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Barbara Johnson talks with Karen Brewster on May 27, 2006 at the Blue Heron Inn in Yakutat, Alaska about...
1) Use of medications in the clinic, and doctors ordering prescriptions for patients.
prescriptions\ doctor -- ordering\ prescriptions -- receipt of\ medications -- stock\ medications -- ordering\ ordering -- monthly\ Southeast Alaska Regional Health Consortium (SEARHC)\ pharmacy -- Sitka\ doctor -- approval\ medication -- administration\ clinic -- supplies\ medications -- types of\ patients -- medication mailed to\ medication -- morphine\ medication -- Tylenol 3\ medication -- using\ doctor -- permission\ medication -- keeping track of\ sign-out sheet|
2) Using telemedicine to treat patients, changes in communication with doctors about patients, and the effect of these changes on patient care.
telemedicine\ Southeast Alaska Regional Health Consortium (SEARHC)\ telemedicine -- use of\ healthcare -- changes in\ training -- telemedicine\ ear -- treatment\ image -- sending\ doctor -- advice\ treatment -- recommendation\ answer -- waiting for\ computer -- comfort with\ telemedicine -- benefits of\ waiting time -- reduction\ doctor -- communication with\ communication -- improvement\ image -- showing\ problem -- description\ treatment -- improvement\ telephone -- use of\ telephone -- satellite\ patient -- heart problems\ satellite telephone -- use\ use -- outside\ satellite phone -- emergency|
3) Health aide certification requirements and procedures, and serving on the statewide health aide certification board.
babies -- delivery\ baby -- premature\ baby delivery -- first\ deliveries -- helping\ baby delivery -- joy\ child -- healthy\ job -- positive aspect\ health aides -- certification\ certification -- State\ certification -- board\ certification -- timeframe\ certification -- benefit of\ patients -- Medicaid\ insurance -- payment\ clinic -- reimbursement\ certification board -- meeting\ meeting -- schedule\ applications -- review\ education -- requirement\ education -- continuing medical\ applications -- approval\ Alaska Tribal Health Consortium (ANTHC)\ Anchorage\ certification -- management\ retirement\ certification process -- enjoyment\ certifications --types of\ health aide -- preceptorship\ preceptorship -- timeframe\ preceptorship -- requirement\ certification -- requirement\ job -- requirement\ health aide -- notification\ term -- expiration\ certification -- maintaining|
4) The formation and purpose of the statewide health aide association, and its recent disappearance.
health aide association\ association -- decline\ health aides -- generations\ generations -- differences\ association -- purpose\ problems -- talking about\ meeting -- health aide forum\ health aide -- education\ training -- needs\ training -- additional\ training -- Hepatitis\ training -- narcotics\ drug use -- increase\ drug use -- recognition\ drug use -- response to\ association -- last meeting\ association -- statewide|
5) Early days of health aide program management.
health aide -- early\ Angoon\ job -- payment\ Indian Health Service -- Anchorage area office\ wages -- withholdings\ payroll -- management\ management -- tax exempt organization\ organization -- tribal\ Alaska Native Brotherhood (ANB)\ Southeast Alaska Regional Health Consortium (SEARHC) -- formation\ SEARHC -- employment\ employment -- length of|
6) Differences between health aide program management by the Indian Health Service and the Native controlled Southeast Alaska Regional Health Consortium.
management -- differences\ Indian Health Service\ Southeast Alaska Regional Health Consortium (SEARHC)\ differences -- positive\ differences -- negative\ procedures -- changes\ changes -- adjustment to\ health program -- control of\ Native regional health corporations\ tribes -- input\ health aides -- needs\ needs -- awareness of\ awareness -- lack of\ frustration\ health aides -- listened to\ input -- current level\ Indian Health Service -- procedures\ procedures -- pre-set\ input -- community\ input -- increase\ Indian Health Service -- strictness\ medical care -- changes\ medical care -- specialization\ Sitka\ doctor -- visit\ medical care -- general\ healthcare -- whole body\ doctor -- single\ patients -- feelings|
7) The role of traditional medicine in healing, and the influence of her grandmother on her life and career choice.
healthcare -- changes\ grandmother -- traditional\ medicines -- traditional\ medicines -- western\ western medicines -- introduction of\ Native ways -- not listened to\ Native ways -- returning to\ Native foods\ Native herbs\ healing -- self\ health aide -- enjoyment\ people -- helping\ health aide -- interest in\ interest -- feeling\ feeling -- advance\ intuition\ helping -- pleasure from\ grandmother -- influence of\ grandmother -- education\ education -- level\ reading\ grandmother -- self-taught\ grandmother -- knowledge\ knowledge -- inheritance of|
8) Hard moments faced as a health aide, using a specific baby delivery as an example.
health aide -- work\ work -- positive\ work -- hardship\ baby -- delivery\ baby -- premature\ mother -- drug use\ baby -- effect on\ baby -- brain\ baby -- care for\ mother -- sending out\ mother -- crying\ situation -- sad\ situation -- painful\ clinic -- emergency\ mother -- young\ prenatal check-ups -- lack of\ delivery -- bathroom\ delivery -- table\ delivery -- close-call\ baby -- death\ situation -- scary\ situation -- dealing with\ prayer|
9) Needing to be creative and flexible when handling new types of cases.
emergencies\ accidents\ fishermen\ hook -- in face\ hook -- halibut\ hook -- size of\ wound -- treatment\ hook -- filing\ hook -- cut\ pliers\ treatment -- creative\ creativity -- need for\ hook -- pull out\ hook -- style of|
10) Caring for the survivors of a major boat accident off the coast from Yakutat and having to talk with the families of the victims.
situations -- types of\ health aide -- responsibilities\ boat -- accident\ boat -- LeConte\ victims -- care of\ physician assistant -- lack of\ care -- overnight\ hypothermia -- lack of\ survival suits -- wearing\ waves -- size of\ rescue -- helicopter\ boat -- skipper\ skipper -- loss of\ men -- holding on to each other\ clinic\ food -- lack of\ food -- need for\ community -- help from\ boat -- owner\ Juneau\ helicopter -- report from\ victim -- reporting on\ report -- “barely alive”\ report -- mistake\ victim -- death\ girlfriend -- talking to\ body -- finding\ Kodiak\ victim -- Hoonah\ Hanlon, Eli\ Hanlon, David\ family -- telling\ news -- story about\ book|
11) Times when she wanted to quit being a health aide and why she stayed with the job.
health aide -- job\ job -- quitting\ quitting -- wanting to\ quitting -- reasons for\ people -- talking\ death -- blame for\ treatment -- accusations\ treatment -- type of\ treatment -- provided\ treatment -- not provided\ accidents -- scary\ job -- stayed with\ stayed -- reasons for\ health aide -- qualities\ toughness\ job -- rewards\ job -- desire for\ job -- feeling for\ nurses\ job -- difficult\ difficulty -- comment on|
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