CALIFORNIA MEDICAL ASSISTANT WHAT'S INSIDE

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

CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 1

CM

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UNITY IS STRENG

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KNOWLEDGE

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SEPTEMBER/OCTOBER2015

________________________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]

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

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

� FALL CONFERENCE 2015:About Our Speakers ............................ 3Date and Location Information ......... 3Agenda .................................................. 4Registration Form ................................ 5

� CERTIFYING BOARD UPDATE:Newly Certified CaliforniaMedical Assistants.......................... 6-8

� MEMBER HIGHLIGHT:Byron Clinton, CCMA-C ...................... 9

� CERTIFYING BOARD REMINDER:Personal Certificate of ParticipationForm for Non-CMAA Functions....... 10

� WAYS AND MEANS .......................... 10

� CONTINUING EDUCATION:Ventrogluteal Injections....................11-13Self-Assessment Test ....................... 14Article Order Form............................. 15

� CERTIFYING BOARD UPDATE.......... 16

�

Aristotle is quoted as saying, “Excellence isan art won by training and habituation.We do not act rightly because we havevirtue or excellence, but we rather havethose because we have acted rightly. Weare what we repeatedly do. Excellence,then, is not an act but a habit.”

This quote came to mind in reference to ourcareers as Medical Assistants. It seems moreand more each day we are expected to takeon an extra responsibility at work or crosstrain, or orient a new staff member. All thewhile, we must complete our own workloadand be an integral part of the care team forevery patient that we come in contact with.Instead of appearing haggard and worn outto our patients, we keep a smile on our faceand give our best.

My family has been the recipient of bothexcellent medical care as well as averagemedical care. In each instance I can think of,the technology and surroundings didn’t haveanything to do with my satisfaction. My deci-sion was based 100% on the care providedby the staff caring for my family. The MA’s,support staff, and providers that go the extramile to know our names and greet us whenwe walk in the door are providing an excel-lent welcome to the office. The MA thatremembers my son is nervous about receiv-ing vaccines and talks to him as a youngman instead of a baby (he’s 15) is providingexcellent care. The MA that follows up withme countless times prior to a hospitalizationto make sure all my questions are answeredis providing excellent care. I am certain theseencounters have occurred for other patientsbesides my family and they are the result ofthe habits that have been created over timein which those people have done the bestjob they could do.

The last thing we can do as Medical Assistantsis settle in to a job and relax until retirement.HA! On the contrary, things are alwayschanging and to remain effective in ourcareer we must challenge ourselves andcontinue to learn and grow in this everchanging field of medicine. This is where

Shannon Tinsley, CCMA-ACCMAA State President

CMAA comes in! Attending our stateconferences and other regional seminarsand meetings provides an opportunity tolearn about trends in our industry and hearfrom experts in our field. Additionally, thenetworking that goes on between membersacross the state is astounding!

As CMAA members, I firmly believe we area cut above our work colleagues that arestagnant and not pursuing goals such ascertification and/or maintaining certification.Even by completing the quiz that comes withthe CEU opportunity in this publication is ahabit that you can make on your journey topursue excellence in our field.

Please consider this message as my personalinvitation to join me at a CMAA meeting inthe near future. We’ll be at Alvarado Hospitalin San Diego, September 11th and 12th.Sonoma Region is currently working on anEducation Day filled with CEU’s for the fallin Santa Rosa. Before we know it, 2016 willbe here and Sacramento Region will behosting our Annual Meeting! Be sure towatch CMAA’s Facebook page for updateson speaker information and exact dates forthe upcoming conferences in northernCalifornia.

Excellent CMAA members, Theresa Hendersonand Margie Hattox are co-chairing the FallConference this year and they have done afantastic job. I look forward to seeing youwith them, and many other CMAA membersand guests in San Diego in September! �

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 — SEPTEMBER/OCTOBER 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 —November/December 2015

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

KIM JONES, CCMA-C


DEADLINE: October 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/





CMAAFALLConferenceSeptember 11 & 12San Diego, CA

6655 Alvarado Road, San Diego, CA 92120www.alvaradohospital.com

Bruce M. Prenner, MDDr. Bruce M. Prenner is the LeadPhysician for Allergy Partners ofSan Diego and the PrincipalInvestigator for AllergyAssociates Medical Group andResearch Center. He is certifiedby the American Board ofAllergy and Immunology and alsoPediatrics.

Dr. Bruce Prenner received his medical degree at StateUniversity of New York. He then served his Pediatrics intern-ship at Columbia Presbyterian Hospital. He went on to com-pleted his Pediatrics residency and his Pediatric Immunologyand Allergy fellowship at the University of California, SanDiego. Dr. Prenner’s area of expertise is in the field of Allergyand Immunology, and he has a special interest in PediatricAllergy and Immunology. He strives to provide effective andpersonalized treatment for his patients. Dr. Prenner has beeninvolved in 200 Clinical Trial studies and has published scientificarticles. Dr. Prenner will be presenting “New Therapies forUrticaria” on Friday, September 11th.

Jay Chisolm, MDDr. Jay Chisolm will be presenting “Modern Medicine” duringthe educational sessions at the Fall Conference on Saturday,September 12th.

Olga G. Mote, RN, BSN, MSN, CDE, CMSRNOlga G. Mote is the Patient Educator with Kaiser Permanente.She will be presenting “Diabetes” on Friday, September 11th.

