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)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---2-3 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
• Places of employment:
• Hospital
• LTC
• 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 – 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- 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- 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- 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.
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---OD
• medical doctor who diagnoses, treats, and
performs surgery for eye diseases, and vision
correction
• Optometrist- 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 contact
• 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