Medical Assistant
Competency-based
ONET: 31-9092.00
1
Years
209
Skills
On-the-job training
- Rooming and Maintenance of EHR Documentation
- Vital Signs (BP, Pulse, Temp, O2, Resp, Ht, Wt)
- Pediatric Vitals (including height, weight, head circ, etc.)
- Document Chief Complaint
- Medication List Reconciliation
- Allergy List Reconciliation
- Document Tobacco Status and History
- Document Pertinent Health Problems
- Review Health History
- Review and Update Immunization Record
- ASQ and M-CHAT
- PHQ2 and PHQ9
- Diabetic PCMH Protocols
- Medicare Wellness Workflow
- Review and Update Health Maintenance
- OJL Competencies
- Clinical - Evaluate daily patient list for necessary health maintenance updates, pend immunizations/labs/drug refills; enter reason for visit, review/update allergies, medication list; enter vital signs, access/complete appropriate questionnaires, prep no
- Clinical - Perform room disinfection, set-up PAP/wet prep/sterile field, draw up lidocaine, stock
- Clinical - Perform/document orthostatic BPs, immunization administration (IM/SQ)/documentation, PPD plant, suture removal, irrigation - ear, phlebotomy, capillary puncture, visual acuity
- Clinical - Performs appropriate POCT including urinalysis, C/S, urine pregnancy, rapid strep, rapid flu, glucometer, HgbA1C, PT/INR, FIT
- Clinical - specimen collection – wound, throat, nasopharyngeal, clean catch
- Efficiently operate medical equipment including scales, nebulizer, spirometer, peak flow meter, hearing test, EKG, bladder scanner
- Admin - Prior authorizations, medication refills, referrals from in baskets; IDX-scheduling
- Maintains professional development through participation in internal and external education opportunities
- Maintains NHA certification through successful completion of all continuing education requirements.
- Behavioral Competencies
- Participation in team discussions/meetings
- Focus in team discussions/meetings
- Focus during independent work
- Openness to new ideas and change
- Ability to deal with ambiguity by exploring, asking questions, etc.
- Knows when to ask for help
- Able to demonstrate effective group presentation skills
- Able to demonstrate effective one-on-one communication skills
- Maintains an acceptable attendance record
- Reports to work on time
- Completes assigned tasks on time
- Uses appropriate language
- Demonstrates respect for patients, co-workers and supervisors
- Demonstrates trust, honesty and integrity
- Requests and performs work assignments without prompting
- Appropriately cares for personal dress, grooming and hygiene
- Maintains a positive attitude
- Cooperates with and assists co-workers
- Follows instructions/directions
- Able to work under supervision
- Able to accept constructive feedback and criticism
- Able to follow safety rules
- Able to take care of equipment and work place
- Able to keep work area neat and clean
- Able to meet supervisor's work standards
- Able to not let personal life interfere with work
- Adheres to work policies/rules/regulations
- Preparation and Assistance with Procedures
- Lesion Removal/Mole Excision
- Laceration Repair
- Pap and Pelvic Exam (KOH & Saline)
- Biopsies
- Ear Irrigation
- Eye Irrigation
- Suture Removal
- Staple Removal
- Urinary Catheterization
- Nebulizer Treatment
- O2 Application
- EKG Machine
- NST Machine
- Dressing Application and Change
- Uses Clean/Sterile Technique
- Prepare mayo stand
- Set-up Surgical Tray
- Colposcopy
- IUD Insertion and Removal
- Vasectomy
- Fills liquid nitrogen container
- Point of Care and Other Testing
- Rapid Strep
- Rapid Influenza
- Rapid Mono
- Urine Dip (Centrifuge if Positive)
- Urine HCG
- Urine Microalbumin
- Urine Culture
- Throat Culture
- Stool Tests for Blood (FIT Test)
- Hemoglobin (Finger stick)
- Glucose (Finger stick)
- Hemoglobin A1C (Finger stick)
- PT/INR
- Post-Vasectomy Sample
- Pulmonary Function Test / Peak Flow Test
- Visual Acuity
- Venipuncture/Phelbotomy
- Preparation and Administration of Medications and Immunizations
- Preparation of Oral Medications
- Preparation of IM Injections
- Preparation of SQ Injections
- Administration of Oral Medications
- Administration of IM Injection (Pediatric)
- Administration of IM Injection (Adult-deltoid)
- Administration of IM Injection (Adult-gluteal)
- Administration of SQ Injection (Arm)
- Administration of SQ Injection (Abdomen)
- Administration of Intradermal Injection
- Administration of Intranasal Medication/Vaccine
- Administration of Ear Drops
- Administration of Eye Drops
- Understanding of Diluent and Reconstitution when Needed
- Knows Proper Wait Times after Administration for Injections
- Recognition of Drug Allergies
- Recognition of Adverse Drug Reactions
- Evaluation of Effectiveness of Medication
- Completion of Consent for Immunizations
- Identification and Use of VFC
- Completion of ABN
- Completes Log Form for Controlled Substances
- Identification of Insulin Syringe
- Identification of TB Syringe
- Identification of SQ needle
- Identification of IM needle
- Accesses and Interprets CDC and AFM Immunization schedule
- Accesses and Interprets CIIS
- Identification of Appropriate Immunizations for Patients
- Ordering and Scheduling of Tests and Specialist Appointments
- Blood Tests (Lab Collect vs. Clinic Collect); Lab Requests
- Radiology Tests (x-ray, US, MRI, CT Scan, etc)
- Screening Tests (Mammogram, Dexa Scan, Colonoscopy, etc.)