Elizabeth Blair Weeks-Rowe, LVN, CCRAElizabeth Blair Weeks-Rowe has spent over 15 years in avariety of clinical research roles including CRA, CRA trainer,CRA manager and clinical research writer. She has devel-oped course content and presented research topics for lead-ing industry training and education organizations. She hascreated website content and newsletters for European andUS based Clinical Research Organizations. She is a contribut-ing writer for several leading industry publications, including arecurring clinical research column for an internationalresearch news publication. She has authored a white paperon best industry practices for co-monitoring assessments, andunblinded pharmacy monitoring/monitoring practice. She isthe author of a clinical research novella entitled “ClinicalResearch Trials and Triumphs.” For the last 4 years, she hasworked in relationship development/study startup for a lead-ing CRO, in a critical site selection and training role.Elizabeth will be presenting “MA’s and Clinical ResearchOpportunities” on Friday, September 11th.

Jim Winn, MEd, ATC, PTAJim Winn will be presenting at the afternoon educational ses-sion on Saturday, September 12th. His topic will beannounced.

John Hollingsworth, PA-CMr. Hollingsworth will be presenting “Sleep Apnea” duringthe educational sessions on Saturday, September 12th.

Please see the Tentative Agenda on page 4 forschedule of the educational speakers’ sessiondays and times.

ABOUT OUR 2015 FALL CONFERENCE SPEAKERS

http://www.alvaradohospital.com/

2015 Fall Conference“Education by the Sea”

Alvarado Hospital Medical CenterSan Diego, California

September 11-12, 2015


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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, 2015

5:00 pm Executive Committee Meeting

Marie Calendar’s Restaurant

FRIDAY, September 11, 20158:00 am Registration

8:00 – 8:30 am Breakfast

8:30 – 9:00 pm Welcome & Opening Business Session

9:30 – 11:00 am Bruce M. Prenner, MD — “New Therapies for Urticaria”11:15 am – 12:15 pm Olga Mote, RN, BSN, MSN — “Diabetes”12:30 pm Lunch

All CMAA Past Presidents will be honored at this luncheon

1:30 – 2:30 pm Elizabeth Weeks Rowe, LVN — “MA’s and ClinicalResearch Opportunities”

2:30 pm Budget & Finance Reference Committee

3:15 – 5:30 pm TBA

SATURDAY, September 12, 20158:00 am Registration

8:00 am Breakfast

8:30 am Business Session Reconvenes

9:00 am – 11:00 am Dr. Jay Chisolm, MD — “Modern Medicine”11:15 am – 12:15 pm Jim Winn, MEd, ATC, PTA — TBA

12:30 pm Lunch

1:45 – 2:45 pm John Hollingsworth, PA-C — “Sleep Apnea”

3:00 – 4:00 pm TBA

4:00 – 5:00 pm Business Sessions

(Including honoring newly certified & recertified CCMA’s)


PLEASE TYPE OR PRINT

Name: ___________________________________________

Credentials: ______________________________________

Address: _________________________________________

Region:______________________________________

Telephone:___________________________________

Email: _______________________________________

**Check if first timer________

CHECK ONE:

________ Platinum Member

________ Gold Member

________ Silver Member

________ Student

________ Guest

REGISTRATION DEADLINE: 08/20/15

No refunds after August 28, 2015

Mail to: CMAA Inc.P.O. BOX 5694PETALUMA, CA 94954-5694

Please make checks payable to: CMAA

Additional inquiries or registrationby credit card:

Call Headquarters at 1-888-464-2622.

CHECK MEAL CHOICES

Friday

_____ Breakfast ................................................$6.00

_____ Lunch....................................................$12.00

“Build your own Sandwich” Buffet

Saturday

_____ Breakfast ................................................$6.00

_____ Lunch....................................................$12.00Choose one:

_____ Basil Chicken

_____ Meatballs & Marinara

_____ Herb Baked Cod

_____ Vegetarian

__________________________________________________

MEETING REGISTRATION FEES:

_____ Members & Students ............................ $50.00

_____ Non-member ......................................... $75.00

_____ Late fee (after 8/20/15) ......................... $5.00

_____ Single Day Registration .........................$25.00This option is available for Members andStudents only able to attend for one day.

