Moses Frederick talks with Marla Statscewich, Louann Rank and Sophie Kasayulie on October 11, 2005 at the clinic in Akiachak, Alaska about...
1) Background information on his life and how he became a health aide.
wife\ children\ twins\ health aide -- job opening\ training -- Bethel\ sessions -- number of\ sessions -- duration of\ health aide -- certification\ brother -- encouragement from\ Peter, Moses -- council member\ home\ college\ tribal council -- money\ Moses, George -- council member\ health aide program -- selection for\ vacations\ job -- supervisor- instructor\ travel\ villages -- number of\ teaching\ issues\ updates\ work\ documentation\ certification -- renewal\ re-certification -- clinical\ medicines\ patient encounter forms|
2) Changes in the village's health since he has been a health aide and some information on radio call.
health -- changes in\ Akiachak\ illness -- types of\ hypertension\ strokes\ problems -- heart\ medication\ illness -- increase in\ lifestyle -- changes\ diet\ transportation -- gas\ doctor -- contact with\ radio -- communication\ radio -- interference\ radio -- single side-band\ Wasillie, Elsie\ school\ clinic\ radio call\ radio call -- signs\ Brown, Dr. George|
3) Memories of training sessions, and delivering babies in the village.
trainings\ ladies -- older\ housing -- men\ housing -- women\ health aides -- gender\ birth\ babies -- delivery\ emergency labor -- training\ deliveries -- complications\ deliveries -- number of\ delivery -- problem\ bleeding\ placenta\ uterus\ Kruzie, Dr. Don\ massage\ pregnancy -- policy\ due date\ medevac\ Bethel -- pre-maternal home\ health aides\ exam -- prenatal|
4) His work as a health aide and supervisor instructor, being on-call, and ways of dealing with emergency situations.
job -- difficulties\ work -- schedule\ schedule -- on-call\ health aides -- number of\ village -- size of\ Wasillie, Elsie\ home\ clinic\ job -- quitting\ job -- break from\ break -- duration of\ work\ Yukon-Kuskokwim Health Corporation\ health aide program -- management\ contract -- local control of\ supervision\ encouragement\ work -- schedule\ schedule -- on-call\ cell phone\ doctor -- communication with\ radio -- trouble\ urgent care\ medication\ doctors -- help from\ doctors -- standing orders\ health aide manual\ patient -- treatment\ medevac\ boat\ airplane\ training -- first\ Akiachak -- history\ Diphtheria -- outbreak|
5) Advances in the equipment at his clinic over the years and how better technology makes the health aide's job easier.
equipment -- changes\ equipment -- advances\ oxygen\ heart rate\ EMT\ COPD -- lung disease\ records -- keeping\ charts\ patients -- chronic\ records -- computer\ telemedicine\ provider -- visual contact\ video-conference -- two-way\ X-ray\ injuries -- severity\ patient -- transport|
6) Treating meningitis in the village and the process of re-certification for health aides.
illness -- bacterial meningitis\ illness -- viral meningitis\ seizure\ fever\ treatment\ antibiotic\ immunizations\ treatment -- improvement\ vaccine -- varicella\ illness -- chicken pox\ village -- use\ immunization -- training\ Anchorage\ cancer course\ certification -- expiration\ clinical update\ instructor -- Bethel\ patients -- limit\ health aide -- re-certification|
7) Doctors from Bethel and the way that the clinic is run now with the new building, versus how it was in the past.
