Table Of Content

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Go to evolve.elsevier.com/html/shop-promo.html to search and browse for products. 2015v1 .0 PROCEDURES UNIT ONE PROCEDURE 7-7 Obtain Vital Signs: Determine a Patient's PROCEDURE 12-2 Manage a Difficult Patient, 286 Blood Pressure, 161 PROCEDURE 12-3 Demonstrate the Proper Use of a Fire Introduction to Medical Assisting PROCEDURE 7-8 Obtain Vital Signs: Measure a Patient's Extinguisher, 287 1 Competency-Based Education and the Medical Weight and Height, 165 PROCEDURE 12-4 Participate in a Mock Environmental Assistant Student, 1 8 Assisting with the Primary Physical Exposure Event: Evacuate a Provider's Office, 288 2 The Health Record, 15 Examination, 171 PROCEDURE 12-5 Maintain an Up-to-Date List of PROCEDURE 2-1 Create a Patient's Health Record: PROCEDURE 8-1 Use Proper Body Mechanics, 180 Community Resources for Emergency Register a New Patient in the Practice Management PROCEDURE 8-2 Assist Provider with a Patient Exam: Preparedness, 291 Software, 20 Fowler's and Semi-Fowler's Positions, 182 PROCEDURE 12-6 Maintain Provider/Professional PROCEDURE 2-2 Organize a Patient's Health Record: PROCEDURE 8-3 Assist Provider with a Patient Exam: Level CPR Certification: Use an Automated External Upload Documents to the Electronic Health Record, 27 Horizontal Recumbent and Dorsal Recumbent Defibrillator (AED), 294 PROCEDURE 2-3 Create and Organize a Patient's Paper Positions, 183 PROCEDURE 12-7 Perform Patient Screening Using Health Record, 38 PROCEDURE 8-4 Assist Provider with a Patient Exam: Established Protocols: Telephone Screening and PROCEDURE 2-4 File Patient Health Records, 39 Lithotomy Position, 184 Appropriate Documentation, 295 3 Infection Control, 45 PROCEDURE 8-5 Assist Provider with a Patient Exam: Sims PROCEDURE 12-8 Maintain Provider/Professional-Level PROCEDURE 3-1 Participate in Bloodborne Pathogen Position, 185 CPR Certification: Perform Adult Rescue Breathing Training: Use Standard Precautions to Remove PROCEDURE 8-6 Assist Provider with a Patient Exam: and One-Rescuer CPR; Perform Pediatric and Infant Contaminated Gloves and Discard Biohazardous Prone Position, 186 CPR,298 Material, 54 PROCEDURE 8-7 Assist Provider with a Patient Exam: PROCEDURE 12-9 Perform First Aid Procedures: PROCEDURE 3-2 Demonstrate the Proper Use of Eye Wash Knee-Chest Position, 187 Administer Oxygen, 301 Equipment: Perform an Emergency Eye Wash, 56 PROCEDURE 8-8 Assist Provider with a Patient Exam, 191 PROCEDURE 12-10 Perform First Aid Procedures: Respond PROCEDURE 3-3 Participate in Bloodborne Pathogen to an Airway Obstruction in an Adult, 302 Training and a Mock Environmental Exposure Event UNIT TWO PROCEDURE 12-11 Perform First Aid Procedures: Care for with Documentation of Steps, 59 a Patient Who Has Fainted or Is in Shock, 305 PROCEDURE 3-4 Participate in Bloodborne Pathogen Assisting with Medications PROCEDURE 12-12 Perform First Aid Procedures: Care for Training: Perform Medical Aseptic Hand Washing, 62 9 Principles of Pharmacology, 196 a Patient With Seizure Activity, 309 PROCEDURE 3-5 Select Appropriate Barrier/Personal PROCEDURE 9-1 Prepare a Prescription for the Provider's PROCEDURE 12-13 Perform First Aid Procedures: Care Protective Equipment and Demonstrate Proper Disposal Signature, 206 for a Patient With a Suspected Fracture of the Wrist by of Biohazardous Material: Use Standard Precautions for 10 Pharmacology Math, 226 Applying a Splint, 310 Sanitizing Instruments and Discarding Biohazardous PROCEDURE 10-1 Demonstrate Knowledge of Basic Math PROCEDURE 12-14 Perform First Aid Procedures: Control Material, 64 Computations, 235 Bleeding, 312 PROCEDURE 3-6 Perform Compliance Reporting Based on PROCEDURE 