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In healthcare, an orderly (also known as a ward assistant, nurse assistant or healthcare assistant) is a hospital attendant whose job consists of assisting medical and nursing staff with various nursing and medical interventions. These duties are classified as routine tasks involving no risk for the patient. [1]
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Orderlies are often utilized in various hospital departments. Orderly duties can range in scope depending on the area of the health care facility they are employed. For that reason, duties can range from assisting in the physical restraint of combative patients, assisting physicians with the application of casts, transporting patients, shaving patients and providing other similar routine personal care to setting up specialised hospital equipment such as bed traction arrays.
Orderlies are typically found in emergency departments, operating rooms, psychiatry, long-term care, and orthopaedics.
Orderlies are described as non licensed hospital assistants that are instructed to perform delegated functions under the direct supervision of a licensed practitioner in the health care setting.
In the US, orderlies have been phased out of health care facilities in recent years and their functions are now replaced by the patient care assistant and Certified Nursing Assistant.
Orderlies in UK hospitals were known as "attendants" (primarily in lunatic asylums), but that role has been phased out. The nearest role left to a male hospital assistant is that of porter, but that is more a logistical role, moving patients and equipment around the hospital. This is not to be confused with healthcare assistants (HCAs) who are essentially carers for patients (not qualified or licensed health care professionals), and may be of both sexes. Porters, of which two are assigned each shift, attened every emergency medical call within the hospital throughout all NHS trusts. The porter is assigned to the MET to provide extra assistance such as transporting emergency equipment, lab work etc.
A common set up among hospitals in Australia is seen at the Royal Adelaide Hospital in Adelaide, South Australia. At the RAH the orderly service is contracted to Spotless, a national corporation. There are around 80 orderlies employed by Spotless at the Royal Adelaide alone. Here, they are tasked with the movement of patients and equipment between wards and departments, the movement of patients from ambulances in triage, the movement of patients from MedStar retrieval helicopters that land at the hospital, the movement of deceased patients to the mortuary and various other tasks. They respond to every MET (medical emergency team) call that originates within the hospital to provide extra oxygen and so that the patient is able to be moved to another area (such as the intensive care unit) as soon as is required. The orderlies are dispatched using pager-radio combos. Some orderlies are stationed at particular departments such as radiology and theatre/recovery but most are in the "pool" and are dispatched throughout the hospital. In The Royal Brisbane and Womans Hospital in Queensland, orderlies are called patient support officers or PSOs. Controversially, PSOs are required to do all cleaning within the hospital, leading to an outcry from staff that the practice is unsafe because PSOs have to not only clean, but also take care of the patient handling, leading to a possible increase in the spread of infection.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
Home care is supportive care provided in the home. Care may be provided by licensed healthcare professionals who provide medical treatment needs or by professional caregivers who provide daily assistance to ensure the activities of daily living (ADLs) are met. In-home medical care is often and more accurately referred to as home health care or formal care. Home health care is different non-medical care, custodial care, or private-duty care which refers to assistance and services provided by persons who are not nurses, doctors, or other licensed medical personnel. For patients recovering from surgery or illness, home care may include rehabilitative therapies. For terminally ill patients, home care may include hospice care.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but cannot be cared for at home. The nursing home facility nurses have the responsibilities of caring for the patients' medical needs and also the responsibility of being in charge of other employees, depending on their ranks. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.
A medical assistant, also known as a "clinical assistant" or healthcare assistant in the US is an allied health professional who supports the work of physicians, nurse practitioners, physician assistants and other health professionals, usually in a clinic setting. Medical assistants can become certified through an accredited program. Medical assistants perform routine tasks and procedures in a medical clinic.
Home health is a nursing specialty in which nurses provide multidimensional home care to patients of all ages. Home health care is a cost efficient way to deliver quality care in the convenience of the client's home. Home health nurses create care plans to achieve goals based on the client's diagnosis. These plans can include preventive, therapeutic, and rehabilitative actions. Home health nurses also supervise certified nursing assistants. The professional nursing organization for home health nurses is the Home Healthcare Nurses Association (HHNA). Home health care is intended for clients that are well enough to be discharged home, but still require skilled nursing personnel to assess, initiate and oversee nursing interventions.
In the United Kingdom, operating department practitioners (ODPs) are allied healthcare professionals who are involved in the planning and delivery of perioperative care. As the name suggests, they are primarily employed in surgical operating departments, but they may also work directly within a variety of acute clinical settings, including pre-hospital emergency care, emergency departments, intensive care units (ICUs), endoscopy suites, interventional radiology, cardiac catheter suites, obstetric theatres and reproductive medicine.
