Vanyori Vezvokurapa Vanoda Kuvandudza Kukurukurirana Kwechiremba
Vanyori vezvokurapa basa rinobudirira rakaunzwa nehuwandu hwemabasa akawanda echiremba uye chido chekuwedzera rubatsiro rwehutungamiri uye zvinyorwa zveMEM mirairo, yehutano kuchinja mitemo (ACA), nezvimwewo.
Mumwe munyori wezvokurapa ndiye munhu anotora kudarika kwekutsvaga uye kunyora kwachiremba kuti asunungure nguva yekutarisira kurapa. Chiremba anogona kuisa nguva yakawanda pane zvinodiwa nemurwere.
Dzimwe nyanzvi dzehutano hwehutano hwehutano nevatungamiriri vanotenda kuti vanyori vachave chikamu chinokosha cheboka rese rehutano mune ramangwana.
Michael Murphy, MD, CEO weScribeAmerica anoti "Vanyori vezvokurapa vachava muchero muhutano hwehutano uye vachava chikamu cheboka: chiremba , mukoti , tech, uye munyori wezvokurapa .... se EMR, federal, uye inshuwarisi mitemo inoramba ichingobatsira chiremba kubudirira, chido chekubatsira zvinyorwa zvichatibatsira. "
Dr Murphy akatipa mamwe mashoko akazara pamusoro pekuita basa rinofadza uye rinokurumidza kukura. Simba rake rinoshandisa zviuru zvevanyori vezvokurapa munyika dzinosvika makumi mana uye rinozivikanwa nenyika nokuda kwedzidzo, kudzidziswa, uye kutungamira vanyori vezvokurapa.
Ndivanaani vanyori vezvokurapa?
Dr. Murphy: "Munyori ndiye mushandi wezvechiremba anozadzisa munyori wekutanga uye asingashandisi maitiro echiremba anoshingaira kana pakati pepakati. sangano, nekuwedzera kukwanisa kwechiremba kupa simba rekutarisira kwehutano sekutarisa murwere anotevera akamirira, kuita zvirongwa zvekurapa nekukurukura nevanamukoti.
Munyori anonyatsocherechedza nguva yezviongorori zvekurapa zvakadai sekuropa uye kuongorora urini, x-ray, uye CT nheyo kuitira kuti kudzivirira kunonoka kusina kufanira uye kuenderera mberi kwehutano hwehutano. "
Vanyori vezvokurapa vanoitei?
Dr. Murphy: " Mumwe munyori wezvokurapa ndiye mubatsiri wega wega kuchiremba; kuita zvinyorwa muEHR, kuunganidza ruzivo rwekushanyira kwechiremba, nekubatana nachiremba kuti anunure ruzivo rwekutarisira kwakanaka kwevarwere."
Iko yevhiki yebasa yakafanana yakafanana nemunyori wezvokurapa? (Maawa, purogiramu, kugara, nezvimwewo)
Dr. Murphy: "Makumi makumi matanhatu kubva muzana [basa] rimwe nguva-nguva, iyo inenge mazuva maviri pavhiki.Avhiti makumi mana muzana ndevenguva yakazara.Vanyori vezvokurapa vanogona kushanda muEmergency Department (ED), kuisa pamuviri, kana kurwara, pane varwere. "
Munhu angava sei akakodzera kushanda semunyori wezvokurapa?
Izvi zvinotevera zvinodiwa uye zvinotarisirwa, maererano naDr. Murphy:
- Anofanira kuva nechidiki chechikoro chesekondari. Kiraji yekoroji, kana kunyorwa ikozvino mune purogiramu yegoridhi kunosarudzwa.
- Unyanzvi hwekombiyuta nehutano hwakasarudzwa
- Chiitiko nemagariro ekurapa inoshandiswa.
- Bumbiro remitemo rinofanira kushanda pasi pesimba rekupa kurapwa.
- Anotarisira uye akakura, ane chido chemishonga.
