Job Ready Assessment Blueprint Medical Assisting Test Code: 4155 / Version: 01 Copyright 2012. All Rights Reserved.
General Assessment Information Blueprint Contents General Assessment Information Written Assessment Information Specific Competencies Covered in the Test Sample Written Items Performance Assessment Information Sample Performance Job Test Type: The Medical Assisting industry-based credential is included in NOCTI s Job Ready assessment battery. Job Ready assessments measure technical skills at the occupational level and include items which gauge factual and theoretical knowledge. Job Ready assessments typically offer both a written and performance component and can be used at the secondary and post-secondary levels. Job Ready assessments can be delivered in an online or paper/pencil format. Revision Team: The assessment content is based on input from secondary, post-secondary, and business/industry representatives from the states of Georgia, Kentucky, Michigan, Ohio, Oregon, and Pennsylvania. CIP Code 51.0899- Allied Health and Medical Assisting Services, Other Career Cluster 8- Health Science 31-9092.00- Medical Assistants The American Medical Certification Association (AMCA) established as a division of the American School of Business, offers 14 certification exams for the allied healthcare field. AMCA supports NOCTI's Medical Assisting assessment which is closely aligned to AMCA's Clinical Medical Assistant Certification (CMAC). This assessment is an excellent training instrument, in both content and test-mode preparation. Students passing both the NOCTI assessment and AMCA's national certification exam are demonstrating superior knowledge in their field and are outstanding candidates for entry-level positions in the allied healthcare field. The Association for Career and Technical Education (ACTE), the leading professional organization for career and technical educators, commends all students who participate in career and technical education programs and choose to validate their educational attainment through rigorous technical assessments. In taking this assessment you demonstrate to your school, your parents and guardians, your future employers and yourself that you understand the concepts and knowledge needed to succeed in the workplace. Good Luck! In the lower division baccalaureate/associate degree category, 3 semester hours in Medical Assisting. Page 2 of 11
Written Assessment NOCTI written assessments consist of questions to measure an individual s factual theoretical knowledge. Administration Time: 3 hours Number of Questions: 203 Number of Sessions: This assessment may be administered in one, two, or three sessions. Areas Covered General Laboratory Procedures and Diagnostic Testing Clinical Practices 14% 14% 49% Patient Instruction 4% Foundations for Healthcare 19% Page 3 of 11
Specific Standards and Competencies Included in this Assessment Medical Assisting Medical Office Procedures Greet, receive, and direct patients and visitors Place, receive, and properly document and disseminate office telecommunications Obtain and record patient s demographic data and insurance information Schedule and maintain patient appointment log, including no-shows, call-backs, reschedules, and cancellations Demonstrate knowledge about managed care and referrals Prepare and manage medical records Demonstrate knowledge of billing practices, including insurance forms and terminology Identify and apply procedure and diagnosis coding Demonstrate job-related computer applications (including word processing, database, presentation software) General Laboratory Procedures and Diagnostic Testing Demonstrate proper ECG procedures and other cardiovascular testing Collect and prepare specimens Demonstrate proficiency with laboratory procedures, such as urinalysis, (limited) blood tests, and cultures Perform and properly document vision and hearing tests Demonstrate understanding of biomedical equipment usage and maintenance Complete ancillary medical services requisitions and logs Demonstrate knowledge of venipuncture procedures Demonstrate knowledge of pulmonary function testing/procedures (Continued on the following page) Please note, due to a shift in OSHA terminology, that any references to Material Safety Data Sheets (MSDS) will be changed to Safety Data Sheets (SDS) during the next scheduled revision. Page 4 of 11
Specific Standards and Competencies (continued) Clinical Practices Prepare examination room and organize equipment for patient procedures Assist with patient examinations, transfers, treatments, and minor surgeries Set up and maintain a sterile field Sanitize, disinfect, and/or sterilize instruments and supplies Demonstrate knowledge of handling and disposal of contaminated materials or spills Obtain and record patient s height and weight Measure and record vital signs and report abnormalities Identify various documentation formats and procedures, including subjective/objective data Position and drape patient for examination and/or treatment Demonstrate proper handwashing techniques Measure and record an infant s height, weight, and head circumference Identify basic medical instruments Calculate medication dosages Demonstrate knowledge of intradermal testing (e.g., Mantoux, allergy, Tine tests) Demonstrate knowledge of medication administration routes Identify various drugs, drug classifications, and clinical indications Perform ear irrigation and/or lavage Perform suture or staple removal Perform dressing changes Demonstrate knowledge of nebulizer treatments/procedures Perform basic first aid and identify CPR/AED basic principles Demonstrate knowledge of nutrition principles, therapeutic diets, and health and wellness practices Acknowledge and demonstrate cultural awareness and holistic approaches Identify the stages of growth and development Demonstrate knowledge of urinary catherization procedures Demonstrate knowledge of assistive devices Demonstrate knowledge of cast care principles Follow appropriate standard (universal) precautions (Continued on the following page) Page 5 of 11
