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Crisis Intervention (as a type of health care)
an approach in which the patient or client seeks help only when unable to manage alone, then resuming normal lifestyle once emergency has passed.
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Health maintenance/prevention health care
an approach that attempts to promote well-being and avoid the need for medical attention; check-ups and routine tests/procedures
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fee-for-service insurance
insurance companies reimburse patients for the costs of their health care within the limits of the police and the patient is responsible for any costs not covered.
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Medicare
a federal health insurance program that covers a portion of the medical care costs for those over the age of 65, and also some disabled patients.
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Medicaid
primarily run by the state government, it is meant more for people who can't afford insurance coverage or people who fall within a certain low tax income bracket.
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Medicare's 4 parts
- A: hospitalization coverage
- B: medical insurance
- C: advantage plans
- D: prescription plan
(Supplements are usually needed)
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HMO
Health Maintenance Organization. HMOs were formed in an effort to deliver more affordable care. They control costs by promoting good health and by providing care in only specified facilities.
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HMO advantages
besides the monthly premium, the only fee paid is a small co-pay fee at the time of service
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HMO disadvantages
- You can only receive care within your HMO network
- High premium rates
- HMOs try to dictate what treatments the doctors can order
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Public Health Care Facilities
public hospitals and health care facilities are operated by federal or local governments, and they are usually free services. Example: military hospitals and facilities for veterans
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Private Health Care Facilites
These facilities are usually open to only certain patients, or they can be noticeably more expensive. Both not-for-profit and proprietary facilities can fall in this category.
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Not-for-Profit Health Care Facilities
These are usually run by the county, or sometimes by religious or charitable groups. These facilities are open to all, but they are not free services.
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Proprietary Health Care Facilities
These facilities are run by businesses and they are run with the goal of making money and turning a profit.
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Mission Statement
a one or two paragraph declaration of the institution's basic philosophy and primary goals
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least training to most training: fellow, specialist, resident, intern
- intern
- resident
- fellow
- specialist
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What are the four main organizational levels in a hospital's hierarchy? From highest up, moving down the chain?
- board of trustees (goals, financial plans, etc.)
- hospital administrator (day-to-day aspects of hospital)
- assistant administrators (over several smaller areas)
- department managers (educated in the field they supervise)
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What is the modality that is an exception to our function as a diagnostic service?
radiation therapy (a therapeutic service that helps treat, not diagnose)
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Name some general services (4)
- admitting
- emergency
- nursing
- social services (ex. counseling)
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Name some support services (4) - do not provide direct patient care
- laundry
- housekeeping
- personnel
- purchasing
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What is the difference in a radiation technician and a radiation technologist?
a technologist is a professional, while a technician is often a healthcare worker (like a nurse) that has been trained on the job in a basic safety course
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What is the most prominent national professional voice for radiologic technologists?
ASRT (American Society of Radiologic Technologists)
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What is the institute that awards us our credentials (after earning them through school and testing)?
ARRT (American Registry of Radiologic Technologists)
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Name seven modalities that the ARRT will certify you in after on-job cross-training, with no extra schooling.
- BD - Bone Densitometry
- M - Mammography
- CT - Computed Tomography
- MRI - Magnetic Resonance Imaging
- QM - Quality Management
- VI - Vascular-Interventional Technology
- CI - Cardiac-interventional Technology
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Name three modalities that require an additional year of school to become certified in.
- T - Radiation Therapy
- N - Nuclear Medicine
- S - Sonography
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What modality requires at least five years of on job experience before being qualified to apply for certification school (2 years worth)?
RRA - Registered Radiologist Assistant
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How much and when do you pay dues to remain a member of ARRT?
$50 for a two year renewal
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How much continuing education is required to maintain registration status with ARRT?
24 hours during previous 2 years (12 hours of CE per year)
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What is Licensure?
- permission from a government agency to practice your profession
- example: state licensure (MS licensure)
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What modality deals with the injection of iodinated contrast media for diagnosing diseases of the heart and blood vessels?
Cardio-Interventional Technology
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What modality deals with the examination of the breast, mostly used in early detection of breast disease?
Mammography
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What modality is a radiologic examination of a predetermined plane in the body and is processed by a computer for display?
Computed Tomography (CT)
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What modality usually involves imaging of a patient's organs, like the liver, heart, or brain after introducing a radiopharmaceutical?
Nuclear Medicine
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What modality deals with the use of high energy ionizing radiation to treat primarily malignant tumors?
Radiation Therapy
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What modality deals with visualization of the body structures by recording the reflections of pulses of high-frequency sound waves directed into the tissue?
Diagnostic Medical Sonography
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What modality deals with determining how much radiation will be delivered to a tumor site?
Medical Dosimetrists
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What modality used a strong magnetic field and radio waves and computer to generate sectional images of patient anatomy?
Magnetic Resonance Imaging (MRI)
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