THE HOSPITAL TEAM

Workers in a Hospitals.
A hospital is usually divided into two parts, clinical unit and non-clinical unit. The following
are workers in a hospital Clinical Unit Hospital Jobs ;
1. Animal-assisted therapy
2. Advanced practice nurses (An APN is an RN who has taken additional training beyond
nursing school).
3. Anesthesiologist (who administers medicine during surgery to help you relax and fall
asleep)
4. 4 Attending physician
5. Cardiologist
6. Clinical murse specialist (A CNS provides a wide: care in hospitals, dirics, nursing
homes, private offices, and Suer community health centers).
7. Certified registered nurse anesthetist (A CRNA specialize in giving and monitoring
anesthesia).
8. Dietician
9. Doctor on call
10. Endocrinologist
11. Fellow
12. Gastroenterologist
13. Hematologist
14. Hospitalist
15. Licensed practical nurse (LPN provides basic care).
16. Medical Assistants
17. Medical Lab Technologist
18. Medical student (who are training to be doctors).
19. Nephrologist
20. Neurologist
21. Nurse (CRNA, RN, LPN/LVN, CNS)
22. Nurse practitioner (An NP has additional training in a par- tícular area, such as family
practice or pediatrics).
23. Oncologist
24. Otolaryngologist
25. Psychiatrist
26. Psychologist
27. Pulmonologist Pharmacists
28. Physician (ER doctors, surgeons, hospitalists)
29. Physician assistant (PA works under the supervision of a doctor).
30. Registered nurse (RN gives medication, performs small pro- cedures such as drawing
blood, and closely follows a per- son's condition).
31. Resident (A doctor who has graduated medical school and is now training in a medical
specialty area).
32. Rheumatologist
33. Specialists
 34. Surgeon
35. Other Medical Staff
36. Child life specialist (offer comfort and the chance to talk about feelings).
37. Dietitian
38. Health educator (specialist who works as part of a medical team, teaching patients about
a particular health condition and how to manage it).
39. Occupational therapist (works with people to improve coor- dination and motor skills).
40. Pet therapy volunteer
41. Pharmacist
42. Physical therapist
43. Respiratory therapist
44. Social worker (focuses on improving the emotional well-be- ing of kids and their
families, and helps coordinate health care).
45. Speech-language therapist
46. Volunteer
47. Techs (Radiology Tech, Ultrasound Tech, Surgical Tech)
48. Therapist (Physical Therapist, Radiation Therapist)
Non-Clinical Hospital Jobs
1. Case manager / social worker.
2. Accountants.
3. Human Resources & Recruiting.
4. Executives- CEO, CFO, CIO.
5. Information Technology.
6. Administrative Assistants
Basic first aid kit may contain:
1. Plasters in a variety of different sizes and shapes
2. Cal Small, medium and large sterile gauze dressings
3. At least two sterile eye dressings
4. Triangular bandages
5. Crèpe rolled bandages
6. Safety pins
7. Disposable sterile gloves
8. Tweezers Scissors
9. Alcohol-free cleansing wipes
10. Sticky tape
11. Thermometer (preferably digital)
12. Skin rash cream, such as hydrocortisone or calendula
13. Cream or spray to relieve insect bites and stings
14. Antiseptic cream Painkillers such as paracetamol (or infant paracetamol for children),
aspirin (not to be given to children under 16), or ibuprofen.
15. Cough medicine
16. Antihistamine tablets
17. Distilled water for cleaning wounds
18. Eye wash and eye bath.
 Nurses
A nurse is a person who is trained to give care to people who are sick or injured. Nurses
work with doctors and other health care workers to make patients well and to keep them fit and
healthy. Nurses also help with end-of-life needs and assist other family members with grieving.
Nursing is a profession, like a doctor, but training for a nurse is different in how long a
person must train and what kind of training they need. In some places, nurses may train for three
to five years or more before they get a license as a nurse.Nurses work in many places. Nurses
work in hospitals, in doctor's offices, and in the community, and they even visit people at home
if they can not get out.Sometimes people decide to become nurses rather than doctors, because
the nurses will be able to help patients directly, by talking to them, doing things they need,
carefully watching that nothing goes wrong, and then seeing them as they get better.Like doctors,
nurses can choose what work they do. Some nurses train and work to help during surgery. Some
nurses train to help people understand health problems like nutrition (what to eat),
and disease (what can make people sick). Nurses can do many different jobs to help
people.Nurses are in demand because there are not enough nurses to handle hospital needs.
Because of this shortage nurses will sometimes travel to another location to work for a few
months in what is called travel nursing.(taken from :wikipedia)

