and/or suggestions, please feel free to contact me

at: [email protected].

DEBRA A. CARPENTER

Marketing/Membership Chairman

A MESSAGE FROM THE DESK OF THE

MARKETING/MEMBERSHIP CHAIRMAN



SOUTH OF THE BORDERVISIT WITH EDUCATION

Parliamentarian Susan Gouig and President Shannon

Tinsley traveled to La Mission, Mexico to visit our

CMAA Past President, Kate Logan and her husband

Mike. They are living and serving the community of La

Mission, specifically at Door of Faith Orphanage. They

were amazing hosts and showed us the absolute best of

their community. We were housed in our very own home

for the duration of our visit and it was delightful.

The orphanage is not the only US based ministry in town.

A medical clinic by the name of Siloe’ ministry is just down

the street. This clinic is run by a Physician’s Assistant who

originally practiced at Loma Linda Univeristy.by the name

of Sarah Mayer. Kate arranged for us to tour the clinic that

Sarah runs. Not only did we get to have a personal tour of

the facilities, we were able to sit down with both Sarah and

Kate and learn more about the community in which they

serve as well as the medical care provided there. Both Sue

and Shannon were in awe of the care and professional

networking that Sarah has provided to help heal her patients.

This clinic is supported by many donations, both monetary

and physical supplies. To learn more about this clinic and

ministry, visit www.siloeclinic.org for more information.

Here is a current list of needs that the clinic is currently

asking for. Does your office or provider have any of these

supplies they are willing to donate?

Material donations are critical for our ministry, and we are

grateful for any medical supplies, medication, equipment and

Christian literature (Spanish). Currently, we have pressing

needs for the following items:

• urinalysis strips

• FOBT testing materials (guaiac cards/developer)

• paper rolls for exam table

• phlebotomy needles ( vacutainer)

• paper drapes, gowns

• medications–all kinds, but specifically topical steroids,

topical antibiotics (clindamycin, bactroban), PO antibiotics

(peds and adults), HTN meds, antibiotic eye drops, any

OTC cough/cold meds

For more information about the Orphanage where our Past

President, Kate Logan and her husband Mike are serving, go

to www.dofo.org.

SOUTH OF THE BORDERVISIT WITH EDUCATION

www.dofo.org

https://dofo.org/

http://www.siloeclinic.org/


NAME SPECIALTY HOMETOWN

• RECERT ++ ADDING 2ND SPECIALTY

C E R T I F Y I N G B O A R D U P D A T ECongratulations to the newly California Certified Medical Assistants

Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical


continued on page 9

ADAMS, NICOLE AC UKIAH

AGUILAR, NOE AC EL MONTE

AHMADI ARANGEH, MAHDANEH C CUPERTINO

ALEXANDER, KAY HILLARY • C FREMONT

ALLEN-THOMAS, DONNA A HAYWARD

ALVARADO, GLADYS MARIA AC COLTON

AMADOR, PATRICIA C SACRAMENTO

ANDERSON, SHERRY LYNN • AC FREMONT

ANDERSON, LINDSEY AC BAKERSFIELD

ANDREAZZI, SHARON • AC ROCKLIN

ANDREWS, LYNDA C. AC HUNTINGTON BEACH

AQUILINO, SANDRA C LA JOLLA

ARMENDARIZ, KARINA C HEMET

BAILEY, CAROLYN AC SHINGLETOWN

BAN, CLAUDIA ++ AC DOWNEY

BAUTISTA, YITZEL AC SAN BERNARDINO

BEALL, PATRICIA K. • AC ALBUQUERQUE NM

BERDEJO, MAYRA C INDIO

BERMUDEZ AGUILERA, MARIA G. C AROMAS

BIDDLECOMB, CARLY AC PLACENTIA

BINGHAM, KATHY E. C OAKLAND

BOELTL, NGHIA AC FULLERTON

BOGAN, LINDA A. AC CARSON

BRAGG, VICTORIA C MODESTO

BRAVOYOUNG, SERVANDO NICHOLAS AC REDDING

BROOKS, NICOLE RENEE AC LODI

BROWN, MYRICIA LUANN AC LIVE OAK

BUENO, BELLEN LUPITA A DINUBA

CAPETILLO, JESSICA ANDREA AC MOJAVE

CARTER, ROQUITA ++ AC CORONA

CARTER, GINGER S. C EUREKA

CARVALHO, ELANA R. • AC HEMET

CASOLA, LINDSAY AC MONTEREY

CASTILLO, MENA C SAN JOSE

CEJA, REBECCA A REDDING

CERRONI, ASHLEY MARIE C RIALTO

CHAVEZ, ZAENIA AC SAN YSIDRO

CHUI, SIN FI LAM • C SAN FRANCISCO

CISNEROS, DANIEL C FARMERSVILLE

CISNEROS-LOPEZ, MARISOL • AC WATSONVILLE

CLARK, KIRSTIE RAE C SAN MARCOS

COMBS, GAIL LEE • C PALO ALTO

COOK, KRISTINE • A SACRAMENTO

COOK, JACK L. C BUTTE CITY

CORONADO, MELISSA AC BAKERSFIELD

CORSO, ALLISON • C SANTA CRUZ

COSTA, STEPHANIE D. AC VISALIA

COSTA, ANASTACIA AC SAN JOSE

COTTRELL, STEPHANIE C MARYSVILLE

CRAIG, DAISY • AC ATWATER

CROTHERS-WILLIAMS, TAMARA S. C REDWOOD VALLEY

CRUZ, ALAN C INDIO

CUEVAS, IRMA • AC SANTA ROSA

CUNHA, OLIVIA M. ++ AC HAYWARD

DANG, CAROL N. C SUNNYVALE

DELGADO, NICOLE MARIE • C SANTA CLARA

DEMONTE, TONI MARIE C BUENA PARK

DENNIS, AMANDA DANNETTE • AC BAKERSFIELD

DIAZ, CHERI C CANYON COUNTRY

DOCKERY, MERCEDES A ISLETON

DOTY, KYLIE A. C WILLITS

DUNCAN, LACEY A REDDING

DUQUETTE, DONNA SOUZA • C RIVERSIDE

EDWARDS, ROMEIKA S. • C OAKLAND

EDWARDS, SHERRY LYNN C SUNNYVALE

ERSKINE, AMANDA • AC SAN DIEGO

ESTRADA, MOISES A BELL GARDENS

ESTRADA SOSA, NOVA RENEE C STOCKTON

EVANGELISTA, CRISPIN • AC SARATOGA

FARLOW-LOW, MELEA • C EUREKA

FEDUK, TANIA • AC FELTON

FIELD, JODI AC SACRAMENTO

FIGUEROA, PRISCILLA M. • AC WATSONVILLE

FIGUEROA, LOURDES AC WINTERS

FLORES, MARGARET AC BAKERSFIELD

FLORES, ROSA MARIA C BAKERSFIELD

FLORES GONZALEZ, JOCELYN AC LOS GATOS

FRAIDENBURG, BRIAN EUGENE AC TULARE

GARCIA, SUSAN MARIE C LONG BEACH

GARZA, BRIANA MARIE C BAKERSFIELD

GARZA, TAWNI C TULARE

GATES, LYNN MARIE • C PETALUMA

GEYER, SARAH MICHELLE AC ALAMEDA

GONZALEZ, MARYBELLE • C CHULA VISTA

GOURLEY, SHERALYNNE C HERALD

GUTIERREZ, LIA C BERKELEY

HAHN, CHERENE LEE C COTO DE CAZA

HAIRGROVE, MARIANNE ARLENE C SAN LUIS OBISPO

HALL, CHRISTY C PLACERVILLE

