101.txt

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jmacias67
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101.txt
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2011-12-08 13:16:05
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4V 101
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4V 101
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  1. Hemo
    Blood
  2. Iri
    Iris
  3. Kera
    Cornea
  4. Myo
    Muscle
  5. Neuro
    Nerve
  6. Derma
    Skin
  7. Ab
    From, Away- abductor
  8. Ad
    Near, Toward-Adductor
  9. Eso
    Inward - esotropia, esophoria
  10. Exo
    Outward - exotropia, exophoria
  11. Intra
    Inside of - intraocular
  12. Extra
    Outside of - extraocular
  13. Para
    Beside - paracentral
  14. Peri
    Around, surrounding - pericentral
  15. Pre
    Before - preoperative
  16. Post
    After - postoperative
  17. Bi
    2 -bifocal
  18. Tri
    3 - trifocal
  19. Multi
    Many - multifocal
  20. Inter
    Among, between - intercostal
  21. Ante
    Before - ante room, antebrachium
  22. Anti
    Against, opposite of - antibacterial
  23. Hemi
    Half - hemisphere
  24. Homo
    Same - homonymous
  25. Epi
    Upon, outermost - epidermis
  26. Sub
    Under, below - subconjunctival
  27. Hyper
    Above, beyond - hyperphoria
  28. Hypo
    Under, beneath - hypotropia
  29. Supra
    Above - supraorbital
  30. Opthalm
    Eye - opthalmic
  31. Itis
    Inflamation of - keratitis, iritis
  32. Ectomy
    Surgical removal of - iridectomy, appendectomy
  33. Tomy
    Incision into - iridotomy
  34. Osis
    Condition of - hypnosis
  35. Gram
    Something written or drawn - cardiogram, monogram
  36. Ist
    A person who practices or is concerned with a particular field - opthalmologist
  37. Meter
    Measuring device - keratometer, lensometer
  38. Abduct
    To draw away from the midline
  39. Accommodate
    Ability to converge light rays at a close distance.
  40. Acute
    Having a short course or rapid onset.
  41. Adduct
    Draw towards the midline.
  42. Allergen
    Substance responsible for allergic reaction
  43. Amblyopia
    Decreased vision to one or both eyes without detectable anotomic damage to the retina or visual pathways
  44. Aphakia
    Without crystalline lens,eg after cataract surgery
  45. Astigmatism
    Abnormal curvature of theeye surface that does not allow the eye to focus properly.
  46. Benign
    Self limiting, not recurrent, not malignant, does not threaten health or life.
  47. Bilateral
    Having two sides, affecting or occuring on both sides
  48. Cauterize
    To apply heat or electrical current to destroy tissue or stop bleeding
  49. Chronic
    Persists for a long time
  50. Constrict
    Pupil becomes smaller
  51. Depress
    Downward movement
  52. Dilation
    Pupil becomes enlarged
  53. Diplopia
    Double vision
  54. Edema
    Swelling, fluid in intercellular tissiue, swelling of tissues from excess fluid accumulation
  55. Electrocautery
    Electric instrument used to stop bleeding, or cauterize the tissue
  56. Elevate
    Upward motion
  57. Esotropia
    Eyes are constantly turned in, eye misalignment in which one eye deviates inward while the other fixates normaly
  58. Exotropia
    Eyes constantly turned out, missalignment in which one eye deviates outwardly (away from nose, lateral deviation) while the other eye fiates normaly
  59. Extort
    Outward rotation, extorsion- outward rotation of one eye.
  60. Hematoma
    Tomur containing blood,
  61. Homonymous
    Having the same, located on the same side, usually refers to visual field defects
  62. Hyperopia
    Farsightedness
  63. Intort
    Inward rotation, intortion- rotation of the eyes 12oclock toward the nose
  64. Lateral
    Part furthest from the midline
  65. Malignant
    Becoming progressively worse
  66. Medial
    Middle, towards midline
  67. Miosis
    Constricted pupils
  68. Mydriasis
    Dilated pupils
  69. Myopia
    Nearsightedness
  70. Nasal
    Inward, middle, towards the nose
  71. Nystagmus
    Uncontrolled rapid movement of the eye
  72. Opthalmologist
    MD that specializes in eye disorders and is an eye surgeon.
  73. Optomotrist
    OD that cunducts examinations, treats eye injuries and diseases and prescribes spectacles, contact lens, and other therapies.
