Introduction to instutional Practice Settings

Question 1

Inpatient vs. Outpatient Definition

Answer 1

• Inpatient: Patients have at least one overnight stay for ongoing treatment and monitoring
• Outpatient: Medical care performed on an outpatient basis, without admission to a hospital or other facility (Less acute)

Question 2

What is the exception to Inpatient definition

Answer 2

Emergency rooms

Question 3

Give facility example of Inpatient care and their funding

Answer 3

Hospital - Public
Long term, res.care, hospice - Private/public

Question 4

Outpatient facility examples and their funding

Answer 4

Community pharm - Private
Ambulatory, primary care clinics - Public

Question 5

Public is funded through?

Answer 5

The provincial and federal governments
- Health authority pharmacies

Question 6

Private is through?

Answer 6

Independent or coporate owners/organizations

Question 7

What are the types of hospitals in BC?

Answer 7

• Tertiary/teaching (in urban settings)
• Community and rural hospitals

Question 8

Describe 4 things about Tertiary or teaching hospitals?

Answer 8

• Affiliated with a medical school, higher involvement in training of healthcare professionals
• Use of health care teams
• Contain highly specialized patient care areas
• Serve as research institutions

Question 9

Give an example T&T hosptial

Answer 9

VGH, St. pauls, RCH, Victoria gener, ROyal Jubilee, Kelowna general, University hospital of Northern BC, Bc children’s and womenas

Question 10

Describe 3 things about Community and rural hospitals

Answer 10

• Service a specific community of region
• In general, fewer speciality services compared to teaching hospitals
• May not have as many integrated health care teams

Question 11

In order list PSHA, FNHA, Ministry of health and Region health authorities

Answer 11

Ministry of funds -> Provincial Services Health Authority & First Nations Health Authority
PSHA-> 5 regional Health authorities

Question 12

What is the PHSA?

Answer 12

Works with regional health authorities to plan and coordinate the delivery of provincial programs and specialized services. Provincial Health services authority

Question 13

What do the Regional health Authorities oversee?

Answer 13

Health services within their geographic regions

Question 14

What are the Regional health authorities responsible for:

Answer 14

• Identifying population health needs
• Planning appropriate programs and services
• Ensuring programs and services are properly funded and managed
• Meeting performance objective

Question 15

What are the 5 BC regional health authorities

Answer 15

-Fraser Health
- Interior health
- Northern Health
- Vancouver Coastal Health
- Island Health

Question 16

What is the FNHA?

Answer 16

• First Nations Health authority:
• Represents relationship b/twn BC first nations, the province of BC, and the government of Canada.

Question 17

What deos the FNHA aim to improve??

Answer 17

To improve health outcomes for First Nations people in BC

Question 18

FNHA is responsible for?

Answer 18

• Planning, managing, delivering and funding FNH programs and services
• Working with BCs Ministry of Health and health authorities to address service gaps and improve health outcomes of BC First Nations
• Improves the quality, accessibility, delivery, effectiveness and cultural appropriateness of health-care programs and services for First Nations

Question 19

What is an Interdisciplinary Team Members

Answer 19

Integrated team of health care providers and administrative staff who work together to improve patient care

Question 20

What are the benefits of a interdisciplinary team>

Answer 20

• Better health outcomes for patients, decreased costs, and improved quality for both providers and patients
• Ensure patients are at the centre of decision making
• All providers work to full scope practice and share the workload
  -Encourages relational care between providers and patients

Question 21

Specific members in interdisciplinary teams depend on?

Answer 21

Care needs of patient population and facility

Question 22

Explain the Attending Physician/Most responsible physcian (MPP)

Answer 22

• Responsible for diagnosis and overall direction of patients care
  -Inpatient admitted under attending physician/primary medical team

Question 23

Explain Physicians in training

Answer 23

• Medical student intern (MS13-MSI4)- not completed degree yet
• Resident (R1-R5) - degree completed, in residency training for independent practice
• Fellow- residency completed, training to become expert specialist

Question 24

Explain consult service

Answer 24

• Physician specialist in a topic area providing expert opinion/diagnostics and treatment recommendations to primary medical team
  -May “sign-off” patient when consult request resolved (hand back to primary team)

Question 25

Explain Care Management Leader (CML)/Patient Care Coodinator PCC)

Answer 25

- RN responsible for coordinating patient dispositions )ex. patient transfers, discharers, liaising with community services etc.)

Question 26

Explain Charge Nurse

Answer 26

RN responsible for coordinating and supervising nursing services

Question 27

Patient Care Nurse (Bed Nurse)

Answer 27

- Prove all aspects of day-to-day patient care, including administration of meds and monitoring of pt. progress - LPN or RN

Question 28

What are Allied Health Professionals

Answer 28

Over 70 allied health disciplines composed of regulated professions, technical, clinical assisting occupations and therapy

Question 29

Give examples of Allied Health Professionals

Answer 29

- Pharmacists -Pharmacy technicians Social worker - PT -ot -Dietician - Home health liason - RT - Speech language pathologust Recreational Therapist

Question 30

Explain the Unit Clerk

Answer 30

- Clerical and administrative support for all patients care activities - Submits and coordinates orders for investigations, tests, meds - Manages communications with external groups (consult note requests, sending discharge documents

Question 31

For pharmacists who are the roles and responsibilities determined by?

Answer 31

Their grade level set by agreed upon the employer and union

Question 32

Grade 1Rx:

Answer 32

- Primary dispensary but can vary by hospital - Additional training: none - May occasionally provide shadowing opportunities to undergrad and residency program students

Question 33

Grade 2 Rx:

Answer 33

- Primary clinical, with some dispensing responsibilities OR - Informatics pharmacists -Additional training: year 1 residency or other programs - Serve as practice educators to undergrad and residency programs - Some do research

Question 34

Grade 3 Rx

Answer 34

- Clinical Pharmacy Specialist - Expert practitioner, researcher, and educator - Additional training: 1 year + year 2 residency or other advanced programs - Serve as practice educators to undergrad and residency programs - Will do research

Question 35

Grade 5/4 Rx:

Answer 35

- Clinical and/or dispensary coordinators (ex. supervisors) - Additional training: Year 1/2 residency, MBAs, Master in health admin,etc. - Some serve as practice educators to undergrad and residency programs

Question 36

What kind of pharmacists are not within the union

Answer 36

Pharmacy directors and managers