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Getting Started With Your Medical Practicum Experience

Dive into your medical practicum experience with a comprehensive overview, emphasis on preventing influenza transmission. Learn practical skills such as medical chart review, patient interviewing, oral-facial examinations, and more. Gain insights on handling patients in skilled nursing facilities and serving different age groups. Make the most of your practicum with tips for success, professionalism, and interacting with patients. Prepare effectively by understanding common medical abbreviations, practicing professional introductions, and conducting initial patient evaluations. Utilize tools like SLUMS and MOCA for cognitive assessments. Enhance your communicative skills and delve into the world of medical speech-language pathology.

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Getting Started With Your Medical Practicum Experience

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  1. Getting Started With Your Medical Practicum Experience Initial Overview

  2. A few preliminary notes ….

  3. Influenza Modes of Transmission • Respiratory droplet transmission (cough, sneeze) • Contact with respiratory secretions and bodily fluids • Indirect contact via hand transfer • Note: People infected with flu may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick(from Everyday Preventive Actions on CDC website)

  4. Preventing Influenza Transmission • Get influenza vaccination • Cover your cough & sneeze • Use facemask if patient has droplet precautions • Avoid touching your eyes, nose, and mouth • Use standard precautions (hand hygiene, gloves) • Limit touching of surfaces • Disinfect surfaces • Keep a distance (if possible) • DO NOT go to practicum if remotely feeling sick • DO NOT go to practicum until at least 24 hours after you no longer have a fever (without fever-reducing meds) • Link to CDC website on seasonal flu

  5. Medical practicum

  6. What is the purpose of Medical Practicum? • Familiarize yourself with a medical setting • Acquire basic competencies in certain areas of medical speech-language pathology • Medical chart review • Patient interviewing and case history • Oral-facial examination • Cognitive, speech, language screening • Swallowing screening and feeding precautions • Medical Practicum will run over three terms

  7. How To Be Successful In Medical Practicum • Be on time, dressed according to clinic standards and eager to learn • Meet in the front lobby of Riverpark • Complete any readings or preparation requested in advance • Be mindful of HIPPA and confidentiality in and out of practicum

  8. What is a SNF? • Skilled Nursing Facility - An institution where round the clock care is provided to individuals by trained nurses (LPNs and RNs). • Patients come for long term care and for short term care/rehab (to get better and return home or to a lesser level of care) • Some patients come and are still very ill or injured • May have mobility issues, new incisions, IV’s, drains, are in traction, have bruises, are very weak or difficult to arouse

  9. What Types of Patients Do SLPs See? • Age range of patients in long-term care • 60-69 years: 12% • 70-79 years: 23% • 80 years and older: 57% • Top SLP diagnoses in SNF’s • Swallowing: 67% • Cognitive-Communicative Disorder: 47% • Aphasia: 6% • Dysarthria: 5% • Voice Disorder: 3% • Source: ASHA NOMS: Adults in Healthcare – Skilled Nursing Facility 2012 • http://www.asha.org/content.aspx?id=15831&LangType=1033

  10. How To Be Even More Successful In Medical Practicum • If you are feeling uncomfortable about a medical situation, talk with your supervisor as soon as it becomes a concern • Make eye contact with and greet the professionals and residents you meet • Communicate with the residents you meet at eye level, with a clear voice and smile! • Demonstrate professionalism

  11. What to Expect First Visit • Tour of facility • Practice professional introduction • Participate in patient interview and administration of SLUMS and or MOCA • Oral- Facial exam • Initial Dysphagia screening ( observe pt consuming alternative diet)

  12. Professional Introduction • Introduce yourself • Make eye contact • Speak clearly • State your credentials ( show your ID) • State your intention or ask permission to interview

  13. Let’s Practice • SLUMS • MOCA

  14. During Patient Interaction ( Interview) • Make note of; • Cognitive status • Orientation • Awareness of problem • Hearing status • Expressive Language • Word finding challenges?

  15. Personal Interview Cont. • Comprehension • Follows directions? • Understands Yes/No? • Ability to follow directions • Voice • Loudness • Quality

  16. Let’s Discuss • Pros and Cons • SLUMS VS MOCA

  17. How to Prepare • Visit INFOCDS and begin making your medical practicum notebook or binder • InfoCDS> Practicum Placements> UO Placements> Medical Practicum • Practicum week 1- Dysphagia • Sign up via SIGN UP Genius

  18. Medical Practicum Notebook • Please print from INFO CDS- Initial Preparation • SLUMS • MOCA • Initial Evaluation • Adult NOMS FCMs • Common Medical Abbreviations • Oral Facial Exam-Adult –UO Worksheet

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