Fecal Float Reflection

eflective Account 3 : Blood glucose monitoring Description During my placement I was asked by my mentor to perform a blood glucose reading . The patient was a 78 year old gentleman Mr P with diabetes type 2. I have introduced myself , checked the patient's identity and asked for permission to perform the blood glucose reading and explained the procedure prior to insulin administration and obtained a valid consent. I washed my hands and put on gloves ; Mr P refused to washed his hands saying that he washed them before my arrival.

Later that evening, while discussing Lynda’s progress over the last few days with the physicians I asked them what the plan was and instructed them that we needed to get nutrition, social work, and case management involved so that she could go home. The physicians stated that they would place the consults that I requested but as for discharge they were unsure about when this would happen because Lynda’s brother doesn’t think she can care for herself on her own. I was shocked to hear this, the brother who I had not

The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to

On 03/11/2016 SC met with Pa in her apartment for a RA visit. Pa 's Agency Model PAS aide was not present while SC was there. The Pa appeared poorly groomed and dressed in dark color clothes. The apartment was dirty and cat litter and feces on the table and floor. All utilities are in working order. The Pa reported numerous hospitalizations between Temple University and Episcopal University. The Pa did know the exact dates of admission and/or discharge. However, the Pa stated that reasons for admission were either asthma exacerbation; COPD and/or fluid around the Lungs. The SC placed call to Temple University Hospital medical records department and inquiries about Pa admission and discharges. The SC was placed on hold for a long time and when the SC did speak with the receptionist she stated that most of the Pa admission was at Episcopal Hospital Temple University and she did not have the time to go over every admission she provided the SC with the medical records department telephone number for Episcopal. The SC thanks her for her time and end call. The dates of ER visits and hospital admissions are as follows: 11/2015, 12/2015, 3/1/2016-3/4/2016, 3/5/2016-3/6/2016; and two ER visits 2/29/2016 and 3/7/2016 at Temple University. SC reviewed Pa’s services and per Pa he is receiving services in the type, scope, amount, frequency and duration as specified in the ISP. But the SC reasons to doubt that the Pa is receiving service according to the ISP. The SC arrived at the Pa’s

One of the paramedics massaged Candee’s hands as she breathed. Once they had her calm I answered questions from one of the paramedic regarding the cause. I told them I was in contact with her husband providing updates and I asked if she was going to be taken to hospital. The paramedic stated they did not want to take her for an anxiety attack and asked me if her husband could come and pick her up. I called the husband and he stated 30 – 45 minutes ETA and I relayed that to the paramedics. They were ok with staying with her until her husband showed up. The paramedics and Candee walked to the conference room, a short distance down the hallway, to wait it out and I stayed closed by in the lunch room, across the hallway, to make myself available while providing privacy. After about 25 minutes one of the paramedics informed me that Candee requested to be taken to the hospital and that they have no choice but to take her when she makes a demand. The paramedic said that her husband could follow them there and that Candee was in communication with her husband on her cell phone. They were taking her to Kaiser Oakland as Candee was on the phone while they wheeled her out the

We started our day at Heartland, attending a care plan meeting for the patient with the nursing care team who is worked at the facility. The patient that we were visiting is an 80-year-old female who was diagnosed with lung cancer. The staff caring for her at facility were beginning to worry because she was losing weight and not eating the food they were providing for her. The Hospice nurse, Ginger, wrote an order to change the diet so that the patient could eat whatever she wanted. The orders that Ginger wrote throughout the day would later be signed by the physician by telephone. After the care plan meeting, Ginger went through the patient’s chart, reviewing the nurse’s notes and reviewing the care plan to confirm that it works with the patient. After reviewing the chart and notes, Ginger introduced us to the patient and did a mini head to toe

There are several things to keep in mind while there is a client in the exam room. Body language is 80% of all communication (Renda-Francis). Having a rigid stature or crossing the arms may turn the client off and show that the technician isn’t interested in what brings the client in. Touching the pet or starting to exam them during introductions shows that the technician is interested and they are less likely to show poor body language. Making eye contact is key while the client states reasons for the visit. This helps when taking notes of symptoms in the medical record. It is suggested to add the client’s eye color to the medical record for proof of eye contact. Paraphrasing what the client has said also shows them that the technician is listening. It also helps the technician to understand and eliminate any miscommunication. Having the client paraphrase back to the technician as well will insure treatment is done correctly (Renda-Francis). Lastly, support the treatment with brochures or pamphlets to help the client visually

