My PFT Interpretation

Effective precepting is a partnership of the skilled practitioner, the clinical faculty, and the focused student. Though rewarding experience for all parties, it takes time. The preceptor has given me the opportunity to practice in a supportive and realistic environment which has enabled me to learn and grow professionally. The preceptor allows different patient encounters with different diagnosis for experience. This has progressively enabled me to confidently interact with the patients to accurately diagnose.

The order of draw is very important in today’s health care facilities. The order of draw has been around for many years, it is believed to have started in the late 1900s. A lot of time when blood is being draw, there are many different kinds of blood related test going on. Therefore, there is a certain order of draw that must be taken placed. There are a variety of precautionary procedures dealing with the order of draw that must be followed. Furthermore, the main reason for the order of draw is to prevent cross-contamination and to ensure that all test result are accurate. To do this we have to prevent the additives from one tube to be carried over to the next tube. This can happen when the needle you are using touches or come in contact

3. The reason that the doctor asks for a serological (blood serum) test now and to repeat the test in four weeks is because the serological test tests for Antibodies which defend the body against some bacteria, viruses, fungi, or other foreign substances which are called antigens. Certain cells of the immune system cause the body to produce antibodies during an active infection.

3. At this point, you are ready to begin the lab exercise. Click on the “Information” button on the blood

Week eight was the same as always. I began the day at eight in the morning to receive patients, print out superbills and doing the usual. I will soon be I find my clinic a bit repetitive, but I like it because I learn by repetition. As I was taking in patients a woman told me her son had the Flu. Her son is believed to have type b, or category B

Blood is drawn four times during the testing hours (30 min, 1 hour, 2 hour, and 3 hour)

After the exercise, we then took the measurements of our pulse, breathing rate and temperature too to see the change. Once we had completed this the first time, we then did it 2 other times, so in total 3 time so that the data was reliable and trustworthy. (Stretch, B., & Whitehouse, M. (2007).

The goal of this experiment is to determine the blood types of the samples given and to learn what interactions occurred to each blood type. Determining an individual’s blood type and how it reacts with Anti A, Anti-B, and Anti Rh serums played a crucial part in this experiment. The researcher concluded that agglutination (clumping) occurred in some of the blood samples. For example, Mr. Smith’s blood reacted with Anti-A and Anti-Rh serums (antibodies) allowing the researcher to determine the blood type is A. Mr. Jones’s blood reacted with Anti-B serum but it did not react to Anti-A or Anti Rh allowing the researcher to believe that the blood type is B. Mr. Green’s blood reacted with all serums and caused a reaction to occur resulting the blood type to be AB positive. Mr. Green’s blood also had a positive marker for Rh factor. However, Ms. Brown’s blood had no reaction at all and the researcher determined if no reaction occurred then the sample had no antigens but proved to have some antibodies, resulting in blood type to be O. The purpose of this experiment is to determine whose blood has type A, B, AB, or O.

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

I sat with Nikki as she wrote her documentations, and she read it out loud to me. I was able to write several assessments with her on Pts. As I arrived for my shift, I checked the clipboard which had the appointments for the day for each therapist. I also checked several times during my shift the general appointment board which had the appointments of all physical therapists, speech therapists, and OT specialists. Most appointments were booked for ½ hour increments, and the appointment board was situated in the physical therapy room. Most Pts came from their room or another appointment, and there was a table where Pts waited on their therapist. Offered were also room appointments where the therapist came to the room – called bedside

The College of American Pathologists or CAP is the accrediting organization for laboratory and testing personnel. CAP’s “accreditation process is so thorough, the Joint Commission [and CMS] accepts …their standards” in place of conducting their own survey of the hospital’s laboratory and personnel (Gartee, 2011, p. 47). This is because of the guidelines they follow to maintain their integrity and to remain the industry standard. In recent years, the “CAP [has] developed new check list” for continued improvements. Additionally, they are continuing to vet the requirements for the new next-generation sequencing or NGC-based test that is speeding laboratory procedures. So much so that the recent adoption of the new technology for clinical testing” was done prior to the new standards being approved (Aziz, et.al. 2015, p. 481).

Hence, many clients go in for regular blood work and pay close attention to their liver values amid cycles of Strombafort.

6. Patient check-out (collect the superbill from the patient, gather and input the proper codes for the services provided, and schedule any follow-up appointments if necessary)

Two pt verifier name and dob confirmed. Pt is requesting her profile for her knees and left shoulder be renewed. Pt states that she is schedule for her MRI in Oct. Informed the pt that request be sent to her provider and will call her with his recommendations. Pt agrees and verbalizes

The pulse is an indication of an individual’s heart rate. When checking for a pulse in the primary survey, begin with palpating the patient’s radial or carotid artery (Basic Patient Care 2012, p. 50). This may reveal a normal (60-100 beats/min), tachycardia (<100 beats/min), bradycardia (> 60 beats/min) or asystole heart rate. Additionally, the capillary refill may also provide details about a patient’s cardiovascular status. This is performed by applying pressure to the nail bed and calculating the time it to takes to refill to a normal color, which should take no more then a few seconds otherwise suggesting capillary closure (Mick J Sanders, 2012, p. 1400). An additional accessory to Circulation is Hemorrhages, these involve more through examinations of the pulse, blood pressure and warmth of peripheries of patients. Additionally, you must thoroughly look for indication of bleeding, specifically in the areas around the chest, abdomen and externally seen by the eye.