1. Clinical Considerations and Decision Making: Ways in which the MA comes to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information and to respond in concerned and involved ways.

1. Accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
2. Participates in a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
3. Delivers care that is specific to the age of the patient
4. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence.
5. Contributes information provided by the patient or family for the assessment of health status
6. Evaluates outcomes of interventions within their scope and  follows directions on a modified plan of care

II. Collaborative Relationship: Collaborates, cooperates, and communicates with other health care personnel to ensure quality and continuity of care.

III. Clinical Guidance: The MA, within the scope of his/her practice and department specific skills, is responsible for the nature and quality of care they provide for patients. 

Clinical/Direct patient care (The procedures performed may vary from practice to practice based on specialties, department's staffing model and/or patient population.)

• Greets, identifies, transports and/or escorts patients to exam room.
• Accurately obtains all elements of the MA rooming standards.  Documents data in Electronic Health Record (EHR.)   Reports findings as needed to provider.  Using the Pended Order workflow, pends orders as needed for provider signature.
• Prepares patient for examination:          
  • Asks patient for and documents chief complaint, symptoms, and duration of symptoms in EHR
  • Obtains history and reviews medication list. Asks patient if they need any medication refills and queues refills in EHR.
  • Documents all drug and other allergies
  • Documents smoking history
  • Takes vital signs (Height, Weight, Blood Pressure, Pulse, Respiration, Temperature)
  • Observes patient, documents and reports findings to provider.
  • Alerts the provider when patient is ready and communicates pertinent clinical information
  • Notifies provider of an abnormal vital signs, elevated pain scores or safety concerns. 
• Assists the provider with the patient visit and care as required:
  • Prepares special equipment, instruments and supplies as needed.
  • Provides instructions to patient regarding any diagnostic test and procedure after they have been educated by the provider.
  • Prepares and labels specimens obtained by the MA or the provider for transport based on the Labeling Policy.  Tests specimens as necessary and according to proper procedure.  Specimens may include, but not limited to:
    • Blood (phlebotomy)
    • Clean-voided urine
    • Finger stick blood sugar tests
    • Stool for occult blood
    • Rapid strep testing
    • UCGs (pregnancy tests)
    • Urine for microalbumin
    • Glycohemoglobin A1C
    • Protime
    • Assists with throat cultures, PAP smears, wound cultures, biopsies, and joint injections
  • Performs electrocardiograms, spirometries, monofilament testing, vision and hearing testing according to departmental standards
  • Assists with wound care
  • Assists with other testing, in accordance with medical assistance training
  • Assists provider with minor procedures
  • Documents testing/results per practice protocol
  •  Administers immunizations based on written provider orders (as allowed by the practice license.)
  • Administers injections based on written provider orders (as allowed by the practice license.)
  • Performs Phlebotomy procedures (back up to phlebotomist) (drawing of blood, spinning of bloods)
• Clinical and Quality/Improvement Competency
  • Meets expectations and maintains competencies of new hire orientation skills checklist, annual competency verification and participates in education programs provided.
  • Is alert to Quality Improvement and CQI issues as well as to unsafe working conditions.  Notifies manager of concerns.  Participates in unit based QI activities and is familiar with unit measurement data.