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Getting Started With Your Medical Practicum Experience

Getting Started With Your Medical Practicum Experience. Initial Overview. A few preliminary notes …. Influenza Modes of Transmission. Respiratory droplet transmission (cough, sneeze) Contact with respiratory secretions and bodily fluids Indirect contact via hand transfer

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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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