Clinic Observation

The event that stood out the most to me during my clinical experience this month was when my assigned patient and her family began asking questions about the care the patient was receiving and other non-medical related questions.

Teacher stated individual was hollering at her and the students, throwing things, and hitting on others.

On Sunday January 10, 2016 at around 2316 hours, Security Officer Omar Alonso was contacted by E.D. Patient Registration employee, Ariel Ulanoff in regards of a male sitting at the left corner of the E.D. lobby who was making her feel unsafe because he was hitting himself in the head and face and also cursing. The Officer went to investigate and approached the male and asked if something was wrong and if he needed to get some medical attention. The male, whose name he later stated was Miguel Sanabria, said that he was just resting and that he did not need any help. The male appeared to be under the influence of some type of narcotic because he was sweating profusely and very fidgety but he was not aggressive or disrespectful towards staff or Security.

I had the honor of shadowing Jenn Dagger, a registered Oncology nurse who works at the Perelman Center for Advanced Medicine. She works in the Oncology unit located on the third floor west pavilion, which contains both the Rena Rowan Breast Cancer Center and the Jordan Center for Gynecologic Cancers. She graduated from the University of Pennsylvania with a Bachelor’s degree of Science in Nursing and decided to stay in Philadelphia to pursue a career. She originally worked in the Cardiac unit, but she came to the realization that this unit did not fit what she wanted in a career. After acknowledging her dissatisfaction, she decided to switch to the Oncology unit. This change proved to be successful, as she now loves her job and feels fulfilled in her role as a nurse. During my visit she demonstrated leadership and teamwork among the other nurses in the unit. In recognition of her work caring for patients and their families, she received the DAISY (Diseases Attacking the Immune System) Award.

What a relief! Has time is getting closer to in-patient clinical I begin to psych myself out. I have had a million questions go through my head. What is it going to be like? Will I be able to help someone and properly use my therapeutic communication skill? And lastly, will I be able to get my patients to talk to me?

As mentioned previously, at my last job I communicated with students, and parents. I oversaw the children’s safety. I had to keep an eye out for their well-being along with any equipment they may have borrowed. Moreover, I am bilingual. So, I am freely to communicate with fluent English-speaking students, and Spanish fluent students. Lastly, as mentioned I have experience with outreach so promoting any events thrown by RHA or the school or any important information students should know I would be able to communicate it with

I think once the evaluation is made whether to keep the clinic open is finalized the decision should then be made to keep it open of to close it. According to Cheshire, Montgomery and Johnson (2017) community health centers program is intended to increase access to primary care services for Medicaid and Medicare patients in rural communities. Therefore, I believe that everything should be consider to keep it open so that patient care received the care that they so desperately need within that community. Community health centers across our country have a 45-year history of providing care in underserved communities for everyone, regardless of their ability to pay.

The five factors that are highly influenced to the rapid growth of ambulatory services. In order to reach the initial purpose to reduce the health care service cost, government and private sectors have been initiating many actions on the ambulatory services. Therefore, the ambulatory care has been moved quickly to the freestanding and independently owned facilities because of those factors.

“Low income people … cannot afford to take time off from work because it could mean lost wages,” said Hawkins, who ran a clinic for 10 years. “Health centers have to be ready to offer care at nonconventional hours.”

Q4) I don’t recall being in a clinic or hospital that made me felt that I was just another dollar, but instead that I was just another patient instead of a patient. What I mean by this is the wait patients have to endure when they go see their physicians even by appointments in clinics or waiting for rounds in the hospitals. This could influences how individuals see their quality of care and I would argue that most patients don’t get upset because they feel that they are just seen as a dollar, because in a sense, they aren’t being seen by their physician. Instead, they get more upset about the lack of care and concern they received which can lead to feeling like they are just another paycheck. I think this is something to think about because

My experience of observing the application of new innovations in a clinical setting significantly contributed to my desire to become a health care professional. This past summer, I shadowed a Prosthodontic and Cosmetic Dentist in Manhattan. At the Center of High Tech Dentistry, Dr. Rosenberg, uses technological innovations to improve the quality of care he provides to his patients. While doing so, he manages to improve the lives of his patients in a matter of minutes. The hours I spent in his office revolutionized my thinking of the dental field. The best example of this is Dr. Rosenberg’s integration of the CEREC into his dental procedures. The CEREC uses 3D printing technology that makes crowns in a matter of minutes. Dr. Rosenberg taught me how to operate the CEREC, and allowed me to practice on an artificial test subject. The use of the CEREC was the professional application of technology that I first experienced at the SUNY Stony Brook lab.

According to Random (Stochastic) Variability, there are two measures of variability which impact capacity and utilization, arrival and service times. In the case of the Pediatric Clinic, variability in arrival and service times are present. The front desk which includes both the registration desk and verification of documents tries to reduce variability through the use of scheduled appointments. However, there is variability in the service times for both these activities since it handles diverse types of patients, new and follow up. With each patient type requiring separate distinct steps to register and verify the patient, it introduces variability in the service times thus impacting capacity. The variability could be controlled or minimized

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

I work in a call center, and we decided to do a food drive. The organization we donated is called Matthew’s Crossing Food Bank. This particular organization distributes food to people in need from Phoenix east valley. When I presented the idea to my team about donating, they were not enthusiastic about it. I tried to get them engaged about donating. One of my agents is from Lebanon, which is very close to Syria. He had just came back from vacations while we were doing the food drive. He became very excited about the idea of donating, and shared his experience of volunteering in the middle east. He described how difficult it was for people to look at their kids and know they could not feed them for the day. For the next couple of days, people

During the engagement, the clinician can make important observation about the clients including their mood and their mannerisms. During group, the therapist can observe the individual and how they interact with the group as a whole. When engaging with clients, it is important for the clinician to demonstrate an unconditional positive regard with the client, being mindful of cultural differences and barriers. According to NASW code of Ethic 1.05, culture competence should be displayed by all social workers. I would make sure to demonstrate genuineness and empathy towards the group.