Work environment ch 1
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Transcript of Work environment ch 1
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Work Environment
For the NA
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Activity
• Divide into 4 groups:– Discuss and describe what the purpose of your
assigned topic:• Health promotion• Disease prevention• Detection and treatment of disease• Rehabilitation and restorative care
• Report to class in 5 minutes
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Agency Purposes
• Health Promotion: healthy living • Disease Prevention: prevent disease • Detection and treatment: treat illnesses • Rehab and restoration: get back to normal
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activity
• Discuss any personal experience with healthcare agencies– Positive and negative experiences– What services were required and which health
team members provided services?– How were services paid for?
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• What is:– Acute illness
– Chronic illness
– Terminal illness
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Types of Illnesses
• Acute• Chronic• Terminal
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Activity: what is the purpose and services provided by the following?
– Hospitals– Rehabilitation & sub acute care agencies– Long-term care centers (nursing homes, nursing
facilities, nursing centers)• Skilled nursing facilities (SNFs)
– Assisted living residences– Mental health centers– Home care agencies– Hospices– Health care systems
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Assignment
Divide your paper into 8 sections
Draw a picture to represent each of the types of agencies
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Rehabilitation
• Cardiac • Brain Injury • Spinal Cord • Stroke • Respiratory • Musculoskeletal • Complex medical and surgical conditions
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Long term care facility (LTCF)
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Skilled Nursing Facility (SNF)
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Assisted Living
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Home Health Agencies
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Health Care System
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Nursing Team
• RN– Nurse practitioner
• LPN • PCT-patient care technician • NA-nurse aid
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The Nursing Team Activity
• Describe the role and responsibilities of these members: RN, Nurse Practitioners, LPN / LVN, NA– What is the difference in education?– What are the licensure requirements?– Who can they delegate to?
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Nursing care patterns
• Functional Nsg.- jobs by task- pass meds • Team Nsg.- RN oversees LPN, nurse aids • Primary Nsg- RN does all care for pt. • Case management: RN manages care from
admit-discharge • Pt focused care: services are done at bedside.
Ex: draw blood, do EKG
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Draw pictures to represent the nsg. care patterns
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Paying for health care
• Private insurance:– individual pays for
• Group Insurance: – paid for by employers
• Medicare– federal health insurance for elderly – Part A- pays hospital – Part B- dr. offices, meds- person pays for or is
retirement benefit
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Prospective Payment Systems
• Limit amount paid for by insurance– DRG's- diagnostic related groups– RUG's- nursing homes– CMG's- rehabilitation centers– HHRG's- home health care
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Medicare
• Insurance for those over 65 years old• Pay into throughout life• Part A• Part B
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Managed care
• Have contract with dr. and facilities • May need pre approval • HMO- Health Maintenance Organization– Pay a prepaid fee for services (copay)
• PPO- Preferred provider Organization – Contract with group of dr./facilities to provide
care. – Reduced rate for going to them
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Assignment
• Complete chart indicating each type of insurance
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Standards set by government/accrediting agencies
• Must meet for:– Licensure-to provide care– Certification-to get paid by Medicare/Medicaid– Accreditation- voluntary "excellence"
• Survey process• Deficiency
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Assignment
• Using the organizational chart, decide who you would report problems to
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Case Study
Mr. Jansen a 70 yr. old had surgery to repair a fractured hip. His wife died 2 years ago & his son lives in the same town. The son is married & has a 16 year old daughter. The son & daughter-in-law both work full time. Mr. Jansen lives alone & works part time as a janitor. Today is his 3rd day in the hospital & his 2nd day after surgery. He has Medicare part A & B. The hospital discharge planner told him he is ready to be discharged from the hospital.
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Questions?
1. Is Mr. Jansen condition- acute, chronic or terminal?2. Can Mr. Jansen go directly home from hospital?
Explain3. What care & services does he need?4. Where can he receive the care & services he needs?5. What healthcare providers will be involved in his care?6. What healthcare agencies will be involved in his care?7. How will he pay for his care?