Field Work Winter 2016.

Brannam was my main source of information. She received in license in occupational therapy twenty years ago. In our interview, we dove right into what kinds of writing is used by an occupational therapist. Mrs. Brannam expressed as an occupational therapist there are two types of writing used professional writing and none professional writings that are given to parents or patients. In the professional aspect of writing in the discipline of occupational therapy a lot of report writing is required. In a report, she explained the specific details that she is required to give. For example, when writing up a report for a doctor she would state the patient’s therapy/medical history, daily routine (a typical day and what the patient does throughout the day), parents concerns (what the parent wants improved or fixed), physical descriptions (the patients age, height, weight, etc.). Also, all reports given would have to be in APA format. While on the other hand, in the more none professional aspect. She stated while writing a report for a parent she would use border terms and not so much medical terminology but use terms that parents can understand how their child is functioning. Mrs. Brannam also include an interesting fact that therapist communicate with parents in other ways than writing. When explaining things to parents therapist often use visuals, drawings, graphs, tables, or diagraphs to demonstrate body positions and specific home exercises. After finishing up my interview with Mrs. Brannam I obtained several writings from her as examples of how therapists write to analyze. I examined: an article from the website www.TheHomeschoolMagazine titled “Karate and Special Needs: Finding the Right Fit” published in August 2012 and written by Suzanne Brannam and an article titled “The Diagnosis, Treatment, and Etiology of Sensory Modulation Disorder” published in March 1998 and written by Dr. Lucky Jane Miller and Dr. Daniel N. McIntosh. After gathering all my writing

I have discharged from the Cedar Ridge residential program and am now in the partial program. In short, that means I am living in a hotel and drive to the main hospital Monday-Friday from 8:00-2:30. I am given exposures to work on while

My clinical duties performed this shift involved practicing time management and reporting skills. That morning, I was responsible for getting a detailed hand off report of the three patients during our walking rounds. I then went on the computer charting system to acquaint myself with the three patients and get organized with my plan of care for the day. This also involved reviewing the laboratory results and active physician orders for all patients. For the active physician

When she sees a patient for the first time she talks to them about the doctor’s report and asks specific questions about their injury or experiences leading up to the need for physical therapy. Megan explained how important it is to make the patient feel comfortable and keep a positive attitude towards the patient’s recovery. These consultations were the most interesting to sit in on because it allowed me to observe the therapist’s ability to take the patient’s information and create a diagnosis and treatment plan for the injury or pain described. Megan may have multiple patients at a time so she stressed the importance of keeping up with each patient and why the physical therapy techs are so helpful. Scheduling is another job of the therapists that is important in keeping the clinic running smoothly. There is also paperwork that has to be filled out for every patient after every visit about their

Traditionally nurses delivered clinical information about the patient, the clinical events on their shift and the plan of care to the oncoming shift to ensure continuity of care and to make sure that their colleagues were informed about tasks or instructions that needed to be completed by the next shift. This process had a variety of names; report, handover or handoff. The format was often different from unit to unit. It usually took place in an off stage room or office or at a charting station from away from the

All PT’s follow the SOAP note format to document patient visits. SOAP notes were created to help keep consistency through the field and to keep patient records organized and secure. SOAP notes are written to help the PT critically think about the next step in their client’s rehabilitation process. The format is used “to communicate information to other providers of care, to provide evidence of patient contact and to inform the Clinical Reasoning process” (Lowe “SOAP Notes”). SOAP documentations aid in informing and proving PT’s work. The content is straight to the point and remains strictly factual which causes shorter sentences. SOAP stands for subjective, objective, assessment, and plan (Lowe “SOAP Notes”). Each section aides in formulating an evaluation of the client’s visit. A PT uses APA citation if they

I have worked for the West Virginia Division of Rehabilitation Services (WVDRS) for over three years as a Rehabilitation Service Associate. During that time I have been given the opportunity to work with the clients that we serve on a regular basis. However, the practicum experience provided me with an opportunity to gain a deeper understanding of the rehabilitation process and what it means to work as a team with individuals to achieve goals. The practicum experience also gave me insight on the processes involved in providing individuals information and assistance in finding solutions to help overcome or work through challenges encountered on a daily basis.

Hourly rounding is usually performed every hour during the hours of 6:00 a.m to 10:00 p.m. and every two hours between the hours of 10:00 p.m. to 6:00 a.m. (Hicks, 2015). When doing the hourly check on the patient, it is important for the nurse or nurse assistant to focus on pain, potty, position, and proximity of personal possessions. These four concepts are known as the four p’s of hourly rounding. Communication is a key factor not only between nurses but between nurse and patient, therefore many hospitals have what is known as a “whiteboard” in each patient’s room. This whiteboard allows the nurses and patient to communicate about rounding preferences such as positioning and comfort measures, this whiteboard allows for these preferences to be seen by the entire healthcare team (Halm, 2009). The whiteboard in the patient’s room tend to increase the patient’s and family satisfaction by allowing them to see needed information while keeping them up to date on any changes that have been made throughout the course of the hospital stay.

The current state of work at Mona Heights Rehabilitation Clinic (MHRC) requires improvement through the implementation of

I have personally witnessed the established, unprecedented and warmhearted culture, of Winston Salem State Universities Occupational Therapy program. I visited this program over the summer and experienced the mission state of the university and the occupational therapy program firsthand. I am genuinely a good fit for this program because my reason for becoming an occupational therapist is to offer patients to maintain and retrieve their quality of life. It is of supreme importance to me that every patient, no matter his or her race, background, or gender receives personal, professional, and effective treatment. The patient rehabilitation process reminds me of the universities history and foundation. Starting out as a one-room structure, the

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

Scribes will be expected to attend an evaluation at least once per year or as the Clinical Director or Lead Scribe deems necessary. These evaluations are meant to provide feedback to the scribes regarding their performance in the program.

This week I was assigned to the East Campus Rehabilitation Center on Thursday, October 27, 2016 from 7:30AM to 12:00PM. I was assigned to the outpatient portion of the rehabilitation center. When I was there many client were admitted because they were in need of neurological rehabilitation. The client’s that I met were at the rehabilitation center because of a spinal cord injury, a stroke, and cancer of the throat. Each of these client’s had different needs that were being met by the rehabilitation team. I had the opportunity to observe the different treatments that were utilized for each of their own different needs. For instance, the client that had throat cancer, his physical therapy session was devoted to helping him to get accustomed to

Individual rehab services were provided. WYP assisted the client with practicing social interaction. WYP primed the client to initiate a conversation with a store employee. The client was reinforced by petting a hamster and a verbal praise for initiating a conversation with a store employee. WYP monitored the client use of inappropriate language. WYP ignored the client attention seeking when using inappropriate language. WYP assisted the client with taking "no" as an answer. The client was reinforced with a verbal praise and frozen yogurt for following directives and taking "no" as answer. WYP assisted the client with participating in a positive activity while int eh community. Transportation of the client was not included with the travel time

There has been some confusion and miscommunication during shift change in regards to which therapist/phone is assigned to which floor/unit.