Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking
In elementary school, one of my favorite days in grade school would be when my mom came in for her oral hygiene lessons. Even though my mom could have easily demonstrated proper techniques on how to brush and floss teeth with a dental model for my classes, she knew how excited I would always get when she called on me to personally demonstrate. I would brush in confidence those tooth surfaces, at a 45 degree angle and with small circular strokes. Promptly in the lesson, I would put the toothbrush vertically for those inside surfaces of my front teeth. My mom would end the brushing technique with a friendly reminder to brush for a full two minutes, twice a day. She also told the kids to think of triangles and to floss along the mesial and distal surfaces of their teeth, rather than straight down and cutting their gums. With every upcoming yearly demonstration, I honed that routine of mine, ensuring to my classmates the best way to keep the plague out. Even to this day, I have still got my middle school sketchbook in my desk drawer, where I had illustrated the cover as, “Dr. Pham, DDS”. Starting in my high school summer, I had my first shot to assist my parents with what I have always known to be as, “The Office.” In the day-to-day, I strove to follow my dad’s office procedures. Imagine, my young, impressionable self holding onto the large suction and water syringe as a patient’s wisdom were extracted; gums cut, that red blood flowing throughout the procedure.
I observed a second year student in the dental clinic who was incredibly enthusiastic, genuine, cheerful, and helpful, and her personality would fit perfectly into what I consider the typical dental hygienist. She seemed very well prepared and confident in her ability to treat her patient. A dynamic conversation was held throughout the appointment with her easygoing and cooperative patient. Besides the appropriate clock and chair positions, I was not aware of many proper techniques when I observed at the beginning of the semester. I noticed the student kept the patient chair in the same position for treating the maxillary and mandibular teeth. I observed her for the full four hours including the preparation before her patient arrived until
Throughout not just the past two weeks, but this placement as a whole, I have developed more confidence in my nursing skills. As a result, I now feel more capable in my abilities as a nursing student/ future nurse and am able to more effectively communicate with my patients.
Limestone Smiles allowed me to witness the technical aspects of dental assisting. With being a newer establishment, they were not as busy as the previous. In this extra time is was educated on some key concepts a dental assistant would need to know. The tooth numbering system was explained to me so that I would understand what was being mentioned during each appointment. Teeth are labeled from one to sixteen on the top row from left to right: this is assuming one is looking into a client’s mouth. The remaining bottom row is the labeled from seventeen to thirty-two going from right to left. I was also taught some key concepts pertaining to labeling the mouth. The buccal (facial) surface is the side of teeth that touch the mouth. The lingual surface in the back side of one’s teeth. The median line divides the mouth in half between upper teeth eight and nine and lower teeth twenty-four and twenty-five. The side of each tooth facing towards this line is the mesial side while the side pointing away is the distal surface. The biting surface of each tooth is referred to as the occlusal surface. Knowing this information helped me to better understand the procedures I witness. I also learned about two prevalent instruments used during appointments, the explorer and the PF5. With the explorer, the explorer end is used to find cavities while the perio probe end is used to measure bone lose. An older African American male
D-The patient reports she is stable on her dose and haven't engaged in any illicit drugs. During the course of the session, the patient discussed the loss of a friend, who was know in the neighborhood as a drug dealer, but more so as a friend. The patient could not bare going to the funeral as it would be a trigger for her, but felt she should have went to the funeral to say her good-byes. This writer encourages the patient cherish the moments she shared with her friend. Furthermore, the patient then discussed the loss of two other people in her life that was close to her, at which this writer discussed further with the patient coping skills during the grieving process. This writer gained a sense of understanding by the patient comment, "
In clinical settings next fall and spring I intend to use research methods to assist my patients in achieving patient’s human needs. Before starting to work on the patient the treatment plan based on each patient’s need will be developed by me. As a dental hygienist student I would provide efficient educational methods by administering evidence-based facts when preparing individualized patient-centered
As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing
Describe a particular patient in the clinical setting, WITHOUT identifying information: Why was the patient at the clinic? Describe the clinical findings, kind of care, education, communication, and extra services that occurred with patient and family in this agency.
S: How was your clinical experience this week? This week was an okay week. I spent most of my time trying to get back into the swing of things. I was a little rusty at the beginning of the week but it got better as the week went on.
The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT
My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.
Do you think that teachers should make an effort to make sure that other teachers of the same subject are grading/teaching
Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the
During our return demonstration, we all felt like we needed to look to our instructor for guidance in what we should do. The reason for this was because we all lacked the confidence to feel like we knew what we were doing. If I could do it again, I would have liked to have been more knowledgeable about the scenario so that I could be more confident.