Nursing Specialties and Opportunities in Panama

1. GoodAfternoon

2. Registered Nurses Scientific English 331 Faculty of Nursing School of Nursing 2011 SecondSemester

3. Title: Registered Nurses Enfermera Registrada Duties: • Treat patients • Educate patients and the public about various medical conditions • Provide advice and emotional support to patients’ family members. • Record patients’ medical histories and symptoms • Help perform diagnostic tests and analyze results • Operate medical machinery • Administer treatment and medications • Help with patient follow-up and rehabilitation

4. Teach patients and their families how to manage their illnesses or injuries • Promote general health by educating the public on warning signs and symptoms of disease. • Run general health screening or immunization clinics, blood drives, and public seminars on various conditions. • Establish a care plan or contribute to an existing plan. • Provide direction to licensed practical nurses and nursing aides regarding patient care. • Perform diagnostic and therapeutic procedures • May have prescriptive authority.

5. Registered Nurses • Education and Training in Panama: Nursing schools are currently available UNACHI and the University of Panama and her extension in the area of ​​Chitre. • Earnings in Panama:earn 745 per month and work 8 hours daily. will increase the salaries of two years of working in the institution. for example, two years later would be 795 per month. • Job outlook:

6. location: • hospitals in which they can work: • InPanamá: • San Miguel Arcangel Hospital • ComplejoArnulfo Arias Madrid Hospital • In Coclé: • Hospital ChichoFábrega • In Chitré: • Hospital El Vigía • Chiriquí: • Hospital regional Rafael hernández • Hospital MaternoInfantil José Domingo de Obaldía • Hospital Dionisio Arrocha

7. SPECIALTY: Perioperative NursesEnfermera preoperatoria Stephany caballero Duties: • Monitor vital constants before, during and after surgery. • Monitor the patient's cardiorespiratory status. • Assess the area of the wound • prepare the patient for surgery Location: • is the operating room Education and Training in Panama: In Panama no have center for training nurses in this specialty, but the hospital provider a courses in this especialty. She have a bachelor's degree and be registered and have years of service. Earnings: The nurses started $700.00 and 50.00 dollars for specialty. Information by Miss Ingrid Sima HJDDO

8. Specialty: Diabetes management nurses • Duties:As a diabetes management nurse, you’ll deal with patients who have Type I and Type II diabetes, both of which can mean huge changes in what the patients eats as well as huge changes in other parts of life. Your role could include educating patients and their families about this disease and its risks, monitoring blood sugar, developing nutritional plans with patients, and more. Depending on your level of education, your employer, and the state where you live, you could also administer or even prescribe medications to aid with patients’ diabetes management. • Location:In hospitals, specialized centers, health centers, health tours, homes. • Education and Training in Panama: In Panama no there is now a specialty for this area. however, the nurse provides total care to the patient suffering from diabetes. looking to meet their needs and help in their treatment. Community nurses also guide the population on how to prevent type 2 diabetes. • Earnings: . As a diabetes management nurse, your salary will be linked to a number of factors, such as level of education, location, type of employer, certification status, and more. This is a career area that is growing rapidly, so you can expect to see higher and higher average salary amounts for diabetes management nurses in the coming years. Right now, diabetes management nurses make an average of $53,000 annually at the RN level.

9. Johan Concepción Specialty: Dermatology Nurses(Does not exist in Panama) Duties: • Work with patients with disorders of the skin such as cancer and psoriasis. • Also responsible for the study of the structure and function of the skin. • As well as diseases that affect • Its prevention at the same time carries a select procedure to control possible injuries or illnesses to this. Location: • Hospitals and private clinics Education and Training in Panama: Called phone via different nurse specialists and personal interviews were conducted on September 16, 2011, and I am told that this specialty is not practised in Panama but in other countries if without however concern if it exists as a specialty. Earnings: His salary is unknown because there is no Panama

10. _Geriatric nurse _Gastroenterology nurse ScientificEnglish 331 Faculty of Nursing School of Nursing 2011 SecondSemester Student: Aneth Delgado ID: 4-755-1048

11. Title:GeriatricnurseEquivalent: Enfermera geriátrica Duties: - Differentiate from a holistic perspective, normal aging andthe disease in an older adult.- Identify health problems and deviations according to the modelOrem.- Consider diagnosis and intervention.- Classify the nursing system to use- Know and apply basic nursing care geriatric- Strengthening self-care practices for older adults and theircaregivers.- Provide support to caregivers

12. Perform detailed physical exam: - Find those parameters of normality and to identify pathologies.- Indicate frequent health checks- Encourage participation in organized groups- Educate about personal cleanliness- Encourage brushing comiday after cleaning the denture.- Lubricate the surface areas and massage of the joints- Hydrate the earlobe to prevent dryness and itching in the area

13. Education and Training in Panama: • Degree in Nursing- Directing the work in the • room by the supervising nurse- Requires specialty in geriatrics • Earnings in Panama:$ 800 • Job outlook: • In our present and near future the population pyramid is completely inverted Towardsthe population of the elderly, caused an immediate and urgent need to meet the demands of Health and Welfare of the Elderly Adults.

