Presentation Notes Flashcards
Orthotist and Prosthetist: Definition
orthotist : braces and splints for people
prosthetists: prosthesis, artificial limbs
Orthotist and Prosthetist: History
traceable back to ancient times
orthotic started with leather, textiles, and metals
physical and spiritual need for functional and cosmetic wholeness to limb loss in battle
mood metal glue and leather up to 20th century
15th to 19th century, franc and switz making artificial limbs that could bend using cables gears and cranks
today, more lightweight and durable with plastic, titanium, silicone
Orthotist and Prosthetist: where and schedule
found in health and personal care stores, private orthotic/prosthetic facilities, major hospitals and non governemnt organizations
40+ hours usually
Orthotist and Prosthetist: job duties
evaluate and interview patietns tod determine needs
take measurements or impressions of part of a patietns body that will be fitted with brace or artificial limb
design and fabricate orthopedic and prosthetic devices based on physicians prescriptions
select materials to be used
instruct on use and care
adjust,r repair, or replace prostthetic and orthotic devices
document care in patients’ records
Orthotist and Prosthetist: clients/patients
orthotists see patietns with existing libms that need additional support
prosthetist see patients with amputated limbs
Orthotist and Prosthetist: equipment
Tplate foot pressure plate: analyze weight distribution in the feet
baseline goniometers: measure joint range of motion
pneumatic squeeze dynamometer: measure hand and finger strength
baseline goniometers: joint range of motion
braces for knees, pelvis, neck, and spine.
prosthetist can usee fabricated metal and alluminum parts
Orthotist and Prosthetist: w PT/PTA
physical therapist can determine when an orthotist is needed to help a patient and can work together to create the brace itself and the treatment that follows
Orthotist and Prosthetist: OTHER professionals
dietitians and nutritionists can help getting the required mac/micro nutrients ended for recovery and prevention
psychiatrists play arole in mental health of the patient
Orthotist and Prosthetist: level of education
CAAHEP : commission on accreditation of allied health education programs
NCOPE: national commission on orthotic and prosthetic
12 month residency ??? aaaaaaaa too fast
Orthotist and Prosthetist: program at CSN?
no program at csn, or in the state of nevada
Orthotist and Prosthetist: licensure requirements
bachelors in related field
complete masters accredited by CAAEP
complete clinical residency
pass exam American board for certification of
Orthotist and Prosthetist: continuing education requirements
two years + 30 hrs
Orthotist and Prosthetist: representative organization
American Orthotic and Prosthetic Association (AOPA)
established 1917
NAAOP national association for the advancement of orthotics and prosthetics
established 1987
collective voice and high quality patient standards
Speech and Language Pathology / Speech therapist: definition
licensed communication experts that identify, assess, diagnose, and treat speech, hearing, and feeding/swallowing difficulties
no difference between speech and language pathologist adn speech therapist
Speech and Language Pathology / Speech therapist: history
18th century - creation of dictionaries, Samuel Potter’s book “speech and its defects”
1925 - ASHA (American speech and language hearing association)
1940s-1950s: Effects of WW2, aphasia affected soldiers
1960s-1980s: distinction between speech disorder and language disorder, involvement of technology
1990-Present: further studies in communication disorders. work in more settings. growing more, expected to grow by 29% within next three years
Speech and Language Pathology / Speech therapist: where and schedule
Found in
-education
early intervention
healthcare
hopsitals
residential care
nonresidental care
private care
corporate
government agencies
public health departments
uniformed services
Interview: Karina Magdangal
typical work week 40~ hours a week, 4-5 times a week
Speech and Language Pathology / Speech therapist: job duties
Karina Magdangal
assessment is initial evaluation or re
progress summaries either 3 or 6 months depending on insurance
discharge when needed
30 minute sessions for speech
implement language on the swing if they want to play, let them move if they get wiggly before coming back to work
basic sign language for nonverbal kids
duties incldue evaluations, reevaluations, assessments, progress/discharge summary
Speech and Language Pathology / Speech therapist: clients/patients
works with children with autism, developmental delays, issues with swallowing and eating
might work with adults with neurological events such as stroke, cancer, trauma etc
Speech and Language Pathology / Speech therapist: equipment
Sensi: vibratory oral motor tool used for stimulationand massage as well as exercises of the tongue, palate,and jaw (speech and feeding therapy)
Bite Blocks: different sized blocks to aid with jaw stability and strength
Chewy tubes: utilized to teach proper chewing, biting, and normalization of oral habits
Speech and Language Pathology / Speech therapist: w PT/PTA
SLP and PT improve ADLS together
common to see them workign together
both work to better a patient’s every day activities
plan treatment/plan of care together with PTs in pedatric setting
Utilize PT equipment in SL sessions
can use pt equipment to let children move around
Speech and Language Pathology / Speech therapist: other professionals
referrals and self-referrals: it’s an autonomous profession: independent or inter-professional framework
collaborate with: audiologists, physicians, nurses, educators, dieticians, etc
Speech and Language Pathology / Speech therapist: education
bachelors degree in medical field
earn master of sicence in speech-language pathology
pass praxis exam
obtain licensure and certification in state
Speech and Language Pathology / Speech therapist: at CSN?
