Medical Assistant

Medical Assistant

Name
First Last
Date
MM slash DD slash YYYY
Self-Assessment Rating Scale:
No Experience
Theory or observation only during the past 12 months

Limited Experience
Performed less than 12 times within the past 12 months and may need a review

Experienced
Performed at least once per month within the past 12 months and may need minimal assistance

Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient

Emergencies

	No Experience	Limited Experience	Experienced	Highly Skilled
Assist Physician with Patient - Bleeding
Assist Physician with Patient - Burns
Assist Physician with Patient - Cardiac/Respiratory Arrest
Assist Physician with Patient - Choking
Assist Physician with Patient - Fracture
Assist Physician with Patient - Poisoning

Lab Tests

	No Experience	Limited Experience	Experienced	Highly Skilled
Perform - Capillary Blood Collection
Perform - Hearing Screen
Perform - Pregnancy
Perform - Sputum Collection
Perform - Stool Collection
Perform - Throat Swab
Perform - Urinalysis
Perform - Vaginal Swab
Perform - Venipuncture
Perform - Vision Test
Perform - Wound Swab

General

	No Experience	Limited Experience	Experienced	Highly Skilled
Perform - 12 Lead EKG
Perform - Administer a Nebulizer Treatment
Perform - Administer Oxygen
Perform - Measure Vital Signs
Perform - Setup Cast Supplies
Perform - Use a Stethoscope
Perform - Weight Measurement
Perform - Understand and Utilize Universal Precautions

Office Duties

	No Experience	Limited Experience	Experienced	Highly Skilled
Perform - Answer Phone
Perform - Coding
Perform - Invoicing
Perform - Medical Billing
Perform - Medical Filing
Perform - Medical Record Organization
Perform - Order Supplies
Perform - Schedule Patient Appointment
Perform - Transcription

Body Systems
No Experience Limited Experience Experienced Highly Skilled
Cardiovascular System
Digestive System
Endocrine System
Nervous System
Reproductive System
Respiratory System
Urinary System
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