14. * Our graduates have the knowledge, the most current and Contemporary Nursing, which will allow an excellent service provide nursing care to patients Clinical / Hospital of the Third Age* Provide a service based on the training, the skills and knowledge, specialized for the care of patients of the Third Age.* Provide specialized in Management, Hygiene and Nutrition in the Elderly Patients classified as hospital patients, Desserts and / or Outpatient.* Provide specialized care for the Elderly Patients with chronic diseases-degenerative and / or geriatric syndromes.* Attention to Patients Domicilaria of the Third Age.

15. Location: - Center of Health- Elder hostel- Geriatric hospitals Education and Training in Panama: -Study 4 years degree in nursing school -Nurse specializing in geriatric-Have 2 years of service as a general nurse and be registered Earnings: Every 3 years the salary scale increases according to institution

16. Yahaira Espinosa Title: gynecologyEnfermera ginecologica • DUTIES: • ensure good information and advice on family planning • to diagnose pregnancies and monitored during their normal course, carry out the examinations necessary to monitor the progress of normal pregnancy • prescribe or advise on the examinations necessary for the earliest possible diagnosis of pregnancies at risk

17. establish a program to prepare future parents for their role as such, to ensure complete preparation for childbirth including advice on hygiene and nutrition • attend the mother during labor and to monitor the status of the fetus in utero by the appropriate clinical and technical means • attend normal childbirth in the case of a vertex presentation, and even, if necessary, episiotomy and in urgent cases, help the party in case of breech presentation

18. detected in the mother or the child the warning signs of abnormalities that necessitate referral to a doctor and assisting the latter in case of intervention • take emergency measures are necessary in the doctor's absence, in particular the manual removal of placenta, manual examination of the uterus followed if necessary

19. Eairings: • SPECIALIST NURSES WITH WIN 1200 Gynécologie

20. LOCATION • OBALDIA JOSE HOSPITAL SUNDAY

21. Education and training in Panamá • Primary certificate • Secondary Certificate • Nursing Degree • Graduate emphasis in gynecology

22. Hilbeth Estrada SPECIALTY: Ambulatory Care NursesEnfermera Comunitaria Duties: • Provide Preventing Care. • Treat patient with cronic illness. Location: Job in comunity and healthcare settings. Education and Training in Panama: In panama city ambulatory care nurse needs to have a degree, and after registration, a master for this specialty. Earnings: The nurses started $700.00 and more 50.00 for specialty. Information by Miss Zalesky Gonzales HRRH

23. Davis Gonzáles Specialty: critical care nurses Duties: Treatpatientincriticalarea Administertreatment and medications Location: Criticalcare nurses can be foundworking in a widevariety of environments and specialties, such as emergencydepartments and theintensivecareunits Education and Training in Panama: Earnings:

24. Specialty: critical care nurses • Education and training in panama: • Mostcriticalcare nurses in thepanama. are registerednursesDuetotheunstablenature of thepatientpopulation  are rarelyutilized in a primarycare role in theintensivecareunit. • Nurses in thepanamawhowishtoobtaincertification in criticalcarenursing can do so throughanep • Intensivecare nurses are alsorequiredtobecomfortablewith a widevariety of technology and its uses in thecriticalcaresetting

25. Specialty: critical care nurses Earnings: panana gain 800 per mouth each work 6 hours

26. Maribel Gomez Specialty: Emergency or traume nurseEnfermera de urgencias o trauma Duties: • Clinicalevaluation, presents and implementsspecificcare plan. • Cordinaongoingassessmentprogramsforstaff and colleagues. • Acts as theadministrativerepresentative of theunit. • Scenesperformedprehospitaladvancedprocedureswithorwithoutmedicalsupervision. • Liesespecially in thearea of trauma - shock and isan indispensable member of theteam. • Integralattention and trackthestatehemodynamic, metabolic and neurologicalemergencies. • Classifiespatientswilllendurgentcare in the hospital. • Partcipaactively in themultidisciplinaryteam, bringingtheirvision of experts. • Subjectedto a triagepatients in emergency and disastersituations and apply CPR. Location: lies especially in the area of trauma and shock Education and Training in Panama: Autonomous University of Chiriquí and University of Panama. Earnings: Depends on the number of years of service and increases by 50 dollars on a specialty.