10-2 Calculate Proper Dosages of Medication PROCEDURE 12-15 Perform First Aid Procedures: Care for Public Health Statutes, 67 for Administration: Convert Among Measurement a Patient With a Diabetic Emergency, 314 4 Patient Assessment, 69 Systems, 236 13 Assisting in Ophthalmology and PROCEDURE 4-1 Demonstrate Therapeutic Communication PROCEDURE 10-3 Calculate Proper Dosages of Medication Otolaryngology, 319 Feedback Techniques to Obtain Patient Information for Administration: Calculate the Correct Pediatric PROCEDURE 13-1 Perform Patient Screening Using and Document Patient Care Accurately in the Medical Dosage Using Body Weight, 237 Established Protocols: Measure Distance Visual Acuity Record, 74 11 Administering Medications, 241 with the Snellen Chart, 328 PROCEDURE 4-2 Respond to Nonverbal PROCEDURE 11-1 Administer Oral Medications, 248 PROCEDURE 13-2 Instruct and Prepare a Patient for a Communication, 79 PROCEDURE 11-2 Fill a Syringe from an Ampule, 251 Procedure: Assess Color Acuity Using the Ishihara PROCEDURE 4-3 Use Medical Terminology Correctly and PROCEDURE 11-3 Fill a Syringe from a Vial, 252 Test, 330 Pronounce Accurately to Communicate Information to PROCEDURE 11-4 Reconstitute a Powdered Drug for PROCEDURE 13-3 Instruct and Prepare a Patient Providers and Patients, 90 Administration, 259 for a Procedure or Treatment: Irrigate a Patient's 5 Patient Education, 97 PROCEDURE 11-5 Administer Parenteral (Excluding IV) Eyes, 332 PROCEDURE 5-1 Develop a List of Community Resources Medications: Give an lntradermal Injection, 260 PROCEDURE 13-4 Instruct and Prepare a Patient for for Patients' Healthcare Needs; also, Facilitate Referrals PROCEDURE 11-6 Select the Proper Sites for a Procedure or Treatment: Instill an Eye in the Role of Patient Navigator, 104 Administering a Parenteral Medication: Administer a Medication, 333 PROCEDURE 5-2 Coach Patients in Health Maintenance, Subcutaneous Injection, 264 PROCEDURE 13-5 Perform Patient Screening Using Disease Prevention, and Following the Treatment PROCEDURE 11-7 Mix Two Different Types of Insulin in Established Protocols: Measure Hearing Acuity with an Plan, 107 One Syringe, 266 Audiometer, 341 6 Nutrition and Health Promotion, 111 PROCEDURE 11-8 Administer Parenteral (Excluding IV) PROCEDURE 13-6 Instruct and Prepare a Patient for a PROCEDURE 6-1 Instruct a Patient According to the Medications: Administer an Intramuscular Injection into Procedure or Treatment: Irrigate a Patient's Ear, 342 Patient's Dietary Needs: Coach the Patient on the the Deltoid Muscle, 270 PROCEDURE 13-7 Instruct and Prepare a Patient for a Basics of the Glycemic Index, 132 PROCEDURE 11-9 Select the Proper Sites for Procedure or Treatment: Instill Medicated Ear PROCEDURE 6-2 Coach a Patient About How to Administering a Parenteral Medication: Administer a Drops, 344 Understand Food Labels, 134 Pediatric Intramuscular Vastus Lateralis Injection, 272 PROCEDURE 13-8 Perform Patient Screening Using 7 Vital Signs, 141 PROCEDURE 11-10 Administer Parenteral (Excluding IV) Established Protocols: Collect a Specimen for a Throat PROCEDURE 7-1 Obtain Vital Signs: Obtain an Oral Medications: Give a Z-Track Intramuscular Injection into Culture, 346 Temperature Using a Digital Thermometer, 145 the Dorsogluteal Site, 275 14 Assisting in Dermatology, 350 PROCEDURE 7-2 Obtain Vital Signs: Obtain an Aural PROCEDURE 11-11 Complete an Incident Report Related 15 Assisting in Gastroenterology, 368 Temperature Using the Tympanic Thermometer, 147 to an Error in Patient Care, 278 PROCEDURE 15-1 Perform Patient Screening Using PROCEDURE 7-3 Obtain Vital Signs: Obtain a Temporal Established Protocols: Telephone Screening of a Patient Artery Temperature, 148 UNIT THREE with