Objectives Identify different types of health care facilities. Describe a typical hospital...
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Transcript of Objectives Identify different types of health care facilities. Describe a typical hospital...
Objectives
• Identify different types of health care facilities.
• Describe a typical hospital organizational structure.
• Identify hospital departments and their relationship to surgical services.
• Discuss the professional development of a surgical technologist.
Health Care Facilities
• Traditional healthcare has changed dramatically.
• Surgical procedures, once restricted to hospitals are now provided in many different settings.– Ambulatory Surgery Center– Labor and delivery units– Specialty doctors offices
Health Care Facilities
• Hospitals are organizations with:– Governing Body– Medical Staff– Professional Staff– Inpatient facilities
Health Care Facilities
• Hospitals provide:– Medical– Nursing– Related services
• 24 hours a day/7 days a week
Health Care Facilities
• Hospitals are commonly described in many ways:– Ownership– Profit philosophy– Relationship to community needs
Health Care Facilities
• Non profit
• Proprietary (Profit)
• Tax supported
Health Care Facilities
• Non profit– General, acute care hospitals– Owned by private corporations– Profits are used to put back into
the hospital for improvements.– Non taxable by US Gov.
Health Care Facilities
• Proprietary/Profitable– Corporation or investor-owned– Intent is to provide good patient
care.– Taxable profits returned to the
investors.
Health Care Facilities
• Tax Supported– Becoming less and less common.– Assisted with money from US
Government.– May lend a hand to non-profit
hospitals.
Health Care Facilities
• Most hospitals perform surgery in more than one setting:– Outpatient surgery– Labor and Delivery Rooms– Specialty areas
Health Care Facilities
• Ambulatory Surgery Center–Physically separate
from hospital–Same Day Surgery
patients that do not require hospitalization.
Health Care Facilities
• Clinics– Facility designed for
diagnosis and treatment of outpatients.
– Some clinics perform certain surgery like procedures.
Hospital Organization
• Policies and philosophy established by a board of directors.
• May be elected or appointed positions.• The board hires a CEO (Chief executive
officer) to put the policies into practice.
Hospital Organization
• Most hospitals have several vice presidents in charge of broad areas.– Administration– Medical affairs– Patient services– Legal services– Finances– Building and environment
Hospital Organization
• Medical Affairs may be divided into:– Medical staffing
• Physicians– Nursing services
• All other health care providers
Hospital Organization
• Medical staffing may also be divided by physician specialty.– Chief of Medicine– Chief of Surgery
• Medical and Surgical subspecialties may have a “Chief”.– Example: Chief of Orthopedics
Hospital Organization
• Surgeons– Medical doctors completed an education and
training and have surgical privileges.– Require 4 years of college– 4 years medical school– 4-8 years in surgical specialty.
Hospital Organization
• Physician Assistants (PA)– 20-24 month programs usually affiliated
with medical school.– Works under a physicians direction,
extending their capabilities.– May work with surgeon in the O.R.
Hospital Organization
• Nursing services will have a Director of Nursing (DON) that will oversee all nursing personnel.
• Hospital will be divided into smaller departments.– Example: Surgical Services
Hospital Organization
• Nursing staff include:– Graduate Nurses (GN)– Licensed Practical/Vocational Nurse
(LPN/LVN)– Associate degree registered nurses (AND)– Bachelor’s degree registered nurses (BSN)
• Some of which may have special credentials– CNOR Certified Nurse Operating Room
Hospital Organization
• Anesthesia staff include:– Anesthesiologists– Certified Registered Nurse
Anesthetists (CRNA)– Anesthesia technicians
Hospital Communication
• Hospital departments divided into direct and indirect patient care.
Hospital Communication
• Direct Patient Care– Nursing care units– Diagnostic Imaging– Medical Laboratory– Pharmacy– Physical/Occupational therapy
Hospital Communication
• Indirect Patient Care– Admin– Maintenance– Housekeeping– Food Services– Central Services– Medical Records
Financial Considerations
• Surgery is expensive!!
• Patient and insurance provider will share certain costs.
• Surgical technologist must keep this in mind during surgery.
Financial Considerations
• Insurance policies spell out what costs the insurance company will cover and what is not covered.
• Payments are made to the insurance company on an ongoing basis for coverage.
Financial Considerations
• Private insurance– Contractual relationship and mutual benefit
between the person and a private company that agrees to pay for services.
– These type of policies still exist but have been replaced largely by HMO/PPO.
Financial Considerations
• HMO/PPO(Health Maintenance Organization)(Preferred Provider Organization)
• Lower or limits costs by having a contract with health care providers.– Physicians– Hospitals
Financial Considerations
• HMO/PPO– Enrollee chooses their primary
provider.– Doctors visits and services are at a set
rate.– Primary provider may only refer the
patient to a specialist.• “Gatekeeper”
Financial Considerations• Medicare
– Federal Government sponsored through the CMS. (Formally known as the HCFA)
– People 65 and older
• Medicaid– State and Federal Government funded– Reimburses hospitals for low income
persons.
Professional Development for Surgical Technologists
Professional Development
• The Association of Surgical Technologists is the professional organization for surgical techs.
• Stresses education and certification to enhance and ensure the highest quality of patient care.
Professional Development
• Although certification is not required in all job opportunities, it is rapidly becoming a necessity.
• Continuing education is required for certification and improves patient safety and healthcare.
Professional Development
• Job opportunities include:– Specialization in area of interest– Private employment by surgeon– Traveling surgical techs– Veterinary Surgeon assistant– Medical representative for corporation– SPD – Sterile Processing Department– Surgical tech instructor– Volunteer opportunities
Opportunity awaits you….Just open the door!