### structure | building:

Hospital
* Includes hospitals and rehabilitation hospitals.
* Many hospitals also sponsor education programs and support groups to help patients and families
  - are maintained solely for the treatment of military personnel and veterans
  - conduct counseling groups for families and friends of people with cancer
  - do take credit cards
* Many hospitals have a public, electrical breast pump machine
  - an urgent care center
  - cooking facilities for families where they can cook or microwave favorite meals
  - doctor referral services, as well as other health-related services
  - medical libraries
  - places to store milk so that it is available whenever the baby needs it
  - programs for losing weight and they are all quite similar
  - rehabilitation programs to help people with chronic breathing problems
  - special activities just for children
* Many hospitals now allow midwives to deliver babies by natural means within their facilities
  - have trained dogs that visit hospitals for therapy
  - offer diabetes camps for the whole family
  - pay vision insurance
  - recommend that parents use infant stimulation techniques when their babies come home
  - rely on outpatient services to provide after-hour emergency care
  - require babies born by cesarean to be watched in the nursery for a short time
  - specialize in specific procedures or types of treatment
  - treat rape survivors without advance payment, even if they have no insurance
  - use infant massage with premature infants
* Most hospitals are large employers, and many rank among the biggest in their communities
  - ban the use of cell phones for safety reasons
* Most hospitals encourage parents to spend as much time as they can with their babies
  - rooming in - where the baby stays with mom the entire time
  - establish their own dress and grooming codes for care providers
* Most hospitals have English-speaking staff and big hotels have doctors
  - chaplains who visit patients in the hospital or even in their homes
  - charity funds, and private physicians also donate their time
  - dentists on call for dental emergencies
  - dietitians that can assess and make recommendations to outpatients
  - sensitive and specific assays for urinary myoglobin
  - staff social workers
  - make money by selling the umbilical cords cut from women who give birth
  - now have nurses who specialize in breast-feeding
  - rely on clot busting therapy to open blocked arteries during a heart attack
  - serve vegetarian meals
  - take pictures of stillborn babies and infants who die
  - train all hospital personnel
  - treat emergency heart attack victims with a clot-busting drug
* Most hospitals use metal stirrups
  - the metric system for weighing babies
* Some hospitals allow registered or certified EMTs to work in emergency departments
  - the brothers and sisters of a new baby to visit
* Some hospitals also burn wood to produce steam for sterilizing equipment and powering machines
  - segregate metal, glass and plastic, primarily from food service operations
  - treat cleft palate, a common birth defect
  - use the process to prepare food for patients with immune system problems
* Some hospitals are part of chains
  - so overcrowded that patients are kept two to a bed
  - arrange visiting days for children
  - can no longer afford to stock certain drugs and medicines
* Some hospitals deal entirely with older people or mental health
  - people, mental health or community services
  - even offer to abort fetuses with defects that can be corrected, such as cleft palate
* Some hospitals have a special room where patients or relatives can pray
  - groups for people who want to quit
  - sexual assault care centres
  - special vans to transport patients to medical appointments
* Some hospitals keep records for up to thirty years or more
  - used books on hand for patients
  - list physicians with privileges
  - maintain a database of patients and diagnoses
  - offer massage therapy as a part of their standard of care
* Some hospitals provide follow-up telephone calls or home visits to assess the mother's condition
  - vans to transport patients to their facilities
  - routinely test all babies
  - sell their pre-admission list of pregnant women to formula companies
  - take photographs of the baby shortly after birth
* account for one third of all health care expenditures.
* achieve permanence by adapting to the changing needs of society.
* allow police to bring in contents from crime scenes.
* also have major pharmacies with several million dollars of street-value drugs
  - keep records on patients they've served
  - provide drugs that are compounds of different drugs
  - use robots for more mundane tasks
* are a major employer of physical therapists.