HANAN, HALEY M. AC REDDING

HANNA, DESPINA • AC BELMONT

HARMS, BELINDA AC BAKERSFIELD

HARRIS, NICOLE L. C RIVERBANK

HARRISON, DEBBIE A SAN LEANDRO

HARROD, BRANDIE • AC YUBA CITY

HEITMEYER, DEBORAH ANN C MORENO VALLEY

HERNANDEZ, LUISA I. A RED BLUFF

HERRERA, VIRGINIA G. A BAKERSFIELD



• RECERT ++ ADDING 2ND SPECIALTY continued on page 10

C E R T I F Y I N G B O A R D U P D A T E


– continued from page 8 –


HILD, JOHN C. AC BAY POINT

HILL, KIMBERLEY A. C FAIRFIELD

HUGHES, TEENA MARIE AC STOCKTON

HUKILL, CAREY L. A BAKERSFIELD

INOCENTE, BARBI C OXNARD

JIMENEZ, VIRIDIANA D. • AC BAKERSFIELD

JIMENEZ, VERONICA AC OAKLAND

JOHNSON, GEOFFREY A BERMUDA DUNES

JUAREZ SALDANA, MARISOL • C SUNNYVALE

JUNTADO, TERESA C SOQUEL

KAHLON, INDERDEEP S. AC SAN JOSE

KAHN, JENNIFER JEAN C PALM SPRINGS

KARLSTAD, GRETCHEN AC ESPARTO

KIDD, MARJORIE E. C BISHOP

KINDER, ANGELICA AC STOCKTON

KNARR, CASEY C GRASS VALLEY

KOHL, NANCY A. C WINDSOR

LARSON, KRISTINA AC LANCASTER

LASSUS, DENISE • C SAN BRUNO

LATORRE, MERIELLYN L. C MOUNTAIN HOUSE

LAZARIT, ERIKA ROSIO AC BAKERSFIELD

LE, VANESSA C SACRAMENTO

LEE, YOOMEE • C FREMONT

LEONG, MARLENA WAN AC LOS ALTOS

LEWIS, REGINA LLANES C BAKERSFIELD

LEWIS-LASATER, BRITTANY DIANNA ++ AC GALT

LIMON, ANNETTE C. AC SALIDA

LIVINGSTON, KAREN • AC SANTA ROSA

LLAMAS, MARIA LUISA A STOCKTON

LOPEZ, NOHELY ALDANA C HUNTINGTON PARK

LOVETT, LISA A. C VENTURA

LOZANO, ANALAURA AC SAN JACINTO

LUGO, HAZEL REBECA C OXNARD

LUNA, ERICA C. C SAN JOSE

MARTIN, LAURA ASHLEY • AC BAKERSFIELD

MATA, CONSUELO C WATSONVILLE

MATTEUCCI, JULIE ANN AC WINDSOR

MATTHEWS, CINDY AC COTTONWOOD

MAXWELL, TRACY REYNOLDS ++ AC FELTON

McANDREW, SLOAN K. A FAIR OAKS

McCOMBS, PENNY AC TURLOCK

McCORMICK, REBEKAH J. AC REDDING

McGILL, SHANNON RACHELE C TEMPLETON

MELGAR, ELISA C PANORAMA CITY

MENDEZ, RICARDO AC WATSONVILLE

MENDEZ, TRACY M. C HOLTVILLE

MENDOZA, JENNIFER G. • C DANA POINT

MENENDEZ, CRYSTAL LILIAN C LANCASTER

MERRILL, JUDITH L. AC SANTA ROSA

MOLLINEDA, ROSA L. AC RIALTO

MONTANO, MARILISA AC BAKERSFIELD

MONTERROSA-ARAUJO, JOSIE A SAN JOSE

MONTOYA, TAIISHA AC APTOS

MOORE, KYLEEN A. AC ATASCADERO

MOSS, CYNTHIA A. • C FORT BRAGG

MOTA, SARA MARLENE A ANAHEIM

MUNOZ, KARLA ANGELINA • AC BAKERSFIELD

NAJERA, ANA LIZETTE C DINUBA

NAVARRO, JESSICA L. AC BAKERSFIELD

NELSON, ERIC THOMAS AC FORESTHILL

NELSON, CURTIS M. C ANTIOCH

NGO, LOI C OAKLAND

ORTIZ, LEANNE M. AC BAKERSFIELD

ORTIZ, BEATRIZ C FILLMORE

PACE, STEPHANIE L. • C SALEM

PADILLA, ALICIA ++ AC CHULA VISTA

PALM, JANELLE A SANTA ROSA

PARKER, TERRY LYNN C RANCHO CORDOVA

PARREIRA, ELIZANJELA M. C HANFORD

PATTERSONvKAREAMA L. AC BAKERSFIELD

PENA, CARLA C MODESTO

PENA FRANCOvRUBY C BOONEVILLE

PHOMSOPHA, PAT • AC MENIFEE

PRECIADO, GUADALUPE M. AC FILLMORE

RAMIREZ, MONIQUE A MODESTO

RAMIREZ, SONIA C TRACY

REYNOLDS, KELLY DANIELLE AC LANCASTER

RIDER, REBECCA L. • AC APTOS

RIOS, MARGARITA (MAGGIE) AC UKIAH

