Diener

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The autopsy assistant (diener) can be seen holding the head of the cadaver. Dr Deijman's Anatomy Lesson (fragment), by Rembrandt.jpg
The autopsy assistant (diener) can be seen holding the head of the cadaver.
A Moravian Church diener serves bread to fellow members of her congregation during the celebration of a lovefeast. Lovefeast at Bethania Moravian Church.jpg
A Moravian Church diener serves bread to fellow members of her congregation during the celebration of a lovefeast.

A diener is a morgue worker responsible for handling, moving, and cleaning the corpse. In the UK, the equivalent job title is 'Mortuary Assistant', whilst the preparation, evisceration and reconstruction of the deceased is performed by an Anatomical Pathology Technician. In the US, Dieners are also referred to as "mortuary assistants" or "autopsy technicians". The word is derived from the German word Leichendiener, which literally means corpse servant ("Diener" means servant . [1] [2] ).

Contents

A diener performs a number of tasks in medical schools and morgues. Helping a pathologist with examining and reconstructing cadavers are main tasks performed by a diener. A diener assists a pathologist or physician during an autopsy completing tasks such as handling tools and supplies, preparation of the deceased before and after autopsy. [3] In addition to physical work with a pathologist and cadavers, dieners do work such as record keeping of identification and documentation of deceased in the form of items such as death certificates. [4]

In the American Moravian Church (German: Herrnhuter Brüdergemeine), the men and (particularly) the women who assist in church services (like the Lovefeast) are called "Dieners", from the German title for their office, Saaldiener or "chapel servant".

Education

Education requirements for a diener includes a high school diploma or a GED certificate. It also includes completion of one year of undergraduate coursework composed of at least six semester hours in courses including biology, human anatomy, physiology, zoology, or criminal justice with laboratory work as well. Becoming a diener includes experience working as a laboratory assistant which involved use of surgical tools or human anatomy knowledge, instead of any undergraduate course work. [5] Dieners can use their work experience to pursue a degree in similar fields such as forensics, clinical laboratory work, and law enforcement. [6]

Training

In the beginning stages of working as a diener, there are training requirements. Formal training requirements for a diener includes manual handling, infection control, and safety procedures. The training has two parts: Taught Units and Workplace Competency.

The first portion, Taught Units, consists of five sections.

The second portion of formal training, Workplace Competency, consists of five sections as well.

In addition to formal training, dieners learn how to do basic tasks through shadowing a mentor. [4]

Skills

Skills a diener needs includes physical strength, reasoning, problem solving, attention to detail, and stress tolerance. In addition to the above skills, integrity/honesty, visual identification, flexibility, and reading are other important skills a diener should possess.[ citation needed ]

Another skill is the ability to work with human remains, diagnostic tools, and surgical instruments involved in a death investigation. A diener is required to be knowledgeable of lab and safety techniques including the collection and preservation of evidence and any tasks involving any chemical, biological, microbiological, pathogenic and miscellaneous hazards. [5]

Places of employment

A diener can work in areas that include hospital mortuaries morgues and medical schools. When working in a medical school, a diener helps train medical students, interns, and residents on performing an autopsy. Dieners help train medical students, interns, and residents in autopsy techniques and procedures. [5]

Duties

The multiple duties of a diener are typically the same wherever employed.

One of the main duties is to assist in autopsies. One duty in assisting with autopsies includes positioning patients for them to be fingerprinted. Another task done as a part of assisting with autopsies involves the removal of organs, tissues, and any fluids (such as blood) from the body. Fingerprinting patients, removing tissues and organs, drawing and spinning blood samples are done as a part of collecting and preserving forensic evidence, which is a portion of the responsibilities for a diener. [5] In autopsy assisting, a diener can collect and keep record of evidence relating to a patient’s death. Examples of collectible evidence includes any body tissues, slides, radiographs, and any on-scene evidence. A diener also performs tasks such as x-rays (body and dental) and developing and evaluating films from x-rays as a part of record keeping. The record keeping of evidence examined in an autopsy by a diener is used in the determination of the cause of death.

In addition to evidence collection and record keeping, a diener has the task of explaining the process of an autopsy in entirety to other employees, law enforcement, and others interested, such as family members of the dead. [5]

A diener performs tasks such as checking inventory and placing orders for equipment and supplies regularly. In addition to performing inventory-related tasks, a diener will clean radiological and medical equipment, as well as inspecting equipment for any issues. [5]

Hazards

There are hazards involved with being a diener. There are approximately six types of hazards that a diener is at risk for: mechanical, sharp force, electrical, chemical, radiation, and infection. [7]

Mechanical hazards categorize harm such as back injury from activity such as transporting cadavers. [7] Sharp force hazards categorize any bodily harm from the use of tools and equipment such as scalpels and needles which resulting in cuts or punctures. Electrical hazards encompass any potential harm in the form of shock from the use of equipment like saws or defibrillators. [7] Chemical hazards include harm from the use of a variety of chemicals used in the autopsy process such as cyanide and formaldehyde. [7] Radiation hazards are related to any exposure from performing x-rays. Infection hazards are due to the potential that a cadaver is infected with a communicable disease. [7]

