Cynthia Garcia

AGENCY HAD A CONTACT WITH BETTY FORD CENTER SO I WAS CALLED IN AS A ONE ON ONE ATTENDANT FOR 12HR SHIFTS TO ASSIT PT WHILE PT WAS DETOXING , OBSERVING OF PT MOTOR FUNCTIONS , ASSISTING WITH PERSONAL CARE WHICH INCLUDES GROOMING ,BATHING , DRESSING , GETTING PT UP FOR BREAKFAST , TO MED-CALL THEN BACK TO ROOM IF STILL WASNT ABLE TO STAY AWAKE JUST KEEP MY FULL ATTENTION ON PT AND MADE A LOG EVERY 15 MINS ON WHAT PT WAS DOING , IF PT NEEDED ATTENTION THEN I WOULD NOTIFY THE NURSE STATION TO COME AND CHECK ON PT WERE ABLE TO GO TO BREAKFAST LUNCH DINNER AND HAD TO GO ATTEND MEETING AS SCHEDULED PER PT ACTIVITY PT CASE COULD LAST ANY WHERE FROM 30 -60 DAYS I ALSO WORKED WITH HOSPICE PT AND OTHER PT WHO JUST NEEDED A CAREGIVER CASE VARIES PER PT AND PER AGENCY

GREET OUR MORNING WALKIN PT WITH

X-RAYS ORDERS , NEW PT /ESTABLISHED PT

COLLLECT FROM PT: PHOTO ID INSURANCE CARDS

PT ORDER FOR XRAY

OPEN PT CHART TO UPDATE ANY NEW INFORMATION PHONE NUMBER ADDRESS CHECK ELGIBILTY OF PT INS . IS ACTIVE IN PUT THE XRAY ORDER SCAN: DOCUMENTATION PT PHOTO ID INS CARDS FORMS THAT PT FILLED OUT IF ANY PERSONAL INFORMATION HAS CHANGED XRAY ORDER IF PT HAS COPAY COLLECT COPAY AT THAT TIME FROM PT PRINT OUT RECEIPT FOR PT OBTAIN PT SIG IF POAID BY CREDIT CARD OR PAIN WITH CASH OR CHECK THEN PRINT OUT DOCUMENTS FOR XRAY TECH

MAMMO PT: CHECK TO SEE IF PT HAS APPT OBTAIN PHOTO ID INS CARD CHECK ELGIBILTY IS ACTIVE THEN CHECK PT IN HAND PT QUESTIONARE FORM TO FILL OUT SCAN ALL DOCUMENTS IN PT CHART ID INS CARD UPDATED INFORMATION FORMS IF PT HAS CO PAY THEN COLLECT COPAY FROM PT PRINT RECEIPT FOR PT WHEN PT READY CHECKIN AND HAND THE QUESTIONARE FORM TO PT AND DIRECT PT TO AREA WHERE THE MAMMOGRAPHER WILL BE READY FOR PT TO OBTAIN THE TEST FOR PT

ULTRA SOUND PT: CHECK IN PT COLLECT INS CARD PHOTO ID CHECK ELGIBILTIY IS ACTIVE CHECK IN PT SCAN ALL DOCUMETATION IN PT CHART UPDATE ANY INFO IN PT CHART PHONE NUMBER ADDRESS COLLECT COPAY FROM PT PRINT PT RECEIPT ASK PT IF THEY FOLLOWED THE PREPREP INSTRUCTIONS THAT WERE GIVEN TO THEM VERBALLY OVER THE PHONE REGARDING THE SPECFIC ULTRA SOUND THE PT WAS GOING TO HAVE THE FOLLOWING DAY

TAKING VERBAL ORDERS AMENDED ORDER FOR NEEDED EXAMS : DEALING WITH DIFFERENT INS COMPANYS FOR AUTH FOR PROCEDURE REQUESTED IF NECESSARY DEALING WITH ABN FORMS DEALING WITH WORK MENS COMP. PT AND FORMS NECESSARY FOR PT TO FILL OUT AND SCAN IN ALL DOCUMENTS OBTAINED FROM PT

INSURANCE COMPANYS WE DEAL WITH : BLUE CROSS BLUE SHIELD SOME WITH DESERT OASIS ATHENA SCAN MOLINA MEDICARE A&B TRI-CARE UNITED HEALTH WORKMENS COMPESATION PT ANTHEM CVS / CALIF VAL TRUST MEDI-CAL IEHP

CALL PT TO REMIND THEM OF NEXT DAY APPT FOR SCHEDULED ULTRASOUND AND PREP INSTRUCTIONS

END OF DAY DUTIES : RESTOCK PRINTER PAPER RESTOCK CD/DVD PRINT OUT NEXT DAY SCHEDULE APPT

IF THE SYSTEM IS DOWN THEN WE HAVE PROTOCOL TO USE HAND WRITTEN FORMS

ANSWER PHONES WHEN ABLE TO ASSIST OR REDIRECTED TO DEPT. THAT CAN ASSIST PT WITH CONCERN OR QUESTIONS THEY MAY HAVE CHECK TO SEE WHEN PT NEXT APPT IS SCHEDULED

