When I arrived at work Monday, there was nobody for me to shadow, so Kalei decided to send me to OMP Walk-In Clinic for the day. I followed Raymond and sat in on one patient visit and then I was sent out on my own to room patients by myself. I was able to see a young child as a patient for the first time. I demonstrated how to take vitals differently on a younger child and how to perform an eye exam using pictures on the Snellen eye chart. I performed an electrocardiogram (ECG) under the direction of Karen. Since the clinic is so fast paced, I did not have time to fully examine the ECG printout, but I was able to see that the patient was in atrial fibrillation.
Because the clinic is extremely fast paced I was told to take initiative, so I started grabbing patient folders and rooming patients whenever an exam room was available. I was able to get a little more experience with the after visit summaries (AVS), but it still felt a little awkward. Also, I learned to really pay attention to what room number the patient is in because it is written down on the patient folder and then given to the provider.
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I wrapped Coban around the patient’s leg from her foot to her knee while making sure it did not touch the skin. Also, I talked with Megan about the influenza vaccine expressing concern about an observation I encountered while watching another medical assistant. Megan handled the matter in a professional way without mentioning my name. A patient came in for a cyst, and I was able to anticipate the provider’s needs by having the patient put on a gown; this made the cyst readily accessible to the provider (I asked the provider if he would like me to put her in gown ahead of
Having the opportunity to work with underserved populations has sparked my interest in an area of medicine I previously did not know about. As a volunteer, I served as a patient advocate. As part of my responsibilities, I sat with the patients before, during, and after their visit to make sure their needs were met. Not all of these conversations were intense and deep-rooted, but to see the overall impact I was able to have on the patients as a volunteer was what caused me to be enamored with medicine. In addition, being a patient advocate was a great way to provide help to those that needed it the most.
Finally I was capable of going alone and even being the leader of our group. As the leader, I answered the phone and gave the patient 's room number, name, and what was needed. It was a wonderful experience because I had a chance
He quickly flipped through a couple of hundred pages and pointed to a section. He said, read this first and then we will talk about it. This was the start, while I didn’t identify it at the time, of a constant back and forth between me and a couple of emergency medicine physicians who just happened to work in my local small town emergency room. They would not just answer my questions, or just tell me to do this or that, but that they would point me in the right direction to learn on my own and then be there to support me and to answer my questions. It is a practice that I have continued my entire career.
In those hospital visits I had become accustomed to the sights and smells of a doctor’s office that instead of reminding me of pain, comforted me. I knew from then on, that the medical field was where I was called to serve.
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
Wednesday: My day began by attending a bed unit meeting. Afterwards, I went to a nurse huddle meeting where I learned about issues that are occurring in nursing. When I returned to the floor I filled isolation carts for the department. Later I had the opportunity to sit in on an internal interview.
Overall, on Wednesday, Thursday, and Friday has been quite experiential learning about the symptoms and diagnoses of the last 23 patients. Many of which have been through so much and experienced much pain and despair. But, Dr. Katzenberg bring these patients much relief and a sense of hope back in their life. Dr. Katzenberg illustrated much expertise during my clinical shadowing experience, one technique I noticed from the cardiologist was his effective speech craft toward his patients; he demonstrated excellent skills regarding meaningful patterns of information. He was able to ask questions in a certain pattern to gather information effectively.
By watching first hand what they do, really inspired me to become an OT. The look of excitement that one patient had
If I ever have this kind of situation again, first thing I would differently get prepared before the clinical, I would carefully review that task we would have to do on clinical day. Second, I spent less time with my patient because they also need to get rest. Third, I would make sure that my patient 's history record has every section, for example, my patient was missing her physician order that I had to ask one of the nurses for a new copy. What additional knowledge, information, or skills will you need next
My patient is an 89 year old male; the patient will be referenced as WP. WP was admitted to Lutheran 3 East for a primary diagnosis of pneumonia. His health history consists of COPD, acute respiratory failure, chronic kidney disease, coronary artery disease, vascular dementia without behavioral disturbance, CAD, carotid artery disease, and hyperlipidemia. My client also has a permanent cardiac pacemaker and use hearing aids. He’s allergic to oxycodone and Vicodin.
I discovered the importance of empathy and understanding as the patients were very frightened and by listening to them, I found I was able to put their mind at ease and give them a more positive medical experience. I was able to speak to both the surgeon and anaesthetist and learnt the immense commitment involved however being able to improve lives was rewarding. I established that nurses play a soothing role for the patient in their whole journey and found their
Not only did I have hands on experience with patients but I also performed clerical duties such as scheduling appointments, recording demographic and insurance coverage information. At Piedmont Hospital I provided accurate education on procedures that were needed for new patients. Over the summer observing at Emory Hospital I accessed the effectiveness of therapy plan by observing patients’ reponses and observed patients during PT procedures to determine discomfort or pain. The last place that I completed my observation hours was at the Childrens Hospital of Atlanta in providing cold pack treatments and operated and maintained therapy equipment. Last but not least, I assisted the patients in administering active and passive therapeutic exercises.
As an aspiring physician in Emergency Medicine, it is hard to describe typical physician workday activities. Every day is unique and filled with many opportunities to learn and develop clinical, interpersonal communication, leadership and critical thinking skills. Despite this, there are certain routine activities which I had the opportunity to observe through my shadowing experience in the Emergency and Operating rooms at California Hospital Medical Center, Los Angeles. One day, a two year old patient came into the ER after falling and cutting her head. The patient’s mother told the physician that her daughter is nervous and scared.
An event that was significant to me throughout clinical placement was when I forgot to introduce myself to a visually impaired client. The event that I encountered occurred on my second day of clinical placement at Fieldstone Commons. This event highlights the need for effective communication when treating a patient that suffers with visual impairment. I assisted in morning care for multiple clients, one client stood out to me in particular.
To improve on this area, I should learn to put my personal interpretation and assumption aside and being more proactive in asking the patient to elaborate the story. In addition, I would make sure to