  74. Papilloma
    Branching, usually benign tumor
  75. Pathogenic
    Giving origin to disease
  76. Perforate
    To make a hole, perforation
  77. Presbyopia
    Eyes loses its ability to accommodate
  78. Steroid
    Anit-inflamatory drug
  79. Strabismus
    Deviation in eyes in which eyes do not focus on same object at the same time.
  80. Temporal
    Part furthest from the midline, relating to side of head, direction away from nose, half of visual field from the midline toward the temple.
  81. Tumor
    Swelling,. Morbid enlargement,
  82. Unilateral
    Pertaianing to one side
  83. A
    Applanation- method of flattening the cornea, used for measuring the intraocular pressure
  84. acc
    Accommodation
  85. ARC
    Abnormal retinal correspondance
  86. BC
    Base curve
  87. BD
    Base down
  88. BI
    Base in
  89. BO
    Base out
  90. BU
    Base up
  91. c
    With
  92. CC
    Chief complaint
  93. cc
    With correction
  94. CF
    Counts fingers
  95. CMS
    Centralized material sect or section?
  96. COA
    Certified opthalmic assistant
  97. COMT
    Certified opthalmic medical technician
  98. COT
    Certified opthalmic technician
  99. D
    Diopter
  100. Dec
    Decentration
  101. DS
    Diopter sphere
  102. DVA
    Distance visual acuity
  103. EP
    Esophoria
  104. ET
    Esotropia
  105. gtt/gtts
    Drop/drops
  106. HM
    Hand movement
  107. IO
    Internal oblique
  108. IOP
    Intraocular pressure
  109. IR
    Inferior rectus
  110. J
    jeager
  111. JCAHPO
    Joint Commission on Accreditation /Affiliation of Health Personnel in Opthalmology
  112. LP
    Light preception
  113. LPw/P
    Light preception with projection
  114. LR
    Lateral rectus
  115. mg
    Milligrams
  116. mm
    Millimeters
  117. mm Hg
    Millimeters of Mercury
  118. MR
    Medial rectus
  119. n.p.o.
    Nothing by mouth
  120. NCT
    Non contact tonometer
  121. NPA
    Near point of accommodation
  122. NV
    Near vision
  123. NVA
    Near visual acuity
  124. OC
    Octical center
  125. OD
    Right eye, oculus dexter
  126. OR
    Operating room
  127. OS
    Left eye, oculus sinister
  128. OU
    Both eyes, oculi uterque
  129. PD
    Interpupillary distance
  130. Ped
    Pediatric, child
  131. PH
    Pin hole
  132. PRN
    As needed
  133. pt
    Patient
  134. s
    Without
  135. S caps s
    Schiotz tonometer
  136. sc
    Without correction
  137. Seg Ht
    Segment height
  138. SO
    Superior oblique
  139. SPH or sph
    Spherical
  140. SR
    Superior rectus
  141. TA
    Applination tonometer
  142. ung
    Ointment
  143. V or VA
    Visual acuity
  144. X
    Axis
  145. XP
    Exophoria
  146. XT
    Exotropia
  147. What does the METC opthalmic program provide?
    Provides enlisted personnel from multi servie, dod civilians with basic knowledge of subjects necessary to provide full assistance to opthalmologists and optometrists in military eye clinic.
  148. What does the METC Opthalmic program provide the trained technician with?
    Provides them with a basic knowledge of tasks relating to ocular screening, diagnosis, and treatment to include optical devices and surgical interventions, patient education and interaction skills, basic clinical administration, care of instruments and equipment, and operating room protocol.
  149. What is the METC program objective?
    Upon completion of this program ypu are expected to function as an entry level opthalmic technician in fixed and deployable medical facilities, performing tasks associated with ocular health and vision care.
  150. What does it take to pass this course?
    • 1 score a minimum of 70% on each examination.
    • 2 maintain a minimum overall program average of 70%
    • 3.maintain a minimum unit(course ubit lesson and topic) average of 70%
    • 4 not exceed a total of two unit (course unit lesson topic) exam failure
    • 5 pass retestable unit (course unit lesson topic) written exam with grade of 70% or above
    • 6 pass performance exercises with a "PASS" in all academic units with Performance Exercises
  151. What is acedemic risk status?
    You will be placed on this if your over all program average or individual eaxmination gradeis between 75% and 79%. after it is over 79% you will be removed
