1. Health care careers Part II
What do you want to be?

2. Difference between a first responder and an EMT
EMT- provide emergency pre-hospital care
First responder-
First person to arrive at scene
Police officers, fire department, immediate family members
Usually provides basic emergency medical care
Certified first responder- trained in airway management, O2, bleeding control, and CPR

3. EMS cont
EMT- emergency medical tech- provides care for illnesses and injuries
May treat fractures, airway obstruction, BLS, O2 admin, emergency child birth, rescue of trapped people, transporting victims

4. Levels of EMS EMT-B (defibrillation)has additional training in BLS
Can administer the AED
EMT-A (advanced) same tasks as EMT, but also assesses patients manages shock, uses IV and can insert esophageal airways
EMT-P-(paramedic)another 2 years school --has ACLS, ECG’s, intubation, and administer drugs

5. Talk with table buddy-------
Ask what the 3 levels of EMT are.

6. Health information communications services
Maintain complete and accurate records
Distribute health information via writing, photos and illustrations
Works for:
Hospitals
Clinics
LTC
Home health agencies

7. Types of health info workers
Medical records administrator-compiles stats, stores info, manages medical records
Medical records tech-organize and code patients----(CPT book)
Medical transcriptionist- enters information from documentation or audio from health care professionals
Unit secretaries- record info in patients orders supplies, schedule procedures or test

8. Health info workers cont.
Medical illustrator- illustrations for charts graphs, journals or magazines(Dr Netter/CIBA)
Medical librarian- organize books and journals, use computers to generate information to large health care facilities,
and some specialize research

9. Medical careers
Involved with treatment , diagnosis, prevention of disease
Included doctors, or is supervised by doctors

10. Levels of workers for medical
Doctor MD- can diagnose and treat and prevent disease
800,000 MDs in US with many specialties
bachelors at university then MCAT
4 years to get MD then exams and year of internship
specialize? 4-5 years in residency
sub-specilaize years in fellowship

11. What is a DO?----osteopathy
osteo means ‘bone’
Doctor of osteopathic medicine---DO
Started in 1890s by Andrew Still, a civil war surgeon. Placed emphasis on manual manipulation and preventative medicine.
DO more likely to be wholistic but really same as MD(same exams). Can do specialties, anesthesiology,ect.
Most DO don’t use manipulation.
80,000 DO in US.

12. What is a DC?----chiropractor chiro means ‘hands’
Doctor of chiropratic---DC
Started in 1890s by DD Palmer, ‘health hippie’.
Based on structure affects function. School starts same as MD then fades into manipulation and wholistic, nutrition theories instead of medications. Some do specialties like radiology or sports medicine with more training.
50,000 DCs in US.
Maybe DCM someday, to allow medications with manipulation.

13. Medical levels cont
Physician’s assistant- able to diagnose, take medical history, treat minor injury, and prescribe under the supervision of a physician
Medical assistant- works under the supervision of a physician, preps patient for examination, procedures, maintains equipment, performs basic labs

14. Medical social services
Can be mental service worker- works with mental retardation, or mental or emotional disorders. Or, they are social workers that work with ill patients, employment, and community problems- both help people to be more independent
They can work for public facilities, clinics, private practice and HHA, go offices, rehab, hospitals

15. Mental and social services cont
Psychiatrist is MD who specializes in mental disorders
Psychologist- work under the supervision of psychiatrist, study human behavior, and behavior modification
Psych health tech- work under supervision of doc, help patients with rehab plans, and help teach and observe patient ‘s social behavior

16. Mortuary careers Preparation of body, burial, creation
Level of worker:
Funeral directors/morticians- prep body, secure information death certificate, make burial arrangements, usually licensed embalmer
Embalmer- washes body, replace blood with embalming fluid, reshapes disfigured bodies, apply cosmetics, and dress bodies and put in the box

17. Mortuary careers
Mortuary assistant- works under the supervision of the funeral director Assist with prep of body Drive the hearse Arrange flowers for viewing Assist prep of funeral service We wash the body, and drive the hearse!!!

18. NURSES Job duties are to be awesome!
provide care for patient under the direction of a physician
about 3 million RNs in US
Places of employment:
Hospital
Rehab center
clinic

19. NURSES CONT. Public health Home health HMO Schools Gov agencies
Industrial
informatics

20. NURSES CONT.
Nurse practitioners(NP) work under the supervision of the physician, able to take health history, basic exam, order lab test, referrals, set up treatment plans. Maybe able to prescribe medications.
CRNA- nurse anesthetist- able to administer anesthesia, monitor patients during surgery
Nurse educators- teach in schools of nursing at colleges universities, wellness centers

21. NURSES CONT
Nurse midwives CNM- provide care for normal pregnancies, examine patient, perform tests, teach childbirth classes, and referrals
BSN- bachelor degree nurse- work under the supervision of physician, provide total care to patients, administer medications, supervised other nursing personnel, be teachers, public health nurses, charge at hospitals

