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CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 1 CALIFORNIA MEDICAL ASSISTANT Published Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals C M A A U N I T Y I S S T R E N G T H K N O W L E D G E I S P O W E R MARCH/APRIL 2018 ________________________ CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC. P.O. Box 5694 Petaluma, CA 94954-5694 Toll Free 1.888.464.2622 Fax 208.730.3763 www.cmaa-ca.org Email address: [email protected] Hello CMAA Members! My name is Byron Clinton and I was recently installed as the new CMAA statewide President. I first started serving at a state level in 2013 as Secretary/Treasurer, then as Vice President from 2016 through 2017 and now as President. I am really excited to announce that we already have two (2) education days planned for 2018, with the hopes of getting more education days for this year. We understand that it can be hard for people to travel these days; so with that in mind, the Executive Com- mittee is trying to offer education days throughout the state. This will enable everyone a better chance to get their CEU’s. The first Education Day that we are working on is slated for April 21, 2018 at Empire College in Santa Rosa. As the date gets closer, we will announce the speakers. We are also working on plans for another education day in Southern California on September 8, 2018; we will notify you on that education day as soon as more details become available. We look to our members to provide feedback on not only the types of speakers that you would like to hear from, but also the frequency and locations of future education days. With that in mind, please feel free to contact us with any suggestions via email at [email protected]. Byron Clinton, CCMA-C PRESIDENT — CMAA, INC. NEW PRESIDENTS’ MESSAGE NEW PRESIDENTS’ MESSAGE - WHAT’S-INSIDE n NEW PRESIDENT’S MESSAGE ......... 1 n CMAA MEETING SPACE NEEDED.... 2 n EDUCATION DAY: Saturday, April 21st Registration Form ................................ 3 Upcoming Meeting Details ............... 4 n CERTIFYING BOARD UPDATE: Newly Certified CMAs .................... 5-7 n CONTINUING EDUCATION: Common Blood Tests in the Physician’s Office .......................... 8-10 Self-Assessment Test....................... 11 n CME PERSONAL CERTIFICATE OF PARTICIPATION FORM .............. 12 Putting Education in Forefront SATURDAY April 21, 2018 Santa Rosa, California UPCOMING EDUCATION MEETING (see page 4 for more details) BYRON CLINTON, CCMA-C Registration Form Enclosed Register today!
Transcript

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 1

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

CM

AA

UNITY IS STRENG

TH

KNOWLEDGE

ISPO

WER

MARCH/APRIL2018

________________________CALIFORNIA

MEDICAL ASSISTANTS ASSOCIATION, INC.

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

Fax 208.730.3763www.cmaa-ca.org

Email address: [email protected]

Hello CMAA Members!

My name is Byron Clinton and I was recently installed as the new CMAA statewide President. I first started serving at a state level in 2013 as Secretary/Treasurer, then as Vice President from 2016 through 2017 and now as President.

I am really excited to announce that we already have two (2) education days planned for 2018, with the hopes of getting more education days for this year.

We understand that it can be hard for people to travel these days; so with that in mind, the Executive Com-mittee is trying to offer education days throughout the state. This will enable everyone a better chance to get their CEU’s.

The first Education Day that we are working on is slated for April 21, 2018 at Empire College in Santa Rosa. As the date gets closer, we will announce the speakers.

We are also working on plans for another education day in Southern California on September 8, 2018; we will notify you on that education day as soon as more details become available.

We look to our members to provide feedback on not only the types of speakers that you would like to hear from, but also the frequency and locations of future education days. With that in mind, please feel free to contact us with any suggestions via email at [email protected].

Byron Clinton, CCMA-C — PRESIDENT — CMAA, INC.

New PresideNts’ MessageNew PresideNts’ Message

­­­­­WHAT’S­INSIDE n NEW PRESIDENT’S MESSAGE ......... 1

n CMAA MEETING SPACE NEEDED .... 2

n EDUCATION DAY: Saturday, April 21st Registration Form ................................ 3 Upcoming Meeting Details ............... 4

n CERTIFYING BOARD UPDATE: Newly Certified CMAs .................... 5-7

n CONTINUING EDUCATION: Common Blood Tests in the Physician’s Office .......................... 8-10 Self-Assessment Test....................... 11

n CME PERSONAL CERTIFICATE OF PARTICIPATION FORM .............. 12

Putting Education in Forefront

SATURDAYApril 21, 2018

Santa Rosa, California

UPCOMING EDUCATION MEETING

(see page 4 for more details)

BYRON CLINTON, CCMA-C

Registration Form Enclosed Register today!

