Cheat sheet

CCMA Cheat Sheet

Practice this exam

Foundations

  • 10% of exam
  • Terminology Pharmacology Healthcare Teams Nutrition

Anatomy + Physiology

  • 5% of exam
  • Body Systems Directional Terms Disease Basics Homeostasis

Clinical Patient Care

  • 56% of exam
  • Vitals Infection Control Phlebotomy EKG Clinical Picker

Coordination + Education

  • 8% of exam
  • Teach-Back Referrals Preventive Care Follow-Up

Admin Assisting

  • 8% of exam
  • Scheduling EHR Billing Claims

Communication + Service

  • 8% of exam
  • De-Escalation Active Listening Barriers Teamwork

Law + Ethics

  • 5% of exam
  • HIPAA Consent Scope Reporting Admin Picker

Quick Facts

  • Exam NHA CCMA
  • Items 150 scored + 30 pretest
  • Time 3 hours
  • Pass 390 scaled
  • Scale 200-500
  • Largest Clinical care 56%
  • Renewal 2 years + 10 CE

Allergy vs Side Effect FO

Allergy

  • Immune response
  • Hives/anaphylaxis

Side effect

  • Expected effect
  • Nausea/drowsiness
  • Immune vs expected

Terminology FO

  • Prefix Word beginning
  • Suffix Word ending
  • Root Core meaning
  • A- Without
  • Brady- Slow
  • Tachy- Fast
  • itis Inflammation
  • ectomy Surgical removal

Pharmacology FO

  • Indication Reason for drug
  • Contraindication Reason to avoid
  • Side effect Expected unwanted effect
  • Adverse reaction Harmful response
  • Allergy Immune reaction
  • PRN As needed
  • PO By mouth
  • SL Under tongue

Body Systems AN

  • Cardiac Heart pumping
  • Respiratory Gas exchange
  • Endocrine Hormone signaling
  • GI Digestion
  • Renal Fluid filtering
  • Neuro Control signals
  • Integumentary Skin barrier
  • Musculoskeletal Movement support

Order Draw CL

  • Cultures, blue, red, green, lavender, gray.
  • Sterile Citrate Serum Heparin EDTA Fluoride

Asepsis vs Sterile CL

Asepsis

  • Reduces microbes
  • Routine clean care

Sterile

  • No microbes
  • Procedural field
  • Clean vs microbe-free

Clinical Picker CL

  • New patient arrives → Verify identity
  • Chest pain reported → Notify provider
  • Bleeding after draw → Apply pressure
  • Faint during draw → Stop and lower
  • Fever with cough → Mask patient
  • POCT control fails → Do not test
  • EKG wandering baseline → Reduce movement
  • Need sterile setup → Keep field dry

Vitals CL

  • Temp Body heat
  • Pulse Heart rate
  • Respirations Breaths per minute
  • BP Arterial pressure
  • SpO2 Oxygen saturation
  • Pain Subjective scale
  • BMI Weight-height ratio
  • Orthostatic Position BP change

Medication Rights CL

  • Right patient, drug, dose, route, time.
  • Patient Drug Dose Route Time

Systolic vs Diastolic CL

Systolic

  • Top number
  • Heart contracts

Diastolic

  • Bottom number
  • Heart relaxes
  • Pump vs rest

Infection Control CL

  • Standard All patients
  • Contact Gown and gloves
  • Droplet Surgical mask
  • Airborne N95 respirator
  • Asepsis Reduce microbes
  • Sterile field Microbe-free area
  • Sharps Dispose immediately
  • Exposure Wash, report, document

EKG Limbs CL

  • White right, smoke over fire.
  • RA white LA black RL green LL red

Phlebotomy CL

  • Two IDs Name plus DOB
  • Tourniquet One minute max
  • Bevel Face up
  • Angle 15-30 degrees
  • Median cubital First choice
  • Cephalic Second choice
  • Basilic Last choice
  • Label At bedside

Order of Draw CL

  • Cultures Sterile first
  • Light blue Citrate coag
  • Red/SST Serum tests
  • Green Heparin plasma
  • Lavender EDTA hematology
  • Gray Glucose/lactate
  • Discard tube Butterfly before blue
  • Invert tubes Gentle mixing

EKG CL

  • RA Right arm
  • LA Left arm
  • RL Right leg ground
  • LL Left leg
  • V1 Right fourth ICS
  • V2 Left fourth ICS
  • V4 Fifth ICS MCL
  • Artifact False tracing

Patient Education CO

  • Teach-back Patient repeats plan
  • Health literacy Plain language
  • Barrier Blocks understanding
  • Referral Outside service link
  • Follow-up Next care step
  • Portal Electronic access
  • Prevention Screening and vaccines
  • Community resource Support service

Referral vs Prior Auth AD

Referral

  • Provider direction
  • Specialist access

Prior auth

  • Payer approval
  • Payment requirement
  • Provider vs payer

Admin Picker AD

  • Wrong chart found → Stop documentation
  • Missing referral → Contact payer
  • Coding question → Ask biller
  • Record request arrives → Check ROI
  • Angry patient → Acknowledge concern
  • Late provider → Update patient
  • Interpreter needed → Use qualified interpreter
  • Portal message urgent → Route immediately

Administration AD

  • EHR Electronic chart
  • Chief complaint Visit reason
  • Demographics Patient identifiers
  • Copay Patient portion
  • Deductible Before insurance pays
  • Prior auth Approval before service
  • Referral Provider authorization
  • Superbill Visit charge sheet

Communication CO

  • Empathy Acknowledge feeling
  • Reflection Restate meaning
  • Open question Invites detail
  • Closed question Specific answer
  • Interpreter Qualified language help
  • SBAR Structured handoff
  • De-escalation Lower tension
  • Boundary Professional limit

Consent vs Authorization LE

Consent

  • Care permission
  • Procedure focused

Authorization

  • PHI release
  • Disclosure focused
  • Treat vs disclose

Law + Ethics LE

  • HIPAA Protect PHI
  • Consent Permission for care
  • Scope Allowed duties
  • Negligence Duty breach harm
  • Incident report Internal event record
  • Mandatory report Required legal alert
  • ROI Release authorization
  • Ethics Right conduct

Common Traps

Pretest Items

  • Still answer carefully ≠ Not identified

Tourniquet Time

  • One minute max ≠ Avoid hemoconcentration

HIPAA Minimum

  • Need-to-know only ≠ Curiosity is violation

Incident Reports

  • Internal document ≠ Not charted as filed

Scope Boundary

  • Assist provider ≠ Do not diagnose

EKG Artifact

  • Fix patient setup ≠ Do not interpret

Last Minute

  • 1. Clinical care is 56%
  • 2. Verify two identifiers first
  • 3. Tourniquet: one minute max
  • 4. Label specimens at bedside
  • 5. HIPAA: minimum necessary
  • 6. Consent treats; ROI discloses
  • 7. Teach-back confirms understanding
  • 8. Chest pain: notify provider
  • 9. Sterile field stays dry
  • 10. Pass standard is 390