a Gastrointestinal Complaint, 373 PROCEDURE 7-4 Obtain Vital Signs: Obtain an Axillary PROCEDURE 15-2 Assist the Provider with a Patient Temperature, 150 Assisting with Medical Specialties Examination: Assist with an Endoscopic Examination of PROCEDURE 7-5 Obtain Vital Signs: Obtain an Apical 12 Safety and Emergency Practices, 282 the Colon, 386 Pulse, 152 PROCEDURE 12-1 Evaluate the Work Environment to PROCEDURE 15-3 Instruct and Prepare a Patient for a PROCEDURE 7-6 Obtain Vital Signs: Assess the Patient's Identify Unsafe Working Conditions and Comply With Procedure: Instruct Patients in the Collection of a Fecal Radial Pulse and Respiratory Rate, 156 Safety Signs and Symbols, 285 Specimen, 387 PROCEDURES 16 Assisting in Urology and Male Reproduction, 391 UNIT FOUR PROCEDURE 30-4 Obtain a Specimen and Perform PROCEDURE 16-1 Coach Patients in Health Maintenance: CUA-Waived Hematology Testing: Determine the Teach Testicular Self-Examination, 406 Diagnostic Procedures Erythrocyte Sedimentation Rate Using a Modified 17 Assisting in Obstetrics and Gynecology, 414 25 Principles of Electrocardiography, 620 Westergren Method, 774 PROCEDURE 17-1 Instruct and Prepare a Patient for PROCEDURE 25-1 Perform Electrocardiography: Obtain a PROCEDURE 30-5 Obtain a Specimen and Perform Procedures and/or Treatments: Assist with the 12-Lead ECG, 629 a CUA-Waived Protime/lNR Test, 777 Examination of a Female Patient and Obtain a Smear PROCEDURE 25-2 Instruct and Prepare a Patient for a PROCEDURE 30-6 Perform a CUA-Waived Chemistry Test: for a Pap Test, 426 Procedure or Treatment: Fit a Patient With a Holter Determine the Cholesterol Level or Lipid Profile Using a PROCEDURE 17-2 Instruct and Prepare a Patient for Monitor, 640 Cholestech Analyzer, 788 Procedures and/or Treatments: Prepare the Patient for 26 Assisting with Diagnostic Imaging, 645 31 Assisting in Microbiology and Immunology, 797 a LEEP, 429 27 Assisting in the Clinical Laboratory, 675 PROCEDURE 31-1 Instruct and Prepare a Patient PROCEDURE 17-3 Coach Patients in Health Maintenance PROCEDURE 27-1 Perform a Quality Control Measure for a Procedure: Instruct Patients in the Collection and Disease Prevention: Teach the Patient Breast Self on a Glucometer and Record the Results on a Flow of Fecal Specimens to Be Tested for Ova and Examination, 432 Sheet, 683 Parasites, 806 PROCEDURE 17-4 Instruct and Prepare a Patient for PROCEDURE 27-2 Use the Microscope and PROCEDURE 31-2 Obtain a Specimen and Perform Procedures and/or Treatments: Assist with a Prenatal Perform Routine Maintenance on Clinical a CUA-Waived Microbiology Test: Perform a Rapid Examination, 439 Equipment, 694 Strep Test, 813 18 Assisting in Pediatrics, 446 28 Assisting in the Analysis of Urine, 699 PROCEDURE 31-3 Obtain a Specimen and Perform PROCEDURE 18-1 Verify the Rules of Medication PROCEDURE 28-1 Instruct and Prepare a Patient for a CUA-Waived Immunology Test: Perform the Administration: Document Immunizations, 466 a Procedure or Treatment: Instruct a Patient in the QuickVue+ Infectious Mononucleosis Test, 816 PROCEDURE 18-2 Maintain Growth Charts: Measure the Collection of a 24-Hour Urine Specimen, 702 Circumference of an Infant's Head, 472 PROCEDURE 28-2 Instruct and Prepare a Patient for UNIT FIVE PROCEDURE 18-3 Maintain Growth Charts: Measure an a Procedure or Treatment: Collect a Clean-Catch Infant's Length and Weight, 473 Midstream Urine Specimen, 704 Assisting with Surgeries PROCEDURE 18-4 Measure and Record Vital Signs: Obtain PROCEDURE 28-3 Assess Urine for Color and Turbidity: 32 Surgical Supplies and Instruments, 825 Pediatric Vital Signs and Perform Vision Screening, 476 Physical Test, 707 PROCEDURE 32-1 Identify Surgical Instruments, 828 PROCEDURE 18-5 