Record And Chart Changes In The Following Vital Signs: Fill & Download for Free

Except for nursing, which has a shortage but is still not hiring new baccalaureate nurses for some reason, yes.Here is a bit of info that might help.Lab techs can work in hematology (blood tests for anemia, cancer, etc., including type & cross match for blood products)…micro biology (subdivided into bacteriology, virology, & is influenced by epidemiology, the detection & study of pathogens & epidemiology or the study of the spread of disease plus finding ways to stop the spread)…chemistry (testing for electrolytes, cholesterol, blood sugar)…pathology (looks at tissues & cells to determine abnormalities, including cancers). Usually you do basic lab testing with a 4 year degree but you need a masters in a specialty to become independent.Physical medicine & rehabilitation has physical therapists (gait & posture training, heat & cold & TENS therapy, strength training to avoid falls, training in ambulatory aids, transfers to & from wheelchairs), occupational therapists (restoring the highest possible independent functioning in everyday activities, splints, training specific muscle groups needed for maximizing independence, work hardening), speech & language pathology (swallowing studies for those having trouble swallowing & recommendations on how to address the issues; speech training for the deaf & for after strokes, for example, sign language training), recreational therapists (uses games to help build mental & physical dexterity, help break the monotony of patients who end up in long stays in hospitals or skilled nursing facilities, increase socialization opportunities). These require a 5 year degree. You can become a therapy assistant for PT & OT with a 2 year degree so you can work faster & go to school part time to get the degree.Social work allows you, with at least a master's degree, to act as a counselor. With the base degree, it allows you to coordinate patient discharges & any post hospital care needed, or to coordinate discharge from short term rehab facilities, get home health care, facilitate things like paratransit services, home health care (may include aides, RNs, PT, OT, SLP), help obtain Medicaid, disability, Medicare; help with hospice placement if necessary.This of necessity overlaps with care managers (aka case managers), who are RNs tasked with keeping in-hospital care on track & coordinating family meetings, referrals to dietitians, diabetes educators, post hospital outpatient follow up, and as you can see, both CMs & SWs coordinate discharge & post hospital care functions.Nursing has several levels. Nurse extenders may be CNAs (certified nursing assistants) or, on geriatric floors & skilled nursing facilities esp., GNAs (geriatric nursing assistants). Both can take extended training to become PCTs or patient care technicians. CNAs & GNAs do vital signs, baths, bed changes, help distribute meals to patients if needed & feed them if needed (they're responsible to make sure a patient is not NPO/NBM before giving them for (NPO is Latin, meaning Nil Per Os or the same as NBM which is Nothing By Mouth), but so are PCTs, RNs, LPNs). PCTs usually are able to change dressings (after the RN sees.the wound), check fingerstick blood glucose levels, change ostomy bags, measure & calculate I & O (Intake & Output, or how much liquid the patient takes in & how much urine, stool, or emesis comes out of the patient), & some other advanced tasks. Aides can put down what the patient drinks & puts out, but they usually don't add ot up or measure wound drainage. LPNs/LVNs (Licensed Practical (pr Vocational) nurses) have one year of training. They can pass oral medications but can't give IV medications or chemo. They are trained at a level somewhere between a PCT & an RN. There are 3 levels of training for RN. The oldest is a 3 year diploma program. Students stay in a dorm. They spend the first few months as probationers, doing scut work alongside CNAs/GNAs/PCTs/LPNs/LVNs, & taking every chance they get to observe wound care & other aspects of a RN's duties. If they pass & if they choose to stay, they are officially student nurses. Patient care duties & classes are interspersed, with more clinical time & less classroom time as they get better at their jobs. Most diploma RNs are excellent at hands on care, can be charge nurses almost immediately, & know how to organize patient care & unit care. They need very little orientation, but even though they are skilled & now get college credit for their classes, they are lowest in the “pecking order.” Yet I believe they have several great ideas...probation lets a person see the worst of nursing & get a feel for whether or not they want to put up with that (literal) s--t, pee, & barf, plus the bullying behaviors many physicians exhibit. They also have students work all 3 shifts, sometimes 2 or 3 different shifts a week. Classes are integrated into clinical for immediate use…& the heavy duty classes are at the start, with increasing clinical as they progress, & their instructors give immediate feedback on the practical applications of