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At least 19 recordsLinked to original sources
PubMed1981

Drugs on a medical campus. III. Drug use among nursing and paramedical personnel.

Fifty nurses and 50 paramedical staff working in the Rajendra Hospital and Medical College, Patiala, were studied by means of a structured, self-report questionnaire. The life-time prevalence of drug use among nurses was comparatively low--55%, compared to 81% among the paramedical staff. Current use of drugs as shown by the 30-day prevalence rate was also very low among the nurses, a majority of whom restricted themselves to using tranquillizers and sedatives for the specific purpose of relaxation or inducing sleep; only a few had experimented with alcohol, cannabis, and tobacco. On the other hand, the most commonly used drug among the paramedical personnel was alcohol, followed by sedatives, tranquillizers, cannabis and tobacco, most of them taking the drug for social reasons or for the thrills from the effects of the drug. This is also reflected in the comparatively higher number of paramedicals who felt that they would probably continue to use these drugs in the future, as also the fact that there were a few dependent users of opium and narcotics in this group.

Adult↗
PubMed1999

Licensure, use, and training of paramedical personnel to perform screening flexible sigmoidoscopy.

BACKGROUND: The purpose of this study was to assess the state board of nursing guidelines about the performance of flexible sigmoidoscopy by nurses and to determine the current use and training of paramedical personnel in flexible sigmoidoscopy at gastroenterology fellowship programs in the United States. METHODS: Separate one-page questionnaires were sent to state boards of nursing and directors of endoscopy at gastroenterology fellowship programs in the United States. RESULTS: Twenty percent (10 of 50) of state boards of nursing explicitly approve the performance of sigmoidoscopy by registered nurses, and 50% (25 of 50) explicitly approve the practice by nurse practitioners. Forty-six percent (23 of 50) of state boards of nursing have no written policy but allow nurses to use a "decision making model" to determine whether the performance of sigmoidoscopy is allowed. Fifteen percent (24 of 164) of gastroenterology fellowship programs in the United States use paramedical personnel to perform flexible sigmoidoscopy. Sixty-three percent (15 of 24) of these programs started since 1995, and 67% (16 of 24) require that the paramedical personnel perform 50 or more supervised sigmoidoscopies during their training. Forty-five percent (5 of 11) of programs with physician assistants/nurse practitioners use these personnel to perform colonoscopy or endoscopy. CONCLUSIONS: Nurses are allowed to perform flexible sigmoidoscopy in most states based on current state board of nursing guidelines. The use of paramedical personnel to perform endoscopic procedures is increasing rapidly.

Adult↗
PubMed1975

Predicting academic success for military paramedical personnel.

The utilization of selected cognitive, demographic, and personal histroy measures as predictors of academic success for Naval Hospital Corps School personnel undergoing paramedical training was investigated using a smaple of 1,448 students. A composite criterion score reflecting grade-point average as well as administrative discharge was related to a number of preservice cognitive and noncognitive predictors. Multiple regression techniques were used to weight specific variables and to predict performance in a crossvalidation sample. Findings indicated that demographic and personal histroy measures contributed uniquely to prediction of academic success.

Age Factors↗
PubMed1997

Climacteric complaints of paramedical personnel.

This study was conducted from October 1995 to January 1996, to assess the prevalence of climacteric complaints of paramedical personnel in Chulalongkorn Hospital. Data collection was performed using a standardized questionnaire, comprised of population characteristics, items and severity of climacteric complaints. All the participants filled up the questionnaire by themself after receiving a clear explanation of the meaning of each symptom. Two hundred and ninety women aged 40-59 years participated in the study. Their mean age was 47.72 +/- 4.77 years. Forty six per cent of the study population were classified as premenopausal, i.e. having regular vaginal bleeding during the last 12 months, 18 per cent were perimenopausal, i.e. having irregular vaginal bleeding during the last 12 months and 35 per cent were postmenopausal, i.e. having no vaginal bleeding during the last 12 months. The mean time since menopause of the last group was 4.71 +/- 3.75 years. The results revealed that the prevalence of vasomotor symptoms, urogenital symptoms and other symptoms i.e. numbness, forgetfulness, etc, were reported at a significantly higher rate in the postmenopause than in the perimenopause and premenopause women respectively (P < 0.05). However, there was no significant difference in the prevalence of psychological symptoms among the three groups (P > 0.05). In conclusion, except for psychological symptoms, the reported prevalence of climacteric complaints in paramedical personnel was associated with menopausal status.

