Summer Health Institute Collaborative Hospital Based Program that Works! - Presentation Transcript
Summer Health Institute: Collaborative Hospital-Based Program That Works! Randy Bangs Director of Mission Trails R.O.P. Lynn R. Brooks, CAVS Director of Volunteer, Health Career, and Spiritual Care Services Salinas Valley Memorial Healthcare System
Health Care Crisis- Drives Local Solutions
Costs
&
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Workforce Shortages Higher Acuity Shorter Hospital Stays Out- Patient Care Diversity of Population Senior Population Retention & Recruitment Health Care
Projected Shortages In All Health Professions-2020
Community Colleges - Directly linked to the economic development of their communities
Curriculum guided by local industry needs
Community partnership
Communities
Educated workforce
Quality community services
Healthcare
RHORC as a Bridge Builder Regional Health Occupation Resource Centers Industry Needs Industry + RHORC + Colleges Health Occupations Training http://www.healthoccupations.org/
RHORC as a Bridge Builder Regional Health Occupation Resource Centers Industry Needs Industry + RHORC + Colleges Health Occupations Training http://www.healthoccupations.org/
Educational Institutions
Universities
Community Colleges
High School Health Academies
R.O.P.
Regional Occupational Program
Mission Trails ROP serves eight school districts in Monterey County , offering training opportunities for high school students in grades 10, 11 and 12 as well as adults
ROP provides career technical education courses in many subject areas, providing the opportunity for students to learn career and technical skills along with their regular academic studies.
Most classes also add a “ Community Classroom ” aspect, where students intern or work in a setting related to the ROP course.
Regional Occupational Program
Career Pathways
Agriculture & Natural Resources
Arts, Media & Communications
Building, Trades & Construction
Education, Child Development
Engineering & Design
Finance & Business
Health Science & Medical Technology
Hospitality, Tourism & Recreation
Information Technology
Manufacturing & Product Development
Marketing, Sales & Service
Public Services
Transportation
Regional Occupational Program
Guidance & Alternative Education Services
Counseling
Career Assessment
Placement services
General Education Diploma/Basic Skills Lab
Co-op Education
Interview & Resume workshops
Career Fairs & Panels
Postsecondary Options
Job Shadow/Internship
Health Occupations Course
Prerequisites: 11 th grade level in English grammar, good attendance, good attitude and a commitment to learn.
Course Description: Orientation to Health Careers, Communication Skills, Anatomy and Physiology (basic body systems), and Patient Care Procedures. Two components:
Theory/Lab
Proficiency -> Community classroom/Job Shadowing
Course Goals: Proficiency in the following knowledge/skills:
Employment opportunities in the areas of Diagnostic, Supportive and Therapeutic health services
Medical Terminology
Medical Ethics
Confidentiality
Environmental and Patient Safety
Body Mechanics
Patient Care Procedures (i.e., Vital Signs, Wheelchairs, Height and Weight)
Job Shadowing Report
Define Job Shadowing (10 points)
Explain what you learned during your experience (60 points)
Describe skills you learned and procedures you observed.
Complete Patient or Non-Patient Department Report as appropriate according to criteria below (30 points)
Patient Departments
Signs and Symptoms (10 points)
What does the patient complain of? What does the physician see (subjective and objective?) Special diagnostic tests necessary for diagnosis can be included here, GB series, GI series, and IVP for example.
Treatment (10 points)
General kinds of treatment available (ex: surgery, medication, diets, bed rest, radiotherapy, and physical therapy).
Prognosis (10 points)
Predicted outcome. Is the prognosis good, fair, guarded, or poor? Are there any sequel (after effects)? Is complete cure likely? Is this a terminal condition, or is it a chronic condition in which the patient may need help to cope with this disability?
Non-Patient Departments
Describe other departments you were able to visit. Include: patients and/or equipment you observed, the atmosphere (calm, friendly, tense, depressing), sounds and smells.
