Alembi Achipatala Amafuna Kukulitsa Kulankhulana kwa Madokotala
Alangizi a zamankhwala ndi ntchito yotchuka yomwe imabweretsa chifukwa cha kuchuluka kwa ntchito ya madokotala komanso kusowa thandizo lazowonjezera ndi zolemba za malamulo a EMR, malamulo a zachuma (ACA), ndi zina zambiri.
Wolemba zachipatala ndi munthu amene amatenga kuika kwa deta ndi kujambula kwa dokotala kumasula nthawi ya chisamaliro cha odwala. Dokotala akhoza kuika nthawi yambiri pa zosowa za wodwalayo.
Akatswiri ena ogwira ntchito zachipatala akatswiri ndi ogwira ntchito amakhulupirira kuti alembi adzakhala mbali yofunikira pa gulu lonse la thanzi labwino m'tsogolomu.
Michael Murphy, MD, CEO wa MlembiAmerica akuti "Olemba azachipatala adzakhala oyenerera mu chisamaliro chaumoyo ndipo adzakhala mbali ya gulu: dokotala , namwino , chitukuko, ndi mlembi wa zachipatala ... monga EMR, federal, ndi inshuwalansi Malamulo akupitirizabe kuthandizira odwala, kufunika kwa zolemba zowonjezera kudzakula. "
Dr. Murphy anatipatsa ife tsatanetsatane wokhudzana ndi ntchitoyi yokondweretsa komanso yofulumira. Mphamvu yake imagwiritsa ntchito maulendo ambiri a alembi a zachipatala m'mayiko 40 ndipo amadziwika ndi dziko lonse chifukwa cha maphunziro, maphunziro, ndi kayendetsedwe ka alembi azachipatala.
Kodi alembi a zachipatala ndani?
Dr. Murphy: "Mlembi ndi wothandizira dokotala yemwe amakwaniritsa ntchito yoyang'anira chinsinsi komanso zosagwira ntchito za dokotala wotanganidwa kapena wapakatikati. Olembawo amapanga zolembera zachipatala muzolemba kapena zamakina a zamankhwala zamakono komanso poyambitsa ntchito yogwira bwino ntchito njira, motero kuwonjezera thandizo lachipatala kupereka chisamaliro chapadera cha wodwalayo monga kuwona wotsatira wodwala akudikira, kuchita njira zamankhwala ndi kuyankhula ndi anamwino.
Mlembi amayang'anitsitsa nthawi ya kuyezetsa mankhwala monga kuyezetsa magazi ndi mkodzo, x-ray, ndi malipoti a CT kuti athe kuchepetsa kuchedwa kosafunikira ndi kufulumizitsa chikhalidwe cha odwala. "
Kodi alembi azachipatala amachita chiyani?
Dr. Murphy: " Wolemba zachipatala ndiye wothandizira kwa dokotala, kupanga zolemba mu EHR, kusonkhanitsa uthenga wothandizira wodwalayo, ndikuyanjana ndi dokotala kuti apereke chithandizo chachikulu cha chisamaliro choyenera cha odwala."
Kodi sabata yodziwikiratu ndi yotani ngati mlembi wa zachipatala? (Maola, ndondomeko, kukhazikitsa, ndi zina zotero)
Dr. Murphy: "Zaka makumi asanu ndi limodzi [ntchito] nthawi yochepa, yomwe ili pafupi masiku awiri pa sabata.Ayi makumi anayi aliwonse a nthawi zonse. Alembi a zachipatala angathe kugwira ntchito mu Dipatimenti ya Emergency Department (ED), kuchipatala, kapena kuchipatala, kuzungulira pa odwala. "
Kodi munthu amatha bwanji kugwira ntchito monga mlembi wa zachipatala?
Zotsatirazi ndizofunikira ndi zoyenera, malinga ndi Dr. Murphy:
- Ayenera kukhala ndi diploma ya sekondale yosachepera. Kalasi ya koleji, kapena kulembetsa pakali pano pulogalamu ya digiri imakonda.
- Maluso a makompyuta ndi ojambula amasankhidwa
- Zomwe zimakhalapo ndi mawu a zachipatala amavomerezedwa.
