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At least 451 records · Page 25Linked to original sources
PubMed2005

Basics of employment law: understanding and dealing with adverse employment actions and discrimination in the workplace.

In the present setting of fiscal and other constraints placed upon the business world during economically challenging times, there exists both intentional and unintentional opportunities for unfair and illegal treatment of employees. Hospitals and other health care facilities or organizations are not immune. In fact, given the demographics of our field and the general "graying" of our colleagues, a disproportionately higher number of perfusionists reside within the age-protected guidelines established by both federal and state law. Not coincidentally, the pressures on hospitals to stay solvent in the presence of decreasing reimbursement and declining revenues may well create a prescription for unfair treatment of employees. This article will explain the basic concepts of the protections afforded employees by law with regard to freedom from harassment and discrimination in the workplace. Matters related to the hostile workplace environment; age, sex, and race discrimination; and adverse employment actions will be explained and illustrated by applicable case law. In this regard, it is intended that this article will enhance the opportunity for perfusionists to be cognizant of both the express and implied behaviors (both verbal and nonverbal) that may be detrimental to an employment situation, as well as to be cognizant of some of the remedies at law available regarding adverse employment circumstances.

Agonistic Behavior↗
PubMed2005

[Gadamer: grounding a proposal for the study of stress in the surgical center].

This article makes a reflection on philosophical foundation to support the methodology in order to study the stress of professionals who work in the operating theater. The qualitative research allows a comprehensive access to the world of each subject, revealing the individual perception of whom experiences the phenomenon. Gadamer understands that the language reveals and is suitable to evaluate properly, through hermeneutics, the symbolic dimension of the subject's speech. Hermeneutics is not only just a theory of the comprehension and interpretation art but much more than that, it is close to the practical philosophy, having to respond for the methodological feature of things whose understanding it provides.

General Surgery↗
PubMed2006

[Training in application of cricoid pressure].

BACKGROUND: Applying cricoid pressure is a simple and effective means of preventing aspiration of gastric juice and content. This procedure prevents a possible reflux by compressing the esophagus between the cricoid cartilage and the cervical vertebral bodies. Recent studies recommend a pressure of 30-40 N. The present study was undertaken to determine whether with education and practice, anesthesia assisitants could be taught a recommended cricoid pressure and retain this skill. METHODS: Thirty-four participants (seventeen doctors, seventeen nurses) were asked to apply pressure to the blinded model to simulate application of maneuver on three occations: before instruction, after practice and 1 month after the practice. Cricoid force was measured using a life-size model on a calibrated scale. RESULTS: Only four doctors and five nurses actually applied cricoid pressure effectively. After training, 13 doctors and 12 nurses applied cricoid pressure correctly. But they could not retain skill for 1 month. CONCLUSIONS: This model represents an easy and practical means of training the application of the optimal level cricoid pressure but the training should be continued.

Anesthesiology↗
PubMed1990

The relationship of physician assistants to an orthopedic residency program.

In 1979, coincident with a planned decrease in the size of the general surgery training program, the orthopedic department of the senior author's university-affiliated teaching hospital began to employ physician assistants. The intent of using physician assistants was to relieve the two orthopedic residents assigned to the hospital of many service responsibilities and patient care that previously had been rendered by the general surgical residents and interns. The non-M.D. physician assistants record a comprehensive past and present medical history, carry out physical exams, and assist at surgery. They are directly under the supervision of and responsible to the attending surgeon. It was hoped the addition of these individuals will help maintain a quality educational experience for the orthopedic residents. The general response to the use of physician assistants in this affiliated hospital has been favorable.

Hospital Bed Capacity, 300 to 499↗
PubMed1978

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Operating Room Technicians↗