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Medical Careers • Nursing • Doctor • Related Fields ▫ ▫ ▫ ▫ Dentistry Pharmacy Psychiatry/ Psychology Radialogy Nursing • Job Description ▫ Assess patient health problems and needs ▫ maintain medical records. ▫ Administer nursing care to ill, injured, convalescent, or disabled patients. ▫ May advise patients on health maintenance and disease prevention or provide case management. Nursing • Job Duties ▫ Provide Direct Patient Care ▫ Administers medications Oral Intravenous Other ▫ Monitor and track vital signs ▫ Put in IV ▫ Teaches patients and families self- care Nursing • Levels of Nursing – Certified Nursing Aide (CNA) • Assist in Bathing and Dressing • Can be certified to administer some medications • $10 per hour – License Practical Nurse (LPN) • • • • More instruction in medicine Have greater care for patients Administer more medications $15-20 per hour Nursing • Registered Nurse (RN) ▫ Receive more instruction in a specialty area Pediatrics Mental health Maternity care Emergency care ▫ Make patient assessments ▫ Come up with a plan of nursing care ▫ Knows about medication side-effects Nursing • Registered Nurses ▫ Work in all, but specific settings ER, Nursery Even Insurance Companies ▫ $25-30 an hour Nursing • Educational Requirements ▫ High School Diploma CNA- 8 week training program LPN- 1 year at Community College or dual enrollment at high school/tech school ▫ Associates Degree (2 years) RN ▫ Bachelor’s Degree (4 years) RN ▫ Masters of Science in Nursing RN Nursing • Additional Requirements ▫ LPNs must pass national exam for state certification ▫ RNs Board Certification Must pass national exam Nursing • Nurse Practitioner ▫ Registered nurses with at least a Masters ▫ Work independently under the supervision of a Dr. ▫ Provide individualized care to patients ▫ Can diagnose medical problems ▫ Can prescribe medication ▫ Can prescribe physical therapy ▫ Most of the things Drs. do Nursing • Why use a Nurse Practitioner? ▫ ▫ ▫ ▫ Do most of the things a Dr. does? Doctors cost $200 an hour Nurse practitioners cost $50 and hour Who would the insurance company prefer you see? Nursing • Nurse Practitioner ▫ Education Bachelors of Science in Nursing (4-5 years) Masters in Nursing Some even get Doctorates in Nursing ▫ Certification National Board- there are several Nurse Practitioner • Pay ▫ Average- $90,000 • Job outlook ▫ Great ▫ Nurses are in high demand ▫ Nurse Practitioners save money so they are in high demand Nursing • http://allnurses.com/nursing-news/cna-aprnvarious-397311.html Internal Diagnostics Imaging Technicians Job Description • Work with patients and doctors to create and analyze pictures of the internal body created by X-Rays, MRI, CT, and Sonograms Types of Internal Diagnostic Imaging • X ray ▫ Uses x-ray spectrum of light to pass through the body and “burn” image onto photographic paper ▫ Most frequent use- Bones and teeth Types of Internal Diagnostic Imaging • MRI ▫ magnetic resonance imaging ▫ uses strong magnets to pull atoms into alignment to make a picture ▫ Most frequent use- soft tissues like muscles and tendons Types of Internal Diagnostic Imaging • CT scan ▫ creates 3D images ▫ uses X-rays from all directions in the Donut ▫ Most frequent use- takes pictures of the brain Types of Internal Diagnostic Imaging • Sonogram/ Ultrasound▫ Uses high frequency sounds to create images of internal body ▫ Most frequent use- baby pictures, mamograms Internal Diagnostics Imaging Technicians Duties of the Job • Prepare patients for imaging procedure • Position body/body parts for procedure ▫ They had a pretty complicated restraining system for my son • • • • Operate imaging equipment Test and repair some equipment Develop x-ray films Observe safety procedures (X-rays are dangerous!) Internal Diagnostics Imaging Technicians Skills Required • Communication- they have to talk to doctors(highly educated) and patients (varying degrees of education) • Ability to work long and varied shifts • Physical strength • Photography Internal Diagnostics Imaging Technicians Education Requirements- Associates or Bachelors • Various college settings ▫ Teaching hospitals ▫ Vocational schools ▫ colleges/ universities • Required courses before getting into programs ▫ ▫ ▫ ▫ Algebra Physics Biology chemistry Internal Diagnostics Imaging Technicians Certification • Must get a degree from an accredited education program • Pass a test • Certification from American Registry of Radiologic Technology (ARRT) • State licensing Internal Diagnostics Imaging Technicians Local Schools that offer program • Spencerian College • Morehead • Jefferson Community and Technical- Louisville • Bluegrass Community and Technical- Lexington • Northern Kentucky University • 16 total in KY • Ivy Tech in Indianapolis Internal Diagnostics Imaging Technicians Salary • Average - $54,000 ▫ Radiologic Tech- 61,000 ▫ Mamography- 67,000 ▫ X-ray tech- 46,000 • Job Outlook ▫ Great Doctor- General Practitioner Job Description • Work with patients to identify, treat, and maintain health conditions using a variety medical strategies • General practitioners know a good amount