Delicia Carter and I brought in my daughter yesterday evening into the Urgent Care. When I arrived, there was no one at the desk to greet me or ask what my check complaint was. I proceed to sit down until someone returned back to the front desk. After about 15 minutes went by, a young lady returned and sat down and did not acknowledge that I was waiting. I then went to her desk and told her I was trying to get my daughter seen for abdominal pain. The young lady asked for me to fill out paper work and bring it back up and when I finished. That took about 5-7 minutes for me to complete. I returned the paperwork and she told me to have a seat and the nurse would be right out to bring me back. After about another 20 minutes, I returned to the test

Having consulted with my student doctor, Daniel Lee ahead of time for a replacement of my lost RPD, at the end of the first week of October, he indicated someone would see me Monday cause he had a block. I quickly flew into town and headed straight in from the airport. When that dental appointment didn’t work, I headed to my son’s place Sunset, across from UCLA law where he attends school. That was convenient as I didn’t have to travel too far back and forth. That appointment was soon changed to Tues and then again to after Wed, (most likely Thursday). By this point, I wasn’t sure what was going on and when I asked the Group Administrator if someone else could see me because Daniel indicated he was busy, she called him to see if he could schedule my appointment. Daniel came up and wanted to speak to me

A patient arrives at the doctor office looking to find a solution for the symptoms they have been experiencing. However, one they are called to an operatory the doctor sends in a medical student to receive current and past medical history and wrote it on a post it note. Not to mention the doctor only stayed in the room a few minutes. Then, informed the patient they would receive a call once he/she corresponded with their previous doctor, but the patient never received a call and they called and told the doctor would contact them once off of vacation. So lastly she wrote a letter to the office expressing concern yet again requesting a call that she never received.

I had a patient who came into the hospital with altered mental status and did not know the cause of it. When the doctor arrived on the floor. I pulled her aside and introduced myself and my patient who I was caring for. I am explained to her my concerns about patient altered mental status and what the possible cause. She explained to me that it could possibly be the steroid and antibiotics that could be causing her altered mental status. We went to see the patient and her husband. She further explained the situation to the husband. The husband explained that prior to his wife being admitted that to hospital she was taking Levothyroxine. The doctor heard him out and told him that she would put that as one of her scheduled needs. After speaking

When I arrived DH was up taking her medication. Staff informed me she had not eaten. I informed DH that she has a doctors appointment at the Springs at 7:15 and we would be leaving at 7 AM. DH took her medication and went back to sleep. I woke DH up at 7 AM to get her ready for her doctor's appointment. DH and I arrived at the Springs at 7:15 AM. DH had her ultrasound at 7:30 AM until 8:30 AM. After the ultrasound, DH asked if she could go and buy a long john doughnut. I redirected DH to healthier breakfast options such as eggs. DH purchased and order her own long john doughnuts at The Rolling Pin, along with a chocolate milk. DH ate her doughnuts and chocolate milk and went back to bed. DH has been well behaved and was polite to the ultrasound

My grand daughter had a doctors appointment today, we went up to register so I asked the registration clerk what type of system they have. She stated they have Nextgen EHR. I asked her what she like about the system the system is easy to register patients. What they did not like about their system is that it runs slow. I spoke to the Medical Assistant he liked the system stated it was easy to use, but also stated that the system is slow at certain times. When the physician came into see my grand daughter I asked her how she like the system. She really did not like it, physician was in private practice she had the Epic system. Physician stated she had to pay $80,000.00 thousand dollars for this system. I asked her if she received and

I am responsible for ensuring accurate laboratory results of fecal float, urinalysis, and ear cytology exams; this includes guaranteeing specimens are collected and analyzed appropriately and within a reasonable amount of time to produce accurate results. I also discard non-viable samples and collect new samples when

In the film shower, from 1999, the viewer is taken on a journey of heartbreak, love, and the realization that sometimes newer is not better. Shower is a heartwarming story that studies the development of modernizing China with the juxtaposition of the cherished traditions of the culture. A young wealthy business man is brought home by a postcard from his younger brother. His younger brother who is mentally unstable, drew an illustration that made it look like his father has died. For that reason, the older brother returns home to the bathhouse. His elderly father, who has been running the bathhouse forever, has disagreements with his son. His oldest son decided to pursue his life as an adult up in the north where the modernization is very prominent. Through the exploration of this film the eldest son is forced to reexamine his cold attitude towards his working-class father, and mentally unstable brother, where together they run a public bathhouse by relearning that transitioning from modern life back to the traditional life.