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Internship presentation
- 1. Summer 2015 Internship Angela Dembowski
- 2. Where? • Maricopa County Office of the Medical Examiner (O.M.E.) • Phoenix, AZ
- 3. Inside The O.M.E.… • Full examination suite with 10 exam stations – Separate viewing area for law personnel • Special procedures room – Possible infectious diseases – Decomposed remains • Coolers that can store about 140 cases
- 4. Inside The O.M.E. Cont. • Toxicology laboratory • Laboratory space for DNA, trace, and serology testing • Exam room for Donor Network of Arizona
- 5. What Did I Do? Exams • Worked with Medical Examiners and Forensic Technicians • Autopsies – Full – Partial – External Investigations • Worked with Investigators – Not Police • Scenes – Crime scene – Hospitals • Medical records • Jurisdiction
- 6. O.M.E. Jurisdiction • Natural death – Decedent was “unattended” • Unnatural death – Homicide – Suicide – Motor Vehicle Accident (MVA)
- 7. Investigations • Intern duties: • Took photographs at scenes • Drove the O.M.E. vans – Filled them with gas – Restocked and emptied trash • Requested and filed medical records
- 8. An Average Day In Investigations • My shift started at 5am • Filed medical records • Went to morning meeting at 7am • When Dispatch got a call, we would leave – This could be a scene, hospital, or both • Once back at O.M.E. my shift ended at 3pm
- 9. Crime Scene • Arrive on scene • Investigator talks to Police & family members • We find the decedent • Necessary pictures are taken – Address or apartment # – Decedent with surroundings – Close-ups of face and profile – Any wounds or suspicious marks – Any weapons, if applicable • Decedent is put in body bag and transported back to O.M.E.
- 10. Hospital • Arrive on scene • Followed Security to the Morgue • Took photos of decedent – I.D. tag on bag and ankle – Overalls of decedent – Close-ups of face and profile – Any wounds or marks pertaining to C.O.D. • Decedent is bagged and transported to O.M.E.
- 11. Exams • Intern Duties: • Watched autopsies • Moved cases from admitting to release coolers • Fingerprinted decedents • Stocked supplies – Formalin jars – 2oz jars – Syringes – Gloves
- 12. An Average Day In Exams • Started at 7am with the morning meeting – Doctors discuss their cases – Decide the type of exam for each case • Pull the first case for each doctor – Leave at appropriate station • Autopsies began at 8am
- 13. An Average Day Cont. • We wore Personal Protective Equipment in the Exam room • When finished, the room was cleaned – Decedents returned to the release cooler • Each station was re-stocked with supplies • My shift was over at 2pm
- 14. To Recap… • Both Exams and Investigations were very interesting – I’m glad I had the opportunity to do both • This internship opened my eyes to new ideas and interests • Any questions?
Hinweis der Redaktion
- Maricopa County is over 9,000 square miles Over 4 million people are included in this
- -Not all stations are operational at once -Each station has a window for viewing -Special procedures has its own cooler -There is an admitting and release cooler
- -Samples from autopsies are sent up to Tox. (blood, urine, thigh muscle, liver, gastric, and other specimens) -Donor network takes certain organs to give to transplant patients
- -Investigators try to find out whatever they can about the decedent to help the medical examiner -Investigators determine who is OME jurisdiction and whom is not
- -Again, Maricopa County is over 9,000 square miles. That means anyone who dies within the county lines and fits one of these categories is brought into the OME -Population of Maricopa county is over 4 million
- -Medical records are important pieces of information that the Medical Examiners use to help determine cause of death and therefore, what exam to do
- -When there was nothing to do and no calls we were allowed to do school work -If no calls came in before 7am then I went to the morning meeting -I was not the only volunteer/intern there -Sometimes there would already be hospitals in Dispatch, but most of the time we would wait for a scene to leave the office. And then we’d pick up the hospitals after -There are three different shifts of Investigators (I was on the morning one)
- -”Crime scene” doesn’t always imply that there was a crime. It just serves to say that the decedent was found somewhere by another person. They did not die in a hospital -At a crime scene the Investigator will look for any information or evidence that may explain why the person is dead. -All objects and clothes on the body come with us -Sometimes pictures of the fridge and freezer were taken to show that the decedent was still eating
- -Crime scene photos are much more in depth than hospital photos -Sometimes pictures of the tattoos are taken for identification purposes
- -It was cool when I would go to a scene on Monday or Tuesday and then be able to see that person’s exam on Thursday or Friday -I did a lot of other stuff as well: helped with ID photos, trash, laundry, x-rays
- -The morning meeting is where each Doctor discusses their cases for the day and decides what kind of exam they will preform on them -Normally there are three doctors on the floor each day. Sometimes backlog requires a fourth doctor to join -Average 12 cases a day, with about 4 for each doctor -Autopsies began at 8am
- -I usually picked a doctor to work with the whole time. But sometimes I would work with a couple depending on the case load
- -I have thought in the past about going to medical school to become a Pathologist and also about the Pathologist’s Assistant Program, but it’s not the same -The Forensic Techs do most of the cutting, which is what interests me the most. The Doctors usually only cut the organs open and look at them -Special cases are different