** If single day registration is selected,please indicate which day you will beattending here:_______________________

TOTAL AMOUNT ENCLOSED $____________

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 .2015 Fall Conference

“Education by the Sea”OFFICIAL REGISTRATION FORM

Alvarado Hospital Medical CenterSan Diego, California

September 11-12, 2015

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 7

AGRIAM, STACEY ROSE C PALM SPRINGS

AGUILAR, ANALIA C SIMI VALLEY

AGUILAR, CLAUDIA • AC SACRAMENTO

ALCARAZ FRANCO, DAVID JOAQUIN AC WATSONVILLE

ALEMAN, MONICA • AC ROYAL OAKS

ALEXANDER, MONIQUE SHALAY C CHINO HILLS

ALVA, CHRISTINA AC DESERT HOT SPRINGS

ANAYA, ALICIA MONIQUE • C BAKERSFIELD

ANCHETA-OHLON, DELIA • C MORGAN HILL

ANIL, SHEEBA AC SUNNYVALE

ARMENTA, ANA L. AC CALEXICO

ARRIAGA, WENDY F. AC LOS ANGELES

AVERY, CASEY AC UPLAND

BANUELOS, ONEEZ • C HOLLISTER

BARAJAS, HEATHER C BALTIMORE MD

BARREIRO-GOMEZ, JENNIFER MARITZA C SAN DIEGO

BARRERA-LEMOS, LILIANA A UKIAH

BERNAL, ELIANA AC RED BLUFF

BIESTER, ROMA • AC REDWOOD VALLEY

BODE, DENISE M. C COTTONWOOD

BONTE, ALEX C OAKLAND

BRACAMONTE, ROSELBI A. C SAN JOSE

BRANDON, SANDRA • AC FREMONT

BUENROSTRO, MICHELLE G. • C BANNING

BUGGS, DANIELLE E. C SAN MARCOS

BURDEN, RUTH • C LA QUINTA

CABEZAS, PAULA ELIZABETH • C UNION CITY

CAMACHO, MARIA JOAQUINA AC SAN JOSE

CAMPBELL, RACKEL AC PALMDALE

CANTU, JUAN M. C YUCCA VALLEY

CANUTO, CECILIA F. • C TRACY

CARDENAS, CARMINA C SAN JOSE

CARVER, HELEN KATHLEEN • C BAKERSFIELD

CASTELAN, ANGELIQUE BONITA A SANTA CRUZ

CASTRO, NORMA AC PICO RIVERA

CATURA CABILATAZAN, RACHELLE • C SUNNYVALE

CAVE, ANNAMARIE G. C REDDING

CAYETANO, JESSICA GABRIELA AC LONG BEACH

CEDILLO, CORINNE C ANTIOCH

CENTENO, DEANNA THERESA C FRESNO

CHAVEZ, SILVIA V. C WATSONVILLE

CHAVEZ-VARELA, ROCIO C SANTA MARIA

CHIEPPA, MEGAN A. • AC SANTA ROSA

CHRISTIAN, ALYSSA AC RED BLUFF

CHUON, CARINA • C STOCKTON

COLIN ARANDA, ALEJANDRA C SANTA ANA

CONNORS, ANA M. A CASTRO VALLEY

CONTRERAS ALBA, SILVIA PATRICIA C EXETER

COOPER, ELAINE C. AC SCOTTS VALLEY

COPELAND, COURTNEY AC CHICO

CRONAN, WILLIAM RUSSELL C SANTA MARIA

CULWELL, MICHELLE AC REDLANDS

CUNHA, OLIVIA C SAN LORENZO

CURIEL, JUDITH • C PALO ALTO

DA COSTA, SERENA SYNUAE C CASTRO VALLEY

DALUZ, KIOLA A SAN DIEGO

DAVIS, HEATHER LEE • AC SOQUEL

DELCHINI, BRANDY C MARTINEZ

DELEON, CLEOPATRA D. C SACRAMENTO

DENG, JUN JIAN C SAN FRANCISCO

DEOL, HARPRIT • AC LIVE OAK

DIAZ, CONNIE Z. • C NAPA

DINH, QUYNH NHU T. C SANTA CLARA

DORÉ, AURORA O. • C NEWARK

DRAKE, KATHERINE ANN • C REDDING

ECCLESTON, KIRA JOY AC WATSONVILLE

ERHAHON, MABELLE AC LANCASTER

ESCAMILLA, IMMER MISAEL AC LOS ANGELES

ESTRADA, ELIAS AC LONG BEACH

FEDAI, ROYA • C FREMONT

FERGUSON, EVGUENIA • C SAN JOSE

FLORES, MARIA G. • C STOCKTON

FLORES, VERONICA A STOCKTON

FREEMAN, JOANIE • C BODEGA

GALLEGO-MACHADO, GIO AC HUNTINGTON PARK

GALVEZ, ERIKA ROXANA • C OAKLAND

GANI, CAROLYN ANNE C DIAMOND BAR

GARCIA, JANET L. AC SAN JOSE

GARCIA, MONIQUE LYNN C GILROY

GARCIA, YVONNE L. AC CARSON

GEBA, EWA • AC CAPITOLA

GEDDINGS, RANDY • AC LIVERMORE

GLEASON, LIANE MARY C REDDING

GOMEZ, SOTERO I. AC FARMERSVILLE

GONSALVES, WENDY • AC LAKEPORT

GONZALEZ, EDMUND • C LAS VEGAS NV

GONZALEZ, OSKAR JANOSSIEL C CATHEDRAL CITY

GONZALEZ, SONIA • C TURLOCK

GORMAN, SIERRA LYNN LEMUS A REDDING

GRANT, TRISH • AC PLACERVILLE

GRAVES, VICKI C REDLANDS

GREEN, CASSANDRA C PETALUMA

GREENMYER, PAMELA A. AC GALT

GRIEGO ARCHULETA, NATALIE C RED BLUFF

GRIJALVA, TAYLOR NICOLE C SAN LUIS OBISPO

GROVER, JOSIE C PASO ROBLES

GROYON, RISA • C SANTA CRUZ

