Healthcare Personnel: or Who are all those people? D. J. McMahon 140923 rev cewood 2017-09-28
Key Points Healthcare Personnel: Allied Technical Support: - know the four allied technical departments in healthcare facilities and what they do Understand the difference between Certification, Registration, and Licensure
Qualification Standards for Healthcare Workers Certification: Determination that you have met predetermined educational standards and passed an exam. Registration: Education, observed experience, an exam, and placement on a state registry. Licensure: All of the above, plus permission to perform certain functions. There is a lot of cross-over and ambiguity in these terms as applied to healthcare professionals.
The Players: Medical: physician (MD, DO) physician s assistant (PA) Dental: dentist (DDS, DMD) dental hygienist (LMD) dental assistant (CDA) Nursing: nurse practitioner (ARNP) registered nurse (RN) licensed practical nurse (LPN) nursing care assistant (CNA) nursing station clerk (or other titles) Occupational Therapy: occupational therapist (OTR) occupational therapy ass t (COTR) Physical Therapy: physical therapist (PT) physical therapy ass t (PTA) Respiratory Therapy: respiratory therapist (RRT) (CRT) respiratory therapy aide Materials Management: central services technician (CRCST)
More Players: Pharmacy: pharmacist (RPh) pharmacy technician Vision Care: ophthalmologist (MD) optometrist (OD) optician ophthalmic technician ophthalmic lab technician Cardiac Metrics: cardiologist (MD) cardiovascular technologist ECG technician Health Information: health information admin (RHIA) health information tech (RHIT) medical transcriptionist (MT) coding specialist (CCS) Surgical: surgeon (MD) surgical physician ass t (PA) anesthesiologist (MD) anesthetist (CRNA) surgical tech (CST) anesthesia tech (CerAT)(CerATT)
Still More Players: Imaging: radiologist (MD) radiologic tech (RT) ultrasound tech (RDMS, etc) vascular technologist (RVT) CAT tech MRI tech PET tech Clinical Laboratory: pathologist (MD) medical lab technologist (MT) laboratory tech laboratory ass t phlebotomist (CPT)
Essential Qualities for Healthcare Workers: 1) Put patient care first. 2) Be dependable. 3) Work well with others. 4) Be flexible. 5) Be willing to continue learning. 6) Be cost-conscious.
Allied Technical Support in Healthcare Facilities
Clinical Engineering Information Technology Telecom Facilities Engineering Interaction of the four major support groups in medical centers
Facilities Engineering - Concerned with maintaining an efficient and safe physical environment in any healthcare facility. Typically staffed by a variety of professionals at several skill levels: plumbers, electricians, HVAC specialists, carpenters, painters, etc.
Facilities Engineering General systems of responsibility: > HVAC > water supply > steam > grey water & sewage > electrical > fire alarms > vacuum > medical gases
Facilities Engineering Others, depending on setting: > beds, exam tables, etc > operating tables > surgical overhead lights > large autoclaves > patient televisions However, Many clinical engineering departments assume responsibility for some of these groups, and others.
Certified Healthcare Facility Manager (CHFM) > Certification administered by AHA and ASHE > Covers the federal and international standards for safety and efficiency in maintaining the physical plant of hospitals and clinics > Includes oversight of maintenance, repairs, improvement projects, compliance with codes, infection control, and budgetary issues > Any medium to large facility has a CHFM
Facilities Engineering
Facilities Engineering
Facilities Engineering (maybe)
Facilities Engineering
Facilities Engineering
Facilities Engineering
Facilities Engineering
Facilities Engineering
Facilities Engineering
Facilities Engineering Emergency electrical circuits Fed by the in-house generators when the external power fails. Feed every third ceiling light and all egress signs, and all service in critical care departments (ED, ICU, OB, OR) Receptacles and switches are red. Emergency power must activate within 10 seconds of a failure of the power grid.
Facilities Engineering Ground-fault circuit interrupters (GFCI s) are required in wet locations and within 6 feet of any sink.
Testing receptacles - Facilities Engineers or Clinical Engineering?? (yes!)
Facilities Engineering Fire alarm and sprinkler systems
Facilities Engineering Fire Alarm System
Facilities Engineering Vacuum system
Vacuum system Facilities Engineering
Bulk medical gas supply Facilities Engineering
Cylinder medical gas supply
Facilities Engineering
Information Technology (IT) Sometimes called Information Systems (IS) or Clinical Information Systems (CIS) Responsible for the transfer of the administrative, financial and clinical information in a medical center. Includes paper-based information processing as well as desk-tops, laptops, servers, and their interconnection. Major role in data security and patient privacy. Also includes archiving of diagnostic images (PACS).
Increasing interaction between IT and Clinical Engineering, as patient care equipment is networked and patient data is archived.
HL7 - a nationally and internationally accepted computer protocol that allows healthcare applications to share clinical data with each another. IEC 80001 - an application of risk management to hospital networks that incorporate medical devices. Deals with the risks of corrupted data and unauthorized access to data in healthcare networks.
Telecommunications - Responsible for all modes of voice and data communication within the facility: telephones, pagers, cell phones, wireless hands-free pagers, etc.
Example:
Typical credentialing agencies: Vendor Credentialing Service RepTrax And finally: Vendor representatives and contract technical personnel are now commonly credentialed before allowed into the facility. VendorMate
There are a lot of people on board Get to know what they do.