Medical Assistant

E1. Surgery
A. Scheduling(by phone or fax) if needed
1. Operating room
2. Anesthesia
3. Radiology procedures
4. Nuclear medicine test
5. Setting up appointments with plastic surgeon, cardiology, etc

B. Preparation for procedures
1. Review procedure to be sure it is correctly ordered: check side (right/left) and information for SLN and wire loc are included
2. Schedule preadmit and send orders
3. Order all preoperative test
4. Send orders for all test
5. Be sure patients are not on blood thinners.
6. Obtain confirmation faxes or e-mails
7. Prepare appropriate paperwork needed to go to surgery centers (test results, path, H & Ps, orders, consents, etc). Send to surgery centers.
8. Check date on H&P are within 30 days and update if needed for reexcisions
9. Confirm all outside pathology slides are delivered by PMB and obtain a written report
10. Check to be sure all imaging/lab tests and medical clearance if needed have been completed and surgeon has seen any abnormal results that might delay surgery.
11. Mammogram-be sure all needle localization films have been reviewed, addition films taken since office visit, and films that might have arrived since office visit;
12. Be sure all films are delivered for imaging to do wire loc (correct location)
13. Confirming arrival time with other MD’s involved (plastics, RNFA)
14. Patient education
15. Patient counseling
16. Provide support and education for family members
17. Contact all patients with final instructions the day before surgery to review procedure
18. Call in pain medication to pharmacy for patient the day before surgery
E1. Surgery
A. Scheduling(by phone or fax) if needed
1. Operating room
2. Anesthesia
3. Radiology procedures
4. Nuclear medicine test
5. Setting up appointments with plastic surgeon, cardiology, etc

B. Preparation for procedures
1. Review procedure to be sure it is correctly ordered: check side (right/left) and information for SLN and wire loc are included
2. Schedule preadmit and send orders
3. Order all preoperative test
4. Send orders for all test
5. Be sure patients are not on blood thinners.
6. Obtain confirmation faxes or e-mails
7. Prepare appropriate paperwork needed to go to surgery centers (test results, path, H & Ps, orders, consents, etc). Send to surgery centers.
8. Check date on H&P are within 30 days and update if needed for reexcisions
9. Confirm all outside pathology slides are delivered by PMB and obtain a written report
10. Check to be sure all imaging/lab tests and medical clearance if needed have been completed and surgeon has seen any abnormal results that might delay surgery.
11. Mammogram-be sure all needle localization films have been reviewed, addition films taken since office visit, and films that might have arrived since office visit;
12. Be sure all films are delivered for imaging to do wire loc (correct location)
13. Confirming arrival time with other MD’s involved (plastics, RNFA)
14. Patient education
15. Patient counseling
16. Provide support and education for family members
17. Contact all patients with final instructions the day before surgery to review procedure
18. Call in pain medication to pharmacy for patient the day before surgery











C. Post surgery
1. Obtain final pathology reports
2. Receptors and FISH needed
3. Follow up with drains that may need to be removed
4. Counseling ongoing
5. Schedule and inform patients of medical oncology and radiation oncology appointments; send pathology reports to referring physicians
6. Compile total care packets: path reports, labs and any imaging done since first visit and referring physician visits to give to patient at first post op visit



2. Routine office days
A. Prep for clinic
New patients – imaging screening mammogram, ultrasound, path reports with receptors for cancer patients
Follow up patients – mammogram scheduled and report in Athena if available
Prep for procedures – instruments are sterilized and adequate supplies available
B. Greet each new patient.
C. Obtain chief of complaint information.
D. Make copy of medical history for scribe
E. Manage office flow of patients
F. Work as team with back and front staff assisting in all areas when needed
G. Schedule stereotactics, sono bx, CXR, MRI, etc.
Inform patient of test and educate the patient about each test.
H. Assist with in office procedures
Set up procedures
Obtain consents
I. Assist other MDs and MAs when needed
J. Cover for MA’s and surgery scheduler when out of office
K. Review surgery schedule and make changes where needed
L. Monitor supplies and order when needed
M. Clean exam rooms
N. Clean instruments
O. Review plan of care with surgeon
P. Room ROV patients
Q. Hang mammogram films
R. Follow-up all abnormal reports
S. Trouble shoot all areas where necessary
T. Follow-up on ordered tests: mammogram, etc comparisons
U. Ongoing communication with surgeon about patient progress
V. Determine when a patient needs to be seen when answering phone calls/questions
W. Obtain all ordered test reports
X. Call stereotactic patients and core biopsy patients with results after surgeon has reviewed
Y. Follow up on patients who have not missed there appointments or past due for their appointments
Z. Monitor for changes in a patient’s health status

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3. Phone and e-mail duties
A. Contact MDs, etc per Dr. Knox request.
B. Triage-multi phone calls and e-mails from patients
C. Providing information for referring physicians offices
D. Updating mammogram centers regarding procedure status
E. Assisting insurance companies with recovery information, hospital status, leave papers, etc.
F. Inform patient of test results
G. Pre and post operative teaching




4. Misc duties
A. OSHA book
B. Pamphlets updated
C. Up on media information and medical information
D. Establish and maintain good communications with all referring facilities and offices.
E. Continue education hours
F. Attend public relation events
G. Order medical supplies for the offices/ Sammons/ Plano and Arlington as needed

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Reference number US_EN_2_108175_334572