about most everything in the body. They do not specialize. Doctor- General Practitioner Duties of Job • Identify symptoms of illness • Diagnose illness • Prescribe treatments for illness • Prescribe medications • Refer patients to specialists ▫ Pediatricians, physical therapist, OB/GYN, Ear Nose Throat, Allergist, surgeon, etc Doctor- General Practitioner Skills required • Communication • Ability to work long hours (statistics show doctors work average of 50 hours a week) • Understanding of the human body and how it works • Problem solving • Documentation of procedures • Knowledge of multiple areas of treatment Doctor- General Practitioner Education Required • Bachelors from a 4 year college ▫ Pre-med majors- Chemistry, Biology, Psychology, anatomy, etc ▫ Volunteer at a hospital ▫ High GPA and MCAT score • Medical School- 4 years • 3-8 years of residency in a hospital ▫ Depends on your specialty Doctor- General Practitioner Local Schools that offer Medical Degrees • University of Kentucky • University of Louisville • University of Cincinnati • Indiana University Average Cost • $20,000 - $40,000 a year= $80,000 – $160,000 Doctor- General Practitioner Work Conditions • Long hours in a hospital • On call- late hours • Private practice • High stress Salary • Between $50,000 and $200,000 a year Starter- Feb 2 Have you ever or do you know anyone who has ever seen a therapist? If so, why did they go? Don’t answer this one if you feel uncomfortable. Psychiatry v. Psychologist Both psychiatrists and psychologist work with patients who show signs of mental distress. • Psychologist- use therapeutic techniques (thinking and self-awareness strategies) to help the patient through their mental issues • Psychiatrists- uses therapeutic techniques along with prescribed medicine to help patients Common Mental Disorders • Depression- persistent sadness • Bipolar- switch between depression and mania • Post Traumatic Stress Disorder (PTSD)anxiety/depression after a bad event • Attention Deficit/Hyperactive Disorder (ADHD) • Autism Spectrum Disorder- communication and social maladjustment • Anxiety- constant worry Common Mental Disorders • Anxiety- constant worry • Eating disorders▫ Bulimia- eat too much then purge ▫ Anorexia- not eating at all • Addiction • Schizophrenia Psychiatry v. Psychologist Many disorders are treated with therapy only • Psychologist offer techniques and training to support the patient • Usually just a lot of talking and rationalizing the problem • Minor depression, addiction, PTSD, anxiety, Eating Disorders Psychiatry v. Psychologist Many disorders are treated with medicine only. These are usually pretty severe ailments • Psychiatrist (Medical Doctor)- prescribe psychotropic drugs to change brain chemistry • The medicines also affect the rest of the body so it is important to have a medical doctor monitor the patient • Schizophrenia, extreme bipolarity, extreme depression Psychiatry v. Psychologist Sometimes both therapy and medicine are required to help a patient. • Psychiatrist- provide therapy and medicine • Psychologist- provide therapy Depression, PTSD, ADHD, Anxiety, Bipolar, Autism Psychiatry v. Psychologist Skills required • Communication- between people with different levels of education • Able to work long and varied hours (sometimes) • Analysis- ability to identify various mental symptoms and provide effective treatment • Documentation Psychiatry v. Psychologist Education Required • Both require a Bachelors degree from a University ▫ Psychologist- usually a BA in Psychology, sociology, or social work ▫ Psychiatrist- remember these guys are doctorscould be a science major with a psychology minor Psychiatry v. Psychologist Psychologist- Education required, cont. • Bachelors- (4-years) ▫ They are support for therapy- play a mentor role or case manager for clients • Masters degree- (2-3 years) ▫ can provide therapy to clients • Doctorate (Ph.D)- (2-3 years with a dissertation) ▫ provide therapy to patients You have to take the GRE test to get into graduate school Psychiatry v. Psychologist Psychiatry Education, cont. • Bachelors degree in pre-med area ▫ Take the MCAT and get into medical school • Go to Medical School (4-years) • Get a psychiatric residency (3-6 years) Psychiatry v. Psychologist • Local Schools that provide psychology or associated degrees ▫ Most colleges have psychology degrees (it is a fairly easy and popular major (Mr. Heckler has a psych degree)) ▫ Good local schools UK UL Hanover College NKU Psychiatry v. Psychologist Salaries • Psychologist ▫ Bachelors- $20-40,000 a year ▫ Masters and Ph.D- $65-100,000 a year • Psychiatrist ▫ $153,000- $230,000 a year Job outlook is good Psychiatry v. Psychologist One last thing • Psychiatrist and psychologists have to deal with a lot of traumatic situations. It takes a very compassionate and/or cold person to work with some of the patients. Ms. Wallace • This is enough for the day. I hope you have been able to have good conversations with the kids • Tell them I will collect the notes for the medical fields tomorrow for their grade. • Also, John Hall is coming to talk to the class tomorrow about the nursing field.