  152. What is the criteria for acedemic probation?
    • 1 if your over all gpa falls below 75%
    • 2 if you fail 1 written test or 1 performance exercise
    • 3 if an instructor documents that your performance is marginal
  153. What are the duties of the opthalmic technician?
    • Perform duties that do not require the specific skills of the opthalmologists which include but not limited to
    • Scheduling
    • Testing diagnostics
    • Surgical assistance
    • Application of medications
    • Patient education, guiding patiens through prescribed care
  154. The idea of costomer relations includes what?
    • Customer
    • Relations
  155. What is a customer?
    Someone who is seeking a service can be external or internal customer
  156. What is a relation?
    Your first interaction with your customer, communication, can be done face to face or phone or e mail
  157. One type of two, customers?
    External customer- a person whod does not belong to your organization, comes to your work center for an appointment,. Can be outside agency
  158. Type two of two customers is?
    Internal- your fellow staff memebers in your organization, logkistics, records etc
  159. What proper techniques can lead to better conflict resolution?
    • Empower your people
    • Work within the rules to make positive things happen
    • Choos the result of the outcome
  160. Always remeber you choose what?
    • The outcome
    • To be happy or sad
    • To be angry
    • To be cordial or rude
    • Feel good about yourself and what you do
  161. What are some techniques for dealing with conflict?
    • Take responsibility for the situation
    • Let the person vent, listen, make good eye contact
    • Ask questions to confirm details, keep them on track
    • Be aware of body language, yours and thiers
    • Dont be accusatory
    • Show genuine concern, ask how they are doing
    • Apologize for the event
    • Remain positive
    • Dont play the blame game
    • Confirm information, so they know you are listening
    • Never blow off the customer
  162. What are the 6 keys to success?
    • Be visually attractive
    • Listen
    • Think positively
    • Speak positively
    • Show empathy
    • Take resposibility
  163. What are the three ways medical ethics can be defined?
    • Principal or standards that guide professionals to do moral or right thing
    • Ethical standards are not static,. They evolve to reflect social change
    • A belief valued by an individual or group that describes what ought to be done in certain situations
  164. The two major purposes for a code of ethics are?
    • Structuring- is preventative and aims to restrain impulsive and unethical behavior
    • Sensitizing- is educative and aims to raise the members ethical consciousness
  165. What four principals must be respected for a medical practice to be considered ethical?
    Respect for autonomy, beneficence, non-malfeasance,. Justice
  166. What is autonomy?
    Individuals right to self-detirmination, requires that the patient has freedom to thought, intention, and action when making desicions, patient must understand risks and benefits of tretment and likelihood of success
  167. What are the charecteristics of autonomy?
    • Right to think as they wish even when others may disagree
    • Can act freely even if others dont like choice
  168. What are some exemptions to autonomy?
    • Rigjht of an individual ends where the right of others begin
    • People incapable of understanding the implications of thier choices
    • Children, persons with severe brain damage , persons experiencing psychotic episode
  169. What is beneficence?
    Is the ability to do good for others, requires that procedure be provided with the intent of doing good for the pt, healthcare providers are expected to develope and maintain skills and knowledge
  170. How does technician show beneficence?
    When they do all theu can to help a patient
  171. Charecteristics of beneficence?
    Pt should be in a better place emotionaly at the end of the treatment,. Always ask the question. Is this action likely to benefit my client?
  172. What is nonmalfeasence?
    Most fundimental etnhical prencipal, ensures the procedure does not harm or woresen the condition of the client by intention, reckless action, or incompetence.
  173. Charecteristics of nonmalfeasence include?
    • Extra precaution taken to assess the problem accurately
    • Procedure treatment is chosen after sufficient deliberation
    • Emphasis is placed on monitoring the impact of treatment procedure
  174. What is justice?
    The principal that demands all patients are treated equally,. While upholding the spirit ofexisting laws and remainng fair to all involved
  175. What four areas must be considred when evaluating justice?
    • Fair distribution of scarce resources
    • Competing needs
    • Right and obligations
    • Potential conflicts with established legislations
  176. What are the charecteristics of nonmalfeasence?
    • Treatment goals based on individual charecteristics of client not on dicriminatory attitudes
    • No pt is given a better or worse treatment based on thier status in society
    • Medical tech displays respectful unbiassed attitude wjhen dealing with clients of different background culture lifestyle etc
  177. What is confidentially?
    Keeping pt info to self not sharing if no need to know is there, shows respect for pt autonomy and thier right to control info relating to thier care
  178. Charecteristics of confidentially include?
    Self disclosure is kept confidential unless there is an overwhelming reason to breach such confidentiality,. Pts should never have thier visits terminated except for good reasoning such as referral. Some exception to breach, abuse, mandait reporting criteria, std. Etc.
