CALIFORNIA MEDICAL ASSISTANTPublished Bi-Monthly by the California Medical Assistants Association, Inc. for Medical Office Professionals
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 1
CM
AA
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! �
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
Email: [email protected]
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
Email: [email protected]
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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UNITY IS STRENG
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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
Email: [email protected]
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.
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 3
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
2015 Fall Conference“Education by the Sea”
Alvarado Hospital Medical CenterSan Diego, California
September 11-12, 2015
4 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
CM
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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)
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 5
PLEASE TYPE OR PRINT
Name: ___________________________________________
Credentials: ______________________________________
Address: _________________________________________
Region:______________________________________
Telephone:___________________________________
Email: _______________________________________
**Check if first timer________
CHECK ONE:
________ Platinum Member
________ Gold Member
________ Silver Member
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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
NAME SPECIALTY HOMETOWN
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
6 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
NAME SPECIALTY HOMETOWN
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 7
• 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
NAME SPECIALTY HOMETOWN
– continued from page 4 –
Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical
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
8 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
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 –
Certification Codes: A = Administrative C = Clinical AC = Administrative and Clinical
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
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 9
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. �
10 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
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
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 11
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
12 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
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
CONTINUING EDUCATION
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
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 13
Ventrogluteal Injections – continued from page 12
CONTINUING EDUCATION
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.
14 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
CONTINUING EDUCATION
Ventrogluteal Injections – Self-Assessment Test
SELF-ASSESSMENT TESTAVAILABLE FOR DOWNLOAD SEPARATELY.
CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015 15
CONTINUING EDUCATION
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
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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
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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
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�� 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
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16 CALIFORNIA MEDICAL ASSISTANT — SEPTEMBER/OCTOBER 2015
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!
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