5. Patient's amenities management :
It is the duty of the basic medical assistant to see that basic amenities for the patient are looked after. They include:
# Provision for safe drinking water. This may be through a water cooler Or by means of bottle water.
# The toilets for the patients and their attendants is kept neat and clean. Though this job is done by some other worker but the basic medical assistant has to ensure this.
# ln some clinic magazines, Newspaper etc. Are provided in the patient's waiting room/hall so that they can engage themselves with these while they are waiting for their turn to be seen by the doctor.
6. MAINTAINING PATIENT RECORDS:
The patient record should be carefully maintained. A register may be maintained for this purpose in which the name, age, sex and address of the patient should be recorded. Ln some practice the prescription is made in duplicate and one copy is kept for record. In such case an ID number is given to the patient which is recorded on the prescription as well as in the patient reports for a check -up the papers concerning the patient can be traced in the office with the help of the l. D. Number
7. RECEIVING AND ANSWERING TELEPHONE CALLS :
Incoming telephone calls should be answered promptly. Greet the caller pleasantly. Identify the clinic and yourself and ask the caller how you may help him
GUIDELINES FOR TELEPHONE COURTSEY.
#Same rules of courtsey which is in face to face meeting
#Give a prompt response to the ring of telephone and continue until the receiver is gently replaced at the end of the call.
#Don't convey that you are to much preoccupied or tired.
#Don"t let the caller feel they this call is an unwanted interruption in your work
#Never chew, eat or drink while talking on the telephone.
#Speak directly into the mouth piece of the telephone.
#Speak clearly and slowly
#Get the name of the person who is calling.
#when completing a call, always allow the caller to hang up first.
Callers who want to speak to the doctor:
The doctor should not be interrupted while he is busy seeing cases. The few most common exceptions are:
#when the call is from another doctor.
#A family member of the doctor.
# Some close friend of the doctor. Lt is only in above exceptional circumstances when the call mst be transferred to the doctor, otherwise the call should be handled tactfully and the caller informed that the doctor is busy with his patient, and the caller may deliver the message, if he has any.
Taking messages on telephone.
# make a written note of the name of the caller and the telephone number
# Be sure to record the message received completely and accurately.
After you take a message deliver to the doctor promptly and accurately. There is a request fog examination by the doctor this should be should be scheduled after checking from the appointment register.
3.9Duties inside the doctor. S chamber
8. RECEIVING AND RECORDING PAYMENTS
Recording account receivable is not difficult because this is the doctor's fee paid by the patient. However this is a large responsibility of handling other people s money there for. It becomes an imperative duty to keep this money safe.to record it properly and to respect the confidence reposed in him/her. At the end of the session of the clinic the amount should be compared and checked and than handed over to the doctor.
the above duties and activities are all outside the doctor 's chamber. A basic medical assistant who stays inside the doctor 's chamber with the doctor. has to perform the following duties
(A) Record the weight of the patient : The patient is made to stand erect on the weighing machine after removing his shoes and the weight is recorded on the prescription or is reported to the doctor for recording in the prescription by him (B) Record the height of the patient : The patient is made to made to stand erect against the measuring scale and the height is recorded in the manner described above.
Note-Record of weight and height gives idea about the nutritional status of the patient.
(c) preparation and positioning of the patient of examination by the doctor :
if the patient is wearing too many clothes. they are removed to the minimum possible. The patient is helped by the assistant to first sit on the examination table taking help of the steps provided for the purpose. After the doctor has seen him in this position. the patent is asked to lie down comfortably on the examination table with his head placed in such a manner that the doctor is able to examine him for the right side with his face towards the patient's face
After the examination of the patient by the doctor is complete. the basic medical assistant should help him to get down from the examination table and then help him to wear the clothes he had removed.
3.10 Explaining the doctor. S prescription
The doctors after examination their patients. Write a prescription. it is the duty of the Basic Medical Assistant to explain to the patients and their relationship what the doctor has written. in his prescription. He should explain about the medicines prescription. as to how. how many times and for how long the medicines have to be taken. ln case the doctor has prescribed any investigation. he should guide the patient or their relative about it.
ln addition to the above the other duties and jobs to be performed by the Basic Medical Assistants in a doctor' s clinic or in Nursing homes is descussed in subsequent unit of this paper and in paper lll.
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