Ke hele ʻoe i kahi haukapila, ʻo ia hoʻi, kahi haukapila a i ʻole kahi keʻena lapaʻau, i kekahi manawa ʻo ke kauka mua e ʻike iā ʻoe he kauka ʻōpio a hoihoi loa, ʻeā? Nīnau ʻo ia iā ʻoe i nā nīnau he nui e pili ana i kou maʻi, nānā pono iā ʻoe, a laila hoʻi hou mai iā ʻoe ma hope iki me ke kauka ʻoi aku ka ʻike a me ka ʻoihana kiʻekiʻe. Ua manaʻo paha ʻoe, "ʻO wai kēia kauka? Ke aʻo nei ʻo ia?" ʻO ia ka poʻe a mākou e kapa aku nei he 'kauka noho ' . No laila, e aʻo hou kākou e pili ana i kēia i kēia lā.
ʻO wai kēia 'kauka noho'?
I ka ʻōlelo maʻalahi, ʻo ke 'kauka e aʻo ana' he kanaka i puka i ke kula lapaʻau a hoʻopau i kā lākou mau hōʻoia ma ke ʻano he kauka. Eia nō naʻe, he kauka lākou e loaʻa ana ka ʻike hohonu a me ke aʻo pono ʻana ma kahi kahua lapaʻau kūikawā a lākou e koho ai. ʻO ka ʻōlelo pololei, he mau kauka mua kēia poʻe. Kāhea mākou i kēia wā hoʻomaʻamaʻa he 'noho' .
Hiki i kēia wā hoʻomaʻamaʻa ke mau mai ʻekolu a ʻehiku mau makahiki, ma muli o ke kahua o ka loea a lākou e koho ai. I loko o kēia manawa, loaʻa iā lākou kēia hoʻomaʻamaʻa ʻoiai e hana ana ma nā haukapila a i ʻole nā kikowaena lapaʻau.
Ua lohe paha ʻoe i ka huaʻōlelo 'Intern'. Pili kēia i nā kauka i ko lākou makahiki mua o ke aʻo ʻana no ka noho ʻana. ʻO lākou nā lālā ʻōpio loa o ka hui.
He aha ka hana a kēia mau kauka?
Hana pololei nā kauka hoʻomaʻamaʻa me nā mea maʻi. ʻO ke ʻano kēia, pili lākou i nā mea āpau mai ka nānā ʻana, ka mālama ʻana, a me ka mālama ʻana i kou mau kūlana olakino. Akā ʻo ka mea nui loa āu e hoʻomanaʻo ai ma ʻaneʻi, ʻo ia ka hana ʻana i kēia mau mea āpau ma lalo o ka nānā pololei ʻana a kahi loea kiʻekiʻe a ʻike.
I ka hala ʻana o ka manawa, i ko lākou loaʻa ʻana o ka ʻike, piʻi aʻe ka nui o nā kuleana i hāʻawi ʻia iā lākou. I ka wā mua, ua hāʻawi ʻia iā lākou nā hana maʻalahi, a i ka holomua ʻana o kā lākou hoʻomaʻamaʻa ʻana, ua komo lākou i nā hana lapaʻau paʻakikī.
Hana lākou ma nā ʻāpana like ʻole o ka haukapila. Eia kekahi laʻana:
- Nā Keʻena Mālama Koʻikoʻi (ICU)
- Keʻena Lapaʻau Pilikia (ETU)
- Nā Lumi Hana
- Nā Keʻena Maʻi Laulā
- Nā keʻena a me nā keʻena lapaʻau ma waho
ʻO kekahi o kā lākou mau hana nui
Ma lalo o kā lākou mau kauka kiaʻi, ua aʻo ʻia nā kauka hoʻomaʻamaʻa e hana i kēia mau mea:
| Hana | He wehewehe maʻalahi |
|---|---|
| Ke kuhikuhi ʻana a me ka wehewehe ʻana i nā hoʻokolohua diagnostics | Ke kauoha ʻana i nā hoʻokolohua koko e pono ai, nā kukuna X, a me nā mea ʻē aʻe, a me ka hoʻomaopopo ʻana i nā hōʻike. |
| Ka nānā ʻana i ka mea maʻi | E nānā pono i kou kino a hoʻomaopopo pono i nā hōʻailona. |
| Ke hana nei i nā kaʻina hana lapaʻau | Nā kaʻina hana lapaʻau liʻiliʻi i hana ʻia ma lalo o ka nānā ʻana, e like me ke humuhumu ʻana i kahi ʻeha a i ʻole ke hoʻokomo ʻana i kahi cannula. |
| Ke hoʻopaʻa nei i ka mōʻaukala o ka mea maʻi | E hoʻolohe a hoʻopaʻa i nā kikoʻī piha o kou maʻi mai ka lā i hoʻomaka ai. |
Inā ua noho ʻoe ma kahi keʻena haukapila, ua lohe paha ʻoe i ka 'ward round'. ʻO ia ka manawa e hele mai ai kahi hui o nā kauka a nānā i kēlā me kēia maʻi. He kuleana koʻikoʻi kēia mau kauka hoʻomaʻamaʻa i ka ward round. Hālāwai lākou me nā kauka kiʻekiʻe e kūkākūkā i kou kūlana, ka holomua o kāu mālama ʻana a me nā hoʻololi e pono ai ke hana.
