Intake and safety
- Adult pulse 60–100, respirations 12–20, SpO2 95–100%
- Small BP cuff reads high; first Korotkoff sound = systolic
- Hand hygiene breaks the chain of infection; soap and water for C. diff; sharps at 3/4 full
Procedures and lab
- Lithotomy for pelvic, Sims for rectal; palpation = touch, auscultation = listening
- Order of draw starts with blood cultures; CBC in lavender EDTA
- Autoclave ≈ 121°C/250°F at 15 psi; V1 = 4th ICS right sternal border
Pharmacology and law
- Rights of medication administration; Z-track for irritating IM drugs
- Dose = (ordered ÷ on hand) × volume; 1 g = 1,000 mg
- Respondeat superior; subpoena duces tecum; negligence = duty, dereliction, direct cause, damages
Administrative
- CPT procedures, ICD-10-CM diagnoses, HCPCS II supplies; modifiers alter services
- Upcoding and unbundling are fraud; ABN before possibly non-covered Medicare services
- Document no-shows; check photo ID to prevent identity theft
Test yourself on CMA
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