Ortho Reflective Journal

What was the most exciting thing that happened on each day of your clinical rotation? (5 pts)

On October 27, 2016, we met to obtain clarification on your work destinations and work performed on the day prior.

In last week's journal entry I stated that this week PVEPD would be conducting active shooter training, but the training is postponed for now. During this week’s shifts, I finished the putting together the emergency operation plan binders, cleaned the briefing room, and went to the department’s shooting range where I had the opportunity to shoot AR-15 and a Glock 22. I spent both Monday and Tuesday’s shift at the shooting in the basement of the police department. The shooting range which is located underneath the department and can be accessed through the parking garage. There are two rooms in the basement one room is storage for the gun range and the other room is the actually shooting range. Each room requires a special type of key and passcode

For todays clinical, I was located at the office in Pineville. To start the day, Mrs. Faranda went over the computer system and planned out her day based on her goals set for each patient. She planned out which patients she would need to call first. After that, she showed me how to look and see which patients were in the hospital and which were located in the emergency department. Lastly she me different thing in the computer system like the social determinants of health and the medication system. She also went over resources. To end the day, she made a few phone calls and tired to reach out to certain patients. Overall, I enjoyed my day and being able to learn more about Community Care of North Carolina.

I really enjoyed my activities this week. Shadowing my Task Supervisor during a therapeutic home visit was interesting. I loved her interaction with the foster family. She took the time out to interview each child and properly observe the children in their home setting. She also addressed any concerns or questions that the Foster Parents had.

I started my day by attending bed unit meeting. Afterwards I attended a pre-surgery meeting with my site coordinator. The rest of my day was spent filling isolation carts and creating welcome packets.

It was a really short day for me, so I just worked on completing more referrals and watching Donna check-in patients. There are quite a few steps on Donna’s part that include: checking to make sure that the insurance has not changed, the pharmacy has stayed the same, collecting copay, and a lot more things that I need to still get in there and learn. We had one particular patient that had a procedure scheduled for weeks that we had to reschedule until insurance differences could be worked out. He was not a happy camper, but luckily he directed his anger toward the insurance company and not us. I haven’t got to really be in the front office much this week because of the need in the clinical area, but I hope to get more experience in this area

My duties involved making the residents beds, learned how to use certain equipments like the chair lifts to help residents into the bath tubs and I helped serve food and feed the residents that couldn’t eat on their own. I enjoyed interacting with the residents by taking them out for a nature walk, painting and building bird feeders. I have always been interested in the Health Care Aide role as it encompasses everything I enjoy doing. It is a worthwhile job which I know I will get enormous amounts of job satisfaction from. This real live experience gave me a new perspective on the medical industry and confirmed that I had made the right career choice.

My day began by attending a bed unit meeting. After the meeting I created an RN Pathway graph for my site coordinator. Once this task was complete, I created an employee percentage tracker. Lastly, I helped sort and file papers then put them in a binder.

This summer has by far been the most meaningful due to my internship at the Lloyd Moss Free Clinic. I had a wonderful opportunity to use my summer before college to explore healthcare professions and learn how a free clinic functions. Throughout my experience, I was exposed to many different professions within a clinic. My daily task consists of a wide variety of activities. I would begin by sorting and filing patient document, gathering charts for upcoming appointments, and helping the clinical operations director with projects regarding referrals. Then, I would continue my day at the call center. While assisting at the call center, I was able to learn what exactly each department handles at the clinic and I was exposed to a variety of terms

My activities for clinical this week, included helping a patient to the bathroom, taking vital signs, performing a physical assessment, taking a patient to the dining room to eat, taking a patient to Sunday School at Trinity Place, getting a patient dressed, helping with a wound dressing change, and helping a patient with a bath.

Another activity that I was doing during this week was getting ready for the career fair at La Salle University on March 30. One of my favorite activity this week was to do outreach at the career fair. It meant a lot for me to recruit students from my school to be potential interns at DOL (VETS). I was happy to be there and take the experience on how to be a Human Resources person. I enjoy to be there because I got to meet students and employers. Many students gave us their resume and we need to evaluate their resume and get in contact with the students. I consider that the career fair this spring semester was a success.

Sitting at a crowded table surrounded by my friends roaring with laughter, I gazed out at the ocean. The glaring sun burned on my skin, and I was exhausted from spending the day at the boardwalk of the Jersey Shore. My stomach was growling, and all I could think of was how badly I wanted food. All of a sudden, the aroma of melting mozzarella and fresh tomatoes hit me like a train. I could hardly wait. The waitress soon came over and left the pizza on our table. I wanted to begin eating at that second, but first I had to take a picture of this beautiful creation.

I learned how to tube blood samples down to the lab and how to tube prescriptions down to the pharmacy. I also got to see a sciatic and femoral nerve block. I learned how anesthesiologists read ultrasounds and how they see nerves on them. I learned that the sciatic nerve is accessed from the back of the lower thigh and the nerve can be seen on the ultrasound. The patient's foot jerks when the needle pokes the sciatic nerve. The femoral nerve is accessed from the pelvic area and can't be seen on ultrasound. The anesthesiologists know where to put the numbing medicine by the patient's knee jerking and knowing that the femoral nerve is distal to the femoral artery which can be seen on the ultrasound.

This journal reflection will discuss my expectations for the course, interests in learning, and how I plan to use the course to aid in my work in the adult education field.