Internship powerpoint

INTERNSHIP AT JOSEPH F. SULLIVAN CENTERFall 2016

Mission:  The Joseph F. Sullivan Center will drive community health research initiatives providing innovative, real-life student learning.

Goals:• To promote positive human development, skill building and creative leadership

through partnerships to strive for overall community wellness.

LOCATIONS I WORKED: Joseph F Sullivan Center:

The Sullivan Center is located in Edwards Hall on Clemson’s campus and has a lab within it. It operates with four exam rooms, has room for acupuncture and for first line therapy sessions.

Clemson Free Clinic: Clemson, SC On Wednesdays the Sullivan Center runs out of the Clemson Free Clinic building

from 8 am-1:30pm. The patients here are mostly Clemson City employees and migrant workers.

Walhalla Clinic: Walhalla, SC This clinic operates out of the old DHEC building in Walhalla on Fridays along with

the prenatal clinic. The patients here are typically Hispanic patients. Mobile clinic: Oconee Memorial Hospital

The mobile clinic operated outside Oconee Memorial Hospital working with patients as part of Best Chance Network and Access Health.

DESCRIPTION OF INTERNSHIP In this internship I was able to gain clinical experience and work with both

preventive and diagnostic health education

Apply what I had learned in classes to real life situations, such as taking blood pressure, developing concepts that I had learned inside of the classroom, and working to create projects that would further my development of skills

I worked a little over 215 hours at this internship

Establish connections and work with different mentors and teaching styles to absorb as much knowledge as possible

PEOPLE I WORKED WITH Preceptor: Caitlin Moore Nurse Practitioners: Michelle Deem, Megan Cherrish, Will Mayo Graduate Assistants: Gaby Bramblett and Ngoze Eke Clinical Assistant: Elizabeth Garcia

BEST CHANCE NETWORK This program offers women the opportunity to receive breast and cervical

cancer screenings that may not have otherwise been able to receive these treatments due to a lack of income.

For these I collected complete patient histories as well as asked questions that pertained to their level of physical activity, eating habits, and overall lifestyle habits.

I also collected urine analysis and hemoglobin tests, took blood pressure, height, weight, waist circumference, and hip circumference.

ACCESS HEALTH Mountain Lakes AccessHealth Patients are patients who do not have

insurance and typically have not been treated by physicians in quite some time.

With these patients, I was responsible for making sure that I had a complete medical history on them, as well as their records from any hospital visits they may have had and the bloodwork associated with these. I made sure to call either Oconee Memorial Hospital or AccessHealth to get

records when they were not present I filled out the appropriate forms for their bloodwork to be processed

correctly, and made sure everything was labeled properly I made sure to have the complete reason for visit for all of these patients to

allow them to receive the best care possible, since most of them lacked any care.

DAILY DUTIES Taking vital signs including

Height, weight, waist circumferences, temperature, last menstrual period (when appropriate), blood pressure, pulse rate, and pulse ox (when appropriate)

Get a complete patient history Use flow sheets to track patient’s progressions Run in-house labs such as:

Urine analysis Glucose Hemoglobin Pregnancy tests

Cleaning and restocking rooms Maintaining supplies at all offsite clinics.

SKILLS LEARNED IN THIS INTERNSHIP Became very familiar with the use of EMR Allscripts. Learned how to adapt to different atmosphere’s in the different sites Worked with patients who did not speak the same language, and therefore

had to learn how to communicate with patients who may not have understood.

Adapted to different learning styles of the different nurse practitioners. Became able to recognize when different tests were necessary and what

needed to be prepared in order to help ease the NP’s interaction with the patients.

Absorbed information about different diagnoses and saw how the treatment of these patients worked.

PROJECTSCreated Excel sheet for glucometer readings of diabetic patients to keep track of for several months.

Reorganized Excel lists to make them alphabetical and easier for both patients and the nurse practitioners to find and use.

PROJECTSCreated a competency exam comprised of five patient scenarios for future interns to work through and develop skills in AllScripts. Worked out different scenarios and walked through them step by step

Created charts within AllScripts to match these scenarios. These charts will serve as the answer key for the future interns and

their trainings.

USEFUL SKILLS I learned proper technique to prick someone’s finger and to get an accurate sample for both glucose and hemoglobin machines.

With these I became certified in using both the hemoglobin and glucose machines and adapted techniques to make these easier for both the patient and myself.

USEFUL SKILLS Used a urinalysis machine as well as learned to read urine sample strips by

hand. Adapted to when technology was either not available or was not working,

by taking complete patient histories by hand, measuring waist circumferences with a piece of tape and comparing when a tape

measure was unavailable Using manual blood pressure cuffs instead of the machine. Using the triple beam balance scale instead of an electronic scale.

CONCLUSION This internship has helped me solidify my goals of wanting to be a

Physician’s Assistant. I was able to see that I would like to work with underserved populations in

the future. I enjoyed the family practice aspect of this internship, because it allowed

me to create relationships with the patients that I saw throughout my time. They seemed to feel confident in telling me their problems and allowing me to create a connection with them.