This post is by Jay Rasmussen, uploaded by Dr. Kate
Looking at the hospital system each unit from the medical surgical unit, pediatric, cardiac surveillance, intensive care unit, and surgery each of these units are their own environment but they are part of the hospital system. In the medical field, they have their own way of language that people from the outside. Sometimes the staff may speak in medical language and the patient may nod their head like they understand. However, they really may not understand so it is essential to explain things in a laymen’s terms. Because our jobs are extremely stressful we sometimes joke around and to help relieve that stress. This however can be perceived by patients and their families as distasteful or they think it is about them. When a patient comes into this environment it is scary because they don’t understand what is going on with themselves as well as the environment of a hospital system. Because of the restrictive environment patients may feel more vulnerable and restricted because of this. Our culture has a dress code for each area of the hospital to easily identify which department you work in. Even the patients have special clothes. The hospital system has its own unique way of life from the people who work there to the visitors and patients.
The division of labor is broken up into different categories especially in the hospital where education and training divides the labor. The first level is nurse aide they will have approximately one semester of training. The next level is the nurse tech which is time at the facility and classes. At this level they are doing blood pressure checks, temperatures, and basic assessment. The next level is an LPN (Licensed Practical Nurse) to get to this level it requires a diploma, certificate or two-year degree. This role allows you to do everything the tech does and administer medications under the supervision of a registered nurse (RN). At the RN level this requires either a 2 year or a four-year degree. A four year degree focuses on more of the theory behind nursing and is also more sought after in a work environment. Then you have the level of Nurse Practioner which requires a Master’s degree. They work directly with the physician and can write out prescriptions. The highest level is the physician they have they go through college then resident training and medical school. The higher the degree the less direct contact these employees have with patients, however the pay is more and there is more paperwork and responsibilities involved. During a normal shift the nurses and techs are doing a lot more documentation then actual hands on care. The main reason is because of insurance and state requirements This has changed over the years, there is a saying in the medical field, ”if its not documented, you didn’t do it “. Each unit has its own specialized training to best serve the patients. Floors or units consist of medical surg, orthopedics, pediatric, cardiac, ER, labor and delivery, are just a few of these specialized units. The division of labor does exist and needs to exist in this setting for the simple reason of patient care and safety. You wouldn’t have a nurse aide prescribing medications and though you don’t have doctors cleaning up patients typically it can happen. So it would be considered a division up but not back.