2 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

California Medical Assistant

E D I T O R

KIM JONES, CCMA-CEast Bay Region

Email: [email protected]

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

BYRON CLINTON, CCMA-CSonoma Region

For Advertising contact:

CALIFORNIA MEDICAL ASSISTANTS ASSOCIATION, INC.

at

CMAA, INC.P.O. Box 5694

Petaluma, CA 94954-5694

Toll Free: 1.888.464.2622

Fax: 208.730.3763

Email: [email protected]

Material contained herein may NOT be used without the permission of the

California Medical Assistants Association, Inc.

ALL ITEMS FOR PUBLICATIONSHOULD BE SENT

DIRECTLY TO THE EDITOR.

MISSION 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

AA

UNITY IS STRENG

TH

KNOWLEDGE

ISPO

WER

California Medical Assistant

— NEXT ISSUE —

MAY/JUNE 2018

To submit items to be published in this newsletter, please email:

KIM JONES, CCMA-CEmail: [email protected]

DEADLINE: April 1, 2018All materials must be submitted by the

deadline date to be included in the next issue!

CMAA WANTS TO COME TO

YOUWe need your meeting

space!

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

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

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

[email protected]

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 3

EDUCATION DAY 2018OFFICIAL REGISTRATION FORM

EMPIRE COLLEGE3035 Cleveland Avenue, Santa Rosa, CA

Saturday, April 21, 2018

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 .

REGISTRATION DEADLINE: 04/01/18

No refunds after April 13, 2018

WALK-INS WELCOME(meals will not be available for same day registrants)

Professional attire is requested atall scheduled functions.

___________________MEETING REGISTRATION FEES

_____ Members & Students .................................... $25.00

_____ Non-member .................................................. $35.00

_____ Lunch ................................................................ $9.00

TOTAL AMOUNT ENCLOSED $____________

Mail to: CMAA Inc. PO BOX 5694 PETALUMA, CA 94954

Please make checks payable to: CMAA

Additional inquiries or registration by credit card:

Call Headquarters at 1-888-464-2622

[email protected]

CM

AA

UNITY IS STRENG

TH

KNOWLEDGE

ISPO

WER

PLEASE TYPE OR PRINT

Name: ___________________________________________

Credentials: ______________________________________

Address: _________________________________________

_________________________________________

Region: _____________________________________

Telephone: __________________________________(Please provide a cell number that may be used to

contact you during the conference.)

Email: ______________________________________

AGENDA

8:00 am Continental Breakfast (Free to all pre-registered guests)

8:30 am Speaker

9:45 am Administrative CEU Mary Mullnix, 2018 Billing Update

11:00 am Speaker

12:00 Noon Lunch Break

1:15 pm Speaker

2:30 pm Speaker

4:00 pm CMAA Business Session

Check CMAA’s Facebook page for speaker updates or email Headquarters

for additional details.

4 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

Upcoming Meeting...Upcoming Meeting...April 21, 2018

PLEASE JOIN US AT EMPIRE COLLEGE ON APRIL 21, 2018 Located at 3035 CLEVELAND AVENUE • SANTA ROSA, CA

H This will be a one day event.

H A CMAA business meeting will follow directly after meeting to discuss the proposed changes to the CMAA bylaws. There will be more information and registration to be published in next publication.

H Stay tuned...there is also another Education Day scheduled for September 8, 2018 at Saddle Back College located in Mission Viejo, CA.