Specific Standards and Competencies (continued) Patient Instruction Instruct patients in techniques for collection of specimens Instruct patients regarding preparations for diagnostic tests Communicate discharge instructions Foundations for Healthcare Identify and adhere to legal documents, standards, statues, and regulations Identify and adhere to work ethics and professional standards Identify and apply principles related to patient rights, including confidentiality, privacy, and security Identify and use medical terminology and approved abbreviations Identify the relationship between anatomy, physiology, and pathology Display teamwork skills necessary for the medical field Identify members of an interdisciplinary healthcare team (Continued on the following page) Page 6 of 11
Sample Questions (continued) It is best to obtain preliminary insurance information when the patient A. is actually seeing the physician B. calls in to schedule an appointment C. is given the HIPAA form to sign D. is charged for the initial visit Test for myopia by using the A. Snellen Chart B. Ishihara test C. Schiotz test D. Pelli-Robson Chart Gloves, lab coats, gowns, and masks are all examples of A. ergonomic equipment B. biohazard controls C. universal precautions D. personal protective equipment A large C listed beside a drug name in the Physician s Desk Reference (PDR) indicates it is a/an A. over-the-counter drug B. controlled substance C. cardiac drug D. classified substance Increased urination at night is known as A. oliguria B. nocturia C. polyuria D. anuria (Continued on the following page) Page 7 of 11
Sample Questions (continued) Which diagnoses codes are used as a supplementary classification of external causes of injury and poisoning? A. J codes B. V codes C. D codes D. E codes The spirometer is most often used to assess A. liver failure B. cardiac output C. glomerular filtration rate D. lung capacity Use the for tracking infant's and children's anthropometric measurements. A. Denver test B. Wong-Baker scale C. growth chart D. Snellen chart A/An is used to provide a mist of medication. A. oximeter B. spirometer C. nebulizer D. capometer If a patient has a diagnosis of anuria, he/she may be referred to a A. gynecologist B. gastrologist C. urologist D. cardiologist Page 8 of 11
Performance Assessment NOCTI performance assessments allow individuals to demonstrate their acquired skills by completing actual jobs using the tools, materials, machines, and equipment related to the technical area. Administration Time: 2 hours Number of Jobs: 6 20% 21% Areas Covered: 21% Infant Length, Weight, and Head Circumference Participants will gather equipment, handle infant properly, measure, weight, and measure head circumference of the infant, chart the measurements, and clean work area. 20% 16% 13% 10% 10% Applying and Removing Sterile Gloves Participants will gather equipment, simulate hand washing, apply gloves, remove gloves, properly dispose of gloves, and clean work area. 13% Capillary Puncture (Simulation) Participants will gather materials, identify the patient, explain the procedure to the patient, demonstrate the simulation, apply correct technique, follow standard precautions, document procedure, and clean work area. 16% Electrocardiogram Participants will gather equipment, identify the patient, explain the procedure to the patient, position the patient, properly drape patient and maintain privacy, place electrodes, perform ECG, maintain safety, document procedure, and clean work area. (Continued on the following page) Page 9 of 11
Areas Covered (continued) Medical Assisting 20% Blood Pressure and Pulse Measurement Participants will gather equipment, identify the patient, explain the procedure to the patient, locate and count the radial pulse, place the cuff and stethoscope at the correct location, take radial pulse and blood pressure, ensure comfort and safety, and clean work area. 20% Appointment Scheduling Participants will label the date, opening and closing times, matrix lunch and emergency buffer times, and correctly schedule and record appointments. Page 10 of 11
Sample Job Applying and Removing Sterile Gloves Maximum Time: 10 minutes Participant Activity: The participant will prepare for sterile gloving by simulating handwashing technique. Apply and remove sterile gloves, maintaining the sterility of gloves and avoiding contamination of self. Appropriately dispose of gloves and simulate handwashing technique after disposal. When finished, the participant will clean area and return to pretest conditions. Page 11 of 11