GUTIERREZ, ERICA C BAKERSFIELD




• RECERT ++ ADDING 2ND SPECIALTY continued on page 8

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


– continued from page 4 –


HAI, LISA NHOC AC LOS ANGELES

HAINES, AMY C PLACERVILLE

HALDEMAN, DANA C AUBURN

HATCHETT, JUDITH C ELK GROVE

HERNANDEZ, LAURA E. C CAPITOLA

HERNANDEZ-MEZA, BRENDA Y. C UKIAH

HIGHT, TUESDAY • AC SANTA PAULA

HODGES, CYNTHIA A. AC ANDERSON

HOGAN, CHERYL A. • C HAMILTON MT

HONG, ANN AC VISALIA

HULSHOFF, TONI C SANTEE

ILIFF, LEAH AC SAN MIGUEL

INIGUEZ-ARGUELLES, SILVIA E. C UKIAH

IVETTE, MORALES • C TEMECULA

JACKSON, CARLA C CORNING

JANCO, LISA LORRAINE A LANCASTER

JAUREGUI, SANJUANA • AC BRAWLEY

JENKINS, JENNIFER C. A GARDEN VALLEY

JONES, AUDREY DENISE C CHULA VISTA

JORGE, MARIE AC DOWNEY

KELLER, PAMELA M. C COLFAX

KELTER, JILLIAN M. C LOS ANGELES

KEMPPINEN, JENNIFER A CHICAGO IL

KHAN, FARRIYA • C FREMONT

KIBLER, MARY C. C ANDERSON

KING, YUNEI • C SAN JOSE

KOCHEL, ACELIA C LA QUINTA

KOHLER, BENJAMIN AC SACRAMENTO

KOSEK, AMANDA JEAN • AC REDWOOD VALLEY

KOTYASH, ANZHELIKA AC SACRAMENTO

KUNDINGER, FATIMA C ESCONDIDO

LAGOMARSINO, KELLY C. AC VENTURA

LAMBERTA, JENNA ROSE AC WOODLAND

LAO, CLAIRE • C SACRAMENTO

LARSEN, BRITTANI A IGO

LE, PHUONG MAI THI • A HUNTINGTON BEACH

LeBRANE, MICAIAH AC MORGAN HILL

LEON, VERONICA AC GRANITE BAY

LEWIS-LASATER, BRITTANY A GALT

LI, HSIEH-HSIN AC MOUNTAIN VIEW

LINDLEY, JARED C ATASCADERO

LYONS, SEAN C. • AC GUERNEVILLE

MADRID, MARCELA INDIRA • C SANTA MARIA

MALLOY, KIERRE C PINOLE

MARILUCH, JILL ANNE • AC PARADISE

MARQUEZ ALCALA, EVANGELINA C VALLEY FORD

MARSHALL, CONNIE D. • AC CAMINO

MARTINEZ, ARMIDA E. • AC EUREKA

MARTINEZ, MARIA ANTONIETA C MAYWOOD

MARTINEZ, VERONICA • C FAIRFIELD

MAY, MICHELLE MARIE A OAKLAND

MAYA, RACHELE • AC CASTRO VALLEY

MC CLURE, ELIZABETH G. AC HUNTINGTON BEACH

McCRAY, PEGGY SUE • AC AUBURN

McDONALD, KELLY L. • AC HERMITAGE PA

MEDINA, SUSANA M. • C SAN DIEGO

MEDRANO, LUPITA M. A CAMPO

MERCADO, LEONOR • AC BRAWLEY

MEX, SHEYLA ARLETTE A PALMDALE

MINER, NICOLE C CAMPBELL

MITCHELL, AMY • C FREMONT

MOLINA, LUCIA • AC STOCKTON

MOLINA, MARIA • A REDLANDS

MONEY, JOYCE • AC SPRING TX

MONTANO, CHRISTINA C NEWARK

MONTANYE, WANONA A. C HEALDSBURG

MORA, JOVETTE C TRACY

MORALES, ANDREA B. C SANTEE

MORENO, SUZANNA • AC LOS BANOS

MURILLO-RUIZ, ERIKA C PITTSBURG

NELSON, ROBERTA C LA MESA

NEUKIRCHNER - BARTSCH, KATEY AC LIVE OAK

NGUYEN, TUYEN B. C ALAMEDA

NIETO, ESMERALDA V. C OXNARD

OLAGUE, JENNIFER MARIE AC SAN JOSE

OLIVAS, CIRIA C COACHELLA

OLIVER, ALISHA M. AC NEWARK

ORTIZ, SARAH ASHLEY C BANNING

ORTIZ, TERESA • C WATSONVILLE

PADILLA, ROCHELLE A. C HANFORD

PADUA, KIMBER L. C SAN MATEO

PALLIRETO, KIM • AC LAS VEGAS NV

PEALER, DAVA D. AC LAKESIDE

PEARSON-MYERS, GENEVA C KNEELAND

PEGANY, JEETENDRA K. • C YUBA CITY

PELLECER, VERA G. C PALMDALE

PELTZER, KARIE LEA A PENN VALLEY

PERALTA, IRMA M. • C CHICO

PEREZ, ANGEL RAYDEEN AC SIGNAL HILL

PEREZ, VANESSA M. ++ AC CHULA VISTA

PERRY JR, DUANE C SACRAMENTO

PESTANA, ASHLEE AC PENSACOLA FL

PETROVSKY, KRISTA AC PALMDALE

PHIFER, KAYLI A REDDING

PLASENSIA, BRENDA C STOCKTON

POSAS, TERESA C GALT

POWERS, JO ELLEN • AC EXETER

PRICE, SUSAN DIANE AC SOUTH PASADENA


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 7 –


PURNELL, NIQUELA JANNICE AC STOCKTON

RADA, ALIKA MARIE • AC KAPOLEI HI

RAE, TARINI • AC SANTA CRUZ

RAMETTA, PATRICIA ANN • AC SANTA ROSA

RAMIREZ, MONICA M. AC INDIO

REA, JOBITA AC SAN BERNARDINO

REISIN, SHAINA AC EL CENTRO

REYNAUD-VAN COURT, ANNE-LAURE A CASTRO VALLEY

RIOS, JENNIE G. A LITTLEROCK

