Medical Tech Prep 1Medical Tech Prep 1Mrs. CarpenterMrs. Carpenter

Chapter 1: Intro to Health Care Chapter 1: Intro to Health Care AgenciesAgencies

Pages 1-12Pages 1-12

ObjectivesObjectives

• • Define the key terms listed in this chapterDefine the key terms listed in this chapter• • Explain the purposes and services of health Explain the purposes and services of health

carecareagenciesagencies• • Identify members of the health team and theIdentify members of the health team and the nursing teamnursing team• • Describe the nursing service departmentDescribe the nursing service department• • Describe the nursing team membersDescribe the nursing team members• • Describe four nursing care patternsDescribe four nursing care patterns• • Describe programs that pay for health careDescribe programs that pay for health care• • Explain why standards are metExplain why standards are met

AGENCY PURPOSES AGENCY PURPOSES AND TYPESAND TYPES

Services range from simple to Services range from simple to complex.complex.

Purposes of agenciesPurposes of agencies– Health promotionHealth promotion

Physical and mental health are included.Physical and mental health are included. The goal is to reduce the risk of illness.The goal is to reduce the risk of illness. teaching and counseling about healthy living.teaching and counseling about healthy living. signs and symptoms of illness are learned.signs and symptoms of illness are learned. learn how to manage and cope with their learn how to manage and cope with their

diseases diseases

Purposes of agencies-Purposes of agencies-continuedcontinued

Disease preventionDisease prevention– Risk factors and early warning signs of Risk factors and early warning signs of

disease are identified.disease are identified.– Measures are taken to reduce risk Measures are taken to reduce risk

factors and prevent disease.factors and prevent disease.– lifestyle changes can prevent health lifestyle changes can prevent health

problems.problems. examples examples

– Diet and exercise can help lower blood pressure.Diet and exercise can help lower blood pressure.– Immunizations prevent some infectious diseases Immunizations prevent some infectious diseases

Purposes of agencies-Purposes of agencies-continuedcontinued

Detection and treatment of diseaseDetection and treatment of disease– Diagnostic tests, physical Diagnostic tests, physical

examinations, surgery, emergency examinations, surgery, emergency care, and drugscare, and drugs

– Respiratory, physical, and Respiratory, physical, and occupational therapiesoccupational therapies

– observing signs and symptoms, giving observing signs and symptoms, giving care, and carrying out doctor’s orderscare, and carrying out doctor’s orders

Purposes of agencies-Purposes of agencies-continuedcontinued

Rehabilitation and restorative careRehabilitation and restorative care– return persons to their highest return persons to their highest

possible level of physical and possible level of physical and psychological functioning.psychological functioning.

– starts when the person first seeks starts when the person first seeks health care.health care.

– person learns or relearns skills.person learns or relearns skills.

- Maintaining function is important.- Maintaining function is important.

Purposes of agencies-Purposes of agencies-continuedcontinued

Student learningStudent learning– Many agencies are learning sites for Many agencies are learning sites for

students.students.– Students assist in the purposes of Students assist in the purposes of

health care.health care.

Types of AgenciesTypes of Agencies

Nursing assistants work in many Nursing assistants work in many settings. settings. – HospitalsHospitals– Rehabilitation and subacute care agenciesRehabilitation and subacute care agencies– Assisted living facilities Assisted living facilities – Long-term care centers Long-term care centers – Mental health centersMental health centers– Home care agencies Home care agencies – Hospices Hospices – Health care systems Health care systems

APPLICATIONAPPLICATION #2#2TYPES OF AGENCIESTYPES OF AGENCIES

Students will be assigned to Students will be assigned to groupsgroups

Each group will have a type of Each group will have a type of agency and will find the following agency and will find the following information on that agency.information on that agency.– 1.purpose 1.purpose – 2. services2. services

BELL WORKBELL WORK1 Identify two purposes of health 1 Identify two purposes of health

care agenciescare agencies

2. List 2 types of health care 2. List 2 types of health care agencies and the purpose of each agencies and the purpose of each

that you listthat you list

3. Who is the focus of care for health 3. Who is the focus of care for health care agencies?care agencies?

ORGANIZATIONORGANIZATION

-An agency has a governing body -An agency has a governing body called the board of trustees which called the board of trustees which makes policies following local, makes policies following local, state, and federal standardstate, and federal standard

-An administrator manages the -An administrator manages the agencyagency

-Directors or department heads -Directors or department heads manage certain areasmanage certain areas

ORGANIZATIONORGANIZATION

The health team (the The health team (the interdisciplinary health care team)interdisciplinary health care team)– involves staff members who work involves staff members who work

together to provide health care.together to provide health care.– The team’s skills and knowledge The team’s skills and knowledge

focus on the person’s total care.focus on the person’s total care.– The goal is to provide quality care.The goal is to provide quality care.– The person is the focus of care.The person is the focus of care.

ORGANIZATIONORGANIZATION

Nursing serviceNursing service– a large department.a large department.– The director of nursing (DON) is an The director of nursing (DON) is an

RN.RN.– Vice president of nursing and vice Vice president of nursing and vice

president of patient services are other president of patient services are other titles.titles.

– The DON is responsible for the entire The DON is responsible for the entire nursing staff and the care given.nursing staff and the care given.