Empire College is located in Santa Rosa,

California, which is just one hour north

of the San Francisco Bay Area in the

heart of the beautiful wine-growing

region of Sonoma County.

https://empcol.edu/

EDUCATION DAY

EMPIRE COLLEGE • 3035 CLEVELAND AVENUE, SANTA ROSA, CA 95403

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 5

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

NAME SPECIALTY HOMETOWN

LAST NAME, FIRST NAME STATUS HOMETOWN

ABULUYAN, OFELIA • C SAN JOSE

ALATA, CAROL JANET • C CLAYTON

ALEMAN, KAREN J • AC PITTSBURGH

ALTAMURA, HEATHER MEGAN C MOUNTAIN VIEW

ANDREWS-WRIGHT, CHANDRA • A SAN PABLO

ARENDS, CARLEY M C RIPON

ARREDONDO MONTES, ELIZABETH • C STOCKTON

BANDA, RAQUEL C STOCKTON

BARINGOLTS, ALISA V. • C BENICIA

BARRIENTOS, KRYSTLE C SACRAMENTO

BARRON, SARAH EMILY AC YORBA LINDA

BERNARD, KRISTINA LYNN • AC SANTA ROSA

BOOTH, CHRISTINE A BAKERSFIELD

BOSS, AUDREY M C SACRAMENTO

BRIZUELA, FRANCISCO DANIEL ++ AC SANTA ANA

CAMOLINGA LEDEZMA, VIOLETA CRISTAL C SAN JOSE

CANCHOLA, KARLA G. • C LA QUINTA

CANO, ANGEL PAUL C LANCASTER

CARDENAS LANDEROS, YANATL C BAKERSFIELD

CARLOCK, KAREN J. • C VALLEJO

CARMEN, HEIDI • C SO. SAN FRANCISCO

CASH, DESTINY C LOCKEFORD

CASTREJON-GAUCIN, MAYRA ALEJANDRA C TRACY

CERVANTEZ-SCOTT, VICTORIA • C ALAMEDA

CHAPMAN, JAIME A CITRUS HEIGHTS

CHAVEZ, RUTH AC BELLFLOWER

CONEJO del AGUILA, LAURA • AC BELL

CONTRERAS, ANGELICA • AC MODESTO

COVARRUBIAS, NATALIE C NAPA

CRANER, CYNTHIA LEE AC ELK GROVE

CRESS, ARIEL C SANTA ROSA

CRUZ RICO, ITZUMY DINEY C SAN JOSE

DAVALOS, LINDA • AC PICO RIVERA

DE LEON, KAREN GAYLE YUMUL AC DALY CITY

DEVLIN, SAMANTHA D. • AC GRASS VALLEY

DIAL, HANNAH ELIZABETH AC OJAI

DURBIN, SUSANA MARISA C. AC CHULA VISTA

DUYANEN, CAROLINE • AC AMERICAN CANYON

ELLIOTT, LEONA MARIE • AC REDDING

ESPINOSA, YOLANDA A CAMARILLO

FAVELA SAYAGO, ALONDRA C CLOVERDALE

FLANAGAN, JEFFERY DAVID AC WILLOWS

FLORES, BRENNA BLANCHE C SCOTTS VALLEY

FOLDEN, TANIA • C RANCHO CUCAMONGA

GABRIEL, MARISSA C DIXON

GONZALEZ, NANCY L. • AC SANTA ROSA

GONZALEZ, BERTHA • C NEWARK

GONZALEZ, EMILY C ANAHEIM

GORDON, COURTNEY N. C TRACY

GOUIG, SUSAN • AC HEALDSBURG

GRANILLO, MONIQUE AC WATSONVILLE

GUNTER, CHRISTANIE A SHASTA LAKE

GUTIERREZ, VERENISE • C GEYSERVILLE

GUTIERREZ, MONICA AC WOODLAND

GUZMAN BANDERAS, CINDY AC SANTA ROSA

HAMILTON, DEBRA SUE • AC AUBURN

HANSEN, SHEILA C CATHEDRAL CITY

HAYES, DENA M. AC CHICO

HELEWA, DOMINIQUE AC VALLEJO

HERNANDEZ, ROSA AC SACRAMENTO

HERNANDEZ, MARIELENA AC OAKLEY

HERNANDEZ GARCIA, SUSANA AC BAKERSFIELD

HERRERA GARIBAY, MARIA DELIA C MORGAN HILLcontinued on page 6

6 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

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

NAME SPECIALTY HOMETOWN

• RECERT ++ADDING 2ND SPECIALTY

NAME SPECIALTY HOMETOWN

– continued from page 5 –

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

HOOVER, SHARI L. AC SACRAMENTO

