Personal Narrative: My First Day For Clinical

Day four of clinicals was really long. The first patient was scheduled from 8 until 1, he was getting fitted for 4 crowns and an implant crown. When the patient came in he had a horrible odor and looked like he hasn’t taken care of himself in months. I seated him down and the dental assistant just glanced at his teeth and looked at me strangely and whispered come here and look. I look in this old man’s mouth and saw nothing but a brown layer of plaque and calculus build up and it disgusted me. How could someone not take care of their selves? Anyways, we ended up sending him to the hygienist's room next to us and they cleaned his teeth extra good. He came back into the room and Dr. Williams came in and quickly did a check up on his teeth and

Through my experience with the healthcare field, I have seen that low socioeconomic status, culture, and access are the major contributors to the health disparities today. Whether it is not being able to afford health insurance/medical costs, a culture that’s attitude and beliefs does not put much value on preventative care, or simply not having appropriate transportation to the doctor, all these factors work together against the patient. Medical professions can best tackle these issues by first knowing and understanding the needs of the population in which they practice. Theoretically, if one is aware of specific needs then those needs can be better addressed, whether they are financial or cultural needs. Also, medical professionals can work

Typical normal day walking through the sliding doors at CGH, smelling like the clean hospital smell it always smells like. Greeting every nurse and every person you see coming in. You usually can get an idea on how the day is going to be just by the parking lot and waiting room entrance. I have many duties during my job in the emergency room as a CNA. Every four hours we switch job duties to get a little taste of every position during the same day. The first part of the day I was out at greater, which is where you greet and register the patients that need to be checked out. Normally you’re checking people in back to back or you pretty much sit there watching the screen.Your day sitting there watching the people come in and out, can change the way you view things and think of people.

I was well versed with the patient’s medical history and current treatment, as I was the Long Call IM PGY – II Resident who supervised the medical intern when this patient was being downgraded from the ICU to the medical floor on 5/20/17 (and even suggested to the medical intern to add in her notes that the patient would benefit from statins, ACE inhibition and Spironolactone given CAD, CVA and HFrEF (LVEF < 35%.) The medical team subsequently started the patient on Atorvastatin 40 MG PO QHS, Lisinopril 10 MG PO QD and Spironolactone 12.5 MG PO QD.

My second clinical day at Mercy Defiance Hospital, progressive care unit, was overwhelming but rewarding and very educational. Through the 8 hours I was there, I learned a lot. I engaged myself in many self-directing learning practices to futher promote my professional growth. My first time interaccting with my patient,I was joined with my clinical instructor. While in the room, I got to listen to to my patients heart, lungs, and bowel sounds. I was able to see and examine the patients ostomy bag, as well as help them to the bathroom. There were ways that I can improve my professional growth, suchas,having the confidence to not second guess my self about things to do in assessments. For example, I know how to assess the lungs, I should not second guess where to listen for the sounds. One of my goals for next week dealing with professional growth would be to have the confidence to know what I have learned and use it. My second one being to go into the room with a confident attitude and believe in myself.

S- 3671 dispatched to a m pt C/O of abdominal pain and black stool. Pt is a 49 y/o m whose C/C is abdominal and lower back pain. Pt also states that he is experiencing cramping around his left ribcage. Pt states that he has been experiencing N/V/D for the past four days. Pt also states that his bm's have produced black, watery stool since the monday prior to the incident date. Pt is able to provide EMS personnel with a detailed medical Hx that includes HIV, acid reflux, and recently diagnosed COPD. Pt also states that he recently stopped smoking cigarettes. Pt is also able to provide EMS personnel with a list of medications that he is currently taking that includes Duloxetine, Stribild, Ranitidine, Aripiprazole, oxycodone, and proair. Pt states that he has not taken any of his prescribed medications for the past four days prior to the incident date. Pt states that he has allergies to Kaletra and gabapentin. Pt states that his primary

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.

The patient Matt is a 19-year-old Caucasian male that was admitted to the unit and being treated for lethargy, excessive thirst, recent unexpected weight loss, fever and frequent urination. Patient is uninsured, a college athlete (runs 3-5 miles a day on the cross country team), works 16 hours a week on the night shift, lives with five of males and says his diet consist of fast food, prepackaged meals and admits to having 3-4 beers, 3-4 day a week and has an allergy to penicillin (hives) and sulfa drugs. Patient was treated for a UTI once 3 months ago. The patient’s current vital signs are: temperature of 101.6F, heart rate of 99, respiratory rate of 22, blood pressure of 119/76, SaO2 99% on

My second clinic rotation is internal medicine and I’ve had many encounters, both with patients and colleagues, which have made me pause and reflect. One of those encounters, in particular, will still be on my mind long after I finish typing this reflective journal. The patient at the center of it all is a lady I’ll refer to from here on as “Mrs. Flowers.” Mrs. Flowers is an 81 year old female with dementia and diabetes. She arrived on our unit with a diabetic foot infection that had progressed from a simple toe ulcer to wet gangrene. Over the last 2-3 months, gangrenous changes encompassed the distal half of her left foot. During pre-rounds, our medical team unanimously agreed that we would contact surgery for a consult. At time, it was obvious

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

D.D has no known allergies and his current vital signs are 36.8F, 115 pulse, 25 RR, 102/77, 91% SpO2. His lab work is all normal except for elevated WBC and glucose. D.D is put on a morphine PCA pump (1.78mg every 2 hours) to help regulate his pain, metronidazole (1500mg once a day) and cefTRIAXone in dextrose (2000mg once a day) to help fight the infection, oxyCODONE (3.6mg every four

This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or

This past Thursday was the first OB clinical day and I was assigned the post partum unit. I was paired with Nurse Donna, who was full of information. Originally we had three couplets, with one baby in the nursrey. As the day went on and families were discharged, all our patients had gone home so we gained three other patients from two other nurses so they could go home for the day. I was able to give two moms their TDAP (tetanus, diptheria, and pertusis) vaccines and learned a new trick when it comes to giving intramuscular shots. Donna told me to have the patient hang her arm down by her side and wiggle her fingers. This not only had the patient concentrating on something other than the shot they were about to get, but it helped activate the

One of the very first patients scheduled for the day was a woman that I had seen previously during my time at the clinic. When I saw her before she had a wound vac on her left buttock from an abscess that had broken open causing a very large wound. The site was probably 10 inches long and at least 3 centimeters in depth. When I saw the patient now she did not need a wound vac and her injury was practically all the way healed. It was amazing to see how much progress she had made in such a short amount of time.

L did not report any pertinent medical, surgical, or psychiatric history. He also reports no pertinent family history nor allergies. His active medications include Tramadol 50mg tablet by oral route every 6 hours as needed, Methocarbamol 2 tablets by oral route four times a day, Hydrocodone-Acetaminophen 1 tablet by oral route every 4-6 hours as needed, and Fexeril 10mg tablet by oral route twice a day. He says he does not take the pain medication if possible because he cannot sleep with it. Patient was a former smoker with a 20 pack year history. Patient reports drinking 1 cup of coffee per day but there is no history of alcohol