RODRIGUEZ, CAROL C INDIO

ROGERS, SAVANNAH MARIE C SAN JACINTO

ROISMAN, REBECCA AC BERKELEY

ROJAS, McKENA L. AC BAKERSFIELD

ROMERO, NATALIA ++ AC PALMDALE

ROMERO MIRANDA, SELENE C BAKERSFIELD

ROSALES, GENESIS A RANCHO SANTA MAR-

GARITA

ROSS, THERESA A. C DELHI

ROXAS, FILIPINA C CARSON

RUIZ, MARINA IVONNE C BRAWLEY

SALAZAR-MUNIZ, ANGELINA • C FRESNO

SAMANO, DAISY C FONTANA

SANCHEZ, ELEANA R. AC HIGHLAND

SANCHEZ, NORMA C FREEDOM

SANCHO, MICHELLE • C SARATOGA

SANDOVAL, CARMEN C RIVERBANK

SANGALANGvMARYANTOINETTE A. AC WATSONVILLE

SANTOS, JASMIN C PALMDALE


Congratulationsto each of these medical assistants.From the California Certifying Board

for Medical Assistants

• RECERT ++ ADDING 2ND SPECIALTY

C E R T I F Y I N G B O A R D U P D A T E

NAME SPECIALTY HOMETOWN NAME SPECIALTY HOMETOWN

– continued from page 9 –


SANTOYO, ROSA Y. A LODI

SCHWEMMER, KRISTI ELIZABETH C CLOVIS

SEGURA JIMENEZ, MARIA B. C UKIAH

SHARP, ALISON C WEST SACRAMENTO

SHIPLEY, SUZANNE • AC AUBURN

SINGH, RANIESHLA JEET AC SACRAMENTO

SISLAK, NICHOLE MARIE C SAN JOSE

SMITH, KAITLIN • AC SAN LUIS OBISPO

SOLORIO, STEPHANIE A JOSHUA TREE

SOTO ACEVEDO, ARIANA AC HAMILTON CITY

STENDERUP, BROOKE • C SOQUEL

STEVENS, BRITTANY NICHOLE AC TEHACHAPI

STREEVALvCHEYENNE E. C OCEANSIDE

SULTAN, AFSHAN ++ AC LODI

TERRY, ANGELA AC DESERT HOT SPRINGS

THOMPSON-YOUNG, LACHELL AC MORRO BAY

TOLENTINO, PATRICIA AC UPLAND

TOM, KEYING C OAKLAND

TORRES, DESTINEE C GRASS VALLEY

TORRES, GERALDINE C BAKERSFIELD

TOTTEN, KELLI JEAN AC FORTUNA

TREVINOvYANEHT F. AC OCEANSIDE

TURNERvALISSA C BAKERSFIELD

VALADEZ-MORENO, SARAH T. C UKIAH

VANG, BAO C FRESNO

VAZQUEZ, FABIOLA • C SANTA ROSA

VAZQUEZ, FLOR Y. C VISALIA

VEGA, CLAUDIA C VALLEJO

VENTURA-NEGRETE, MAYRA C SANTA MARIA

VERA, CECILIA C COLTON

VERBOOM, CHRISTYANNA AC ORLAND

VERDUGO, DAVID C SAN JOSE

VILLARREAL, ALICIA C FONTANA

VILLARREAL, DIANA C PALMDALE

WAHL, RACHAEL C SAN LUIS OBISPO

WALKER, STEPHANIE C. C HAYWARD

WALLER, CHRISTOPHER A MORENO VALLEY

WATSON, SHANNON C HAYWARD

WELLINGTON, CLAIRE ++ AC SONOMA

WHITAKER, MATTHEW J. C WEST HILLS

WHITLEY, ELADIA M. AC TEMECULA

WILLIAMS, DEBORAH J. AC HANFORD

WINKLER, MEGAN A. C FILLMORE

WINTERS, GEORGETTA ANN C SANTA ROSA

WOODHOUSE, MARGARITA AC SUNNYVALE

XANITIS, JOSEPH C CATHEDRAL CITY

XUONG, MINH THI C MODESTO

YEUNG, TSANG FUNG • C FREMONT

YOUNG, SUZANNE M. AC PALMDALE

ZAHROON, NADIA AC LANCASTER

ZAMORA ORDONEZ, MARCO C SANTA CRUZ

ZAMORA-CASTILLO, ALMA DELIA AC WATSONVILLE

ZATARAIN, CLAUDIA • C POTRERO

ZENTENO JIMENEZ, JONATHAN C LOS ANGELES

ZHONG, WANNA C SAN LEANDRO

CCBMA reviewed the three test banks with psychometric and statistical analyses provided by our testing company, PearsonVue. This review resulted in the updating and republishing of the Basic, Clinical and Administrative exams. The new versionswent live on May 18, 2015. Pass/Fail results will be provided at the end of each exam session.