He aha nā wahi kikoʻī i aʻo ʻia ai lākou?
Nui nā ʻano ʻokoʻa o ka loea lapaʻau. Koho nā kauka i aʻo ʻia i hoʻokahi ʻano o kā lākou koho a loaʻa iā lākou ke aʻo hohonu ma ia ʻano. ʻO kekahi o nā ʻano nui:
- Anesthesiology: E pili ana i ka anesthesia (hoʻomānoʻonoʻo) o nā maʻi ma mua o ke ʻoki ʻana.
- ʻOihana Hānau/Gynecology: E pili ana i ke olakino o nā wāhine, ka hāpai ʻana, a me ka hānau keiki ʻana.
- Pediatrics: E pili ana i nā maʻi o nā pēpē a me nā keiki.
- Radiology: Pili i ka nānā ʻana i nā mea e like me X-ray, CT scans, MRI scans, etc.
- ʻOki kino: E pili ana i ka hana ʻana i ke ʻoki kino.
- Lapaʻau Kūloko:E pili ana i nā maʻi kūloko i loko o nā pākeke (e.g. diabetes, ke koko kiʻekiʻe, ka maʻi puʻuwai).
He aha nā pōmaikaʻi o ka loaʻa ʻana o ka lāʻau lapaʻau mai ke kauka e hana ana?
Hiki i kekahi poʻe ke makaʻu iki a kānalua i ka wā e ʻike ai lākou i ke kauka e aʻo ana. Manaʻo paha lākou, "ʻAuē, ʻaʻohe o kēia kanaka i ka ʻike e pono ai." Akā, aia kekahi mau pono o ka loaʻa ʻana o ka lāʻau lapaʻau mai ke kauka e aʻo ana.
1. ʻOi aku ka nānā a me ka manawa: ʻOi aku ka nui o ka manawa o nā kauka ʻōpio e hoʻolaʻa ai i kahi mea maʻi ma mua o nā kauka kiʻekiʻe. No laila, hoʻolohe pono lākou i kāu mea e ʻōlelo ai a pane pono i kāu mau nīnau.
2. E kiʻi koke i kahi manaʻo lua: ʻOiai inā e mālama ʻia ʻoe e ke kauka hoʻomaʻamaʻa, ʻo kēlā me kēia hoʻoholo āna e hana ai a me kēlā me kēia hoʻokolohua āna e hana ai e nānā ʻia e ke kauka kiʻekiʻe. ʻO ke ʻano kēia e nānā ʻia ana kou kūlana olakino e ka liʻiliʻi o ʻelua mau kauka . He ʻupena palekana nui kēia a he pono.
3. ʻIke hou loa: ʻOiai ua puka hou kēia mau kauka mai ke kula lapaʻau, ua hou loa ko lākou ʻike. Ua aʻo lākou e pili ana i nā ʻano hana lapaʻau hou loa, nā noiʻi hou loa, a me nā lāʻau lapaʻau hou loa. No laila, e loaʻa iā ʻoe ka lawelawe lapaʻau hou loa.
4. Ka wikiwiki ʻana i ka mālama ʻana: No ka mea, hana lākou ma ke ʻano he ʻāpana o kahi hui, hiki iā lākou ke kōkua i ka wikiwiki ʻana i kekahi mau kaʻina hana a me nā hoʻokolohua. Hiki i kēia ke hoʻopakele iā ʻoe mai ka hele ʻana i ka haukapila i nā manawa he nui.
No laila, i ka manawa aʻe e hālāwai ai ʻoe me ke kauka e hana ana ma kahi haukapila, e hoʻokokoke aku iā lākou me ka ʻike maopopo a me ka hilinaʻi. E wehewehe i kou kūlana, e nīnau i nā nīnau. Aia lākou ma laila e kōkua iā ʻoe, e hoʻomaikaʻi i ko lākou ʻike a me ka ʻike.
Leka Lawe-Home
- He kauka akamai ke 'Kauka Noho' i puka i ke kula lapaʻau a ke aʻo ʻia nei e ia.
- Hana mau lākou ma lalo o ka nānā ʻana a ke kauka loea kiʻekiʻe, no laila ua palekana loa kā lākou hana.
- ʻO ka mālama ʻia ʻana e ke kauka lapaʻau ʻo ia hoʻi e loaʻa iā ʻoe ka nānā hou aku a e nānā ana kekahi mau kauka i kou kūlana.
- Ma muli o ka loaʻa ʻana o ka ʻike lapaʻau hou loa iā lākou, ʻo ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai he hou loa ia.
- No laila, e ʻoluʻolu e kūkākūkā i kāu mau hopohopo olakino me lākou. Aia lākou ma laila e kōkua iā ʻoe.
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