Assist Provider With a Patient Exam: PROCEDURE 28-4 Perform Quality Control Measures: 33 Surgical Asepsis and Assisting With Surgical Applying a Urinary Collection Device, 479 Differentiate Between Normal and Abnormal Test Procedures, 842 19 Assisting in Orthopedic Medicine, 484 Results while Determining the Reliability of Chemical PROCEDURE 33-1 Prepare Items for Autoclaving: Wrap PROCEDURE 19-1 Assist the Provider with Patient Care: Reagent Strips, 713 Instruments and Supplies for Sterilization in an Assist with Cold Application, 505 PROCEDURE 28-5 Obtain a Specimen and Perform a CUA Autoclave, 846 PROCEDURE 19-2 Assist the Provider with Patient Care: Waived Urinalysis: Test Urine with Chemical Reagent PROCEDURE 33-2 Perform Sterilization Procedures: Assist with Moist Heat Application, 506 Strips, 713 Operate the Autoclave, 849 PROCEDURE 19-3 Coach Patients in the Treatment Plan: PROCEDURE 28-6 Prepare a Urine Specimen for PROCEDURE 33-3 Perform Skin Prep for Teach the Patient Crutch Walking and the Swing Microscopic Examination, 715 Surgery, 853 Through Gait, 509 PROCEDURE 28-7 Obtain a Specimen and Perform a CUA PROCEDURE 33-4 Perform Handwashing: Perform a PROCEDURE 19-4 Assist the Provider with Patient Care: Waived Urinalysis: Test Urine for Glucose Using the Surgical Hand Scrub, 855 Assist with Application of a Cast, 511 Clinitest Method, 723 PROCEDURE 33-5 Prepare a Sterile Field, 858 PROCEDURE 19-5 Assist the Provider with Patient Care: PROCEDURE 28-8 Obtain a Specimen and Perform PROCEDURE 33-6 Perform Within a Sterile Field: Use Assist with Cast Removal, 513 a CUA-Waived Urinalysis: Perform a Pregnancy Transfer Forceps, 859 20 Assisting in Neurology and Mental Health, 517 Test, 725 PROCEDURE 33-7 Perform Within a Sterile Field: Pour a PROCEDURE 20-1 Assist the Provider with Patient Care: PROCEDURE 28-9 Obtain a Specimen and Perform Sterile Solution into a Sterile Field, 860 Assist with the Neurologic Examination, 535 a CUA-Waived Urinalysis: Perform a Multidrug PROCEDURE 33-8 Perform Within a Sterile Field: Put on PROCEDURE 20-2 Explain the Rationale for Performance Screening Test on Urine, 727 Sterile Gloves, 860 of a Procedure: Prepare the Patient for an PROCEDURE 28-1 OA ssess a Urine Specimen for PROCEDURE 33-9 Perform Within a Sterile Field: Assist Electroencephalogram, 536 Adulteration before Drug Testing, 729 with Minor Surgery, 864 PROCEDURE 20-3 Assist the Provider with Patient Care: 29 Assisting in Blood Collection, 733 PROCEDURE 33-10 Perform Wound Care: Assist With Prepare the Patient for and Assist with a Lumbar PROCEDURE 29-1 Instruct and Prepare a Patient for Suturing, 867 Puncture, 538 a Procedure and Perform Venipuncture: Collect a PROCEDURE 33-11 Perform Wound Care and 21 Assisting in Endocrinology, 542 Venous Blood Sample Using the Vacuum Tube a Dressing Change: Apply or Change a Sterile PROCEDURE 21-1 Assist the Provider with Patient Care: Method, 744 Dressing, 868 Perform a Blood Glucose TRUEresult Test, 550 PROCEDURE 29-2 Perform Venipuncture: Collect a Venous PROCEDURE 33-12 Perform Wound Care: Remove Sutures PROCEDURE 21-2 Assist the Provider with Patient Care: Blood Sample Using the Syringe Method, 747 and/or Surgical Staples, 870 Perform a Monofilament Foot Exam, 555 PROCEDURE 29-3 Perform Venipuncture: Obtain PROCEDURE 33-13 Perform Wound Care: Apply an Elastic 22 Assisting in Pulmonary Medicine, 560 a Venous Sample with a Safety Winged Butterfly Support Bandage Using a Spiral Turn, 876 PROCEDURE 22-1 Instruct Patients According to Their Needle, 751 Needs: Teach a Patient to Use a Peak Flow Meter, 569 PROCEDURE 29-4 Instruct and Prepare a Patient PROCEDURE 22-2 Assist the Provider with Patient Care: for a Procedure and Perform Capillary