Free continuing education courses are available through the Medicare Learning Network for individuals needing adminis-trative credits for recertification. CCBMA approved a list of fourteen web-based training courses that can be accessed atwww.cms.gov and searching “earn credit”.

What’s New at CCBMA...


What choices of dialysis areavailable?

There are two general types of dialysis.One is performed in a clinic setting andthe other is performed in the patient’shome.

In Center Hemodialysis or ICHD - usesan artificial filter (dialyzer) to clean theblood. A surgically created access isplaced in one of the arms throughwhich the blood will be drawn from thebody through synthetic tubing to thedialysis machine and then returned tothe body free of toxins and excess fluid.This procedure is performed by a thor-oughly trained professional medicalteam and there is no training requiredfor the patient. There are several sched-ule options available for ICHD, such asearly morning, afternoon and overnight.

Home Hemodialysis or HHD – is thesame process as ICHD but is performed

What is Dialysis?

Dialysis is a process that mimics kidneyfunction by removing excess fluid andfiltering waste from the body when thekidneys are damaged or fail entirely.

What happens when the kidneysstop working?

Think of the human body as an aquari-um. If the filter stops working the watergets polluted and is not suitable for sus-taining life. The kidneys work in thesame fashion. Human kidneys are aboutthe size of an adult fist, and althoughthe kidneys are small, they perform awide variety of very important func-tions. Healthy kidneys control fluid andelectrolyte balance, produce hormones,control blood pressure and keep bonesstrong. The kidneys operate 24 hoursper day, seven days per week, and 365days per year. Therefore, dialysis treat-ments are scheduled to occur on a reg-ular basis; typically three days per weekon alternating days for about four hoursat a time in order to adequately rid thebody of toxins and byproducts that thehuman body naturally produces.

What causes the kidneys to stopworking?

There are a variety of conditions thatcause kidney dysfunction or failure. Thetwo most prevalent causes are diabetesand hypertension, but there are othercauses such as inflammation, infectionand genetic conditions that may lead toimpaired kidney function as well. It’simportant to know that you aren’talone. In fact about 1 million people inthe US are receiving treatment for kid-ney failure. It’s a great idea to talk tothe physician or healthcare providerabout what caused the kidney diseaseand what can be done to treat theunderlying cause or caused if possible. continued on page 12

CONTINUING EDUCATION

at home by the patient and their carepartner who will complete approximate-ly 1 month of training. Treatments aretypically longer and more frequent thanICHD.

Peritoneal Dialysis or PD – uses thebody’s natural filter (peritoneum) locatedin the abdomen to remove toxins andexcess fluid. A small, flexible, synthetictube called a catheter is surgically placedwithin the abdomen and is used to con-nect to bags of dialysate. PD offers aflexible schedule but is performed daily.There are no needles and no blood isremoved from the body. This type ofdialysis has been shown to preserveresidual kidney function and is per-formed at home by the patient or a carepartner if needed. The patient or care-giver will complete approximately 2-3weeks of training before performing theexchanges independently.

Dialysis and How it Works


be placed, a surgeon will place a tem-porary central venous catheter (CVC) inthe patient’s neck. CVCs are made ofsynthetic tubing placed in a large vesselin the neck that travels to the heart toprovide access to the patient’s blood.Due to high rates of infection andcomplications CVCs are used onlywhen no other access is an option orwhen an ideal access is maturing andnot ready for use.

Peritoneal dialysis access is located inthe lower abdomen and is made of asoft, flexible synthetic material. Patientswill undergo a minor surgical procedureand allow about 2 weeks for the accessto heal. Peritoneal dialysis does notrequire access to the patient’s blood sothere are no needles involved.

What if the patient decides thatdialysis is not an option?

This is a personal choice that should bemade with the guidance of the physi-cian. If a patient decides to foregokidney replacement therapy, such asdialysis, the patient should be educated


on what to expect and how to prepare.In this case, the patient would bechoosing palliative care; also referred toas conservative care. If you choose pal-liative care your physician and healthcare team will work together to manageyour symptoms and help keep you ascomfortable as possible.