27. José Gonzáles

28. Gidaltis Gonzáles Specialty: Holistic nursesTERAPIA COMPLEMENTARIA Duties: Provide care such as acupuncture, massage and aroma therapy, and biofeedback, which are meant to treat patients’ mental and spiritual health in addition to their physical health. Location: Chile, México Education and Training in Panama: No such nurses are there in Panama because race that specialists in this area (interview with nursing faculty) Earnings: salaryisunknown

29. Specialty: Home health care nurses Enfermera de cuidados en casa Duties: • Basic care assistance: bathing in bed, grooming, feeding, administration of drugs. • Endovenous Treatment Placement, subject to medical prescription, preparation for studies (placement of enemas). • Training for patient care, bed mobilization, control of liquids, take blood pressure, direct assistance to the user. • Home peritoneal dialysis with highly qualified staff (Specialists) • Wound healing Location: Home care for each patient Education and Training in Panama: In Panama, there are not home care nurses, according to the teacher and intensive care nurse Ingrid Sima, but they exist in the United States and Venezuela. The requirement is degree in nursing and a specialization. Earnings: Salary of thirty five dollars for hour, eight thousand four hundred dollars a month.

30. SPECIALTY: Hospice and Palliative Care Nurses.Enfermera en cuidado paliativos o terminales. Yaira Guttierrez Duties: • Focused on maintaining quality of life for terminally ill patients. • Administer medications for pean Location: Job in oncology hospital Home patients. Education and Training in Panama: In Panama not have center for training nurses in this specialty. Earnings: The nurses started $700.00 and more 50.00 for specialty. Information by Miss Yolanda Ortega. Jefa de Policlínica de Bugaba

31. Specialty:Long-term care nurse In Panama, there Duties:provude healthcare servince on a recurring basis lo patientes with chonic physical or mental disorders. Location: in hospital and private clinics, in ohter countries. Education and Training in Panama: Panama does not have this speciality. Earnings: He met the dean of the faculty and reported that Panama does not have this speciality.

32. Title: Medical Surgical Nurses Enfermera medico quirúrgica Sthepanie miranda • Duties: • Educating patients on surgical procedures. • Managing pain. • Discharge planning. • Working closely with other healthcare professionals. • Maintaining a patient’s physical and psychosocial health.

33. Location: Can work in Hospital Rafael Hernandez, Acute Care Units. Education and Training in Panama: The specialty of medical-surgical nurse can be studied in the Universidad Autónoma de Chiriquí which lasts one and a half. Earnings: Medical surgical nurse receives an average salary of 1200 dollars depending on the degree Blanca Quintero

34. Title: Occupational health nursesEnfermera de salud ocupacional Duties: • Participate in the development of labor history. • Carry programming, reporting and archiving of preventive medical examinations • Participate in the epidemiological monitoring of workers with occupational diseases or work-related. • Participate in the process of hazard identification, evaluation and control of occupational hazards with administrations.

35. Actively participate in the enforcement of the measures set out in the inspection and proper use of the means of protection • Give employees a health education according to workplace and occupational risks it is exposed • Conduct surveillance and analysis of sanitary conditions and epidemiological job and company

36. Develop promotional, preventive health and safety of workers, and rehabilitation of sick or injured workers, through individual actions aimed at the general worker or the collective work directed. • Develop and implement programs designed to combat risk behaviors and health habits in the workplace.

37. Education and training in Panamá • In 1998 approving the graduate occupational health at the Universidad de Panamá. The duration is 2 (two) semesters or 1 (one) year with theory and practice and are awarded 25 credits. Entry requirements are: • Possess degree in Nursing Science. • Have a academic index of 1.50 during their undergraduate studies

38. Earnings: • Have a salary of approximately 700 to 800 dollars. Location: • privatecompanies • Hospitals • Clinics • schools

39. Specialty: Perianesthesia nurse ,spanish equivalent: enfermera anestesióloga Eunides Montoto Duties:provide preoperative and postoperative care to patients undergoing anesthesia during surgery or procedure. Location: According to the nurse anesthetist, intensivist Zapata mayra currently working at the regional hospital prepare this race the same St. Thomas Hospital she took a specialty and then discontinued this preparation, at present the anesthesiologist is the one who placed the nurse anesthesia and no Education and Training in Panama: there is this race in Panama according to hospital clinical professors and Mayra Zapata Ingrid Sima Earnings in Panama: dollars biweekly 1080 According to the professor many years ago this was the salary she was a nurse anesthetist has Mayra Zapata.

