Thursday, July 6, 2017

Day 3: Observation Clinical & Mountainside Theatre

Who runs the health care system in this community?
            According to the Cherokee Hospital organization site, “The Cherokee Indian Hospital is governed by the [Eastern Band of Cherokee Indians] EBCI Tribal Council appointed board which consists of community leaders, tribal member health care professionals, and other professionals (n.d.).” Seeing as the tribe owns the hospital, they are the best to care for the individuals of their tribe by the tribe.
Who are the members of the health care team?
          At this hospital, there are many members of the healthcare team to keep it running smoothly. They have many in-house specialists in addition to the generalized employees: CMAs, LPNs, CNAs, RNs, physicians, respiratory, chiropractors, massage therapists, acupuncture, dentists, radiology, imaging, and the list goes on.
When someone comes in with a need how is it handled?
          If they are part of the tribe, they will receive care at the Cherokee Indian Hospital. If their care is advanced (ex. Cardiac issues), they will be transported to another hospital. If they are having a baby, they will be transported to another hospital. If the person is not a member of the tribe, they may receive care in the ER until stabilized, otherwise they will be transported to another hospital.
What are the similarities and differences that you observed with the organization?
            Back at home, the hospital is focused on getting patients out of the hospital as soon as it is possible for their health ability. At CIH, according to the floor supervisor of the In-Patient Unit, as well as what I could tell from my time during observation, they are focused on family-centered care. With the rooms, they are updated to look like home that make the patients feel more comfortable and like they are at home. The large rooms, also, allow family members and friends in large numbers to be able to come in to pay condolences to the ill member. The hospice rooms also have an additional room connected specifically as a living area to be able to stay with the member comfortably. Our hospital is still a little outdated, even with the construction going on, where the rooms still look like hospital rooms with the view of other buildings and a highway. Though this cannot be changed, the CIH went leaps and bounds to thoroughly think out where to place the new hospital to bring nature in.
Are there any complementary and alternative medicines commonly practiced in this culture?
            I had not seen any complementary or alternative medicines today. I hope that this week I will be able to learn or see from those in the hospital these complementary or alternative medicines.
Reference

Cherokee Indian Hospital Authority. (n.d.). About us. Accessed 11 July 2017. Retrieved from http://cherokeehospital.org/page?title=About-Us

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Day 6: Observation Clinical

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