RIVAS, SUSANA M. C AVENAL

ROBINSON, JAMES M. A HAYWARD

ROBLES, ALONDRA C RANCHO CUCAMONGA

ROCKLAGE, KATHERINE J. C FREMONT

ROEMER, TAYLOR RENÉE C VALLEJO

ROGOKOS, SYLVIA • C LOS ANGELES

ROMERO, VERONICA C CATHEDRAL CITY

ROSARIO, RIOMAR I. • A SAN JOSE

ROSARIO, RIOMAR I. A SAN JOSE

RUIZ, SALVADOR AC ONTARIO

SAAVEDRA, BELINDA V. C DALY CITY

SADOFF, DANA B. A CASTRO VALLEY

SAECHAO, MEY C ALAMEDA

SALDIVAR, ROSA • AC WATSONVILLE

SALISBURY, AMALIA B. C REDONDO BEACH

SANBECK, CARRIE C ROSEVILLE

SANCHEZ, CINDY M. C BAKERSFIELD

SANCHEZ, PATRICIA • C MORGAN HILL

SANCHEZ, KARINA A SANTA MARIA

SANDEN, SHELBY L. C YUCCA VALLEY

SAUNDERS, KIMBERLY ANNE AC WHEATLAND

SHEETS, KELSEY M. AC VISALIA

SHOCKCOR, DIANA L. C SHERMAN OAKS

SILVA, MA PRINCESS PILAR C DALY CITY

SIMAS, ASHLEY N. C STOCKTON

SMITH, KELLY MARIE A LONG BEACH

SMITH, KRYSTAL E. AC RED BLUFF

SMITH, RENÉE DENISE AC PALMDALE

SNOW, JENNIFER L. • AC LAKE FOREST

SOLIS, JOSEFINA AC DESERT HOT SPRINGS

SOTO, ALICIA AC FONTANA

SOTO, BRISSA BLANCA • C STOCKTON

SOWERS, ASHLEY L. AC ANDERSON

STANCIU, DYANNA AC WEST COVINA

STASULAT, HEATHER E. AC REDDING

STEELE, ANGIE C YUCAIPA

STOTT, STEPHANIE HELEN C RANCHO CUCAMONGA

STREETER, KELLY G. • C MODESTO

STUART, JO ELLEN • AC RANCHO CORDOVA

SUAREZ, ANGELICA • C HAYWARD

SULTAN, AFSHAN C LODI

TARR, ASHLEY MAY C NEW HAMPTON NH

TAYLOR, SHARAYHA AC ATWATER

THAI, CRYSTALYNN DIEM A GARDENA

THIND, PRABHJOTH KAUR AC SACRAMENTO

THOMAS, ROSHELLE AC LAKEPORT

THOMPSON, ALINA MARIE AC REDDING

TORRES, LORENA C REDWOOD CITY

TORRES, MONICO J. AC CARMICHAEL

TRAN, THUY THI TU • C CAMPBELL

TRINIDAD, KIM C PINOLE

TSIMOGIANIS, HAZEL K. AC PALMDALE

TULLGREN, VICTORIA AC SACRAMENTO

TYLER, WILLIAM M. AC LANCASTER

URIBE, SHALA C GRASS VALLEY

URZUA, JAIRO EDUARDO C CATHEDRAL CITY

VALDOVINOS, TRAVIS ZENON C SAN JOSE

VALLE-PEREZ, DAVID E. A ACAMPO

VASQUEZ, ELIZABETH C MODESTO

VAUGHAN, LACEY L. A SACRAMENTO

VETTER, KATHY • AC PETALUMA

WASHINGTON MADDOX, SHARON M. AC HAYWARD

WELLINGTON, CLAIRE A SONOMA

WHITTINGTON, ANASTASIA AC PARADISE

WILBURN-BAILEY, SHELLY D. • AC REDDING

WILLIAMS - GARCIA, FELICIA R. • AC TRACY

WILSON, JULIE M. AC POLLOCK PINES

XAYASOMLOT ROMAN, LESLIE • AC ROHNERT PARK

YAP, CHRISTINA AC SAN LUIS OBISPO

ZANAYED, HEBA ALEXIS C YORBA LINDA

ZAPATA, JESSICA MELISSA AC WILLOWS

ZELAYA, OLIVIA • C SAN JOSE

ZEPEDA, MARIA D. C PASO ROBLES

ZOOK, ELAINE AC REDDING


Member Highlight

Hello my name is Byron. After I left my Sheet Metal

Fabrication job in the early spring of 2006, I was trying

to decide what I wanted to do next. Becoming a

Medical Assistant really struck my interest because of

helping people so I went to Empire College to become a

Medical Assistant. While I was going to Empire College

to become a Medical Assistant, Shannon Tinsley told

me about this great organization CMAA. CMAA is an

organization full of great people, friends, and networking

so I decided to become a member of the CMAA in

May of 2008 and haven’t looked back since. The CMAA

has taught me an enormous amount of responsibility,

growth, and professionalism over the 7 years of being a

Byron Clinton, CCMA-C

CMAA member. Every CMA needs a great organization

of Networking and the CMAA is that organization. I first

started out in the Sutter float pool in February of 2007

before accepting a MA position in the Sutter Pediatrics

in November of 2007. I have been an MA at Sutter

Pediatrics for about 7 ½ years now and loving every

minute of it. It is very rewarding working with kids and

making them feel at ease whenever they come to the

doctor’s office.