40. Perianesthesia nurse • Imagen include, • Eunides Montoto • 4-739-2244 • Job outlook: • currently there is no such race in Panama, according to the versions of the teachers of clinical practice and Mayra Zapata Ingrid Sima in the Chiriqui province there are only 5 and only nurse anesthetists are responsible for preoperative and postoperative care of anesthesia in the patients undergoing surgery

41. Yussara Nájera Specialty: Psychiatric- mental health nurse Enfermera psiquiátrica o de salud mental. Duties: • Treatpatientswithpersonality and mooddisorders. • Train the technicalteam. • Teach about mental health to patient’s family members. Location: In the Regional Hospital- Chiriquí and “Instituto Nacional de Salud Mental de Panamá”.

42. Education and Training in Panama: Postgraduate studies in mental health: The duration is 2 semesters or 1 year with theory and practice and are awarded 25 credits. The admission requirements are: • Possess bachelor's degree in Nursing Science. • Have a academic index of 1.50 during their undergraduate training. Earnings: Salary of 800-1000 dollars for month.

43. Specialty: Radiology nursesEnfermera Radióloga Irma Rodriguez Duties: - Assess the needs of patients.- Apply the physical and psychological care before, during and after the process.- Preparation of sterile field.- Perform nursing techniques.- Apply treatments.- To assist the radiologist during the procedure.- Complement the Registry of Nursing to be attached to Sr. Clinical care and nursing activities performed, treatments and recommendations for the hours after the intervention.- Check medication, truck stop, injection pumps ...- Manage the material to be in contact with the patient (catheter guides etc. ..) Location: Go to the radiology department patients from medical units, Surgical, Emergency, ICU and outpatient, with all sorts of diseases. Education and Training in Panama: In Panama there is no school to specialize in radiology led to nurses. Earnings: In Panama there is no such specialists, researchers and foreign wages of nurses radiologists is:$ 59.000 Radiology Nurse, Interventional Radiology California $ 80,000 $ 93,000 Interventional Radiology Texa.

44. Specialty: Rehabilitation nurse DUTIES: The rehabilitation nurse who specializes in assisting people with disabilities and chronic illness to attain optimal function and optimal health, and adapt to a different lifestyle. Registered nurses Rehabilitation to help patients become more independent setting goals and realistic treatment plans. They are part of a multidisciplinary team and often coordinate patient care and team activities.

45. LOCATION: Hospitals.• Centers of inpatient rehabilitation.• Centers of outpatient rehabilitation.• Centers of long-term care.• Home health services and community.• Insurance companies.• private clinics.• Schools.• occupational health centers.

46. Education and training in panamá: The specialty of nursing in rehabilitation is dictated at the University of the Americas in Panama. • Earnings: the salary is around nine dollars.

47. Alcibiades Saldaña Title: transplant nurses Enfermera de atención para el trasplante Duties: • Care for both transplant recipients. • living donors. • monitor signs of organ rejection.

48. Transplat nurses • Education and Training in Panama: In Panama, there is spatiality as such, nurses receive special training in their care to have this type of patient. • Earnings in Panama: wages in this case depends on the years of experience of the nurse, as they increase every two years fifty dollars in addition to his base salary of eight hundred dollars. • Job outlook: the jobs are in the metropolitan area hospitals as el Complejo Hospitalario de C.C.S and hospital Santo Tomas. referred by the teacher, a nurse at hospital Jose Domingo De Obaldia Mirta Montenegro

49. Title: Intellectual Developmental disabilities nursesEnfermera de discapacidad intelectual y del desarrollozuleika sevillano Nurses surveyed: Liana Del Cid, Yolanda Ortega, Mayra Zapata, Xenia Miranda. According to information provided by different nurses specialization that I belonged there in panama Duties: • Providingcareforpatientswithphysical, mental orbehavioraldisabilities. • Caringforpatients of allages. • Assistingwithfeeding and controllingbodilyfunctions.

50. Supportingpatients and encouragingthemtobeindependentlymobile. • Educatingpatients and theirfamilies of Intellectual and DevelopmentalDisabilities. • Assistingpatientswithlanguageskills and otherforms of communication. • Location: Nurses work in manydifferentsettingsincludingHospitals, Schools, Worksites, and PrimaryCare Centres in thecommunity.