doctor -- travel\ Bethel -- proximity\ Bethel -- staffing\ medication\ follow-ups\ village doctor -- OB department\ Hodges, Dr. Ellen\ Prindley, Jan?\ radio medical traffic (RMT)\ clinic -- construction\ community\ complications\ water\ sewer\ leveling\ health aides\ exam rooms -- number of\ work -- hours\ system -- appointments\ doctors -- help from\ doctors -- standing orders\ sinus -- care of\ illness -- ear infection\ problems -- circulatory\ blood pressure -- high\ medication -- delivery of\ supplies -- medical\ supplies -- pharmacy\ medicines -- lack of\ medicine -- Augmentin\ medicine -- delivery\ delivery -- "hand-carry"\ delivery -- schedule\ doctor -- consultation\ patient -- transport\ patient -- condition\ medevac\ airplane -- Yukon-Kuskokwim Health Corporation\ medevac -- Aeromed|
8) The development of the Community Health Aide Program in the region.
community health aide program -- management of\ Public Health Service\ Yukon Kuskokwim Health Corporation (YKHC)\ CHA program -- formation\ YKHC board members\ health aides\ public health nurses\ health care -- volunteers\ CHA program -- growth of\ health aide -- manual\ education -- outpatient\ medications -- side effects|
9) The old clinic and the difficulties of maintaining a medical facility with no running water.
clinic -- size of\ water -- running\ water -- lack of\ entry\ office\ hallway\ bathroom -- bowl\ clinic -- cleanliness\ Pinesol\ wounds\ contagion\ bleeding\ bathroom -- sanitation\ river water\ janitor\ volunteers\ job\ furnace -- tank\ water -- container\ illness -- Hepatitis\ illness -- cancer\ water -- system\ Laundromat\ well\ chlorine\ village -- general membership meeting\ bills\ sanitation\ health\ hygiene -- education\ hygiene -- hand washing\ classes\ school\ October\ drugs\ counselor -- substances|
10) How the community health aide program has grown in Akiachak and some information on its origin and statewide structure.
CHA programs -- benefits\ Yukon Kuskokwim Health Corporation (YKHC) -- connection\ Anchorage\ programs\ Bristol Bay\ Alaska Native Medical Center\ Indian Health Service\ Bethel\ Nome\ Fairbanks\ workshop\ emergency preparedness\ sponsor -- Alaska Native Health Board\ refund\ housing\ airfare\ health aides -- number of\ leave -- maternity\ health aides -- training\ preceptor\ practitioner\ sessions\ new hires\ time\ family\ health aides -- turn-over\ co-workers -- number of\ quitting\ system -- on-call\ policy\ training -- session 1\ instructor\ health aide\ patients -- visits\ corporations -- lawsuits\ board members\ Alaska Certification Board\ programs\ procedures -- increase in|
11) A little bit about traditional medicine, and how health aides deal with traumas and emergencies.
Yukon Kuskokwim Health Corporation (YKHC)\ medicine -- traditional\ gathering\ Anchorage\ Alaska Native Medical Center\ Blumenstein, Rita\ staff\ speaker\ workshops\ treatments -- herbal\ health aides -- characteristics\ strengths\ problems -- drinking\ problems -- family\ emergencies\ trauma|
12) Different ways health aides deal with the emotions about traumas they witness, including a counseling program.
traumas\ confidentiality\ counselor\ incidents\ health aides\ program -- beginning\ health aide counselor\ Aniak\ Roots, Genie\ incident\ daughter\ workshop\ wife\ job -- difficulty of\ teleconference\ debriefing\ counselor -- travel\ ?, Marsha\ faith\ trainings\ workshops\ health aide -- certification\ EMT\ continuing education\ National Certification Board|
13) The possibility of sending a staff member out to become a physician's assistant.
Peter, George\ Physician's Assistant -- training\ clinic\ books\ advisor\ Curda, Linda\ credits -- college\ Curda, Dale -- judge\ Anchorage\ program -- state-wide\ Curda, Linda -- retirement\ grandchild\ conference\ CHAP|
14) Living and working in the village, hunting, and closing remarks.
health aide -- requirements\ age\ interview\ hire\ test\ Akiachak\ family\ council members\ job -- time-off\ Yukon River\ moose -- hunting\ moose -- moratorium\ Kalskag\ Lower Kuskokwim River\ area -- closed|