A guide to clinical practice Flashcards
Which profession is dependent and negotiated- PA or NP?
PA
Which profession is geared specifically and a “caring approach”?
NP
What are the core things a PA does?
H&P Disease Prevention Health Maintenance Treatment Education Counseling
“jack of all trades” pertains to what discipline?
Primary Care/ Internal Care (specifically Family Practice)
What fields of medicine have generalists?
Primary care/ internal Care
How much outpatient care do PA’s do in Primary care?
80-90%
Do PAs deal with discharging patients in primary care?
YEs
Who does the scut work in a hospital?
A hospitalist
What type of procedures does a hospitalist do?
IV, intubation, Foley catheter
A decision to take care of a more critical patient is made where?
Triage
In EMed, what is the first thing a PA would do?
Identify the life threatening condtion
Is it necessary to define a diagnosis in an EMed before discharge?
NO
Why should you write things down in EMed?
Because if it isnt written, its like it was never done.
Can a minor be treated in EMed without parents present?
Yes, if life threatening.
Who has poor early health habits and diseases- Pediatrics or Geriatrics?
Geriatrics
How much of the MD rate is paid for PA via Medicare?
85%
How many PAs work in pediatrics?
4%
Does prenatal care fall in an OBGYN PA’s scope of practice?
Yes
Can A PA take care of an OBGYN emergency?
Yes- if in scope of practice.
Where would a PA take care of- pre,peri,post operative care?
Surgical PA
Which discipline employs 10.6% of PAs?
Orthopedics
Are cardiothoracic PAs OR based?
Yes
Are there dermatology PAs?
Yes
Are there Neurosurgery PAs?
Yes
What medical practitioner practices independently and has specific duties?
NPs
What must NPs have in order to admit a patient?
NPs must have an affiliation to a doctor or hospital in order to admit pts.
Is it a PA or nurse’s responsibility to educate the patient?
PA!!! We are educators!
What is the GOAL of practicing PAs?
Disease prevention. In primary care you can prevent a patient from getting sick from a young age to an old age.
What is the purpose of an H&P?
- Helps you make a diagnosis
- Helps you figure out what test you need to order
- Helps determine the outcome of the pt
Who are generalist?
PCPs (Primary Care Physicians) & PAs
What is the difference between primary care and internal medicine?
Internal medicine is only for adults
Primary care treats children too
What is AM & FM?
- AM (Ambulatory medicine)
- FM (Family Medicine)
Who makes more money primary care PAs or specialty PAs? What field makes the least?
Specialty makes more.
Peds makes the least
What field of medicine maintains a large database?
Primary care because you are taking care of patients for an extended period of time
Where does most primary care take place?
In a non hospital setting/outpatient care
After a PA designs a course of treatment, what must they do?
FOLLOW UP
Who follows up with patients more: Primary care or Surgery?
Primary care. Surgery may do 1-2 follow ups depending on the case.
Can PAs go into any specialty?
Yes
What specialty focuses on the healthcare of individuals and the adherence of rules and regulations of job site
Occupational Medicine
What is a hospitalist?
Practitioners that care for you while you are hospitalized
What is coordination of care?
Using different Rx and Tx methods to treat a pt
30% of hospitals use this model
Medical Model
What is coexisting pathology?
When a patient comes in with more than one illness.
Ex: An alcoholic that has a laceration from a car accident. <— What do you deal with first?
In EMed, PAs must be able to easily identify what kind of situation?
Life threatening situations or medical conditions
What is BCLS?
Basic Cardiac Life Support
What is ACLS?
Advanced Cardiac Life Support
What is ATLS?
Advanced Trauma Life Support
What is PALS?
Pediatric Advanced Life Support
When a pt suffers from symptoms for an extended period of time and presents to the ER, what should you ask them?
Why now? What makes today different?
What should a PA verify that the pt understands before being discharged from the ER?
Make sure the pt understands that they need to follow up
An ear ache and runny nose would be seen in what part of the ER?
Fast Track
What part of the ER will a pt from a car accident or a person in immediate danger be seen in?
Trauma
What kind of H&P do you do when you specifically focus on the medical conditions related to the chief complaint?
Problem Oriented H&P - Dont need to do a full H&P just treat the complaint and anything related to it
What are the major problems of geriatric medicine?
Social and medical complexities
What are ADLs?
Activities of Daily Living
Why are pediatricians like veterinarians?
Because it is hard for peds to figure out how their pts really feel. Parents say how they feel but they dont know for sure.
What does a scrub nurse do?
Is familiar with the procedure and has all of the necessary instruments prepared
Is orthopedics office based or hospital based?
Both!
Is cardiothoracic surgery office based or hospital based?
Hospital based
What must dermatologist be able to do?
diagnose cancer