Adult↗
PubMed1993

Effect of health education programme on knowledge about AIDS and HIV transmission in paramedical personnel working in Benha hospitals.

Accurate information about acquired immunodeficiency Syndrome (AIDS) and human immunodeficiency virus (HIV) is important for prevention. This study is intended to asses AIDS knowledge in paramedical personnel working in Benha Hospitals and to measure the effect of health education programme done on knowledge about AIDS in general, modes of HIV transmission and their degree of misperception about transmission through causal contact. A well designed health education programme using personal communication & visual media techniques was conducted to 238 paramedical personnel working in Benha hospitals, during the year 1992. The results of this study pointed out that the means of the scores of general AIDS knowledge and transmission knowledge were greatly and significantly improved by the end of the programme (P < 0.01).

Acquired Immunodeficiency Syndrome↗
PubMed1999

Flexible sigmoidoscopy by paramedical personnel.

Screening sigmoidoscopy is associated with a 45% to 80% reduction in colorectal cancer mortality. Although less than 50% of eligible Americans have been screened with flexible sigmoidoscopy (FS), the use of this procedure is rising rapidly. By the year 2000, as many as 10 million screening FS per year could be performed. To accommodate the increased demand, many medical centers have trained paramedical personnel (i.e. physician assistants, nurses, and gastroenterology technicians) to perform FS. However, as a result of the paucity of research about this practice, only physicians receive a professional fee for performing screening FS. Many state Boards of Nursing explicitly prohibit registered nurses (RNs) from performing this procedure. This review outlines research about the effectiveness of paramedical endoscopists, medico-legal and reimbursement issues, and outlines a training program in FS for paramedical personnel.

Allied Health Personnel↗
PubMed1978

Work settings and job satisfaction: a study of primary care physicians and paramedical personnel.

This paper examines job satisfaction of primary care physicians and paramedical personnel in traditional office practices and in modern medical organizations. A series of two-way analyses of variance using work settings and occupational level as independent variables showed consistent effects of setting on job satisfaction. In modern organizational settings satisfaction with the work activity, with coworkers, and with income was lower than in traditional practices. Only with respect to income, were physicians, on the average, more satisfied than paramedical workers. The relationships between job satisfaction and the variety and complexity of work as well as ownership of work settings are analyzed and discussed.

Allied Health Personnel↗
PubMed1992

Comparison of the endotracheal tube and laryngeal mask in airway management by paramedical personnel.

An evaluation of the laryngeal mask airway (LMA) as a means of airway support when used by paramedical personnel was performed. Forty medical and paramedical students attempted to intubate the tracheas of 40 healthy anesthetized adults with the LMA and a cuffed endotracheal tube (ETT). The number of attempts to achieve correct placement and the time taken to adequately ventilate the lungs were recorded for both devices. End-tidal carbon dioxide was detected significantly sooner after commencement of the intubation attempt using the LMA (mean 38.6 s) compared with the ETT (mean 88.3 s, P less than 0.0001). Ninety-four percent of the students successfully ventilated the lungs on their first attempt with the LMA, whereas only 69% intubated the trachea on their first attempt with the ETT (P less than 0.01). Five students were unable to intubate the trachea after three attempts with the ETT, but all positioned the LMA satisfactorily on their first try in a mean time of 40 s. We conclude that unskilled operators with minimal training can safely and successfully ventilate unconscious patients more rapidly using the LMA than the ETT. These results suggest the LMA should be available in all areas where resuscitation is performed.

Adolescent↗
PubMed1984

Field endotracheal intubation by paramedical personnel. Success rates and complications.

