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Dr. Karen O'Neill talks with Karen Brewster on September 14, 2005 at the Norton Sound Health Corporatin Health Aide Training Center in Nome, Alaska about...
1) Her early career and how she became interested in the career path she chose.
Nome -- community health aide training center\ training program -- role in\ National Health Service Corps\ health aide program\ Community Health Services -- director of\ medical director\ doctor -- Nome hospital\ training -- occasional\ residency --Washington, D.C.\ H.M.O.\ private practice\ resident journals\ military\ Vietnam -- alternative service\ underserved areas\ interest -- public health\ application\ destination -- choice of\ Nome -- challenge\ scholarship assistance -- NHSC\ civil servant\ Public Health Service -- uniform\ Peace Corps\ Vista\ medicine -- interest in\ novels -- Cherry Aimes\ nursing\ college|
2) The evolution of the community health aide program, especially in terms of communications technology and how that has affected the quality of care provided in villages.
Nome\ doctor\ Norton Sound Health Corporation\ Maynard-McDougal Memorial Hospital\ Methodist\ missionary\ Native health corporations\ patients -- care for\ clinic -- outpatient\ villages -- health aides\ system -- differences in\ health aides -- training\ training -- regionalization\ villages -- electricity\ villages -- telephones\ communication -- radio\ reception -- quality\ reception -- seasonal variations\ sunspots\ radio -- relays\ training -- quality of\ health aides -- volunteers\ health aides -- salaries\ health aides -- avocation\ health aide program -- origins of\ communication -- telephone\ visits -- frequency of\ health aides -- scope of practice\ training\ fax machines\ patients -- reports\ reports -- oral\ reports -- faxed\ health care -- quality of\ communication -- telemedicine\ health aides -- vocabulary\ English -- second language|
3) More on communications, and the role of health aides in diagnosing patients.
telemedicine -- images\ telemedicine -- video teleconferencing\ USDA -- grant\ radio\ diagnoses -- radio\ health aides -- role of\ health aides -- reliability of\ patients -- discussion with\ medicine -- western\ health aides -- capabilities\ information -- collection of\ health aide -- manual (CHAM)\ manual -- use of\ diagnosis\ manual -- limitations\ diseases -- information about\ providers -- trust\ health aides -- trust\ opinions -- second\ grievance --process\ travel -- funding for\ Native health corporation\ Medicaid|
4) Her impressions about the administration of medical programs in rural Alaska, and how it felt to arrive straight from Washington D.C.
Native health corporation\ health care -- rural\ Public Health Service\ Native regional corporations\ Methodist Missionary Hospital\ Kotzebue\ Public Health Nurses\ service -- availability of\ service -- recipients of\ Anchorage\ treatment -- CAT scans\ television\ expectations -- level of\ villages\ Washington D.C.\ sewer\ water\ honey buckets\ washeteria\ village -- life in\ Nome\ George Washington Hospital\ medicine -- forefront of\ X rays -- developing\ TV -- movie reels\ TV -- delay\ produce -- freshness\ radio\ health aides -- technology\ lab tests\ program -- progress of\ training -- quality of|
5) Stories of emergencies in villages and how health aides manage them.
emergencies\ health aides -- work of\ successes\ health aides -- interaction with\ baby -- delivery\ delivery -- breech\ wounds -- gunshot\ St. Lawrence Island\ Unalakleet\ medevac\ infant\ plane -- heating\ treatment -- IV tubing\ airplane -- crash\ Gambell\ accident -- survivors\ communication -- quality of\ physician's assistant\ IV fluid\ medicine -- Demerol\ medicine -- Morphine\ health aides\ search and rescue -- organization of\ school\ splints -- magazines\ triage\ Anchorage -- referral center\ airplane -- C130\ accident\ victim -- treatment\ victim -- resuscitation\ trauma\ family -- caring for\ friends -- caring for|
6) How the Community Health Aide Manual (CHAM) is developed, who is involved, and the input health aides have contributed.