Promotion opportunities

A diener can be promoted to positions in the mortuary and forensic areas of practice. Dieners can advance to positions (such as a forensic morgue technician) and perform tasks of greater complexity and mainly works with a forensic pathologist, over a general pathologist. Dieners can be promoted to supervisory positions based upon the gaining of supervisory and administrative skills. [6]

Salary

The salary for a diener varies based upon education, experience, employer, and employment location (i.e., city or state of employment). The salary is typically between $25,000 and $38,000 annually. [6]

Related Research Articles

Pathology Study of the causes and effects of disease or injury, also how they arise

Pathology is the study of the causes and effects of disease or injury. The word pathology also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatment, the term is often used in a narrower fashion to refer to processes and tests which fall within the contemporary medical field of "general pathology", an area which includes a number of distinct but inter-related medical specialties that diagnose disease, mostly through analysis of tissue, cell, and body fluid samples. Idiomatically, "a pathology" may also refer to the predicted or actual progression of particular diseases, and the affix pathy is sometimes used to indicate a state of disease in cases of both physical ailment and psychological conditions. A physician practicing pathology is called a pathologist.

Anatomical pathology Medical specialty

Anatomical pathology (Commonwealth) or Anatomic pathology (U.S.) is a medical specialty that is concerned with the diagnosis of disease based on the macroscopic, microscopic, biochemical, immunologic and molecular examination of organs and tissues. Over the last century, surgical pathology has evolved tremendously: from historical examination of whole bodies (autopsy) to a more modernized practice, centered on the diagnosis and prognosis of cancer to guide treatment decision-making in oncology. Its modern founder was the Italian scientist Giovan Battista Morgagni from Forlì.

Forensic pathology Medical speciality

Forensic pathology is pathology that focuses on determining the cause of death by examining a corpse. A post mortem examination is performed by a medical examiner or forensic pathologist, usually during the investigation of criminal law cases and civil law cases in some jurisdictions. Coroners and medical examiners are also frequently asked to confirm the identity of remains.

Cytopathology A branch of pathology that studies and diagnoses diseases on the cellular level

Cytopathology is a branch of pathology that studies and diagnoses diseases on the cellular level. The discipline was founded by George Nicolas Papanicolaou in 1928. Cytopathology is generally used on samples of free cells or tissue fragments, in contrast to histopathology, which studies whole tissues. Cytopathology is frequently, less precisely, called "cytology", which means "the study of cells".

Autopsy Medical examination of a corpse

An autopsy is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any disease or injury that may be present for research or educational purposes.. Autopsies are usually performed by a specialized medical doctor called a pathologist. In most cases, a medical examiner or coroner can determine the cause of death, however, only a small portion of deaths require an autopsy to be performed, under certain circumstances.

Morgue Place for the storage of human corpses awaiting identification or burial

A morgue or mortuary is a place used for the storage of human corpses awaiting identification (ID), removal for autopsy, respectful burial, cremation or other methods of disposal. In modern times, corpses have customarily been refrigerated to delay decomposition.

Dissection Cutting procedure used in anatomy

Dissection is the dismembering of the body of a deceased animal or plant to study its anatomical structure. Autopsy is used in pathology and forensic medicine to determine the cause of death in humans. Less extensive dissection of plants and smaller animals preserved in a formaldehyde solution is typically carried out or demonstrated in biology and natural science classes in middle school and high school, while extensive dissections of cadavers of adults and children, both fresh and preserved are carried out by medical students in medical schools as a part of the teaching in subjects such as anatomy, pathology and forensic medicine. Consequently, dissection is typically conducted in a morgue or in an anatomy lab.

Medical examiner Post-mortem investigation forensic pathologist

The medical examiner is an appointed official in some American jurisdictions who is trained in pathology that investigates deaths that occur under unusual or suspicious circumstances, to perform post-mortem examinations, and in some jurisdictions to initiate inquests.

Neuropathology

Neuropathology is the study of disease of nervous system tissue, usually in the form of either small surgical biopsies or whole-body autopsies. Neuropathologists usually work in a department of anatomic pathology, but work closely with the clinical disciplines of neurology, and neurosurgery, which often depend on neuropathology for a diagnosis. Neuropathology also relates to forensic pathology because brain disease or brain injury can be related to cause of death. Neuropathology should not be confused with neuropathy, which refers to disorders of the nerves themselves rather than the tissues. In neuropathology, the branches of the specializations of nervous system as well as the tissues come together into one field of study.

Prosector

A prosector is a person with the special task of preparing a dissection for demonstration, usually in medical schools or hospitals. Many important anatomists began their careers as prosectors working for lecturers and demonstrators in anatomy and pathology.

