Performs the daily Exam room preparation and inventory management
1. Correctly prepares exam room
2. Sets up appropriate trays and equipment for testing to be done during the visit
3. Cleans/disinfects room according to cleaning standards
4. Stocks exam rooms per clinic standards
5. Secures equipment and supplies at the end of the clinic day
6. Assures that sufficient supplies are available
7. Forwards supply order to site manager/administrator per clinic procedure
8. Checks for expired supplies and medications on a monthly basis and removes the expired supplies and gives to the site manager/administrator
9. Inventories patient assistant medications daily, as per clinic procedure

Prepares Patient & Rooming Documentation per Clinic Standard
1. Performs chart audits in preparation for appointments
2. Verifies patient identity
3. Obtains and documents patient history
4. Obtains and documents patients chief complaint/reason for visit
5. Obtains and documents vital signs
6. Height, weight, BMI, BP, RR, Pulse, Oxygen saturation
7. Length, weight, head circumference, BMI, BP, RR, Pulse, Oxygen saturation
8. Rechecks vital signs if first set was out of normal range
9. Completes and documents screenings appropriately: tobacco, alcohol, recreational drugs, fall risk, PHQ-9
10. Reviews allergies and documents accordingly
11. Reviews chart alerts and recommends appropriate referrals
12. Initiates patient education according to the individual needs of the patient and gaps in care
13. Elicits and incorporates patient feedback regarding the plan of care and notifies the nurse or provider
14. Notifies provider/nurse that the patient is ready to be seen
15. Records in the electronic health record the disposition of missed appointments, no show appointments, patients that left without being seen and then initiates tracking
16. Makes phone calls and mails letters according to provider instruction per clinical policy

Provider Assistance and Minor Procedures
1. Chaperones provider as needed and during sensitive exams
2. Assists provider with physical exams as needed, including pelvic exams, pap smears
3. Prepares equipment and assists provider with specimen sampling, point of care testing and procedures
4. Assures that consent is given and documented appropriately
5. Assures that time outs are performed and documented appropriately
6. Administers prescribed medications and injections per policy
7. Performs dressing changes, ear lavage and eye irrigations according to policy
8. Assures cleaning and sterilization procedures are adhered to according to policy

Checklist / Log Completion and Labs, Testing and Equipment
1. Complete the daily logs of the following
  1. Eye wash stations: bump and flush test
  2. Oxygen tanks
  3. Refrigerator temperature log
  4. Equipment log
2. b. Point of Care Testing
  - 1. Glucose testing and controls
  - 2. Hemocue testing and controls
  - 3. Hemoglobin testing and controls
  - 4. Urinalysis testing and controls
  - 5. Urine pregnancy test testing and controls
  - 6. Fecal occult blood testing and controls
  - 7. Influenza A &B testing and controls
  - 8. Strep A testing and controls
3. c. Specimen Collection
  - 1. Nasopharyngeal swabs
  - 2. Throat culture
4. d. Testing Set-up and Completion
  - 1. EKG
  - 2. Peak Flow Meter
  - 3. Visual Acuity
  - 4. Audiometry

Infection Control/Prevention
- a. Follow PHC Transmission-based precautions
- b. Follows standard precautions with all patients
- c. Demonstrates WHO guidelines for hand hygiene with soap/water and hand sanitizer
- d. Demonstrates cleaning, disinfection, sterilization of instruments and high-level disinfection of equipment
- e. Inspects multi-dose vials/bottles for contamination and discards appropriately if it appears contaminated
- f. Indicates opening date on a multi-dose vial/bottle and discards at the end of 28 days

Quality Measures and Continuity of Care
1. Instructs/escorts patients to the next level of care for that day (x-ray, lab, pharmacy)
2. Schedules appointments for continuity of care and to close care gaps
3. Manages tasks in NextGen and Scans documents as needed
4. Reviews and use Previsit planning sheets daily to prepare for appointments
5. Discuss preventative services with the patients and documents any barriers
6. Work with FOA/Scheduling if unable to perform scheduling needs
7. Plan, organize and participate in quality projects appropriate to department
8. Review monthly quality reports, encourage and lead team to meeting measure goals

Internal Medicine

Certified Medical Assistant

Job Description