 Nursing grades.
Nurses workmg in a hospital haive the following grades:

student nurse a nurse who is still training

Staff nurse a nurse whi has completed the training course
Charge nurse a more experienced nurse who is in charge of, or
responsible for, a ward or department
Nurse manager a nurse who is in charge of several wards

Note: The old term sister is stil sometimes used for a female charge nurse. A female nurse
manager may be called matron
 Support workers
The clinical support worker, who has done a short course and obtained basic
qualificatons, and the nursing auxiliary, who is usually unqualified, both assist nursing staft.
There may also be ward clerks, whose duties include makıng sure patients' notes and
information are up to date, and answering the telephone.
 Specialization
Like a doctors, nurses can specialize :
 A midwife has specialized from the beginning by doing a course n midwifery, the
management of pregnancy and childbirth.
 District nurses visit patients in their homes.
 Heath visitors also work in the community, giving advice on the promotion of health
and the prevention of illness.
 The nurse's role
The nurse's role has changed considerably in recent years, In addition to general
patient care, checking temperatures, pulse rates and blood pressures, changing dressings,
giving injections and removing sutures, nurses now do some of the things previously
reserved for doctors, such as prescribing drugs, and ordering laboratory tests. More
responsibility for nurses is planned, as the following article demonstrates.

Nurses carry out surgery in effort to cut patient waiting lists

Nurses in Scotland trained to perform minor surgery have entered the operating theatre
for the first time in an effort to cut patient waiting times. Five nurses who have passed a new
course at Glasgow Caledonian University are now qualified to carry out such procedures as the
removal of small lesions, benign moles and cysts.
Taken to :the scotsman

Assignment!

Complete the sentences.

1. Someone who specializes in delivering babies is a ?
2. Someone who is qualified to assist nurses is a ?
3. Someone who is not qualified but is able to assist nurses is a ?
4. A nurse who has qualified is a ?
5. A nurse who specializes in health promotion is a?
6. A nurse who looks after a ward is a ?
7. A nurse who works in the community is ?
8. Someone who answers the ward telephone is a ?
Complete the sentences with the correct grammatical form of perform.
1. An isotope brain scan is painless and easy ____________
2. Biopsy of the pancreas ____________ last March.
3. If the patient's condition deteriorates, a laparotomy should ?
4. If a diagnosis of meningitis is suspected a lumbar puncture must ?
5. Last year we. ____________ a randomized, double blind group study.
Complete the sentences with the correct grammatical form of carry out.
1. I now intend ____________ a large study
1. Unfortunately few properly controlled trials ____________ so far.
2. A number of studies ____________recently to look at this question
3. A right hemicolectomy ____________ and the patient made full recovery
4. This procedure can ____________ in the emergency department.

Vocabulary test.
Complete the following sentences with the words in the list.

a. nursing officers e. challenging

b. auxiliary nurses f. medicaL aqualified
c. part-time g. rewarding
d. qualified h. apply for a job.
 1. This hospital only hires well ____________ staff.
2. ____________ often work in administration.
3. Not many students can do a ____________ job while studing
4. This new work is ____________ for me.
5. Contact with patients must meet ____________ procedures.
6. ____________ are on the bottom grade of an institution.
7. am a psychiatric nurse. My job deals with ____________ mental health.
8. All applicants must send a CV when they ____________ .

Casualty Victim Stable

Minor Priority Critical

9. The doctors in this hospital give____________ for immediate treatment to seriously ill
patients.
10. Please, use a stretcher to bring the in the ____________ becouse his legs are injured.
11. Though Ameenah's condition is ____________at the moment, she needs to see a doctor
soon.
12. Because the patient is in serious danger, his condition is____________.
13. A ____________ of violence may have cuts and bruising to her face.
14. The doctor said that Mike's ____________ injuries could be life threatening.