Puncture: UNIT SIX Administer a Nebulizer Treatment, 571 Obtain a Capillary Blood Sample by Fingertip Career Development PROCEDURE 22-3 Assist the Provider with Patient Care: Puncture, 758 Perform Volume Capacity Spirometry Testing, 576 30 Assisting in the Analysis of Blood, 765 34 Career Development and Life Skills, 881 PROCEDURE 22-4 Perform Patient Screening Using PROCEDURE 30-1 Perform Routine Maintenance of Clinical PROCEDURE 34-1 Prepare a Chronologic Resume, 887 Established Protocols: Perform Pulse Oximetry, 577 Equipment: Perform Preventive Maintenance for the PROCEDURE 34-2 Create a Cover Letter, 895 PROCEDURE 22-5 Obtain Specimens for Microbiologic Microhematocrit Centrifuge, 769 PROCEDURE 34-3 Complete a Job Application, 897 Testing: Obtain a Sputum Sample for Culture, 578 PROCEDURE 30-2 Obtain Specimens and Perform CUA PROCEDURE 34-4 Create a Career Portfolio, 898 23 Assisting in Cardiology, 582 Waived Hematology Testing: Perform a Microhematocrit PROCEDURE 34-5 Practice Interview Skills During a Mock 24 Assisting in Geriatrics, 601 Test, 770 Interview, 902 PROCEDURE 24-1 Demonstrate Empathy: Understand the PROCEDURE 30-3 Perform CUA-Waived Hematology PROCEDURE 34-6 Create a Thank-You Note for an Sensorimotor Changes of Aging, 603 Testing: Perform a Hemoglobin Test, 772 Interview, 902 CLINICAL THE MEDICAL ASSISTANT AN APPLIED LEARNING APPROACH This page intentionally left blank KINN'S CLINICAL THE MEDICAL ASSISTANT .... Deborah Proctor, EdD, RN m Adjunct Faculty Member - C Butler County Community College Butler, Pennsylvania - -I 0 z Helen Mills, RN, MSN, ~, LXMO, ~till Clinical Educator Mortin Health Sy:stem Stuart, Florido ELSEVIER ELSEVIER 3251 Riverport Lane St. Louis, Missouri 63043 KINN'S THE CLINICAL MEDICAL ASSISTANT: AN APPLIED LEARNING ISBN: 978-0-323-39671-4 APPROACH, THIRTEENTH EDITION Copyright© 2017, Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (o ther than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. International Standard Book Number: 978-0-323-39671-4 Executive Content Strategist: Jennifer Janson Content Development Manager: Ellen Wurm-Cutter Senior Content Development Specialist: Becky Leenhours Publishing Services Manager: Julie Eddy Senior Project Manager: Richard Barber Design Direction: Paula Catalano ~r.. [l] Working together to grow libraries in BookAid developing countries Printed in Canada International www.elsevier.com • www.bookaid.org Last digit is the print number: 9 8 7 6 5 4 3 2 PREFACE M edical assisting as a profession has changed dramatically since • New chapter on Competency-Based Education for Medical 1he Office Assistant in Medical and Dental Practice, by Portia Assisting. The emphasis of competency mastery is high to meet Frederick and Carol Towner, was first published in 1956. Each accreditation standards. This chapter helps set the stage for subsequent edition of this textbook has reflected the age in which it medical assisting students to understand their programming was published. Now, Kinn's 1he Medical Assistant: An Applied Learning and how the road to mastery will affect their ability to attain Approach, thirteenth edition, in its 60th year of publication, continues a job. to represent a long-standing commitment to high-quality medical • New Chapter on The Health Record. The manner in which the assisting education with its engaging, straightforward writing style medical record is maintained in a medical office has changed and demonstrated positive outcomes. Hundreds of instructors in dramatically with the move to the EHR. This chapter reviews classrooms across the country have used this text to teach thousands how the medical assistant maintains and interacts with the of students over the