  179. What is HIPAA?
    Health insurance portability and accountability act of 1996, enacted the privacy rule standard for the use and disclosure of an individuals health information or Protected Helath Information PHI
  180. What is PHI?
    Any info about health status, provision of health care, or payment info that can be linked to an individual
  181. Here a few things to remember about PHI
    • You must have a need to know
    • protect PHI and insure only providers who are treating pt have access to info
    • Be cognizant of front desk are when dealing witjh pt info and pts during check in procedures
    • Protocol for relasing and requestking PHI
  182. Forms are?
    Documents that are to be filled out
  183. What are records?
    Place where forms are filled
  184. Why do medical records exist?
    • To record pt care pt cant recall care, lots of info collected for care
    • To plan pt care. Promotes effecient pt care, decreases repetition of tests
    • Communication media. Doc to doc. Pt evacuation (aero evac), continuity of care (transient population)
    • Protection of both pt and facility, Government. Lega pt rights and govt rights
    • JCAHO. Paper trail for joint commisskions measuring quality of care
  185. What is CHCS
    Composite health care systems
  186. What are the 3 componants of CHCS
    • ICD 9 International Classification of Disease
    • E&M Evaluation and Management Codes
    • CPT common Procedural Terminology Codes
  187. What is ICD-9
    Categorizes reasons for visit starting with chief complaint CC may have more then one and others are prioritized and listed inorder of importance, linked to CPT and becomes the justification for the CPT procedure. MEDICAL NECESSITY
  188. What is E&M
    • Evaluation and management code, specifies level of service provided based on 3 elements
    • Level of history
    • Level of examination
    • Level of management and decision making. Documentation must be provided to support E&M decision like H&P systems review, past family and or social history
  189. What is E&M code for optometrist?
    99499
  190. What is E&M for technician?
    99211
  191. What must be provided to to support E&M decisions?
    Documentation
  192. What type of documentation must be provided to support E&M codes?
    Some examples are, History of Present Illness HPI, Review of Systems ROS, Past Family and or Social History PFSH.
  193. What is a CPT CODE?
    Common Procedural Termiology.
  194. What is the purpose of the CPT code?
    • Defines additional procedures not covered under the E&M codes
    • Ties together with the ICD9
    • Optometry specific................speticals ordering, visual fields, photos. Based on new or established
  195. Tech codes may include....
    Physicals 99172 or 99173, spectacle,
  196. What is the prefix code for PHYSICAL EXAM?
    V
  197. What is AHLTA?
    Electronic system that is used to enter and store electronic medical records
  198. What are mannual medical records?
    Physical version of the electronic record.
  199. What is AF Form 2100A?
    Medical record four part folder.
  200. 2100A uniqueness of..
    Color coded according to sponsors last four.
  201. Whats on the fron tof the 2100A?
    Medication allergies, serious medical conditions, special duties, pt name rank status, assigned unit, dob, family member prefix and sponsor. SSN.
  202. Whats on the back of the 2100A?
    Privacy statement act.
  203. Contents of medical record should contain enough information to do what?
    Identify pt, support diagnosis, condition,, justify care, treatment, and service,, document the results of care, identify the MTF maintaining record.
  204. Who do records belong too?
    Government
  205. Whats in section one of the 2100A?
    DD Form2766 Adult preventative and chronic care flowsheet, tis is a mini medical record, memeber deploys with.
  206. What is in section 2 of the 2100A?
    AF Form 745, Sensative duties program record identifier.,, PRP personnel reliability program or PSP presidential support program,, all medical treatment which may affect alertness or judgement must be reported to pts supervisor,,. ALWAYS TOP MOST FORM IN SECTION TWO
  207. What is in section three of the 2100A?
    • DD Form 2005, Privacy act statement, if not printed on back side of 2100A
    • SF Form 88, Report of medical examination, used for complete physical exams
    • AF Form 422, Physical profile, indicates if member is world wide qualified
    • DD Form771, Eye wear prescription, used to order specs gass mask inserts etc
    • AF Form 1722, Eye examination,
    • Refractive surgery exam and follow up, visual field test print outs.
  208. What are the 2 codes for spectacles?
    92370 spec rep fit, 92390 supply of specs
  209. NPC
    Near point convergence
  210. NRC
    Normal retinal correspondence.
  211. How do you not log into AHLTA
    CAC pin

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