Find the synonyms of the underlined words. Choose the synonyms on the lists.

a. awake and alert d. take off

b. critical e. right now
c. immobilize f. repeat
2. You can talk to the patient now because he is conscious.
3. The next step is to remove the pads from his chest. her spine.
4. Make sure you keep her head still. If not, you may injure her spine.
5. The patient needs treatment immediately, unless she will die soon.
6. If the therapy is not successful, the patient must do it again.
7. Her condition is serious, but it is not life-threatening.

Reading time.
Read the following passage and answer the questions !
 A multidisciplinary team involves a range of health professionals, from one or more
organizations, working together to deliver comprehensive patient care. The ideal
multidisciplinary team for the delivery of the Health One NSW model of care includes: general
practitioners, practice nurses, community health nurses, allied health professionals, and health
educators.
Multidisciplinary teams convey many benefits to both the patients and the health
professionals working on the team. These include improved health outcomes and enhanced
satisfaction for clients, and the more efficient use of resources and more efficient use of
resources and enhanced job satisfaction for team members.
To ensure optimum functioning of the team and effective patient outcomes, the roles of the
multidisciplinary team members in care planning and delivery must be clearly negotiated and
defined. This requires: respect and trust between team members; the best use of the skill mix
within the team; agreed clinical governance structures; agreed systems and protocols for
communication and interaction between team members. These issues are complex and
achievement of them can involve significant change to work practices and organizational
arrangements, as well as multifaceted implementation strategies. (taken from: uuw.health.nsw.gov.au)

Answer the Following Questions!

1. What is the best title for the text?
2. What is the text about?
3. What does multidisciplinary team deal with?
4. What are the benefits of multidisciplinary team?
5. What are needed to conduct strong multidisciplinary team?

Read the following passage and answer the following questions.

Once you've treated the injury or illness you are not quite out of the woods until further help
arrives. In that time, correct positioning of the casualty can aid recovery in the same way that poor
positioning can very easily aggrevate the injury or exacerbate the condition. Here are a few
positions to consider.
Without airway management equipment or techniques unconscious casualties will die on
their back. We can open their airway with a simple head tilt but this does not prevent fluids (blood
or saliva) draining down or coming up (vomit or blood) and entering the airway.
Any unconscious casualty (even with a suspected spinal injury) should be positioned onto
their side because, quite simply, if you don't have an airway, you don't have a casualty.
Regardless of whether you call it the Safe Airway Position, Recovery Position, Drainage Position,
Left lateral Recumbent or Three-Quarter Prone, we're going to flip them over.
The Safe Airway Position is often called Left lateral Recumbent, especially in the US. There
is sometimes mileage in positioning the casualty on their left; the most cited reason - and most
plausible is significant for women in the later stages of pregnancy when positioning the casualty
on their right will apply pressure from the fetus onto the superior vena cava (one of the two large
vessels which return deoxygenated blood to the heart) impeding circulation. Other reasons
include:
 Stomach curves to the left, so vomit would have an extra curve to overcome
 Stomach curves to left, so contents won''t be pushing against sphincter.
 In the ambulance, attendant can watch him better facing toward him
  Improved ventilation given the right lung being slightly larger than the left and left
main stem bron- chus being at an angle.
There is no real evidence for any of these justifications so it would seem that many of the
reasons given are - as is often the way in First Aid largely historical cliche's perpetuated because
it is really easy to teach people what you have been taught rather than actually looking into what
you are teaching. (taken from: www.realfirstaid.co.uk)

Answer the following questions!

1. What does the passage mainly discuss?
2. What will happen to unconscious casualties if airway man- agement equipment is not
given?
3. What is Left lateral Recumbent?
4. Mileage in positioning the casualty on their left is mostly important for?
5. What are the benefits of Stomach curves to the left?

Writing
Write your profile in the following space provided. Your writing must explain:
1. Why you learn nursing ;
2. What are you doing now ;
3. Why you want to become a nurse;
4. What your career plan; and
5. What kind of task nurses carry out in Indonesia ? are nurses responsibilities increasing?
what are the implication of this ?