no SLP program
does offer communication programs and majors that can lead to career in speech therapies
also deaf studies
Speech and Language Pathology / Speech therapist: Licensure requirements
apply for a provisional license
complete a practical and postgraduate clinical fellowship (minimum of 36 weeks to 1260 hours)
pass the praxis exam (usually taken in last semester of graduate program)
secure certificate of clinical competence in speech-language pathology
Speech and Language Pathology / Speech therapist: Continuing education
postsecondary programs, seminars, annual tests/classes
annual 10 hours of continuing education if licensed by board
ethics, cultural competence/humility, culturally responsive practices/diversity, equity and inclusion
Speech and Language Pathology / Speech therapist: Representative Organization
ASHA: American speech and language hearing association
founded in 1925 in new york
audiologists, speech language pathologists, speech language and hearing scientists, audiology, speech language pathology assistants, and students
rhetoric speech and theater ? 25 members to 228000 members as of 2022
Mission statement: Empowering and supporting audiologists, speech-language pathologists, good environment for employees
X-RAY TECHNICIAN: Definition
Originally called radiologic technologists, also known as radiographers
perform medical exams using x-rays on patietns to create images of specific parts of the body
images are then interpreted by a doctor for diagnosis, monitoring of disease
X-RAY TECHNICIAN: History
founded in december 1995 by William Conrad Rontgen
discovered xrays after seven weeks of assiduous work
called xrays to underline the fact that their nature was unknown
new radiation to go through screens of notable thickness
physicians and physicist began as early as january 1986 to use xrays on patients
X-RAY TECHNICIAN: where and schedule
hospitals, emergency rooms,operating rooms, optical care unites, laboratories, private imaging services
private health care and outpatient
work fulltime 40 hours, or shifts or part time
cna work on weekends, evenings, or on call
X-RAY TECHNICIAN: Job duties
Four classifications
x-ray technician 8: close supervision
X_RAY tech 9: increased responsibility
X-RAy technician 10 : ????
8-10 have same job duties, set radiographic controls, take xrays, distribute films to medical staff, perform radiographic procedures ofr patients in surgery
maintains minor adjustments to equipment
protects from radiation
XRAY technician 11: Advanced level
can do more complex tasks than other xray techs
coordinate work of lower xray techs
oversees quality o work
X-RAY TECHNICIAN: clients/patients
treat patietns of all ages
X-RAY TECHNICIAN: equipment
X-Ray Generator: provides three things to produce xrays: electrons, means of acceleration, and target for interaction
X-Ray Tube: create xray photons from electric energy
provide sufficient output and heat load
X-Ray Cassets: hecc
xray film: displays several layer of radiographic image. emulsion layer is latent image, developed into visible film during film process
X-ray Diffraction: XRD, verastile non-desturctive analytical technique
X-RAY DARK ROOM
what they used to use, but have advanced
like a photography room
to process and evelop xray films manually
darkroom be dark
develop film
transfer film to bath
transfer film to fixing solution
washing
How it’s done today:
single xray room accomodates all radiographic needs
elevatin table can hold 770 lbs ?
