Orderly
Encyclopedia
A medical 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.
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.
In the US, 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. They remain common in Canada and other countries.
Orderlies in UK hospitals were known as "attendants" (primarily in lunatic asylums), but that role has been phased out. The nearest role left to a male hospital assistant is that of Porter, but that is more a logistial role moving patients and equipment around the hospital. This is not to be confused with Healthcare Assistants (HCAs) who are essentially carers for patients (not qualified/licenced health care professionals), and may be of both sexes.
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. Controversially, 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.
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.
Hospital
A hospital is a health care institution providing patient treatment by specialized staff and equipment. Hospitals often, but not always, provide for inpatient care or longer-term patient stays....
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 often utilized in various hospital departments. Orderly duties can range in scope depending on the area of the health care facility they are employed. For that reason, duties can range from assisting in the physical restraint of combative patients, assisting physicians with the application of casts, transporting patients, shaving patients and providing other similar routine personal care to setting up specialised hospital equipment such as bed traction arrays.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.
In the US, 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. They remain common in Canada and other countries.
Orderlies in UK hospitals were known as "attendants" (primarily in lunatic asylums), but that role has been phased out. The nearest role left to a male hospital assistant is that of Porter, but that is more a logistial role moving patients and equipment around the hospital. This is not to be confused with Healthcare Assistants (HCAs) who are essentially carers for patients (not qualified/licenced health care professionals), and may be of both sexes.
A common set up among hospitals in Australia is seen at the Royal Adelaide Hospital
Royal Adelaide Hospital
The Royal Adelaide Hospital is Adelaide's largest hospital, with 680 beds. Founded in 1840, the Royal Adelaide provides tertiary health care services for South Australia and provides secondary care clinical services to residents of Adelaide's city centre and inner suburbs.The hospital is situated...
in Adelaide, South Australia. At the RAH the Orderly service is contracted to Spotless
Spotless
Spotless is an Australian company which provides services such as cleaning, catering, facilities management and non-core business support to outsourcing markets in Australia, New Zealand and the USA, as well as manufacturing garment hanger systems, labels and packaging for garment manufacturing...
, 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. Controversially, 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
Deep vein thrombosis
Deep vein thrombosis is the formation of a blood clot in a deep vein. Deep vein thrombosis commonly affects the leg veins or the deep veins of the pelvis. Occasionally the veins of the arm are affected...
equipment, compression stockings
Compression stockings
Compression stockings and socks are specialised hosiery items designed to increase blood circulation. Their main theraputic purpose is to provide graduated pressure on the lower leg and foot and, in some cases, the thigh, to alleviate circulatory problems such as edema, phlebitis and...
, 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
Antiseptic
Antiseptics are antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection, sepsis, or putrefaction...
utilise an OA to hold the limb for the surgeon whilst maintaining aseptic technique
Aseptic technique
Aseptic technique refers to a procedure that is performed under sterile conditions. This includes medical and laboratory techniques, such as with microbiological cultures. It includes techniques like flame sterilization...
. OAs are also required to collect blood products from the Blood Bank
Blood bank
A blood bank is a cache or bank of blood or blood components, gathered as a result of blood donation, stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a division of a hospital laboratory where the storage of blood product occurs and where proper...
and deliver urgent frozen section samples to the Pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....
laboratory.
The Operating Suites at St George Hospital, Sydney
St George Hospital, Sydney
The St George Hospital and Community Health Service is a tertiary referral hospital located in Kogarah, a southern suburb of Sydney, NSW, Australia...
, Royal Prince Alfred Hospital
Royal Prince Alfred Hospital
The Royal Prince Alfred Hospital is a major public teaching hospital in Sydney, Australia, located on Missenden Road in Camperdown...
and Prince of Wales Hospital, Sydney
Prince of Wales Hospital, Sydney
The Prince of Wales Hospital is a major public teaching hospital located in Sydney's eastern suburb of Randwick, providing a full range of hospital services to the people of New South Wales, Australia...
employ OAs to assist in the daily operation of the suite.