skills lab time & book learning where it will all be used. Students also are in charge of a unit quite often towards the end. Mind, a RN is always nearby to ensure their practice is safe, but as a result, their orientation is the shortest of the 3 types of RN. The 2nd type is the associate degree RN, which started in community colleges because married women & men had to be home with their families-most were changing careers, either moving laterally or vertically, while most diploma schools were aimed at single young people just out of high school. Singles started going for ADN programs because they could work & pay for tuition, take as many or as few classes as their responsibilities allowed, & the tuition was much cheaper than a 4 year degree. Getting college credit made it easier to continue working towards a BSN while working as a RN. While ADN programs give more clinical experience far earlier than BSN programs do, they're still lacking in clinical time compared to diploma nurses. Diploma schools are also harder & harder to find nowadays. Still, most diploma school nurses have their first clinical within 2 weeks of starting. Their orientation periods are longer than diploma school RNs, but are often shorter than BSNs. ADN programs usually have students caring for at least 4.patients (not a huge number compared to a senior diploma school student taking 8 hour shifts & running charge, but far more than most BSN programs). Mostly, it's 5 or 6. Last is the BSN, a 4 year degree program. Clinical usually doesn't start until their junior year…some BSN nurses used to tell me during precepting, orientation, & computer training, that had they gone through clinical as freshmen, many would have changed their majors, but by your junior year you have too much time, effort, & money invested to change your plans. Most have handled one, maybe 2, patients their entire 2 years of clinical, which makes it very hard on them to take an 8 patient load on day shift (when patients are going to & from surgeries, procedures, & tests, doctors are making rounds & expect you to go with them & the charge nurse when they are seeing your assigned patients, social workers & care managers are calling meetings of physicians, nurses, families, any physical rehab therapists involved, & themselves, to discuss continuing care after discharge, physical rehab therapists are either working with patients on the floor or expecting rhem in their spaces, family members are calling for updates, agencies are calling about taking the patient on after discharge, staff meetings & staff development are often on the agenda, & there aren't always enough nurses & nurse extenders to get all that done & care for the patient…so meetings get scrapped by nurses first. Evenings used to be mostly dealing with families & friends, but now, with husbands & wives both working (often more than one job), many meetings occur at evenings, many procedures are ongoing until later in the day, & there are fewer nurses after day shift leaves to deal with all this. While nights is assumed to be quiet, I always ask people who say that one question: Have you, or has anyone you know/know of ever slept well - or at all - during a hospital stay? The answer is generally a resounding “NO!” With the smallest staffing numbers on nights, doctors who spend more time bellowing at you over the phone if you call them for any reason than they spend addressing the question/need, anxious patients who don't understand their surgery or procedure fully & need teaching & a hand to hold…let's just say with 12 sleepless patients per nurse on most floors at night, there is no specific shift where there is much time to help someone adjust to having 2 patients instead of 1 at first & working your way up from there. Often, a BSN nurse has 2 issues besides limited clinical esperience: 1. Disillusionment with their career, & 2. They claimed, when talking to me, throughout all the years I mentored them, that they were told floor nursing, aka direct patient care, was for the inferiorly-educated diploma & ADN nurses, & that at the end of a year they'd be ready to be clinical managers or at least permanent charge nurses (who carry a lighter load so they can run the floor), and be working Mon. - Fri. day shifts with all weekends & holidays off. Of course they find out differently on all counts. Many of them try to start a business related to health, or become fitness instructors, or even open a franchise, because any job you do as your own boss lets you set the pace & keep the profits, & they can take weekends & holidays off. Nursing is, to me, a calling, & I think every nursing program should have their students work in a local hospital as probationers, doing the worst jobs in nursing, so they know if that's really what they want to do.After RNs, you can become a nurisng instructor (you'll need a masters to keep working at that nowadays), a nurse with legal training, a risk manager, a corporate compliance manager, work in quality assurance, work in procedural areas (cardiac cath labs, GI labs (colonoscopies & such) ), or you can become a CRNP - Certified