digital radiography
detector charges while in bucky
uploads to computer right away so you can get xrays as soon as possible
different sized cassettes
can last an entire ship, up to 8.2 hours, or 300 images
X-RAY TECHNICIAN: w PT/PTA
X-RAY TECHNICIAN: OTHER professionals
Radiology Nurses
both focus on patients
provide care patients needs during imaging
Radiologists: doctors
X-RAY TECHNICIAN: education
associates degree, complete prerequisites dpending on college
Bachelors Degree
minimum 120 semester credit hours, including clinical
take national credentialing exam in maging modality speciality
Masters degree
complete research and thesis
learn about patient care and diganostics procedures
teaching specialty ??
X-RAY TECHNICIAN: at CSN?
offers 21 months in radiation therapy ???
oh boy they got confused too
X-RAY TECHNICIAN: licensure requirements
ocmpleted an educational program review
complete annual renewal
X-RAY TECHNICIAN: continuing education requirements
complete and report continuing education activities every two years
complete report 24 credits of approved continuing education activities
X-RAY TECHNICIAN: representative organization
American Society of Radiologic Technologists
ability insurance
products like scrubs
savings on travel, restaurants, insurance
Mission: elevate profession and enhance quality and patient care
REGISTERED NURSE [RN]: definition
graduated from college’s nursing program or from a school of nursing and has passed a national licensing exam
a registered nurse is a nurse who has graduated or successfully passed a nursing program
REGISTERED NURSE [RN]: history
before “registered nurse” was an official title, ti was often a religious practice. until 1854
florence nightingale left impact as lady with the lamp, crimean war, reduced fatal rate by ⅔
nightingale fund was established, went to St. Thomas hospital
domino effect to war nursing, dorothea dix was appointed superintendent
multiple nursing schools 1873
1892 african American nursing
1915 NLNE: national league of nursing education
2008: practice of advanced nursing
probably became required to be educated around early 1910s, kind of like physical therapists
REGISTERED NURSE [RN]: where and schedule
everywhere
Location:
hospitals, walk in and surgical clinics, emergency transport, residental homes and at-home care, legal consultancy, court system, telephone triage, schools, education/training, correctional facilities, military bases, corporate offices
pretty much everywhere
most ppl think of er nurses but here’s also surgical nurses and can be platned lots of places
RNs in hospitals and nursing home facilities, where round-the-clock care is required
may work nights, weekends, holidays. some facilities offer per diem work and on call shifts too
part time work is not super common
Working 12 hour shifts 3-4 times a week is very common for an RN
REGISTERED NURSE [RN]: job duties
JOB DUTIES
provide and coordinate patient care, education patietns and pblic about countless health concerns, provide advice and support to patietns and families
some tasks without specialties
give medications
transfers
adls
manage unit
supervising medical assistants and nurses on unit
communicate with doctors
changing dressings
wound care
patient assessments
vitals and measurements
patietns symptoms
physical examinations
drawing blood samples
requesting and conducting diagnostic tests
recommend care options to physicians
maintaining accurate and detailed records
consulting with other health care providres
sharing relevant patietn information at shift chagne such as admissions, discharges, and changes
REGISTERED NURSE [RN]: clients/patients
everywheeere
REGISTERED NURSE [RN]: equipment
Equipment description
gait belt
wheelchairs
vitals machines
electronic overhead lift
specialty vehicle (wheelchari accessible)
shower/commode chair
adjustable bed
hand orthosis
catheter
braces/supports
CPR board
standing board
personal care/hygiene supplies
hydrotherapy equipment
IVs
surgical tools
PPE
needles
REGISTERED NURSE [RN]: w PT/PTA
PT/PTA
rehab/ hospital setting, accompany transport patietns to PT facility (often nearby)
PTs would teach nurses proper transfer technique
follow through encouraging patient to keep up with PT exercises