Samenvatting Arts-stagiaire als professional - Gezondheid & Maatschappij
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Course
Gezondheid En Maatschappij 3, MA2
Institution
Universiteit Gent (UGent)
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arts stagiair als professional in de gezondheidszorg
organisatie van de gezondheidszorg
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Universiteit Gent (UGent)
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Gezondheid En Maatschappij 3, MA2
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Arts(stagiair) als professional in gezondheidszorg
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1. Rechtpositie van de arts-stagiair ..................................................................................................... 4
1.1 Normering vd verpleegkunde .................................................................................................. 4
1.1.1 Autonoom verpleegkundige prestaties (A) ..................................................................... 4
1.1.2 Technisch verpleegkundige prestaties (B) ....................................................................... 5
1.1.3 Toevertrouwde medische handelingen (C) ..................................................................... 5
1.1.4 Tijdelijke aanpassing ikv Covid-crisis ............................................................................... 5
1.2 Mogelijke aansprakelijkheid vd stagiair .................................................................................. 5
1.3 Belangrijke regels uit Patiëntenrechtenwet bij uitoefening stage .......................................... 6
1.4 Casussen .................................................................................................................................. 6
1.4.1 Casus 1 ............................................................................................................................. 6
1.4.2 Casus 2 ............................................................................................................................. 6
1.4.3 Casus 3 ............................................................................................................................. 7
1.4.4 Casus 4 ............................................................................................................................. 7
1.4.5 Casus 5 ............................................................................................................................. 7
1.4.6 Casus 6 ............................................................................................................................. 7
1.4.7 Casus 7 ............................................................................................................................. 8
2. Rationeel omgaan met geneesmiddelen ........................................................................................ 8
2.1 Farmaceutische zorg: waarom nodig? .................................................................................... 8
2.1.1 Wat is farmaceutische zorg in de EERSTE LIJN? .............................................................. 8
A. Patiënt begeleiden naar/bij correct geneesmiddelgebruik................................................. 8
B. Medicatiebewaking ............................................................................................................. 9
C. Zelfzorgadvies ...................................................................................................................... 9
D. Overleg met huisarts ........................................................................................................... 9
E. Meewerken aan preventiecampagnes ................................................................................ 9
F. Ook initiatieven los ve aflevering ........................................................................................ 9
2.1.2 Wat is farmaceutische zorg in het ZIEKENHUIS ............................................................... 9
2.1.3 Wat is farmaceutische zorg in het RUST en VERZORGINGSTEHUIS .............................. 10
2.1.4 Conclusie farmaceutische zorg ...................................................................................... 10
2.2 Geneesmiddelen ontwikkeling .............................................................................................. 10
2.2.1 Ontwikkeling vh geneesmiddel ..................................................................................... 10
2.2.2 Post-patent tijdperk vh geneesmiddel .......................................................................... 11
2.2.3 Terugtrekking vh geneesmiddel .................................................................................... 11
2.3 Geneesmiddelenbewaking .................................................................................................... 11
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, 2.3.1 Geneesmiddelenbewaking ............................................................................................ 11
A. Rationale GM bewaking .................................................................................................... 11
B. Methoden .......................................................................................................................... 12
C. Spontane meldingen ......................................................................................................... 12
2.3.2 Post marketing surveillance .......................................................................................... 13
2.3.3 Risico management plannen ......................................................................................... 13
2.3.4 Conclusies ...................................................................................................................... 13
2.4 Arts en geneesmiddelenindustrie ......................................................................................... 14
2.4.1 Invloeden op het wetenschappelijk onderzoek ............................................................ 14
A. Methodologisch sturen ..................................................................................................... 14
B. Publication bias ................................................................................................................. 14
C. Ghost writing ..................................................................................................................... 15
2.4.2 Invloed op de individuele arts: beïnvloeding vh voorschrijven dr industrie ................. 15
2.4.3 Invloed op de ptn .......................................................................................................... 15
2.4.4 Conclusies ...................................................................................................................... 15
3. Alternatieve geneesmiddelen (CAM) ............................................................................................ 15
3.1 Waarover hebben we het...................................................................................................... 15
3.2 Gebruik in België en de wereld ............................................................................................. 16
3.3 Pro en contra ......................................................................................................................... 16
3.3.1 Contra ............................................................................................................................ 16
3.3.2 Pro ................................................................................................................................. 16
3.3.3 Reden gebruik en succes ............................................................................................... 17
3.4 Homeopathie ......................................................................................................................... 17
3.5 Osteopathie en chiropraxie ................................................................................................... 17
3.6 Acupunctuur .......................................................................................................................... 18
3.7 Poging tot conclusie .............................................................................................................. 18
4. Omgaan met agressie .................................................................................................................... 18
4.1 Inleiding ................................................................................................................................. 18
4.2 Stappenplan........................................................................................................................... 19
5. Omgaan met infectierisico’s/prikaccidenten/ZH hygiëne ............................................................. 20
5.1 Prikongevallen en post-exposure profylaxie: HBV, HCV en HIV ............................................ 20
5.1.1 HIV PEP .......................................................................................................................... 20
5.1.2 HBV PEP ......................................................................................................................... 21
5.1.3 HCV PEP ......................................................................................................................... 21
5.2 Ziekenhuisinfecties/nosocomiale infecties: isolatiemaatregelen en preventie.................... 22
5.2.1 Standaard voorzorgen ................................................................................................... 22
2
, 5.2.2 Overdrachtsgebonden voorzorgen ............................................................................... 23
A. Airborne voorzorgen ......................................................................................................... 23
B. Droplet voorzorgen ........................................................................................................... 23
C. Contact voorzorgen ........................................................................................................... 23
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