HOSKIN, IMELDA • C SANTA CLARA

HURSEY, CELIA S C SANTA CRUZ

HUYNH, HOA ‘DANIEL’ • AC SAN DIEGO

INFANTE, BEATRIZ • AC PASO ROBLES

JENNINGS, ESTELLA • C OAKLAND

JUAREZ, KARINA C REDWOOD CITY

KARL, JANET S. C STOCKTON

KARPENSKE, ALEXA C BONITA

KEMPLIN, TAYLOR C GRASS VALLEY

KIM, SAROEUM C STOCKTON

KIMBLE, KORINN E. C HEALDSBURG

KUMAR, KAMLA • AC CYPRESS

LEE, MAI LOR ++ AC STOCKTON

LEON-VALENCIA, NAKOMI RENA C NEWARK

LILES, BROOKE ALEXANDRIA C TURLOCK

LOPEZ, DEBBIE L. AC LANCASTER

LUCERO, JULIENNE C CHULA VISTA

LUNA, NUVIA AC UKIAH

LUNARDI, SAVANNA M. C HAYWARD

LUPIAN, SONIA C TRACY

MARTINEZ, VICTORIA • C RIVERSIDE

MARTINEZ, JENNEDIER A. • A HUGHSON

MARTINEZ, IRENE N. • C CASTRO VALLEY

MARTINEZ, KRYSTLE AC HOLLISTER

MARTINEZ ESTRADA, ANDREA C SEBASTOPOL

MARTINEZ RAMIREZ, EMY GISSELA AC CALEXICO

MATTILA, LISA C RANCHO CORDOVA

McCALLUM, MICHELLE • AC CAPITOLA

MELGER, JESSICA E. C ANDERSON

MELVILLE, ANETHA AC GARDENA

MENDOZA CASTANEDA, FATIMA C STOCKTON

MEZA, YVONE LUISA • AC BELLFLOWER

MICHEL, WENDY A. • A LOS ANGELES

MICHEL, WENDY • AC LOS ANGELES

MITZEL, MICHELLE AC WEST SACRAMENTO

MOLINA-HERNANDEZ, KAREN REBECA • AC PALMDALE

MONTES, CRISTAL C DELANO

MOORE, KIMARA • AC MODESTO

MORA, WENDY S. A CHULA VISTA

MORALES, MONIQUE C VICTORVILLE

NARAYAN, MORINE • C SALIDA

NASH, BEVERLY • C MILPITAS

NELSON, SALLY VENZON A SAN DIEGO

NGUYEN, MAY BICHMAI • C STOCKTON

NGUYEN, SOPHIA AC SAN JOSE

NIEBLAS, OLIVIA K. • C BAYPOINT

NIELSEN, JODIE ANN • C MODESTO

NIETO, GUADALUPE C WINDSOR

NIETO, JESSICA C MANTECA

NOP, MONA CHELSEA C BAKERSFIELD

O’CONNOR-ALCONCEL, KATIE C WINDSOR

ORIAN, MAOLENWILL V. C ANTELOPE

OVERLY, TRACY M. A RIVERBANK

PERALTA, MARIA J. • AC NORWALK

PEREA, DANIEL • C SAN LEANDRO

PEREZ, LORENA C ANTIOCH

PHAN, YEN C PITTSBURG

PICAZO, JESUS ALEXANDER AC SOQUEL

PIEKARCZYK, CELIA REBECCA • C LIVERMORE

PIERCE, TRACI C. A MODESTO

PLASCENCIA, MAYRA C STOCKTON

RAMIREZ, JENNIFER AC FOLSOM

RANGEL FELIX, JULIO C. • C CASTROVILLE

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 7

• RECERT ++ADDING 2ND SPECIALTY

NAME SPECIALTY HOMETOWN NAME SPECIALTY HOMETOWN

– continued from page 6 –

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

RATTO, DANIELLE ELIZABETH AC CARMICHAEL

REED, ERIN C. • C IGO

REID, EMMA AC SCOTTS VALLEY

REYES, ROSELINDA • AC LONG BEACH

REYES, ANGELICA • C PATTERSON

ROBLES, OLGA NOEMI C SANTA ROSA

ROBLES , LYDIA GARIBAY C EL CENTRO

RODRIGUEZ, GEORGINA • AC SALINAS

RODRIGUEZ, CARLA VANESSA C SACRAMENTO

RODRIGUEZ, SAYDE B. C SONOMA

RODRIGUEZ JR, ALBERTO • C REDWOOD CITY

ROMERO, YAIREZA ++ AC ARTOIS

RUCOBO, KARMINA JAZMIN • C LONG BEACH

RUIZ ZAPIEN, YESSICA C COTATI

SAAVEDRA, JAZMINA C SAN FRANCISCO

SAAVEDRA, EDUARDO AC OLIVEHURST

SALAZAR, ELIZABETH M. • AC NOVATO

SALCEDO, APRIL JASMIN ++ AC PALMDALE

SANCHEZ, RACHAEL C AUBURN

SERNA, ELIZABETH TOVAR C STOCKTON

SFORZO, DIANNE C PETALUMA

SHANNON, JUDY AC DENAIR