Byron Clinton is currently serving as Secretary and

Treasurer of the California Medical Assistant

Association, Inc. �


Just a friendly reminder to use the proper form (below) to document continuing medical

education when attending non-CMAA functions. Your help in this matter will be greatly appreciated.

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

Dear CMAA members,

My name is Bailey Nelson and I am The Chairman of Ways and Means on the executive

committee for CMAA. I have some great news I have worked with social media

through different vendors and I have new items we will be raffling off in our

silent auction and giving away at our upcoming conference in September!

For those of you who love scrubs, the Uniform Advantage has donated

a $50 gift card as one of the raffle prizes. Even if you don’t have

one near you, their online catalog is available to use. Other vendors

will include Mary Kay, Beachbody, Origami Owl, It Works Wraps

and Jam berry Nails and much more! We look forward to seeing

you all the conference in San Diego at Alvarado hospital.

BAILY NELSON

Ways and Means Chairman


dividing the buttock into quadrants andinjecting into the upper outer quadrant.Another identification technique is todraw an imaginary line from the greatertrochanter of the femur to the posteriorsuperior iliac spine. The injection wouldbe given in the area above this imagi-nary line. The dorsogluteal site has beenwidely accepted as a suitable choice fordeep IM injections but current evidencesuggests that its proximity to the sciaticnerve and significant blood vessels makeit a high risk for injury. Most guidelinestoday would advise that the dorsoglutealsite only be used as a last choice.

The responsibility to administermedication is one of the mostsignificant tasks a medical assis-tant performs. Being sure the

7 “Rights” of mediation administrationare always followed is essential. It isvital to remember and verify that theright drug is being given to the rightpatient, the right dose is calculated, itis being administered at the right time,and the procedure is properly docu-mented. The route and technique usedare equally important to ensure themedication is properly absorbed andthat the patient receives the highestquality and safest care.

The intramuscular route is used whenrapid absorption is needed. The muscletissue is very vascular and the medica-tion will enter the blood stream quickly.This is also a good route when a largevolume of medication is administeredor if the medication is oil-based or vis-cous. There are various recommenda-tions in regards to what a maximumdose should be within a given site sothe best guideline a medical assistantcan use is the policy of their employer.In adults, a drug dosage given in anamount less than 1mL might typicallybe given in the Deltoid muscle andanything over 1 mL is recommendedfor the gluteus medius muscle. Theindividual body type of the patient willplay a big part in the decision of whichsite to choose. The range for a maxi-mum dose in the gluteus medius canvary from 3mL to 5mL but a medicalassistant should check the policy orspeak to a supervisor before adminis-tering more than 3mL in one site.

Medication can be administered intothe gluteus medius muscle by using 2different landmarks. The dorsoglutealsite is frequently described as the outerportion of the upper outer quadrant ofthe gluteal area. It can be identified by

continued on page 12

Iliac crest

Injection site

Ventrogluteal Injection SiteAnterior superioriliac spine

Greater trochanterof femur

CONTINUING EDUCATION

A landmark that is considered muchsafer for injections into the gluteusmedius muscle is the ventrogluteal site.There are numerous advantages tousing this site which include:

• Not as close to the sciatic nerveor major blood vessels

• Thicker muscle mass in this area

• Less subcutaneous fat over this site

Keeping these considerations in mindwill help the Medical assistant to choose

Ventrogluteal Injections


medication into muscle tissue. Bothmedical assisting and nursing texts varyon the recommendation of whichtechnique is preferred. The Center forDisease Control (CDC) does not have aclear recommendation but the WorldHealth Organization suggests the flat-tening technique for infants under 15months and the bunching technique forpatients over 15 months. Appropriateassessment of the patient is importantin deciding which technique to use andwhat the needle length should be. Itmight be advisable to “pinch” up thetissue on a smaller frailer person withless muscle mass and to choose ashorter needle. A larger person withmore subcutaneous tissue would bemore likely to need the flatteningtechnique with a longer needle inorder for the bevel of the needle toreach the muscle.

The technique for the ventroglutealinjection is the same as for thedorsogluteal injection, which manymedical assistants may be morefamiliar, and therefore more comfort-able with. Once an MA overcomestheir hesitation and learns newlandmarks they will administer themedication in the same manner asthe dorsogluteal injection.

The ventrogluteal landmarks are thegreater trochanter of the femur andthe anterior superior iliac spine. If theinjection is going into the patient’s rightside, the palm of the left hand is placedover the greater trochanter and theindex finger is extended up towardsthe anterior superior iliac spine. A goodreminder is that whenever the spot isbeing located, the thumb will alwaysbe facing the abdomen. The fingersare then spread as far apart as possiblealong the iliac crest. The “V” areabetween the index and third fingers isthe target area. For an injection onthe left side of the patient’s body the


medical assistant would use their righthand to locate the site.