SET UP ROOM FOR PT VISIT BEFORE START OF THE DAY TURN COMPUTER ON TURN ON VISUAL SCREEN CHECK FOR ALL INSTRUMENTS NEEDED TO DO PT WORK UP EXAM HAVING ALL DROPS NEEDED EYE OCCLUDER READING TEST CHART WIPE DOWN EVERYTHING WITH STERILE WIPE

GO TO PICK PT CHART CALL PT TO START PT VISIT START BY TAKING PT MEASUREMENTS IN EACH EYE BY USING THE AUTO REFRACTOR CHECK PT CURRENT RX USING THE LENSOMETER THEN BRING PT TO EXAM ROOM TO GO OVER REASON FOR VISIT IF IS A YEARLY CHECK UP OR A CURRENT MEDICAL ISSUE WHICH WILL DETERMINE WHICH MD OD PT WILL BE SEEN BY AND IF ANY SPECIAL TESTING NEEDS TO BE DONE GO OVER PT C/C ASK QUESTIONS REGARDING PT CURRENT VISION ISSUES DOCUMENT IN CHART GO OVER PT MEDICATIONS , MEDICAL HX , SURGICAL HX , SOCIAL HX , THEN START TO GET PT VISUAL ACCURITIES HAND PT THE OCCLUDER TO COVER LEFT EYE FIRST THEN RIGHT DOCUMENT IN PT CHART THE LINE PT WAS ABLE TO READ W/WO GLASSES THEN START THE NEAR SIGHTED READING TEST W/WO GLASSES THEN DOCUMENT IN CHART THEN HAND PT A TISSUE EXPLAIN TO PT THAT IM GOING TO PLACE A NUMBING DROP IN EACH EYE TO CHECK PRESSURES USING A TONOPEN THEN DOCUMENT IN CHART READINGS THEN YOU CHECK PUPILS ARE ROUND EQUAL IN SIZE REACTIVE TO LIGHT CHECK FOR EXTRAOCLAR MUSCLE FUNCTION TESTING THEN NEXT STEP IS TO CHECK IF PT ANGLES ARE `OPEN POSSIBLE DIALATION IF ANGLES ARE OPEN IF ANGLES ARE CLOSED THEN NO DIALATION THEN PT READY TO SEE MD OR OD I WAS ON MY 90 DAY PROBATION PERIOD AFTER 90 DAYS THEN BECOME A FULL TIME EMPLOYEE

DR. HITESH PATEL, ESTELLA CRUZ PA-C

HANNAH MOHAMMED PA

CLININC SETTING

JOB DUTIES: MAINTAIN PT FLOW TAKE PT VITALS BLOOD PRESSURE CHECK PT WEIGHT HEIGHT PULSE OXYGEN PT TEMP DOCUMENT IN EMR GO OVER MEDICATIONS LISTED UPDATE PT CHART WITH MEDICATION PT TAKING OR STOPPED TAKING MEDICAL HX , SURGICAL HX , FAMILY HX,PT PARENTS HX TAKE PT C/C CONSIST OF STRESS LEVEL SLEEP LAST CP-69 SYMPTOMS PT HAVING ROOM PT ALERT PA WHEN PT READY RM # OFFICE TESTING: URINE SCREENING FOR UTI PREGNANCY TESTING EAR LAVAGE SET UP OF PAP SMEAR TRAY ASSIST PA WITH PROCEDURE THEN BAG IT LABEL IT PLACE IN AREA FOR PICK UP FOR LAB TESTING RAPID COVID TESTING GLUCOSE CHECK DM AND FOR CERTAIN ANTIBIOTICS A1C TESTING FOR 3 MONTHS AVERAGE FOR DM PT HEMOGLOBIN TESTING FOR LEVEL RANGE SPORTS PHYSICAL EXAM TB TESTING H-PYLORI TESTING FOR POSSIBLE STOMACH INFECTIONS DRAWING PT BLOOD FOR BASIC CP-69 OR OTHER TESTING INCLUDING PROSTATE BLOOD DRAWS TESTING FOR DM PT ONLY INJECTIONS GIVEN : MEDICATION , ANTIBIOTICS , FLU VACCINE TB TEST VITAMIN B-12 WEIGHT LOSS PROGRAM LIQUID FORM VITAMINS INJ . TIGAN INJ BAG COLORED TUBES LABEL WITH CORRECT PT INFO. BAG IT FOR PICK UP FOR LAB TESTING ENTER INFOMATION ON DAILY SHEET RECORDING EVERY TESTING OR BLOOOD WORK UP PACKAGE DONE

ASSIST PA WITH TRANSLATION WHEN NECSSARY WITH SPANISH SPEAKING PT NOTIFY FRONT OFFICE WITH THE MEDICATIONS /INJECTIONS PT TAKING PT KNOWLEDGE OF TOTAL AMOUNT DUE ANSWERING PHONES ,CALLING PT WITH F/U CALLS TO LAST VISIT AND IF NEED TO COME IN TO BE SEEN GIVE PT EDUCATION HAND OUTS ON DM /HTN ETC.