ORGANIZATION-ORGANIZATION-Nursing ServiceNursing Service

Nurse managers (RNs) Nurse managers (RNs) -assist the DON.-assist the DON. -responsible for A work shift or -responsible for A work shift or

nursing area and all nursing care nursing area and all nursing care and the actions of nursing staff in and the actions of nursing staff in their areastheir areas

ORGANIZATION-ORGANIZATION-Nursing ServiceNursing Service

Nursing education staff:Nursing education staff:– Plan and present educational programsPlan and present educational programs– Provide the nursing team with new and Provide the nursing team with new and

changing informationchanging information– Instruct the nursing team on the use of Instruct the nursing team on the use of

new equipmentnew equipment– Educate and train nursing assistantsEducate and train nursing assistants– Conduct new employee orientation Conduct new employee orientation

programsprograms

Organization-THE Organization-THE NURSING TEAMNURSING TEAM

THE NURSING TEAMTHE NURSING TEAM– involves the individuals who provide involves the individuals who provide

nursing care (RNs, LPNs/LVNs, and nursing care (RNs, LPNs/LVNs, and nursing assistants).nursing assistants).

– Each member of the team has Each member of the team has different roles and responsibilities.different roles and responsibilities.

– All members are concerned with the All members are concerned with the physical, social, emotional, and physical, social, emotional, and spiritual needs of the person and spiritual needs of the person and family.family.

Organization-THE Organization-THE NURSING TEAMNURSING TEAM

Registered nurses (RNs):Registered nurses (RNs): - RNs completed a 2-, 3-, or 4-year - RNs completed a 2-, 3-, or 4-year

nursing program and passed a nursing program and passed a licensing test.licensing test.

a. Community college programsa. Community college programs b. Hospital-based diploma programs b. Hospital-based diploma programs c. College or university programs c. College or university programs - RNs must have a license that is - RNs must have a license that is

recognized by the state in which they recognized by the state in which they work.work.

Registered NursesRegistered Nurses

-RNs may delegate the orders to -RNs may delegate the orders to LPNs/LVNs or nursing assistantsLPNs/LVNs or nursing assistants

-RN job options depend on -RN job options depend on education, abilities, and education, abilities, and experience.experience.

-report to the nurse manager. -report to the nurse manager.

LPNLPN

Licensed practical nurses and licensed Licensed practical nurses and licensed vocational nurses (LPNs and LVNs) vocational nurses (LPNs and LVNs)

LVN’s only in certain states LVN’s only in certain states LPNs/LVNs:Are supervised by RNs, LPNs/LVNs:Are supervised by RNs,

licensed doctors, and licensed dentistslicensed doctors, and licensed dentists -Have fewer responsibilities and -Have fewer responsibilities and

functions than RNsfunctions than RNs - Have less education than RNs- Have less education than RNs

Nursing AssistantsNursing Assistants

Nursing assistants Nursing assistants give basic nursing care under the give basic nursing care under the

supervision of an RN or LPN/LVN.supervision of an RN or LPN/LVN. -title depends on the setting, roles, -title depends on the setting, roles,

and functions.and functions.

NURSING CARE NURSING CARE PATTERNS PATTERNS

Functional nursingFunctional nursing Team nursingTeam nursing Primary nursingPrimary nursing Case managementCase management Patient-focused carePatient-focused care The nursing care pattern depends The nursing care pattern depends

on how many persons need care, on how many persons need care, the staff, and the cost.the staff, and the cost.

PAYING FOR HEALTH PAYING FOR HEALTH CARECARE

Group insurance Group insurance – bought by groups for individuals.bought by groups for individuals.– employers provide health insurance employers provide health insurance

for employees under group coverage.for employees under group coverage. MedicareMedicare Medicaid Medicaid Prospective payment systemsProspective payment systems Managed care Managed care

Paying for HealthcarePaying for HealthcareComplete the following assignment in the time given.Complete the following assignment in the time given.25 points for correct answers will be recorded for the related grade. 25 points for correct answers will be recorded for the related grade.

For each of the following terms related to For each of the following terms related to paying for healthcare answer the questions paying for healthcare answer the questions below.below.

• • Private insurancePrivate insurance• • Group insuranceGroup insurance• • MedicaidMedicaid• • MedicareMedicare• • Managed careManaged care1. How is the system paid for?(5 pts)1. How is the system paid for?(5 pts)2. What populations are covered?(5 pts)2. What populations are covered?(5 pts)3. What services are covered?(5 pts)3. What services are covered?(5 pts)4. Does the coverage have any restrictions?(5 4. Does the coverage have any restrictions?(5

pts) pts) 5. What are the restrictions?(5 pts)5. What are the restrictions?(5 pts)

The role of the nursing The role of the nursing assistant assistant

Provide quality care.Provide quality care. Protect the person’s rights.Protect the person’s rights. Provide for the person’s and your own Provide for the person’s and your own

safety.safety. Help keep the agency clean and safe.Help keep the agency clean and safe. Conduct yourself in a professional manner.Conduct yourself in a professional manner. Have good work ethics.Have good work ethics. Follow agency policies and procedures.Follow agency policies and procedures. Answer surveyor questions honestly and Answer surveyor questions honestly and

completely.completely.

Care Plan WorksheetCare Plan Worksheet

Complete the Worksheet and Complete the Worksheet and answer the questions in complete answer the questions in complete sentences to receive total points sentences to receive total points for the assignmentfor the assignment