22. NURSES CONT
RN- registered nurse- able to do what the BSN does, however, BSN will usually be in an administrative type role.
LVN- work under the supervision of an RN and physician. Provide patient care that requires technical knowledge, but not able to perform some duties of the RN- example administer blood products- state laws regulate duties

23. NURSES CONT.
Nurse aide- CNA- work under the supervision of an RN, or LVN. Provide ADL’s, bathes, and basic care. Must comply with state written and performance competency exams
Surgical scrub tech- work under the supervision of the physician or RN, prep patient for surgery, set up OR, assist during surgery passing equipment

24. NUTRITION AND DIETARY SERVICES
Registered dietician-RD assess patient nutritional needs, teach proper nutrition, purchase food equipment, enforce sanitary and safety rules- some specialize in pediatric, kidney, diabetes, or weight management
Dietetic tech- works under the supervision of RD, plan menus and food, standardize and test recipes, assist with food prep

25. THERAPEUTIC SERVICES Types of worker:
OT (OTR)– masters deg required--occupational therapist help patients with mental, physical or emotional disabilities, use activities to learn ADL’s adapt to job skills, home environment or prep to return to work
PT- doctor of PT(DPT)---provide treatment for disabled joint, bone, muscle or nerve injury. Assess functional abilities, administer ultrasound, heat cool, infrared therapy, and teach patients correct use of muscles

26. THERAPEUTIC SERVICES
OT assistant- works under supervision of OT. Helps patient to carry out program of treatment and rehab activities
PT assistant- works under supervision of PT. Help to carry out prescribed plan of treatment. Performs exercises and administers heat, cold ect. Assess patient progress and reports to PT

27. THERAPEUTIC SERVICES
Pharmacists- (PharmD or RPh)dispense medications from written orders from doc, provide info on meds, and the correct way to use them. Recommend OTC items, makes sure drugs are compatible, keeps records on medications. Assess and monitor drug usage, and researches drug manufactures, and selling drugs

28. THERAPEUTIC SERVICES
Pharmacy tech-(CPhT) works under the supervision of the pharmacist, helps to prep medications, label meds, do inventory, prep IV solutions, help maintain records

29. THERAPEUTIC SERVICES
Respiratory therapist (RT)- work with physician orders. Treat patients with heart and lung disease, admin O2 gases or medications, monitor ventilator patients, perform diagnostic resp function test
Respiratory therapy tech- work under the supervision of the RT, perform basic test, clean and maintain equipment

30. THERAPEUTIC SERVICES
Speech pathologist-- identifies and evaluates and treats patients with speech or language disorder. Tests for swallowing disorders, and works with cognitive issues
Audiologist- works with patient who have hearing impairment. Test and diagnose hearing problems, prescribe treatment

31. THERAPEUTIC SERVICES
Athletic trainer AT--- prevent and treat athletic injuries, provide rehab services, give advice on physical conditioning programs, apply tape or padding to protect against injury, treat minor injury
Dialysis tech- operate “kidney bot” actually is called hemodialysis machine, monitor patient during dialysis, and teach proper nutrition

32. THERAPEUTIC SERVICES
Perfusionist- member of the open heart team that operates the heart-lung machine, monitor patient while machine is in use.

33. VETERINARY SERVICES
Veterinarian-DVM- prevent diagnose and treat illness or injury of small animals, live stock, or research
Vet tech- work under the supervision of vet, assist with animal care, collect specimens, assist with surgery, take and develop x-rays, administer prescribed treatment

34. Talk with table buddy------
You have seen many different areas of health care.
Why are there so many different specialties?

35. ANIMAL SERVICES
Vet assistant- feed, groom bathe and exercise animals, clean and sanitize cages, and surgical areas, assist with examinations

36. VISION SERVICES Ophthalmologist---MD
medical doctor who diagnoses, treats, and performs surgery for eye diseases, and vision correction
Optometrist- OD---examines eyes for vision problems and defects, prescribes corrective lenses, and referrals to other specialist

37. Optician- makes and fits prescribed eye glasses or lenses, some specialize in contacts
Ophthalmic lab tech- polish, grind, finish and mount glasses, works with glasses, contact lenses, and other optical instruments

38. VISION SERVICES
Ophthalmic medical tech-OMT works under supervision of the ophthalmologist, performs routine eye test, fits patient with contacts, administer treatment, assist with eye surgery, and admin meds, and performs advance microbiological procedures
Ophthalmic tech OT- work under the supervision of ophthalmologist and optometrist preps patient for exams, maintains instruments, teach eye exercises, measures for contacts

39. Talk with table buddy------
What is difference between
Optician
Optometrist
Opthamologist

40. career choice flowchart