User:Narayan.ka/My Sandbox/Job Responsibilities of Health Workers
Role of Medical Assistants
Some background information regarding medical assistants (MA)
- Multi skilled, multi functional healthcare providers for more than 100 years.
- Initially known as ‘dressers’.
- Often called the ‘backbone’ of rural health services and ‘jack of all trades’ in hospitals.
- Male nurse profession introduced in mid-50s
- In 1977, Hospital Assistants (Registration) Board established under ‘Act 180’.
- In 1992, nomenclature of ‘hospital assistants’ changed to ‘medical assistants’. Training upgraded to diploma level.
- The Board functions under Medical Practices Division. DG of Health is the Chairman. Chief Medical Assistant is the Secretary of the Board.
Role of PPP (Medical Assistants):
- Responsible in the promotion, prevention, curative and rehabilitation of community under the inspection of medical officer in the primary health care set-up.
- Assisting family medicine specialist and medical officer in term of clinical settings, documentation, medical training, management of health care and research.
- Head a primary health care clinic during the absence of medical officer.
Their works includes:
A.) Screening of patient
- • History-taking.
- • Vital signs examination.
- • Physical examination.
- • Lab investigation or X-ray ( whenever necessary)
- • History-taking.
B.) Examination, diagnosis and treatment
- • Carrying out certain diagnostic and therapeutic procedures, such as ECG, nebulization, IV infusion.
- • Carrying out certain minor procedure, namely application of POP, I&D and so on.
- • Giving injection.
- • Taking IV blood sample.
C.) Emergency treatment
- • Involve in preliminary management during emergency.
- • Conduct First Aids and CPR.
- • Referral of cases to medical officer / nearest health centre.
- • Refer cases which are not within their limit to hospital.
- • Handling referral cases from paramedics.
- • Receiving follow-up of stable cases from the hospital.
- • In time of emergency, a medical assistant is allowed to drive the ambulance, provided that there was a written order from medical officer.
E.) Ambulance service
- • Head the ambulance team.
- • Responsible to ensure that all the equipments in the ambulance are in good condition.
F.) Health education and counseling
- Responsible for counseling the patients and community.
- Involve in health campaign.
G.) Treatment of communicable diseases
- • Case tracing.
- • Case notification.
- • Contact tracing.
- • Provide treatment.
- • Give immunization injections when needed.
- • Home visits to defaulters and to give health education.
H.) Treatment of non-communicable diseases
- Screening and detection.
- Initiate treatment.
- Follow-up for stable cases.
- Give counseling and health education.
- • Examination and injection of Anti-Typhoid jab to food handler.
- • ATT injection.
- • Meningococcal injection to those going to perform Hajj.
- • Japanese encephalitis vaccination
- • Cholera injection.
J.) After working hours
- • Attend to emergency cases after working hours.
K.) As assistant pharmacists
- • Medication dispensing.
- • Packing medicine.
- • Recording medicine usage.