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Hospital Organization

Hospital Organization. ST210 Concorde Career college. Objectives. List the types of healthcare facilities and the sources of funds for each Describe the organizational structure of a healthcare facility List the chain of command in the surgical setting. Where are surgeries performed?.

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Hospital Organization

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  1. Hospital Organization ST210 Concorde Career college

  2. Objectives • List the types of healthcare facilities and the sources of funds for each • Describe the organizational structure of a healthcare facility • List the chain of command in the surgical setting

  3. Where are surgeries performed? • Surgical services • Now provided in many different settings • Traditional ORs • Free-standing ambulatory surgical center • Free-standing specialty centers • Doctor’s offices • Doctor’s clinics • Labor and delivery units 3

  4. Workplace Management Healthcare Facilities/Funding • Nonprofit – not for profit • Proprietary – for profit • Tax Supported – not for profit

  5. Types of Hospitals • Not-for-profit • Proprietary or investor-owned

  6. Types of Hospitals • Preferred provider organization (PPO) • Collection of private-practice donors, labs, patient-care facilities, and hospitals • Contract with insurance companies and receive an agreed set rate for services • Health maintenance organization (HMO) • Collection of hospitals, health professionals, and doctors • Work for a set fee and may require patients to use a primary care physician for all referrals 6

  7. Types of Surgical Facilities • Hospitals • Ambulatory Surgery Centers • Physician Offices

  8. Ambulatory Surgery Center

  9. Hospital Organization Organizational Structure of the Healthcare Facility Figure 1-8 Page 20 of ST4ST

  10. Hospital Organization • Characteristics • Philosophy and policies: typically established by a board of directors or trustees • Administration: typically several layers • Second division for medical affairs: medical and nursing services • Surgical services department: may be divided into units 10

  11. Hospital Organization (cont’d.) • Hospital departments and interdepartmental communication • Departments can be categorized as having direct or indirect patient care responsibilities • Refer to Tables 1-8 and 1-9 11

  12. Hospital Organization (cont’d.) • Financial considerations and reimbursement • Intervention may be provided free of charge or as a charitable mission • Insurance: one party or entity agrees to pay another for a specified loss or condition • Health care reimbursement • Government financial assistance 13

  13. Professional Management Chain of Command in the Surgical Setting • Team members (according to the situation) • Charge Nurse/Team Leader • Director of Surgical Services • Director of Nursing

  14. All-Hazards Preparation

  15. Objectives • Discuss nature-, human-, and nature/human-caused types of disasters • Explain the various components of personal, health care facility, and national disaster planning • Describe the initial response and steps taken when an all-hazards event occurs • Discuss the various roles the surgical technologist can fulfill during an all-hazards event

  16. All-Hazards Preparation • All-encompassing term • Refers to many different emergencies • Emergencies • Those that require the emergency response of outside assistance, which may be at the local, county, state, or federal levels • Emergency preparedness • Action taken by individuals, governments, and health care facilities and systems to be prepared for an emergency

  17. Natural Disasters • Most common occurring type of disasters that can affect large populations • Avalanches • Rock and land slides • Winter storms • Heat waves and wildfires • Earthquakes and tsunamis • Tropical storms and hurricanes • Floods and tornados

  18. Avalanche

  19. Tsunami

  20. Earthquake

  21. Hurricane

  22. Man-Made Disasters • Disasters caused by people • Transportation accidents • Acts of terrorism and bioterrorism • Industrial incidents • Combination natural disaster—man-made disaster • Chemical release accidents • Infrastructure incidents • Radiological injuries

  23. Train Disaster

  24. Terrorism

  25. Personal Disaster Planning • Personal and family preparation steps • Research, identify, and familiarize yourself and your family with the local and regional emergencies that could occur • Create a family emergency plan for each type of emergency • Prepare emergency supplies: go-bag and in-home supplies

  26. Individual Preparedness • 72-Hour Kits • http://www.ready.gov/build-a-kit • FEMA recommends all families and individuals have a kit of food, water, and supplies sufficient to last 72 hours following a disaster

  27. Local/Community/Regional Response • Response to a disaster situation • Divided into the local and federal responses • Local response • National Incident Management System • Local Emergency Management Agencies • Incident Command System

  28. Local Emergency Response

  29. Federal Emergency Response • Federal assistance • Must be requested through formal channels by the local and state governments • Assistance will take up to three days or possibly longer • Agencies and assistance forms • Federal Emergency Management Agency • National Response Framework • National Disaster Medical System

  30. Federal Emergency Response

  31. Local & Government Preparedness • FEMA: http://www.fema.gov/ • American Red Cross: http://www.redcross.org/ • Local Law Enforcement Agencies • First Responders • Local Military Units, National Guard

  32. Health Care Facility Emergency Response • Health care facilities • Emergency action plan (EAP) follows state and federal emergency response guidelines • EAP components • Mitigation • Preparedness • Response • Recovery

  33. Health Care Facility Emergency Response

  34. Medical Office EAP • Should be developed based on the community EAPs • Coordinated with the local and regional health care system • Components • Procedures for notifying employees of an emergency • Procedures for evacuating the building • Patient evacuation procedures

  35. Immediate Response to an All-Hazards Event • Important considerations • Disaster scene must be safe before entering • Standard Precautions and personal protective equipment • Patient decontamination area • Triage of victims • Point of Distribution (POD) site • Risk communication with the public

  36. Immediate Response to an All-Hazards Event (cont’d.) • Moral, ethical, and legal issues associated with providing care during a disaster • Emergency System for the Advanced Registration of Volunteer Health Professionals (ESAR-VHP) and Community Emergency Response Team (CERT)

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