- Kuzvipira kwegore rimwechete kune vashandi venguva yakazara, kana makore maviri kuvashandi venguva yakawanda inotarisirwa.
- www.theacmss.org ndiyo muviri unovimbisa uye inodiwa kana chero CPOE ichizoitwa.
Chirongwa chekurapa scribe chirongwa chinosanganisira matanho matatu:
- Danho 1: Chikamu chechipiri chevhiki chinotarirwa kuita kuti munyori wezvokurapa "achikurumidze" kwezuva rake rokutanga rokubatirana nachiremba.
- Nhanho yechipiri: Kutarisa nguva iyo munyori wezvechiremba ane ruzivo anopa kuongorora nokukurumidza uye mhinduro yebasa remugadziri wezvokurapa.
- Danho rechitatu: Kudzokororazve kweperiodic iyo inobvumira kusingagumi nekudzokorora nguva dzose kwebato remunyori uye kubudirira mukuedza kuita kuti munyori wezvokurapa agare achienderera mberi nechinzvimbo chakasimba chekushanda kwemabasa.
Sei munhu achifanira kufunga basa rake semunyori wezvokurapa?
Dr. Murphy: "Mamiriro ekurapa kweMedical Scribing anokurumidza kuve akaenzana nehutano husati hwavapo, uye inoratidzirwa nehutano hwekuchikoro makomiti ekugamuchirwa munyika yose.Kunokwikwidza kuva Mutevedzeri weZvenzvipikisa kwakanyanya, uye chido cheMedzisi Scribe mabasa nyika yose haina kumbove yakakwirira.
Kuwedzerwa, ruzivo semunyori wezvokurapa anoverengera kune Chiremba Mubatsiri (PA) maawa ekurapa.
Ndeapi matambudziko ekushanda semunyori wezvokurapa?
Dr. Murphy: "Haisi yevanhu vose." Basa iri rinotora kuzvitsaurira uye kukwanisa kwako kudzidza zvakawanda zvakawanda munguva shomanana. Unofanirawo kukwanisa;
· Mikana yekumira, kufamba, uye kutevera chiremba kwenguva yakareba
· Simba rekusimudza, kubata, kusimudza, uye kukwevera mapaundi 25
· Kodzero yekushanda munzvimbo inotambudza uye inokurumidza kufamba
· Kukwanisa kuverenga, kunyora, kunzwisisa nekuteerera, uye kutaura zvakanaka Chirungu
· Kodzero yekushandisa kombiyuta uye / kana laptop kuburikidza nekunyora kuverenga, kuvhara, nekuona chekuita kwenguva yakareba
· Unyanzvi hwokupa-nyora zvakajeka
Ndeapi maonero ekushanda kwevanyori vezvokurapa?
Dr. Murphy: "Sezvo EHRs inorayirwa gore ra2015 pamwe chete ne ICD-10 / ICD-11, kutonga kwemasikati maviri pakati peusiku, kuwedzera kwemavhiringi ehurwere, kushayikwa kwechiremba nekuderedza kubhadharwa.Vanyori vezvokurapa vanofanira kudiwa zvakanyanya sezvo vanachiremba vachitarisa kuti varambe zvinoshandiswa, zvichinyanya kushandiswa uye zvishoma zvinyorwa zvekupinza dhiyabhorosi. "
Ndiani anoita anonyatsokodzera kumunyori wezvokurapa?
Dr. Murphy: "Pre-med, pre-nursing kana pre-PA / NP ndivo vakakosha zvikuru.Vamwe vari kutsvaga basa vanogona kutarisa mune izvi sezvo makambani akawanda anobvumira kukura kwepamusoro. yakabhadharwa kupfuura vanyori, haashandi kubva kumusha uye iro basa rose rakasiyana-siyana. "Zvinyorwa zvechiremba vanoteerera uye vanyore shoko neshoko izvo zvinotaurwa nemupaiti.A munyori anofanira kuteerera kutarisana uye kubvisa ruzivo rwakakodzera. munyori basa rinonyanya kukurumidza kufamba.