One-hundred thirty mobile intensive care unit paramedics were trained in the technique of direct laryngoscopic endotracheal intubation of cardiac arrest or deeply comatose patients. Three attempts at intubation were permitted. Of the 779 patients studied, 701 (90.0 percent) were successfully intubated: 57.9 percent on the first attempt, 26.1 percent and 5.5 percent on the second and third respectively. Reported and observed complications of the procedure numbered 74 (9.5 percent) of the 779 patients included in the study. There were three unrecognized esophageal intubations. The success rate rose to more than 94 percent toward the end of the study. It is concluded that endotracheal intubation of deeply comatose patients is a field procedure safely and skillfully performed by well-trained and monitored paramedical personnel, with success and complication rates at least comparable to other invasive airway techniques.

Allied Health Personnel↗
PubMedDate not supplied

Performance of resuscitation skills by paramedic personnel in chemical protective suits.

OBJECTIVES: Determine whether wearing a chemical protective suit increases time to successful completion of four resuscitation skills. METHODS: This prospective experimental study examined the ability of civilian paramedic personnel to complete four resuscitative skills (electrical defibrillation, administration of epinephrine subcutaneously, intravenous cannulation, and tracheal intubation) carried out using standard methods on mannequins under two test conditions (wearing the protective suit and not wearing the suit). Primary outcome was time to successful completion of each skill. RESULTS: Sixteen paramedics were enrolled and completed each skill under two test conditions. Paramedics took longer to complete administration of epinephrine (87 vs. 60 seconds; p < 0.01) and intravenous cannulation (220 vs. 158 seconds; p < 0.01) tasks when wearing a protective suit. Wearing the suit did not impair electrical defibrillation (57 vs. 46 seconds) or tracheal intubation (79 vs 69 seconds). CONCLUSIONS: Chemical protective suit use increased time to successful completion of resuscitation skills where fine motor skills are required, namely administration of epinephrine subcutaneously and intravenous cannulation, but did not increase time to successful completion of resuscitation skills requiring gross motor skills, namely electrical defibrillation and tracheal intubation.

Emergency Medical Technicians↗
PubMed1975

The ophthalmologist's office: planning and practice. Patient traffic flow and use of paramedical personnel.

In order for the ophthalmologist to achieve the greatest earning power and personal satisfaction, he or she must devise traffic flow techniques that efficiently allow for maximum utilization of all examining areas and paramedical personnel in the office without dehumanizing patients. By delegating as much responsibility as possible to staff, the ophthalmologist will have the opportunity of performing his or her specialized skills to the fullest extent, and therefore will achieve optimal personal gratification. This emotional reward indemnifies the future of private practice, because it can exist only in the presence of a close patient-physician relationship, which is the cornerstone of the private practice of ophthalmology.

Ophthalmic Assistants↗
PubMed1993

A hospital-based study on the use of paramedical personnel for clinical downstaging of cancer cervix.

Two auxiliary nurse midwives (ANMs) were recruited and trained to recognize normal and different types of abnormal cervices. A total of 2102 women were examined by a gynaecologist and ANM independently and their findings were noted. Comparison of their findings showed an overall agreement of 89.6 per cent (Kappa 0.84 with standard error of 0.015 and a significantly large Z value of 55.6). Gross examination of 4679 women attending the Gynaecology OPD revealed normal cervix in 49.6 per cent and suspected lesions or malignant cervix in 3.4 per cent of women. Cytology smears were taken in 3608 women. Adequacy of smears was 97 per cent. Comparing the group clinically diagnosed as highly suspected or malignant to the cytologically diagnosed suspected group (atypical and malignant), clinical examination had a sensitivity of 81.7 per cent and specificity of 97.3 per cent; while comparison of the group clinically diagnosed as abnormal cervix to abnormal cytology (all grades of dysplasia, atypical and malignant cells), the clinical examination had a sensitivity of 92.5 per cent and specificity of 37.4 per cent. It was concluded that paramedical staff (ANMs) can be relied upon to do speculum examination in women in the community and take cytology smears in selected cases.

Allied Health Personnel↗