SIBBU, YOLANDA MAMARIL A SANTA ROSA

SIFUENTES, ALEJANDRA O. • C SAN LEANDRO

SIMS, LaDONYA E. • C SAN JOSE

SOARES MOURA, KENDRA AC RICHMOND

SORIANO, GABRIELA ANEL C SANTA MARIA

SOTO-BRIZUELA, YUREMA C CERES

STEINER, SOPHIA • C DISCOVERY BAY

SUAREZ, LUZ MARIA • C SANTA ROSA

SUAREZ, JESSICA AC LONG BEACH

TADDEI, JODIE C GREEVNILLE

THAN, RATHY C STOCKTON

THOMPSON, JODY ANN AC SACRAMENTO

TORCASO, SUSAN EDDIE C SAN CLEMENTE

TOVAR, SARAH LYNN ++ AC MODESTO

TREVINO de SAUCEDO, MARIA M. • AC LAWNDALE

TURNER, DEMETRIA • C FREMONT

VALENCIA, BLANCA E. • AC COMPTON

VALENTINE, KEELEY C DUBLIN

VANG, JAM AC SANTA ROSA

VEGA, YESENA LISETTE • C PITTSBURG

VEGA, MELCHOR C SALINAS

VELASCO, ALEJANDRA AC MARYSVILLE

VELEZ, EDER C WATSONVILLE

VIERNES, JENNISE FERNANDO • C MILPITAS

VILCHIS, ANITA • AC LONG BEACH

VUE, CANDACE C MARYSVILLE

WALLACE, JUSTINE A STOCKTON

WARD, ELLEN MICHELLE • C SANTA ROSA

WHITSON, TERRI LYNN • AC TEMPLETON

XU, SHANCHANG • C OAKLAND

YANES, CHONA G. C SAN FRANCISCO

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

Congratulations to each of these medical assistants.

From the

California Certifying Board for Medical Assistants

8 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

One of the most common tools healthcare providers have at their disposal for the assessment and diagnosing of patients is an array of blood tests. The results of laboratory testing gives providers information that can confirm a patient’s wellbeing or help them to diagnose a health concern. There are many possible ways a medical assistant may interact with patients to assist in the gathering, analysis, and reporting of specimens.

Some offices might simply refer patients to a clinical labora-tory in order for the specimen to be obtained and analyzed. In this case, the medical assistant may need to give instruc-tions for the test preparation, directions to the lab, and let the patient know when they can expect to hear about the test results. It is also possible that the MA may obtain the speci-men in the office and have it sent to a laboratory for analysis. It is the responsibility of the technician obtaining the specimen to choose the correct tube additive in order for the test to be properly processed. In other instances, the medical assistant may obtain the specimen in the office and run any of a number of tests that are CLIA waived for the Physician’s Office Laboratory (POL).

Physicians may order tests to obtain a variety of information. The test may be meant to help evaluate a symptom or mon-itor a chronic condition. Results can also assess whether a medical treatment is working. It is important that the medical assistant have a good understanding of the tests that they are performing not only to ensure accuracy but also to answer any questions that the patient may have. The following tests are some of the most commonly ordered tests and all MAs should have a basic idea of what each test will indicate.