* are a place to heal
  - take care of people
  - also important part in public hazard emergency management
  - busy places and sometimes it is difficult to get needed rest
  - cash flow entities
  - cleans
  - community places
  - emergency facilities, designed to intervene
  - establishments permanently staffed by at least one physician
  - for sick people
  - generally where acutely ill and injured people go
  - hospitals, and profit mongering has historically been their calling card
  - imperfect institutions
  - institutions for propagating sin
  - just one of many areas where nurses practice
* are large buildings
  - users of both electrical and thermal energy on a continuous basis
* are located in cities
  - major cities
  - towns
  - urban areas
  - medical facilities
  - no place for sick people
  - often the last resort for people without health insurance
  - organizations
  - places where infections can spread easily
  - places, for the most part, that are there to get people in and get people out
* are the major employers in many disadvantaged communities
  - most common sites of antibiotic resistance development
  - primary employers of surgical technologists
  - second largest employer of pharmacists
  - tightly integrated organisations with increasing constraints on professional autonomy
  - to be places that welcome the sick, no matter what the illness
* are used for emergencies
  - healeds
  - surgery
  - usually the first point of contact for people with cancer
  - well-known for their compassionate care and concern for patients
* can be dangerous places for people with food allergies
  - frightening places for children
  - often stressful on family and friends
  - differ in how well they do heart surgery
* do have certain antibiotics they hold in reserve to treat resistant bacteria
  - tend to drain energy and life out of people
* don t make a point of painting their rooms in black.
* employ or work with virtually every type of healthcare professional.
* exist to treat illness and disease.
* face a continuing shortage of workers, particularly in the clinical professions.
* form the largest single component of health-care costs.
* frequently omit to record a circumcision on a baby's chart
  - prescribe oxygen for patients with respiratory ailments
* generally provide comprehensive health care.
* generate waste.
* give way to centers of spiritual well being.
* have almost no food, heating, or medicine
  - an ethical and legal obligation to keep medical information private and confidential
  - kitchens
  - medicine and equipment to support recovering patients
  - no medicine and people have to depend on Chinese and Thai medicines
  - policies, procedures and training to help prevent mistakes
  - policy
  - protocols
  - seat demonstration kitchens
  - treatments
  - burn centers
  - ceilings
  - courtyards
  - elevator cars
  - elevators
* includes hospital rooms
  - wards
  - room light
  - walls
* invest heavily in devices that monitor patients at the point of care.
* keep databases of patient data, pharmacy data, financial data, and more.
* maintain medical records.
* mostly use general anaesthesia for abortions.
* offer services.
* often provide cancer counselors to help with problems related to illness
  - serve as major economic anchors, as well as health care providers
* operate under regulations that specify disposal requirements for medical wastes.
* own hospital records and physicians own their office records.
* pay blood centers a fee to collect, test and process blood donations.
* provide the majority of medical care to victims after a disaster.
* receive radioactive materials for use in diagnosing and treating diseases.
* regularly see patients who have damaged their eyes while watching eclipses.
* report that malnutrition had become a major contributor to many health problems.
* see women as warm bodies to fill a spot.
* serve as centers for the formation and transmission of drug-resistant organisms
* tend to discharge people sooner than they have in the past.
* try to function without medicine, without electricity and without equipment
  - learn how to do more with less money
* typically think in terms of doctor and nurse treatment.
* use aerosols to spray antibiotics onto wounds
  - eggs in diagnostic tests to identify some viruses and diseases
  - fetal monitors to evaluate a woman's labor
  - it to relieve pain
  - morphine, codeine and sometimes even opium, all of which are controlled substances
  - music, meditation, movement and more to improve cancer patients' quality of life
  - rechargeable batteries in portable defibrillators and heart monitors to save lives
  - surgical stainless steel because it can be kept clean and sterile
  - walls of air to separate areas considered contagious
* usually differentiate between regular diet, convalescent diet, soft diet and fluid diet.
* vary in terms of their readiness to treat children s emergencies.
+ Alexander Litvinenko, How the poison works: 1962 births :: 2006 deaths :: Russian writers
  * Unlike most common radiation sources, polonium-210 emits only alpha particles. These do not penetrate even a sheet of paper or human skin. Thus they are invisible to normal radiation detectors. Hospitals only have equipment to detect gamma rays. Both gamma rays and alpha particles are classified as ionizing radiation, and can cause radiation sickness.