For most patients the ultimate goal isreceiving a kidney transplant. A trans-plant can come from a cadaver or livingdonor who has completed a thoroughscreening and matching for compatibility.A kidney transplant is not cure butrather another form of kidney replace-ment therapy. Transplant recipients arerequired to take anti-rejection medica-tions for the rest of their life and bevery closely monitored by the physician.

How will dialysis impact thepatient’s life?

Many things in the patient’s life willchange with a diagnosis of kidneyfailure, but with careful attention andplanning the patient will still be able toenjoy a life in much the same way

What is an access?

An access is a surgically created entrypoint into the blood vessels or peri-toneum. For dialysis patients theiraccess is their lifeline. The golden stan-dard and most desired access is called afistula. To create a fistula a vascular sur-geon will suture together a patient’sown artery and vein to make an accesspoint that is able to withstand the highblood flow rates required for hemodialy-sis. If a patient’s vessels are too weak ortoo small to create a fistula the surgeonwill create a grafted access. A graft is apiece of synthetic material that will con-nect the patient’s artery and vein.Grafts function similarly to fistulas butdo not last as long as fistulas and willrequire interventions and replacement.Fistulas need advanced planning so thatthey have time to mature and healbefore being used for dialysis; typicallysix weeks. Grafts do not “mature” butthey do need a short time to heal,usually about a week or two. In theunfortunate event that a patient needsdialysis in an emergency, and there isnot sufficient time for an ideal access to

Dialysis and How It Works – continued from page 11


Dialysis and How It Works – continued from page 12


Read the Continuing Medical Education Article

Dialysis and How It Workslocated on pages 11 - 13,

then complete the Self-Assessment Test on page 14 for CME credit.

before the diagnosis. Diet, medications,and lifestyle choices will need someadjustments to maintain optimal health.With the help of the physician andother healthcare professionals, thepatient will be able to navigate throughimportant decisions that will comealong.

What can I eat on dialysis?

Generally speaking patients can contin-ue to enjoy the majority of the foodsthat you ate before dialysis. Thechanges come in the form of how muchand how often. It is important to close-ly monitor the intake of protein, potas-sium, sodium and phosphorus. All theseare important to long term health butwhen items are consumed in excessthey cause serious complications andside effects.

Protein intake is a very important nutri-ent for patients receiving dialysis.Protein intake is determined by a bloodtest that measures albumin. Albumin isvital to a patient’s health. It is responsi-ble for wound healing, fighting infec-tions, maintaining muscle mass andreduces swelling. For most patients, thephysician recommends about one gramof protein per kilogram of body weightper day. For example a 180 poundmale would need to consume about 80

grams of protein per day. The source ofprotein is important too. The majorityof your protein intake should comefrom a high biological source; chicken,eggs, fish, beef or pork. The remaindercan come in the form of supplements;such as powders and bars. The health-care team will talk to the patient aboutspecific needs and provide diet sugges-tions appropriate for that patient.

How much liquid can a patientdrink on dialysis?

Typically the physician will recommendthat the patient limit their fluid intake toone liter (32 ounces) per day. However,for patients that still urinate, theallowance may be greater. Fluid controlin dialysis is one of the most importantaspects to follow. Fluid volume overloadis the number one reason dialysispatients are hospitalized. Too muchfluid causes shortness of breath,swelling, high blood pressure and heartproblems. Limiting the amount of fluidgains between treatments will preventmost hospitalizations and emergencyroom visits. It’s worth noting that notonly beverages count as fluid. Foodsthat are liquid at room temperaturesuch as ice cream, popsicles, ice andgelatin are also counted as fluid intake.There are ways to curb your thirst sothat you do not overdo it on fluids. The

physician and dietitian can providehelpful tips and suggestions to help.

This is a lot of information.Where do I start?

The first place to go for more educationand help is to the kidney physician alsoknown as the nephrologist. They canprovide individualized guidance to helpthe patient on their journey. In additionto seeing the physician regularly it isalso important to start or maintainhealthy habits. Smokers should workwith the physician to develop a plan tohelp them quit. Maintain a healthyweight. If the patient has some weightto lose, talk to the physician about start-ing an exercise and nutrition plan that isright for them. Above all else it’s impor-tant to keep a positive outlook anddevelop healthy coping skills to facechallenges along the way. �

SOURCES:

• www.webmd.com

• The National Kidney Foundationwww.kidney.org

• www.healthline.com

http://www.healthline.com/health/dialysis#Overview1

https://www.kidney.org/

http://www.webmd.com/

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