years. Many of these students have gone on to medical record. teach students of their own with this very same trusted resource. To • Learning Objectives are listed in the same order as the flow continue the use and growth of this text and its features, the thirteenth of content. The learning objectives are tied to curriculum com edition continues to offer the most comprehensive, up-to-date, and petencies. This feature makes it easy to see where the learning innovative approach to teaching this subject today. objectives are covered to aid in review of the material and mea This textbook has endured throughout the years because it surement of competency coverage. has been able to keep pace with an ever-changing profession while • Procedures are integrated into the TOC. Provides a quick producing students who are well trained and qualified to enter reference to where the procedures will be covered and in medical practices across the country. This dependability is the reason what order. the market continues to rely on this text, edition after edition. • Professional Behaviors boxes. The medical assistant must Underlying this dependability is a foundation of pedagogic features develop the ability to interact professionally with patients, fami that has stood the test of time and that has been expanded and lies, co-workers, and other members of the healthcare team. improved upon yet again in this latest edition. Such features include These boxes provide tips on professional behavior that are specific the following: to each chapter's content. • An easy-to-read, highly interactive writing style that engages students through practical applications of medical assistant EVOLVE competencies. • An emphasis on skill development, with procedural steps outlin The Evolve site features a variety of student resources, including ing each skill, supported by rationales that provide meaning to Chapter Review Quizzes, new Procedure Videos, Medical Terminol each step. ogy Audio Glossary, practice CMA and RMA exams, and much • A pedagogic framework based on the use of learning objectives, more! The instructors' Evolve Resources site consists of TEACH vocabulary terms, and supportive student supplements. Instructor Resources, including Lesson Plans, PowerPoint Presenta • A package of supportive materials to accommodate a wide variety tions, Answer Keys for Chapter Review Quizzes, and a retooled Test of student learning types and instructor teaching styles. Bank with more than 3000 questions. NEW TO THIS EDITION STUDY GUIDE AND PROCEDURE CHECKLIST MANUAL • Updated Art Program. The artwork throughout has been updated and modernized, providing a more attractive textbook The Study Guide provides students with the opportunity to re for student use. Many new photographs and line drawings view and build on information they have learned in the text throughout support the revised content more effectively and are through vocabulary reviews, case studies, workplace applications, more relevant to the actual healthcare setting. New images show and more. The updated Procedure Checklists include CAAHEP up-to-date equipment, provide more disease examples, and better and ABHES competencies that can be traced to the online correla illustrate key procedural steps. tion grid. vii viii PREf ACE fEAlURES ~ tieeeo1oS c\chc-woe nncohmt1eo\dnipo tt. se ii1st u spoo1t ieotshnee nw tsehtdue dnoe t1n teth oecdo ibnneg ge tnihnveni sinicohgno opo\· iSmdncegoen kntosem nitidnoo 1toqhepouipnle lksvsi t tioutohbanetosi uoctpno 1sndo.cev ecipdisetis o onths ew vtoh vem vef o w\te oosumtlud·· laenodm pienngo 1Omb\oencctiev eosb e\emctpivheass ipz1ee tsheen tceodg inni ttihvee chopte1. 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