The Complete Blood Count (CBC)

The CBC is one of the most frequently ordered blood tests. It is often done as part of a routine checkup or in the case of infections. The information in a CBC can also diagnose anemia, clotting disorders, some cancers and immune isorders. The common components of a CBC include:

• White Blood cell count – these are the cells of the immune system which help fight infection. The types of WBCs identified can help a provider distinguish between allergies, viral and bacterial infections as well as diagnosing leukemia. The differential is the part of

the CBC which will identify and count the five different types of WBC:

o Lymphocytes

o Monocytes

o Basophils

o Eosinophils

o Neutrophils

• Platelet count – these are the smallest of the blood cells and they function in the coagulation of blood. Platelets are also called Thrombocytes

• Red blood cell count – RBCs are the most numerous of the blood cells and they carry oxygen from the lungs to the cells of the body.

• Hemoglobin – an iron-rich protein that allows the oxygen molecule to bind to the red blood cell.

• Hematocrit – measures the percentage of RBCs in whole blood.

• Mean Corpuscle Volume (MCV) – measures the average size of the RBC.

The Basic Metabolic Panel (BMP)

This is a group of tests that provides information about blood chemistries. The test is typically performed using serum so it is important that the correct tubes and additives are used. The BMP includes analysis for:

• Glucose – measures blood glucose levels and is used to diagnose diabetes. Most accurate results require the patient to fast for 8 to 12 hours.

• Calcium – influences function of the nervous system, muscles, heart, blood clotting and bone formation.

• Electrolytes- includes, sodium, potassium, CO2, bicarbonate and chloride, which have a wide influence over pH, muscle and nerve function and fluid balances.

COMMON BLOOD TESTSin the Physician’s Office

CONTINUING EDUCATIONAa Bb Cc224

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 9

continued on page 10

CONTINUING EDUCATIONAa Bb Cc224

Common­Blood­Tests­in­the­Physician’s­Office – continued from page 8

Cardiac Enzymes

During a heart attack the muscle tissue may suffer damage that releases certain enzymes into the blood stream. Detec-tion of troponin, creatine phosphokinase CPK, or creatine kinase CK would indicate that injury of the heart muscle has occurred.

Blood Clotting Tests

These tests, the PT (prothrombin time) and the INR (inter-national normalized ratio), measure the proteins in the blood that lead to clotting. Patients who use anticoagulants such as warfarin or heparin need to be tested on a regular basis to be sure that they stay within a normal prescribed range. It is important for medical assistants to remember that patients who use these medications will have longer bleeding times and may bruise more easily when they have their blood drawn.

Thyroid Panel

The thyroid gland produces hormones that regulate metab-olism. It is stimulated by the secretion of thyroid stimulating hormone (TSH) from the pituitary gland in the brain. A thy-roid panel measures the levels of TSH as well as the T3 and T4 hormones produced directly by the thyroid gland. Exces-sive secretions would lead to hyperthyroidism while insufficient secretions indicate hypothyroidism.

Vitamin Levels

There are several vitamins levels that are commonly tested for:

• Vitamin D

• Folate

• Vitamin B12

Abnormal levels of these vitamins can indicate a broad range of problems from anemia, kidney or liver function, fatigue, memory problems and walking difficulties.

Erythrocyte Sedimentation Rate

The erythrocyte sedimentation rate (ESR) blood test screens for inflammatory conditions such as arthritis or Crohn’s disease. It is a measurement of how fast the red blood cells in the blood sample fall to the bottom of a test tube in a specific amount of time. This test cannot be rushed because the results are based on the rate of cells falling in an hour. Inflammation in the body is indicated by how quickly the RBCs fall.

• Kidney Function – BUN and Creatinine help providers assess how well the kidneys are cleaning the blood.

These tests can be ordered to gather information from something as simple as dehydration to diagnosing diabetes or kidney failure.

The Comprehensive Metabolic Panel (CMP)

Providers may order a CMP if they need additional informa-tion about a patient’s organ function. In addition to the tests in a BMP the CMP includes:

• Albumin and total protein

• Liver function tests –ALT, AST, ALP AND Bilirubin

The results of these tests indicate the health of the liver and would be abnormal in the case of liver disease or damage.