Now that the landmarks have beenidentified the injection procedure is thesame as for any IM injection. Aftercleaning the site, the needle should beinserted at a 90-degree angle being sureto advance the full length of the needleinto the tissue to increase the probabili-ty of penetrating the muscle. The injec-tion can be administered when thepatient is in the prone, supine, or later-al positions. Remind the patient to relaxtheir muscles immediately prior to theinjection to reduce any possible pain ordiscomfort. The best practice is toimmediately and properly use the engi-neered safety on the syringe, to protectthe healthcare worker, and promptlydispose of the used needle and syringeinto a sharps container. Always be surethat the patient is in a secure positionduring and after the injection and keepan eye on them for any lightheadednessor a syncopal episode.

A few common questions arise whengiving an injection that should be con-sidered by the Medical assistant. Firstwould be the choice to wear gloves ornot. According to the World HealthOrganization, gloves are not recom-mended for routine injections as longas the patient’s and the health careworker’s skin is intact. However,there is always a chance of exposureto blood when giving an injection sothe Medical assistant might want togive consideration to taking a fewseconds to slip on some well-fittinggloves. Gloves do not provide protec-tion against a needle stick or puncturewound and needles should always behandled with extreme caution.

Another question that comes up whendiscussing injection technique iswhether there is a need for aspiration.The theory is that aspiration provides

the best site. Damage to the sciaticnerve fibers can cause symptoms suchas pain, foot drop, and paralysis.Medication deposited too close to thenerve can cause problems with symp-toms that won’t be present until weeksafter the injection.

A larger muscle mass provides moretissue for absorption of the medication.Numerous studies have revealed thatabsorption of the drug is diminished ifthe medication is not deposited inmuscle tissue but rather in subcutaneoustissue. This can happen because of toomuch subcutaneous tissue lying over themuscle and the person administeringthe medication chose a needle that wasnot long enough to reach the muscle.Other studies, using CT scan orultrasound, have shown that as little as32% of IM injections, dropping to 8%in women, successfully reached themuscle tissue.

Choosing the correct equipmentrequires good clinical judgment andindividualized client assessment. Manypatients will need a standard needlelength of 1.5 inches for a gluteal injec-tion but it is estimated that 14% to 34%of people would require a length of 2inches for intramuscular deposition ofthe medication. A patient with a BMIof >24.9 should be evaluated for cor-rect needle length. The use of a longerneedle has been associated with lessredness and swelling at the injectionsite.

The method used to secure the patientfor the injection is usually one of twotechniques, either the “pinching/bunch-ing” or “spreading/flattening” of thetissue. Pinching up the tissue pulls upthe muscle mass and minimizes thechance of striking bone. Spreadingthe skin taut before the injection com-presses the subcutaneous tissue andincreases the probability of injecting the

Ventrogluteal Injections – continued from page 11


Ventrogluteal Injections – continued from page 12


Read the Continuing Medical Education Article

Ventrogluteal Injectionslocated on pages 11 - 13,

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

an opportunity to verify that the needlehas not inadvertently landed in a bloodvessel which would lead to an intra-venous deposition of the medication.There is a lack of published dataregarding aspiration and many peoplefeel it is a technique that can be elimi-nated in the giving of an injection.However, anyone who has ever aspirat-ed blood feels that it is a valuable

moment in the procedure. The CDCstates that aspiration is NOT necessaryfor vaccinations and many health carefacilities have adopted this policy. Somepeople confuse this with a broad rec-ommendation to avoid aspiration in allinjections. Most guidelines still adviseaspiration for a deep IM injection. Until adefinitive recommendation is made, itbest to follow the policy of the employer.

The routine practice of using theventrogluteal injection site increasesthe chances of safely and effectivelydelivering the medication to thepatient. The goal of the health careteam is to give the patient the mostbenefit from the medication and theMedical assistant can assure the highestquality care by becoming skilled in thistechnique. �

RESOURCES:

• Proctor, Deborah B. and Adams, Alexandra Patricia. Kinn’s The Medical assistant 12th Ed., Elsevier, 2014.

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

• NIH - Using the Ventrogluteal site for intramuscular injections. http://www.ncbi.nlm.nih.gov/pubmed/15871375

• CDC - General Recommendations on Immunizations. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5515a1.htm

• Teaching best-evidence Case Report http://www.sciedu.ca/journal/index.php/jnep/article/viewFile/1888/1291

• Medscape - Sciatic Nerve Injury Following Intramuscular Injection: A Case Report and Review of the Literaturehttp://www.medscape.com/viewarticle/551320_3

• Best Practice in Intramuscular injection http://www.slideshare.net/moninages/best-practice-in-intramuscular-injections

• WHO - Best Practices for Injections http://www.ncbi.nlm.nih.gov/books/NBK138494/

Important CME Credit Category CorrectionPlease note that the last CEU article titled “Nasal Smears and Throat Swabs”, which appeared in the July/August

2015 issue of the California Medical Assistant publication, was listed as a Basic credit. It is actually a Clinical credit.

http://www.ncbi.nlm.nih.gov/books/NBK138494/

http://www.slideshare.net/moninages/best-practice-in-intramuscular-injections

https://login.medscape.com/login/sso/getlogin?urlCache=aHR0cDovL3d3dy5tZWRzY2FwZS5jb20vdmlld2FydGljbGUvNTUxMzIwXzM=&ac=401

http://www.sciedu.ca/journal/index.php/jnep/article/viewFile/1888/1291

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5515a1.htm

http://www.ncbi.nlm.nih.gov/pubmed/15871375



Ventrogluteal Injections – Self-Assessment Test

SELF-ASSESSMENT TESTAVAILABLE FOR DOWNLOAD SEPARATELY.