The John Tonge Centre is the mortuary for Queensland Health Forensic and Scientific Services and responsible for conducting autopsies in Brisbane on people whose deaths make them subject to the Coroners Act. Such deaths include accidents, suicides, homicides, deaths during surgery and anything for which a doctor is unwilling to issue a medical cause of death certificate for. In cases when the family is called upon to attend the Centre to identify a loved one support services are generally available. Staff at the mortuary performs some 2,000 autopsies annually and is adjacent to the Queen Elizabeth II Jubilee Hospital on Kessels Road in Coopers Plains.

The autopsy of president John Fitzgerald Kennedy was performed at the Bethesda Naval Hospital in Bethesda, Maryland. The autopsy began at about 8 p.m. EST November 22, 1963 and ended at about 12:30 a.m. EST November 23, 1963. The choice of autopsy hospital in the Washington, D.C. area was made by his widow, Jacqueline Kennedy. She chose the Bethesda Naval Hospital because President Kennedy had been a naval officer.

A Disaster Mortuary Operational Response Team or DMORT is a team of experts in the fields of victim identification and mortuary services. DMORTs are activated in response to large scale disasters in the United States to assist in the identification of deceased individuals and storage of the bodies pending the bodies being claimed.

Insect development during storage requires special consideration when further criminal investigation is necessary to solve a crime. Decomposition is a natural process of the body, dissipating slowly over time. This process is aided by insects, making the rate of decomposition faster. For forensic entomologists, it is important to carefully collect, preserve and analyze insects found near or on a victim. By doing that, they can provide an estimated time of death as well as the manner of death and the movement of the corpse from one site to another. The role of a forensic entomologist adjunction to the pathologist is to “collect and identify the arthropods associated with such cases and to analyze entomological data for interpreting insect evidence.”

State Pathologists Office

The State Pathologist's Office is a branch of the Department of Justice in the Republic of Ireland. Its function is to provide independent expert advice on matters relating to forensic pathology and to perform post-mortem examinations in those cases where foul play is suspected. This function includes providing post-mortem reports to the relevant coroner in appropriate instances, as well as attendance at coroners' inquests and at any court proceedings arising out of the Garda investigation into a death. The office also provides advice to coroners on cases which are not the subject of a criminal investigation, but which nevertheless give rise to complex questions of forensic pathology.

Yehuda Hiss is a retired Israeli pathologist. He served as the Chief Pathologist at the Abu Kabir Institute of Forensic Medicine between 1988 and possibly as late as 2005. Hiss has also served as part of the faculty for the Terrorism and Medicine Program at the Institute for Counter-Terrorism (ICT) at IDC Herzliya and in the Department of Pathology for the Sackler Faculty of Medicine at Tel Aviv University.

Dr. Vincent J. M. Di Maio is an American pathologist and an expert on the subject of gunshot wounds. He is originally from Brooklyn. Di Maio is a board-certified anatomic, clinical and forensic pathologist, and a private forensic pathology consultant.

A pathologists’ assistant (PA) is a physician extender whose expertise lies in gross examination of surgical specimens as well as performing forensic, medicolegal, and hospital autopsies.

Werner Uri Spitz is a German-American forensic pathologist who has worked on a number of high-profile cases, including the investigations of the assassinations of president John F. Kennedy and Martin Luther King Jr. He also testified at the trials of Casey Anthony and Phil Spector, the 1996 civil trial against O. J. Simpson, and consulted on the investigation of JonBenét Ramsey's 1996 death.

A digital autopsy is a non-invasive autopsy in which digital imaging technology, such as with Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) scans, is used to develop three-dimensional images for a virtual exploration of a human body.

References

  1. Chemnitz University of Technology. Dictionary De - En. http://dict.tu-chemnitz.de/dings.cgi?o=3021;service=deen;iservice=de-en;query=Diener. Accessed on March 31, 2007.
  2. LEO GmbH Dictionary/Wörterbuch. URL: http://dict.leo.org/ende?lp=ende&p=/oHL..&search=Diener. Accessed on March 31, 2007.
  3. Management, U.S. Office of Personnel (1961). "Position Classification Standard for Autopsy Assistant Series" (PDF). Retrieved Feb 22, 2016.
  4. 1 2 "A Career as an Anatomical Pathology Technician". APT Careers. Association of Anatomical Pathology Technology. Retrieved 15 February 2016.
  5. 1 2 3 4 5 6 "Forensic Autopsy Technician" (PDF). Forensic Autopsy Technician. Archived from the original (PDF) on December 2, 2012. Retrieved Feb 15, 2016.
  6. 1 2 3 Echaore-McDavid, Susan; McDavid, Richard A. (2010-04-21). Career Opportunities in Forensic Science. Infobase Publishing. ISBN   9781438110721.
  7. 1 2 3 4 5 Wetli, Charles V. (Aug 2001). "Autopsy Safety" (PDF). Laboratory Medicine. 32 (8). Archived from the original (PDF) on 2016-02-21. Retrieved Feb 22, 2016.