Private duty nursing is the care of clients by nurses, who may be licensed as RNs or LPNs/LVNs.
Emergency nursing is a specialty within the field of professional nursing focusing on the care of patients who require prompt medical attention to avoid long-term disability or death. In addition to addressing "true emergencies," emergency nurses increasingly care for people who are unwilling or unable to get primary medical care elsewhere and come to emergency departments for help. In fact, only a small percentage of emergency department (ED) patients have emergency conditions such as a stroke, heart attack or major trauma. Emergency nurses also tend to patients with acute alcohol and/or drug intoxication, psychiatric and behavioral problems and those who have been raped.
Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department that averages 90,000 calls for service, both emergency and non-emergency, each year.
Emergency Medical Service in Germany is a service of public pre-hospital emergency healthcare, including ambulance service, provided by individual German cities and counties. It is primarily financed by the German public health insurance system.
Spartanburg Regional Healthcare System(SRHS) is one of South Carolina's largest healthcare systems. SRHS draws patients primarily from the areas of Spartanburg, Cherokee, Union, and Greenville counties (all located in the Piedmont region of South Carolina) as well as Rutherford and Polk counties (located in western North Carolina). Spartanburg General Hospital was organized under the authority of the South Carolina General Assembly in 1917 and officially became the Spartanburg Regional Health Services District, Inc., a political subdivision of the State of South Carolina, by the charter granted by the secretary of state of South Carolina on May 1, 1995.
Nursing is a profession within the healthcare sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses can be differentiated from other healthcare providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Nurses comprise the largest component of most healthcare environments; but there is evidence of international shortages of qualified nurses. Nurses collaborate with other healthcare providers such as physicians, nurse practitioners, physical therapists, and psychologists. There is a distinction between nurses and nurse practitioners; in the U.S., the latter are nurses with a graduate degree in advanced practice nursing, and are permitted to prescribe medications unlike the former. They practice independently in a variety of settings in more than half of the United States. Since the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing.
Ambulatory care nursing is the nursing care of patients who receive treatment on an outpatient basis, ie they do not require admission to a hospital for an overnight stay. Ambulatory care includes those clinical, organizational and professional activities engaged in by registered nurses with and for individuals, groups, and populations who seek assistance with improving health and/or seek care for health-related problems. The American Academy of Ambulatory Care Nursing (AAACN) describes ambulatory care nursing as a comprehensive practice which is built on a broad knowledge base of nursing and health sciences, and applies clinical expertise rooted in the nursing process.
A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment and certain disease categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received.
Hospital porters are employed to move patients between wards and departments and to move goods and vital supplies including medical equipment, linen, blood, and samples. This is generally not regarded as skilled work, it attracts little attention and pay and conditions are generally among the lowest in the hospital, Usually at the NHS Pay banding of ‘Band 2’ In India similar work is done by ward boys. Their monthly pay in 2020 was around 5,000 rupees a month.
Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals.
Healthcare in Belgium is composed of three parts. Firstly there is a primarily publicly funded healthcare and social security service run by the federal government, which organises and regulates healthcare; independent private/public practitioners, university/semi-private hospitals and care institutions. There are a few private hospitals. Secondly is the insurance coverage provided for patients. Finally, industry coverage; which covers the production and distribution of healthcare products for research and development. The primary aspect of this research is done in universities and hospitals.
A medical scribe is an allied health paraprofessional who specializes in charting physician-patient encounters in real time, such as during medical examinations. They also locate information and patients for physicians and complete forms needed for patient care. Depending on which area of practice the scribe works in, the position may also be called clinical scribe, ER scribe or ED scribe, or just scribe. A scribe is trained in health information management and the use of health information technology to support it. A scribe can work on-site or remotely from a HIPAA-secure facility. Medical scribes who work at an off-site location are known as virtual medical scribes.
A healthcare technician is a health professional that provides care to patients. Healthcare technician's primary position is to assist medical staff complete tasks around their assigned unit or clinic's and accommodate patient needs. Healthcare technicians are typically found in specialty clinics, intensive care, emergency departments, or laboratory collection facilities. Technicians will perform basic cardiology reports such as, electrocardiograms and will have basic understanding of bodily function. The technician is an integral member of the unit-based healthcare team, they contribute to the continuity of care by decreasing fragmentation through decentralization of selected diagnostic and therapeutic treatment modalities.
Emergency medicine reform in Ukraine has been part of Ukraine's healthcare reform program since its launch in 2016. Managed by the Ministry of Healthcare of Ukraine, the program is meant to improve the quality and speed of Ukraine's emergency medical care.
The dictionary definition of orderly at Wiktionary