health care profesionals #2 Flashcards

0
Q

health care providers

A
physicians
physician assistants
podiatrist
optometrist
other allied healthcare providers
nurses
dentist
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1
Q

pharmacists employment % in retail and in hospitals

A
  1. 4%

22. 2

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2
Q

professions exist to serve society and have:

A
body of knowledge
authority and privileges
culture
professional organization
ethical codes and internal controls
community sanction
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3
Q

hierarchy of healthcare professionals 2010

A

nurses > physicians > pharmacists > dentists > optometrist

shortage in rural and low income areas

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4
Q

physicians - major decision makers (highest responsibility and influence) in US HCS are in charge of (3)

A

select treatment
admission and discharge
diagnosing illness

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5
Q

practice allopathic medicine

most common type of physician

A

MD medical doctor

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6
Q

this practice focuses on “whole person” approach in medicine

emphasis on musculoskeletal system, preventative medicine, and holistic care and manipulation

A

DO doctor of osteopathic medicine

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7
Q

MD and DO pattern of practice

A

private practice

ambulatory/hospital care

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8
Q

medical education and license requirements

A

pre-med (BA/BS degree)
med school: 2 years in class study, 2 years clinical training
residency: 1 yr intern, 2 yr and 3 yr residency
license: USMLE or COMPLEX, internship, good moral character
Fellowship
board certification

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9
Q

health care professions that are licensed to practice medicine under a physician’s supervision

an extension of medicine but not considered its own profession

A

PA physician assistant

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10
Q

military medics and corpsmen

1st program established at duke university 1965

A

physician assistant PA

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11
Q

PA training

A

~26 months

masters degree

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12
Q

practice setting for physician assistant

A

any setting physicians provide care
44% primary care
> 50% in physicians’ office

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13
Q

PA scope of practice

A

diagnostic
prescribe
preventative
health maintenance

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14
Q

physician assistants in florida are excluding from prescribing: 5

A
controlled substances
anti-psychotics
radiographic contrast
general, spinal, epidural, anesthetics
parenteral injectables except insulin and epinephrine
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15
Q

licensure for PA

A

graduate from PA program

national certification examination (PA-C)

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16
Q

registered nurses include:

supervise LPN and NA

A

ARNP advanced registered nurse practitioner
CNM certified nurse-midwife
CRNA certified registered nurse anesthetist
CNS clinical nurse specialist

17
Q

LPN

A

licensed practical nurse

18
Q

an assistant, not a nurse

A

CNA/NA - certified nurse assistant

19
Q

nurse scope of practice

A

care and treatment of ill or injured

health education

20
Q

percent of nurses employed in hospitals

A

62%

21
Q

RN training

A

hospital based diploma
2 year associates of science in Nursing (ADN)
4 years bachelor of science in nursing BSN

22
Q

RN licensure

A

graduate of nursing training program

national council licensure examination NCLEX

23
Q

role of LPN, licensed practical nurse (also known as LVN- licensed vocational nurse):

training:

licenses:

A

care for sick/injured under DIRECT supervision of RN/physician
basic bedside care
training: 1 yr
license: LPN program and state license

24
Q

nurse assistants, also called nursing aides role:

training:

License:

A

assist with daily activities
training: less than 1 yr at vocational tech centers
state exam for certification

25
Q

requirements for florida certification: ARNP, CNM, CRNA

(advanced registered nurse practitioner, certified nurse mid-wife, certified registered nurse anesthetist

A

current nursing license
masters degree in a nursing specialty area
national specialty board certification

26
Q

advance registered nurse practitioner ARNP

A

practice independently supervised under protocol by physicians or dentist

27
Q

protocol on file with board of nursing allow advance registered nurse practitioner to:

A

identify med acts to be performed
conditions for performing
duty of physician/dentist: collaboration agreement
initiate monitor alter therapies for uncomplicated acute illnesses

28
Q

certified nurse midwife

A

may practice independently under protocol approved by med staff or physician in home deliveries

29
Q

certified mid wife nurses under protocol may perform:

A

superficial minor surgical procedures
manage patient during labor and delivery
order, initiate, perform anesthetic procedures
postpartum examinations
order appropriate medications
provide family-planning services and well-woman care
initiate care of new born

30
Q

certified nurse anesthetists

A

oldest of the advanced practice nurse specialties
admin 65% of anesthetics/yr
practice under protocol approved by med staff or facility

31
Q

certified registered nurse anesthetist under protocol may:

A

determine, order, admin anesthetic and pre-anesthetic medications
support lifer function during anesthetics care
manage post anesthesia recovery

32
Q

clinical nurse specialist function/role

A

largest group
may function as case manager
cannot prescribe
specialize in pediatrics, diabetes, pain management etc

33
Q

dentist DDS or DMD

A

prevent diagnose and maintain health of teeth/tissue
education: bachelors, 4 yr dental school, post grad training for specialty
licensed: graduate of dental program and written and practical exam
may prescribe
85 % generalist
self employed/private

34
Q

podiatrist DPM role/education

A

diagnose and treat disorders, diseases and injuries of foot and lower leg
education : 4 years - podiatry school
license: graduate from program and written and oral exam
can prescribe drugs necessary for treatment of ailment of foot and leg

35
Q

optometrist OD

A

diagnose /treat disorders of eye and visual system
education: 4 yrs optometry school
license: written and oral exam
prescribing limited to topical ocular pharmaceutical agents
no surgery

36
Q

care by multiple providers, working independently

most common model in US today

A

multidisciplinary care

37
Q
  • systemic team approach-care by multiple providers collaborating
  • higher quality of care, more cost effective
A

interdisciplinary care

38
Q

” all healthcare professionals should be educated to deliver patient-centered care as members of an interdisciplinary team emphasizing evidence-based practice, quality improvement approaches and informatics

A

IOM

39
Q

two or more professions learning with, from and about each other to improve collaboration and quality of care

A

IPE interpersonal education

40
Q

goal of IPE (interpersonal education)

A

learn hoe to function in an inter-professional team and carry the knowledge skill and attitude learned into practice