Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
2.docx
Скачиваний:
19
Добавлен:
22.02.2015
Размер:
35.47 Кб
Скачать

2 Describe gp's practice team.

A typical GP practice employs receptionists. They

are responsible for initial patient contact, making

appointments, taking request for repeat

prescriptions, taking messages from patients and

other. The practice manager has responsibility

for finance, he also supervises reception staff,

Practice nurses run asthma, diabetes and cardiovascular

disease clinics as well as one-to-one clinics for

those who wish to give up smoking. In addition to

practice staff, GPs work with a number of health

professionals. For example, district nurses visiting

temporarily housebound patients.Health visitors visit

families to carry out check-ups on young children -

Special attention is paid to families in

need, such as those living in poverty. They also do

baby immunizations. Russia may be more

complicated

5. Describe the hospital team.

In a busy general hospital there may

be several thousand staff. The people who work

In hospitals are called staff.The medical staff in a

hospital belong to one of 2 main groups.

-A pre registration house officer is a newly

Graduated doctor in the first year of postgraduate

training

-A senior house officer (SHO) is a junior doctor in

The second year of Postgraduate training

-A registrar is a doctor who has completed the

Foundatian Programme and is training one of the

medical specialities

-A consultant is a full qualitied specialist

These are professionals such as surgeons,

physiotherapists, anesthetists, cardiologists,

pediatricians, radiologists and others.

Big general hospitals may have up to

50 Specialist departments:Coronary,

Dermatology, Gastroenterology, Genitourinary,

Hematology, Obstetrics, Rheumatology,

Gynecology and Ophthalmology.

6 .Taking a case history.

When a patient comes to the medical service a

doctor has to take his case history. A full case

history covers: personal details, presenting

complaint, past medical history, drug history,

family history, social and personal history and

review of systems. Asking about personal details a

doctor must be interested in a patient’s

occupation and marital status. Case notes are kept

for each consultation. It is essential to obtain full

details of all drug and medications taken by the

patient. Sometime patients forget to mention

about the drugs they take. In any case it

Is necessary to determine the precise identity of

the drug, the dose used, the frequency of

administration and the patient’s compliance. It is

important to ask about known drug allergies.Asking

about family history it is necessary to note about

the age, health or cause of death of parents;

siblings children. Also record the relevant information

about the occupation, housing and personal habits

including recreation, physical exercise, alcohol

and tobacco.

Initial questions should be open-ended and

general as possible. Follow up with more specific

questions(direct/closed) if needed.

7.AT THE CHEMIST'S

The department for reception of prescriptions and

delivery of drugs is called a chemists

department.At the prescription department

medicines are sold or made up according to

prescriptions. At the chemist department one may

buy medicines without prescriptions.

The working rooms of a chemist's include rooms

for washing, drying and sterilization of glassware,

an analytical laboratory, a room for dispensing.

At the chemist's all medicines are kept in

drug cabinets.Every small bottle or box has a

label with the name of the medicine. There are

labels of four colours for the drugs prepared.

green colour indicate medicines for internal use;

blue labels indicate drugs used for injections.

Drugs for external application have labels of a

yellow colour. Drugs used for treatment of eye

diseases have labels of a pink colour. At the

chemist department medicines are kept according

to the therapeutic effect: drugs for cough, cardiac

medicines, drugs for headache. At the

prescription department one can see drugs of all

kinds: boxes, ampoules used for