Registered Nurse Practitioner - who has similar duties to a PA or Physicians’ Assistant. Both can assess but their assessments are more advanced; both have prescribing privileges; both must work under physician supervision; both have their own patient load where they checking with chronically ill patients & send them to the physician if their issues are beyond the scope of the physician extender. (BTW, many CRNPs don't like to be referred to as physician extenders, but it is how most function. Still, they have more training than most PAs as they have a masters' degree upon finishing their training. PAs don't train as long & much of their training is more like an extended rraining for a battlefield medic than a nurse, regardless of the field he or she chooses…& it is very intensive training. They have far more responsibility than a RN or a battlefield medic, though battlefield medics can outdo some physicians when the subject is battlefield (trauma) training.Another class of medically related professions are EMTs. There are 3 levels, basic, intermediate (unless they've changed those designators) & advanced. Advanced EMTs can start IVs, put a tube down the throat to help a patient breathe, run & interpret EKGs, defibrillate, push drugs used during a “code" (where the patient stops breathing or their heart stops beating). They know what to do with wounds. Basic EMTs do CPR & can attach heart monitiers, EKG electrodes, pulse oximeters, & help transport patients (including driving the ambulance, but they are more skilled than an old fashioned ambulance driver, so please call them by their proper title of EMT. The advanced ones especially are experts in trauma. If you call 911, even if you're a doctor or nurse, if you aren't specifically an ER doctor or nurse, brief them on what happened & MOVE OUT OF THE WAY.There are also admitting & billing & coding specialists... security that has to have special training in de-escalating situations & handling patients, administrators, managers, maintenance people at all levels from maintaining the building to fixing broken mechanical or electronic equipment, dietary personnel who have to have special knowledge of patient diets, environmental services who have to know specialized skills for cleaning up areas contaminated by biological waste (nurses have to clean up the waste, ES sanitizes the area)…storerooms for regular & specialized supplies (some sterilize equipment as well as stocking, ordering, delivering, & other items), information technology that manages specialized hospital or medical office software systems that tie together patient notes, medications, supplies, with costs & insurances. They also take care of security for the network, installing software upgrades, maintaining computer hardware, & monitoring usage to prevent people.from.surfing dangerous websites that might inject malware that would allow patients' medical records to be compromised, testing upgrades before they're rolled out to the rest of the facility so they can fix programming errors, & they often teach use of the systems. Coders & documentation specialists put in the codes that should justify the care & gain reimbursement, coders let the doctor & the documentation specialists know what they need to justify their coding, then the documentation specialist shows the doctor more efficient ways to chart his or her care & justify it adequately - not only does it not have to be longer all the time, it is often more concise & when learned, speeds documentation. From the boiler room to the operating room in even a small hospital, you don't have to be a nurse or a doctor to make healthcare safe, effective, & as pleasant as possible.Last, but not least, pharmacists. They are in especially high demand last I heard. They mix intravenous feedings, chemotherapy, sometimes they compound medications (make pills “from scratch" so to speak). They review a patients meds before they came into the hospital & what they're on in the hospital (a good RN should always do the same, we are the last defense between a patient & the wrong meds, the only system that cannot afford to fail). They dispense medications & assist doctors & nurses with medication information. In an outpatient setting, they're a great resource & can let you know whether or not a medication or dosage is safe. Of course, you can go to, for example, WebMD & use their interactions checker, but you can ask the pharmacist a question & German answer right way. Don't forget that your information is incomplete & possibly wrong if you omit OTC (over the counter) medications, herbals, vitamins, minerals, & homeopathic substances. Something important to remember: THERE IS NO SUCH THING AS A SUPPLEMENT OR HERBAL OR HOMEOPATHIS REMEDY THAT HAS NO SIDE EFFECTS!!!! Anyone who tells you otherwise is LYING. And any good pharmacist agrees. It is I believe another 5 year degree, then a masters,, but you can't get to the boss levels or open your own pharmacy unless you get your PharmD degree - PhD level.I know it is a long post but to tell you even a small part of what you can do in healthcare takes a it.of space!