health aide -- manual\ health aides -- knowledge\ health aides -- trust in\ health aides -- diagnoses\ treatement -- suture\ equipment -- splint\ babies -- delivery\ clinic\ doctor -- hospital\ training centers -- requirements\ Maine\ mother -- illness\ medical oversight\ health aide program -- involvement in\ health aide program -- advocate for\ manual -- revision\ manual -- use of\ manual -- evaluation of\ manual -- accessibility of\ manual -- medical advisor\ revision -- role in\ manual -- editions of\ manual -- volumes\ manual -- emergency volume\ emergency volume -- size of\ health aides -- feed back\ revision -- time line\ medicine -- changes\ technology -- changes|
7) The extent of a health aide's ability to diagnose patients, the importance of a dental health aide program, and the role of the medical director at the training center.
health aide -- job\ health aide -- skills\ communication\ information -- collection of\ assessment\ plans\ challenges -- audibility\ privacy\ radio -- short wave\ confidentiality\ charts\ static\ training\ system -- function of\ dental health aide program -- opposition\ community health aide program -- opposition\ medical community -- threat\ American Dental Association -- fears of\ Nome -- dentists\ dentists -- travel\ travel -- funding\ teeth -- loss of\ pain\ appointments -- access to\ doctors -- selection of\ doctors -- on-call\ radio call -- schedule\ health aides\ manual -- standing orders\ liability\ diagnoses\ treatment\ nurses\ paramedics\ medication -- dispensing\ physician -- orders\ orders -- standing\ orders -- verbal\ medications -- training\ pharmacist\ secretary\ billing clerk\ lab tech\ nurse\ doctor\ medical director -- role of\ problems -- trainer\ students\ policy\ procedures\ teaching -- lectures\ clinic -- outpatient|
8) The qualities that make a good health aide.
health aides -- characteristics of\ intelligence\ dedication\ training -- difficulty of\ families\ community -- judgement\ passion\ job -- difficulty\ stress\ burden\ health aides\ doctors\ administrators\ commitment\ work -- rewards of\ doctors -- recruiting\ Nome -- home\ work -- importance of\ health aides -- front line\ health aides -- amazing|
9) The difficulties health aides face in their work and social lives, and how the model of the community health aide program is inspiring other similar programs.
health aides -- role\ community -- support from\ communities -- conflicts\ health aides -- suicides\ community -- pressure from\ tragedies\ death\ control\ death -- children\ communities -- anger\ communities -- expectations\ immunization\ baby -- death\ death -- blame for\ health aides -- consideration for\ emergency -- definition of\ health aides -- scrutiny\ health aides -- burn out\ villages -- crisis\ CISD -- critical incident stress debriefing team\ behavior health\ accident\ whalers -- drowning\ Gambell\ crisis\ behavioral health aides\ health aide program -- success\ dental health aide program\ health aide program -- model\ psychiatrist -- recruiting\ behavior health aide program -- internal\ behavior health aide program -- Alaska Tribal Health Consortium\ dental health aide therapist\ training -- New Zealand\ credential -- certification\ training -- rigorous\ patients -- contact\ training -- commitment to\ ADA -- advertisements|
10) Changes in the working conditions of health aides over the years and the support system in place to help them through the stresses of training and work.
behavioral health aides -- training\ training -- local\ counseling\ suicide\ interventions\ program -- effectiveness of\ community -- discomfort\ care -- level of\ medical care -- rural\ medical care -- changes\ Nome\ Anchorage\ CAT scan\ MRI\ colonoscopy\ mammogram\ ultrasound\ X-ray\ care -- promptness\ services -- improvements in\ mid-level care providers -- location of\ services -- access to\ airplanes\ health aides -- wages\ health aides -- quantity\ video conferencing\ assistive technology\ changes -- negative\ paperwork\ politics\ health aides -- attrition\ attrition -- factors\ health aides -- burn out\ stresses\ babysitting\ training\ movement\ training center\ students -- support\ students -- stress\ students -- counseling\ Pickerson, Karen\ job -- leave of absence\ job -- time off\ resources -- hot line\ Native Corporation -- counselors|
11) Her assessment of the health aide program through time.
health aide program -- evaluation\ health aides -- attrition\ trainers -- responses\ health aides -- encouragement\ training -- issues\ illness -- chicken pox\ students -- housing\ training center\ health aide program -- assessment of\ health aide program -- necessity of\ villages -- size of\ vacation\ training -- Continuing Medical Education (CME)\ job -- schedule\ weekends\ villages\ health aides -- training\ support\ equipment\ certification\ education -- on-going\ funding -- grants\ dental health aide program -- success of|
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