END OF THE DAY DUTIES : TAKING OUT TRASH SWEEP MOP CLEAN RESTROOMS TURN OFF COMPUTER SYSTEM PRINTER THEN LIGHTS OFF

FRONT OFFICE DUTIES ANSWER PHONES, CALL NEW PT TO SCHEDULE APPT TO SEE DR BROWN ,

CALL PT BACK TO 1ST ROOM TO TAKE PT PRESSURES AND OBTAIN PT AUTOREFRACTION AND GET RX FROM CURRENT GLASSSES TAKE PT BACK TO EXAM ROOM GO OVER PT REASON FOR VISIT GO OVER MEDICATIONS ASK IF THEY ARE ON ANY BLOOD THINNER MEDICATION OR ASA , GO OVER MEDICAL HX , SURGICAL HX, SOCIAL HX,

I WAS TRAINING AS WELL SO I GOT TO DO DIFFERENT TEST ON TUESDAYS/ THURSDAYS I WAS TAKING FA PHOTOS ,FUNDUS /STEREOS, MONTAGE PHOTOS TAKING PT TO THE OCT ULTRASOUND MACHINE FOR IMAGING TESTING FOR POSSIBLE GLAUCOMA OR A BASELINE TEST TAKING PT VISUAL ACCURITIES SET UP OF MANIFEST FOR RX CHECK TO UPDATE RX FOR NEW GLASSES THEN CALLLED THE OD THAT PT IS READY TO BE SEEN ON CERTAIN DAYS I WAS TRAINED ON USING THE TOPOGRAPHY , ASCANS , HVF TESTING ,IOL MACHINE, SET UP OF LASER MACHINE ASSIST DR WITH VARIOUS LASER PROCEDURE ,PI, SLT

REQUESTING REFERRALS , SCANNING RECORDS ,

DR. BROWN HAD ANOTHER OFFICE IN PALMDESERT CA SO ON CERTAIN DAYS WE TRAVEL WITH SOME EQUIPMENT TO OTHER OFFICE TO SEE PT WAS IN THE FRONT DESK CHECKING IN PTS AND ASSISTING DR. BROWN WITH VA AND DOCUMENTED WHAT DR BROWN STATED PT NEED TO BE SEEN IN 6 MTHS OR ANY `TESTING TO BRING PT BACK FOR TO BE SCHEDULED SOME DAYS I WOULD STAY TO GO OVER CHARTING AND PROCEDURE CODING ON SOME PT CHARTS FOR BILLING

DR. SON HA YU and PUSHPINDER SIVIA

DAILY OFFICE WOULD CHANGE IN A ROTATING WAY WHEN I WAS IN THE FRONT OF THE OFFICE I WAS ANSWERING PHONE , SCHEDULING APPOINTMENTS FOR PT WHO WERE JUST SEEN PULLING OF CHARTS FOR THE NEXT DAY FILING OF CHARTS , SUBMITTING INSURANCE AUTHORIZATIONS FOR PT APPT. SCHEDULING OR TIME FOR DR YU FOR A PT TO HAVE A SURGERY ,

WHEN DOING BACK OFFICE WAS CALLING PT BACK TO EXAM ROOM TAKING PT VITALS , WEIGHT ,HEIGHT OBTAINING MEDICAL HX PAST AND CURRENT UPDATING MEDICATIONS SET UP CERTAIN MEDICAL SUPPLIES FOR IN PT OFFICE PROCEDURE SCLEROTHERAPHY ASSISTING DR WITH MINOR PROCEDURE VEIN ABLATION ,EVLT I HAD TO PUT PPE GEAR ON SURIGAL SCRUB PLACE ON STERILE GLOVING USING A TECHNIQUE

DEALING WITH WOUND CARE PT REMOVING WOUND PUMP FROM PT SO DR COULD CHECK PT AMPUTATION AND POSSIBLE DEBRIBBING OF WOUND THEN I WOULD REWRAP AND HAVE PT SCHEDULE APPT FOR WOUND CENTER,

ON DOWN TIME I WAS STOCKING BACK OFFICE SUPPLY ROOM ,STOCKING OF EXAM ROOMS SCANNING MEDICAL RECORDS IN PT CHARTS PRE LOADING OF PT CHART CALLING IN RX TO A SKILLED NURSING PHARMACY THAT WAS PRESCRIBED FOR PT TO USE PER DR ORDERS REMOVING OF SUTURE /STAPLES AT THE END OF THE DAY GO OVER NEXT DAYS PT REASON FOR APPT WAS SURGERY WAS DONE ANY CHANGES ANY IMPORTANT INFORMATION NEEDED FOR DR TO BE AWARE OF AND HAVE READY FOR NEXT DAYS SCHEDULE TO GIVE DR A BREIFING ON THE PT HE WAS ABOUT TO SEE AND REFRESH DR OF SURGERY WAS DONE IF IT WAS PT 6 MONTH VISIT COULD BE A AAA, CAROTID ARTERY SURGERY, AMPUTATION , VARICOSE VIEN SURGERY AND ALSO TRANSLATE FOR DR AND PT IF SPANISH SPEAKING PT