Lipid Testing

These groups of tests reveal important information about the types, amount and circulation of the various types of fats (lipids) in the bloodstream. The most accurate results require the patient to be fasting for 8 to 12 hours. There are numer-ous substances that are tested in a lipid panel. Total choles-terol, high-density lipoprotein, HDL, low-density lipoprotein, LDL, and triglycerides are the common tests in a basic panel. There is more extensive testing that can assess the type and size of the lipoproteins, which can give providers more specific information about the risk of coronary artery disease.

Hemoglobin A1c

This non-fasting test reports a 2 to 3 month average of blood glucose levels. More accurate than a random glucose check, it proves a picture of the way patients are able to manage their diabetes over time. Glucose attaches to hemoglobin circulating in the blood stream and since red blood cells live about three months the A1c reading is able to show the average levels over time. Long-term elevation of blood sugar is also associat-ed with an increased risk of heart disease and stroke.

Prostate Specific Antigen

The PSA is a routine screening test for men over 50. The presence of this protein manufactured by the prostate gland may indicate an enlarged prostate or prostate cancer. Additional testing and biopsies are necessary for providers to be able to make a diagnosis.

10 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

CONTINUING EDUCATIONAa Bb Cc224

The Comprehensive Metabolic Panel (CMP) (continued)

Antibodies

There are some conditions and diseases that do not have a laboratory test to identify an organism. However, when a per-son has been exposed their body may form antibodies in response to having had the disease or having been immunized. In order to confirm the presence of many diseases or to verify that a patient has had the disease in the past there are blood tests to detect these antibodies. Health conditions such as rheumatoid arthritis, HIV, hepatitis, and influenza can be identified by the presence of antibodies. Additionally, immunity to diseases such as varicella (chicken pox), measles, mumps, rubella, and hepatitis are confirmed by checking for the presence of antibodies.

The responsibility of collecting and processing blood for analysis is an important task for the medical assistant. The

following areas are just some of the essential considerations for the accuracy of the test results:

• Understanding and following the physician’s order

• Proper patient instructions and preparation (if required)

• Use of correct tubes and additives

• Accurate labeling of specimen

• Timely processing of specimen

• Following manufacturer’s instructions on POL tests

• Accurate report of results

Finally the medical assistant must be sure to inform the provider of any abnormal results as soon as possible. Attention to each detail will help to ensure that providers have all the necessary information to deliver the best care possible for their patients. ❧

Common­Blood­Tests­in­the­Physician’s­Office – continued from page 9

Read the Continuing Medical Education Article

COMMON BLOOD TESTSin the Physician’s Office

located on page 8-10then complete the Self-Assessment Test on page 11 for CME credit.

RESOURCES:

Proctor, Deborah B. Kinn’s The Medical Assistant 13th Ed., Elsevier, 2017.

Bonewit-West, Kathy. Clinical Procedures for Medical Assistants 9th Edition, Elsevier, 2015.

NIH – Laboratory Tests – https://medlineplus.gov/laboratorytests.html

US Food and Drug Administration – Tests Used in Clinical Care https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/LabTest/default.htm

Quest Diagnostics – http://questdiagnostics.com/home/patients/health-test-info.html

CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018 11

CONTINUING EDUCATION

Common Blood Tests in the Physician’s Office – Self-Assessment Test

Happy Spring!

Take time to enjoy

the beauty of the season.

SELF-ASSESSMENT

TEST AVAILABLE

FOR DOWNLOAD

SEPARATELY.

Aa Bb Cc224

12 CALIFORNIA MEDICAL ASSISTANT — MARCH/APRIL 2018

H DATED MATERIALSCalifornia Medical Assistants Association, Inc.P.O. BOX 5694 • PETALUMA, CA 94954-5694

Continuing Medical EducationPERSONAL CERTIFICATE OF PARTICIPATION

Name of Participant _____________________________________________________________

Program or Topic Title ___________________________________________________________

Date___________Time________to _______ Totals Hours/Credits ________________________

Circle Category: Basic Administrative Clinical

Speaker Information:

Name: ________________________________________________________________________

Sponsoring Organization: _________________________________________________________

Address: ______________________________________________________________________

All CEU’s are subject to final approval by CA Certifying BoardRetain this certificate for your records

Just a friendly reminder to use the proper form (below) to document continuing medical education when attend-ing non-CMAA functions. Your help in this matter will be greatly appreciated.

Happy Spring!Take time to enjoy

the beauty of the season.


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