orderly

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A medical orderly or orderly is a hospital attendant whose job consists of assisting medical and/or nursing staff with various nursing and/or medical interventions. These duties are classified as routine tasks involving no risk for the patient.

Job details

Orderlies are typically found in Emergency Departments, Operating Rooms, Psychiatry, Long Term Care, and Orthopaedics.

Orderlies are described as non licensed hospital assistants that are instructed to perform delegated functions under the direct supervision of a licensed practitioner in the health care setting. While the role of nursing has traditionally been filled by women, most orderlies are men, as they may be asked to assist nurses in physically demanding procedures.

Orderlies have been phased out of health care facilities in recent years and their function are now replaced by the Patient Care Assistant and/or Certified Nursing Assistant.

Orderlies are also called Hospital Porters in some hospitals, mostly in the UK, where the term has been mostly replaced with Health Care Assistant.

In the U.S. they are refered to as Medical Assistants or Transportologists.

A common set up among hospitals in Australia is seen at the Royal Adelaide Hospital in Adelaide, South Australia. At the RAH the Orderly service is contracted to Spotless, a national corporation. There are around 80 Orderlies employed by Spotless at the Royal Adelaide alone. Here, they are tasked with the movement of patients and equipment between wards/departments, the movement of patients from Ambulances in Triage, the movement of patients from MedStar Retrieval Helicopters that land at the hospital, the movement of deceased patients to the Mortuary and various other tasks. They respond to every MET (Medical Emergency Team) Call that originates within the hospital to provide extra Oxygen and so that the patient is able to be moved to another area (such as the Intensive Care Unit) as soon as is required. The Orderlies are despatched using Pager/Radio combos. Some Orderlies are stationed at particular departments such as Radiology and Theatre/Recovery but most are in the 'Pool' and are despatched throughout the hospital. In The Royal Brisbane and Womans Hospital in Queensland, orderlies are called Patient Support officers or PSOs. Controversialy, PSOs are required to do all cleaning with in the hospital, leading to an outcry from staff that the practice is unsafe because PSOs have to not only clean, but also take care of the patient handling, leading to a possible increase in the spread of infection.

In Canada, Orderlies can be called Nursing Assistants, PCA (Personal Care Attendants), PSW (Personal Support Workers and Health Care Aids(HCA). Hospitals in Canada pay these employees rather well and they do a lot around hospital to help people. The nursing shortage in some Canadian provinces has become so bad that they are sometimes responsible for giving out medications.

Operations Assistant

An Operations Assistant (OA) is a type of orderly trained to assist in the running of an Operating Suite. OAs require no prior formal training and learn their craft on the job. As well as fulfilling the duties of an orderly, an OA is responsible for the positioning and readiness of equipment in the operating room; and in assisting surgical staff in the positioning of the patient on the operating table. OAs are required to possess knowledge of equipment that is required for every procedure performed in the suite.

The primary duty of an OA is patient care. The application of anti-Deep vein thrombosis equipment, compression stockings, as well as padding to prevent pressure sores is one of the tasks performed by an OA for most surgical procedures. The movement of the patient from their own bed to the operating table is often coordinated by the OA and the Anaesthetist. Surgical procedures requiring the preparation of a limb with antiseptic utilise an OA to hold the limb for the surgeon whilst maintaining aseptic technique. OAs are also required to collect blood products from the Blood Bank and deliver urgent frozen section samples to the Pathology laboratory.

The Operating Suites at St George Hospital, Sydney, Royal Prince Alfred Hospital and Prince of Wales Hospital, Sydney employ OAs to assist in the daily operation of the suite.

See also

• Certified Nursing Assistant

External links

Look up orderly in Wiktionary, the free dictionary.