- Lamulo loti ligwire ntchito molimbikira kupereka chithandizo chamankhwala.
- Ogwira ntchito ndi okhwima, ndi chilakolako cha mankhwala.
- Kuzipereka kwa chaka chimodzi kwa antchito a nthawi zonse, kapena zaka ziwiri kwa ogwira ntchito ya nthawi yina amafunikira.
- www.theacmss.org ndi thupi lovomerezeka ndipo likufunika ngati CPOE iliyonse iyenera kuchitidwa.
Pulogalamu yophunzitsa olemba zaumoyo ili ndi ndondomeko zitatu:
- Khwerero 1: Maphunziro a masabata awiri a sabata kuti apange mlembi wa zachipatala "mofulumira" tsiku lake loyamba la mgwirizano ndi dokotala.
- Khwerero 2: Nthawi yoyang'anira nthawi imene mlembi wathanzi wodziwa bwino amapereka ndemanga yomweyo ndi ndemanga za ntchito ya mlembi watsopano.
- Khwerero 3: Kufufuza mobwerezabwereza komwe kumapangitsa kuti nthawi zonse aziwerenganso udindo wa mlembi ndikugwira bwino ntchito pofuna kulembetsa mlembi wa zachipatala kuti azikhalabe ndi malo ogwira ntchito.
Chifukwa chiyani munthu ayenera kuganizira ntchito yake ngati mlembi wa zamankhwala?
Dr. Murphy: "Chikhalidwe cha mankhwala ochiritsira kuchipatala chimakhala choyambirira pazochitika zachipatala, ndipo zimaperekedwa ndi makomiti ovomerezeka a sukulu zachipatala m'dziko lonse lapansi. Mpikisano wokhala Mlembi wa zachipatala ndi wolimba, ndipo kufuna kwa Olemba Zaumoyo kudutsa m'dzikoli sikunakhalepo patali.
Kuonjezerapo, zochitika monga mlembi wa zachipatala zimapereka kwa odwala wothandizira (PA) maola odwala.
Kodi ndizovuta zotani ngati kugwira ntchito monga mlembi wa zachipatala?
Dr. Murphy: "Si kwa aliyense. Ntchitoyi imatenga kudzipatulira komanso luso lanu loti mudziwe zochuluka zowonjezereka mwa kanthawi kochepa.
• Kukhoza kuyima, kuyenda, ndi kutsatira dokotala kwa nthawi yaitali
• Kukhoza kukweza, kugwira, kukankhira, ndi kukoka mapaundi 25
• Kukhoza kugwira ntchito pamalo ovuta komanso ofulumira
• Kukhoza kuwerenga, kulemba, kumvetsetsa kudzera kumvetsera, ndi kulankhula Chingerezi bwino
• Kukhoza kugwiritsa ntchito kompyuta ndi / kapena laputopu kupyolera mu kujambula bwino, kudindira, ndi kuyang'ana kufufuza kwa nthawi yaitali
• Kukhoza kupatsa-kulembetsa molondola
Kodi ntchito ya aphunzitsi azachipatala ndi yotani?
Dr. Murphy: "Monga EHRs ikulamulidwa ndi 2015 pamodzi ndi ICD-10 / ICD-11, ulamuliro wa pakati pa usiku, kuwonjezeka kwa miyeso ya odwala, kusowa kwa madokotala ndi kuchepetsa kubwezeredwa. Alembi a zachipatala ayenera kufunika kwambiri ngati madokotala akuyang'ana kuti asinthe Zotsatira zake, zimakhala zovuta kwambiri komanso zochepa zowalowetsa deta. "
Ndani amapanga wokhala woyenera kwa mlembi wa zachipatala?
Dr. Murphy: "Pre-med, pre-nursing kapena pre-PA / NP ndi oyenerera. Ena ofuna ntchito angayang'anenso ndi izi monga makampani ambiri amalola kukula. Amapereka ndalama zambiri kuposa alembi, sagwira ntchito kuchokera kunyumba ndipo ndi ntchito yosiyana kwambiri. Olemba mankhwala amamvetsera amalembera mawu ndi mawu omwe wothandizira adanena. Mlembi ayenera kumvetsera ndikukumana ndi zofunikira. mlembi ntchito ndikuthamanga kwambiri.