- Cardiac Testing
- STAT Tests
- External Lab Studies (Strep culture, Urine Culture, STD Testing, etc)
- Referrals (Internal vs. External)
- Scheduling Specialist Appointments
- Phone Calls/In Basket Messages
- Navigation of In Basket
- Creation of New In Basket Messages
- Demonstrates Understanding of Protocol for Completing In Basket Messages within a Reasonable Time Frame
- Triage Messages
- Correct Handling of Urgent and/or Emergent Calls
- Patient Advice Request Messages
- Rx Request Messages
- Rx Response Messages
- Tickler/Follow-up Messages
- Result Note Messages
- Prepares Letters for Patients
- Pharmacy Calls
- OB Calls
- Instrument Sterilization
- Properly Cleans and Disinfects Instruments
- Properly Wraps All Appropriate Instruments in Pouches
- Properly Wraps All Packs (Suture, Facial, Vasectomy, etc)
- Instrument Identification
- Completes Department Duties
- Log Fridge and Freeze Temperatures
- AED Check
- Check for Outdated Instruments
- Check for Expired Medications
- Room Preparation and Day End Cleaning
- O2 Tank Change
- Orthopedic Supplies Application and Removal
- Ankle Brace
- Wrist Brace
- Knee Immobilizer
- Arm Sling
- Walking Boot
- Finger Splin
- Rib Belt (N/A BMC)
- Neck Brace
- Ambulatory Assistive Devices
- Patient Education
- Patient Crutch Gaits
- Patient Cane Gaits
- Patient Walkers
- Gathering Casting Supplies
- Cast Removal
- Medication Refills and Pharmacy
- Demonstrates Understanding of Medication Refill Workflow and Guidelines
- Demonstrates Understanding of Controlled vs Non- Controlled Medications
- Processes Electronic Prescriptions
- Processes Phone In Prescriptions
- Prepares Schedule 2 Prescriptions for Pick-Up
- Routes Prescription to Provider as Appropriate
- Identifies Medication Resources
- Contacts Pharmacies
- Records Historical Meds
- Prior Authorization Process
- Identifies When a Prior Authorization is Needed
- Creates Referral Message for Medication Authorizations
- Locates Insurance Information
- Locates Insurance PA Phone Number
- Documents PA Status in Chart
- Electronic Medical Record (EMR)
- Completion of Initial EMR Training
- Accesses Information Independently
- Starts New Encounter
- Personalizes and Adds Items to EMR
- Adheres to HIPAA Rules Pertaining to EMR
- Scheduling/Staffing Process and Scope of Practice
- Appropriately Requests PTO (Flex-Time)
- Demonstrates Understanding of CSS Schedule
- Sick Call Process
- Accesses Employee Email
- Demonstrates Understanding of Scope of Practice
- Customer Service and Interaction with Coworkers
- Apprentice displays sensitivity, courtesy and respect when working with patients and their family members.
- Apprentice displays sensitivity, courtesy and respect when working with coworkers.
- Apprentice responds in a positive manner to constructive feedback from patients, coworkers, and managers.
- Apprentice addresses conflict in a private and professional manner.
- Apprentice assists other members of the team without being asked.
- Apprentice readily answers questions and/or assists other members of the team when requested.
- Apprentice seeks out work when own work is completed.
- Apprentice keeps work area and shared spaces tidy.
- Apprentice cleans up work area before/after procedures and before leaving at the end of the day.
- Miscellaneous
- Demonstrates Understanding of Call and OB Call Doc Utilization
- Demonstrates Understanding of Urgent Care Utilization
- Completion of OSHA Training
- Adheres to OSHA Regulations
- Locates OSHA Book
- Understands How to Report Needle Stick Injuries
- Requesting and Ordering Medical Supplies
- Utilization of 911 (non-urgent vs. urgent)
- Location of E-Kit Medications
- BLS-CPR
- Completion of HIPAA Training
- Adheres to All HIPAA Regulations
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