CONTINUING EDUCATION CREDIT ARTICLESPlease indicate the articles you wish to order. One-credit articles are $5 each. Two- and three-credit article prices are as indicated below.

Prices subject to change.

�� B-01 Patient Confidentiality�� B-01 Patient Confidentiality�� B-02 Patient Rights/Focus�� B-03 Conflict Resolution�� B-04 TB Awareness�� B-05 Charting�� B-06 Americans with Disabilities

Act (ADA)�� B-07 Age Specific Care�� B-08 Service Excellence/Care�� B-09 Difficult Customer Alert�� B-10 Royal Treatment –

Customer Service�� B-11 Hand Hygiene�� B-14 Dealing with Stress�� B-17 Alzheimer’s Disease�� B-18 Asthma�� B-19 Cataracts/Innovations�� B-20 Chickenpox & Shingles�� B-21 Constipation�� B-22 Depression�� B-24 Digestive Health

Mail this order form to: California Certifying Board for Medical Assistants, P.O. Box 462, Placerville, CA 95667-0462

Name _________________________________________________________________________ Credential ___________________________________

Address_____________________________________________________________________________________________________________________City State Zip

Telephone ____________________________________________________ Number of Articles Requested ___________________________________

My check (payable to CCBMA) for $____________is attached. Visa and MasterCard are now accepted. Call (866) 622-2262 with credit card information.

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�� B-25 Elder Abuse�� B-26 Fibromyalgia�� B-27 Fire Emergency�� B-28 Glaucoma�� B-29 Hepatitis A�� B-30 Lead Poisoning�� B-31 Lyme Disease�� B-32 Meningitis�� B-33 Menopause & Osteoporosis�� B-34 Middle Ear Infections�� B-35 Making A Difference�� B-36 Migraine�� B-37 MRI�� B-38 Chronic Pain Control�� B-39 Heart Disease�� B-40 Psoriasis�� B-41 Raynaud’s Phenomenon�� B-42 Risk Management�� B-43 Sexually Transmitted Diseases�� B-44 Stress & Nutrition�� B-45 Good Samaritan Law�� B-46 The Immune System

�� B-47 Good Communication�� B-48 The Respiratory System�� B-49 The Skeletal System�� B-50 TB/White Plague�� B-51 The Urinary System�� B-52 Vision�� B-53 AIDs & Mosquitoes �� B-54 Winter Blues�� B-55 The Endocrine System�� B-57 Sexual Harassment -

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�� A-01 Office Ergonomics-It’s Your Move�� A-02 Diagnosis Coding #1 (3 Credits) $15�� A-04 Telephone Courtesy�� A-05 Medigap Insurance�� A-06 Knowledge of Checking

�� A-07 Correct Spelling�� A-08 Diagnosis Coding #2 (3 Credits) $15�� A-09 Medical Records/Legal Documents�� A-10 Medical Records/Patient Access�� A-11 Personnel Policies

�� C-01 Bloodborne Pathogens�� C-02 Drug Resistant Organisms�� C-06 Infection Control/Orientation�� C-08 Needlestick Prevention�� C-09 Clinical Pharmacology

�� C-11 Drug Administration�� C-12 Drug Classifications (3 Credits) $15�� C-13 Evoked Potential Testing�� C-14 First Aid�� C-15 Flawless Phlebotomy

�� C-16 Fecal Occult Blood Testing�� C-18 Understanding Urinalysis�� C-21 Medical Assistant and the Pregnant Patient�� C-22 Standard Precautions�� C-23 Medication Management�� C-24 Infection Control for the Clinical Specialist

�� A-13 Legal and Effective Performance Appraisals�� A-14 Writing Business Letters�� A-15 Navigating Through New Computer Systems�� A-16 Leakproof – 8 Privacy Principles�� A-17 Interviewing

The Following may be used in either ADMINISTRATIVE or BASIC CATEGORIES:

�� AB-01 HIPAA Privacy Compliance �� AB-03 HIPAA Compliance Scenarios �� AB-04 HIPAA Security Compliance

�� B-70 Healthcare-Assoc. Infections�� B-71 Cultural Competency�� B-72 Communication Breakdown�� B-73 Cataract Surgery�� B-74 Illiteracy�� B-75 Rabies�� B-76 Bipolar Disease�� B-77 Cystic Fibrosis�� B-78 Heart Failure�� B-79 Medical Assistants and

Personal Integrity�� B-80 Phelan-McDermid Syndrome�� B-81 Shingles�� B-82 Strabismus and Amblyopia�� B-83 Von Willebrand Disease�� B-84 Pertussis (Whooping Cough)�� B-85 Cardiac Arrhythmia�� B-86 Scope of Practice for

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� DATED MATERIALS


CCBMA reviewed the three test banks with psychometric

and statistical analyses provided by our testing company,

Pearson Vue. This review resulted in the updating and

republishing of the Basic, Clinical and Administrative

exams. The new versions went live on May 18, 2015.

Pass/Fall 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

administrative credits for recertification. CCBMA

approved a list of fourteen web-based training courses

that can be accessed at www.cms.gov and searching

“earn credit”.

Don’t forget to check out CCBMA’s new website. In

addition to an updated appearance, employers can now

verify a medical assistants credentials by searching the

certificant database. Check yourself out!

What’s New at CCBMA...

CALIFORNIA MEDICAL ASSISTANT WHAT'S INSIDE

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