Welcome to the 'Page of Notes/ For students or new M.A.'s'

Administering an IM injection to a child

Infants 18 months and less :

Vastus lateralis muscle (anterolateral surface of the thigh)

25 gauge, 5/8 to 1 inch needle

Have parent hold infant sideways in a cuddle/semi-recumbent position on lap

Parent can restrain outer arm. Place inside arm behind parents back

Legs can be placed in between parent’s knees, or held by parent

Vastus lateralis located on most lateral aspect of thigh

Is free of major nerves and blood vessels

To locate, divide area from top of femur to top of knee into 3 parts

Landmark a site in middle third of outer thigh

Children 18 months and over

Deltoid muscle, 25 gauge, 5/8 to 1 inch needle

Place child sideways on parent’s lap

Injection arm is held close to child’s body

Free arm is place behind parent’s back

Child’s legs can be place in between parents knees

Landmark by imagining injection site in middle of upside down triangle

with base at lower edge of acromial process, point opposite to axilla

Palpate acromial process; place 4 fingers across deltoid with top finger on acromial process;

this leaves 3 fingers lying below the acromial process

Decadron/ Medrol 40 mg- NSAID used for inflammation, knee injections and allergy sufferers

Zofran- anti nausea medication- dissolves on the tongue

One of the key topics we'll cover is clinical experience. I'll share real-life scenarios and practical tips to help you gain valuable experience in a clinical setting. Whether it's assisting with procedures, managing patient care, or understanding ethical considerations, you'll find valuable resources and guidance here.  

Clinical Experience - Tips and pointers from clinical experience.

If you are running clinic for the first time here are a few things you need to do to get you through the day. 

  • Complete chart prep- reschedule patients who did not complete testing ordered. Call New Patients to bring imaging and records- Prep exam rooms- make sterile trays for any procedures listed on the printed schedule. 
  • Be sure all injections have been pre-certed for injections
  • As you discharge your patients, go over doctor's order and why .it is ordered. 
  • All prescriptions are sent via escribe very few exceptions. Be sure to confirm pharmacy information in the demographics.
  • Send imaging and lab ordered blood tests ordered by dr electronically.
  • Remember to always have patient say name and dob once they are brought back, also have them repeat. 
  • Right person, Right route, Right medication, right documentation, Right time, Right dose

Career Guidance     

Once you are certified you will need an adequate resume to get interviews. If you do not have very many work skills to list, think about the unmentioned skills you have.  Are you a good listener? Can you tell how a customer or any person feels when speaking with them? You can list Active Listening and Emotional Intelligence as skills. These are considered valuable skills by employers, especially if you have direct contact with customers. These are skills now considered to be of the most important when you are trying to keep and draw business. Use any prior experiences to enhance your resume. You can even use your externship as experience.  Your intro should be a summary of you and what you can do for their company, why you are a good fit. This summary should be a seller, captivating, with skills that match the job description. Use good references, best to use colleagues in the same field. You can ask your instructor's if you could use them as a reference, perhaps your extern supervisor. Once you secure the interview, be sure to arrive early, at least 10 minutes, with a copy of your resume and references. Also, dress business casual, it shows you want the job enough to take time to care about your appearance. In the view from where the manager sits, it appears you also have some etiquette and sense of professionalism. Scrubs are usually acceptable. I personally prefer to save the scrubs for an actual work day.  As a back-office lead, I was charged with conducting interviews as well.  The amount of candidates that would wear basically pajama's to an interview was staggering to me. I was left feeling like they didn't really want the job. When you dress right for an interview, you become more confident in yourself.  Please don't wear any type of pajama clothing!! Practice your interview, think of the answers you want to give. Availability is always a concern, make sure you let them know you are available during the office hours. Most offices are loaded down with patients, so you will most likely be staying past 5:00 pm daily. This is common for Medical Assistants.  Be friendly, smile often, show them your best self! Good Luck! 

 

  • If possible, be sure to get at least two physician references to confirm your experience or any other attributes. Reference letters are great to have as well. 
  • Persistence pays off! When looking for a job, follow up with a phone call to the place where you submitted your resume at least 2 days after your submission. If you get an interview with a employer you are unsure of, go ahead and show up to the interview. You never know, the position may actually be far better than you could imagine. 

Medical Procedures

Understanding the different medical procedures is essential for any M.A. This section will provide detailed information on vaccines to give and their location. You'll find educational resources, insights into best practices, and guidance on how to handle medical procedures in a professional and ethical manner.

Anticipatory Guidance For Patient's

As you prepare to enter the healthcare industry, it's important to have a solid understanding of what to expect. This section will provide anticipatory guidance, offering insights and resources to help you feel confident and prepared for your first visit to a doctor's office or clinical setting. 

For your first office visit with a pcp, be sure to arrive 30 minutes early to fill out all paperwork. The physician needs all information he can get in order to treat you. If you are switching to a new pcp, you will need your previous records. There is no need to pay a hefty amount of money to retrieve your records. You can simply either go to previous pcp office and sign a medical realease form or go to the new dr to sign a medical release. This way, one office transmits all of records. If you are being seen for any broken bones, back problems, etc. Always take the imaging cd and the imaging report to show the doctor.   Take a book, game, or something to occupy your time. Most offices do run behind due to high patient volume. Expect to wait at least 15 minutes. Bring a medication list of all medications you are currently taking. Give as much history as you can, the more we can place in your chart, the better we can help you. Your medical assistant is your advocate, ask to be placed on their portal for direct contact to the medical assistant and doctor. 

If you call on the regular number, a person from a call center will answer and "take a message". The doctor will respond to you via portal in 1-2 days. Plus, the medical assistant typically has access to the messages sent from portal, so if there is a question they can answer, they will.    Refills should be requested by the pharmacy per office protocols. It never hurts to send a message via portal to make both doctor and staff aware there is a request.  It is always good to request rx's 3-4 days in advance. If you are having trouble paying for your prescriptions, try this link for discount prices: Prescription Prices, Coupons & Pharmacy Information - GoodRx  . If you are to see specialists, call pcp and/or insurance to see if referral has been sent.

IMAGING : Your pcp may order you to have imaging done

  • It is your right as a patient to have your imaging wherever you choose. 
  • If you can't afford your imaging, check with the facility you are scheduling with and see if they have a sliding scale program or a program that can go by your income. They do not advertise these programs for obvious reasons. Places such as Touchstone and Envision have these types of forms. They are one page. You can get your imaging for free or get a huge discount. Form attached.
  • Be sure to get a copy of the report and cd of the imaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                    

Ready to embark on your journey as a medical assistant?

Explore the valuable resources and guidance on this page to set yourself up for success. Take the first step towards a rewarding career in healthcare.

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