Health & Human Services Academies Highly Effective
New approach to schooling
Combines required graduation classes and technical training
Prepares student for the diverse job and career opportunities in:
Health
Medicine
Biological Science
Human Services
Biotechnology
Graduates are prepared academically and vocationally for skilled entry-level jobs and/or entrances into colleges and universities for continued training.
Hospitals/Healthcare Associations
Resources
Education and Talent
Auxiliaries/Foundations
Grants and Scholarships
Current Employees
Volunteers
Community Members
Workforce Advocacy Programs
R.O.P. (Regional Occupational Program)
Job Shadowing
Collaboration with Nursing Education
Health Academies
High School/College Job Shadowing
Community Programs (Rotary)
College Internships
Patient Ambassador Program
Pre-nursing college student (18+)
(continues)
Advocacy Programs (Continued)
Human Resource Department Outreach
Health to School Speaker’s Bureau
Career Fairs
Junior Achievement
Cal Works (Welfare to Work)
Medical Adventure Camp
Summer Health Institute
Summer Health Institute
Purpose
Educate and motivate high school students in health careers
Format
Case Study methodology – multi-disciplinary
28 Hospital staff members presented
Articulated College Coursework
Based on Jump Start Program-San Diego
Site Visits
Paid Experience
Externship in Clinical and Support
departments
Student Research/Return Presentations
Mentoring
Participating Agencies
Visiting Nurse Association—Home Health & Hospice
Hartnell College
Stanford Medical School Center of Excellence
University of California, Santa Cruz Biology Labs
SHI Curriculum Overview Introduction to Hospital Presented Case Study at Hospital Externship Preparation WEEK 1 Community Advocacy Projects Advocacy Presentations Program Evaluations Graduation WEEK 5 Externships Site Visits to UCSC & Stanford Research and Case Study Draft Review Student case study presentations Cumulative Final WEEK 4 Visiting Nurse Association and Departmental Externships Library Research Orientation Principles of Public Speaking Hospital Administration/Organization Presentations WEEK 3 Hartnell Nursing Lab—1 unit WEEK 2
NICU Case Study Sample
Baby Boy H was born today at 03:07 hrs to a 27 y.o. G2 now P2 O+ female at 35 1/7 weeks gestational age; birth weight was 2500 gm. The mother received good prenatal care (HBSAg neg. RPR non-reactive, Rubella Immune.) She was scheduled for a visit today, the day of her delivery at which appointment the Group B Strep screen would have been performed. She was admitted in advanced pre-term labor and delivered 2 hours later. On further questioning she commented that she had been leaking amniotic fluid for over 18hours. Her admitting temperature was 100.6F. She received one dose of IV Penicillin 5 million units one hour prior to delivery.
At delivery the baby was given APGARs of 5 at 1 minute (1 off for color, 1 off for HR, 1 off for respiratory effort and 2 off for tone) and 7 at 5 minutes (1 off for color, 2 off for tone.) The baby was positioned under the radiant warmer, suctioned, dried and stimulated. Positive pressure ventilation was briefly provided and discontinued once HR respiratory effort and color improved. However free flowing oxygen was necessary to maintain color and the baby was transferred to the NICU. You have been called by the team to evaluate.
CONTINUES…
Case Studies Outlined by Physician Necrotizing Fasciitis Heart Case NICU
Discussion 3:00-3:30 p.m. Discussion 3:00-3:30 p.m. Discussion 3:00-3:30 p.m. Discussion 3:00-3:30 p.m. 3:15 Wrap-Up Wrap-Up Wrap-Up Wrap-Up 3:00 1:45-3 2:15-3 2:15-3 Dr. Kasting 2:45 Kristina Morales Mary Neimy Introduction to Case Study #1 2:30 Eva Geidt Health Promotion Physical Therapy Assignments and 2:15 BREAK 1:30-2:15 Student Case Study 2:00 Mind/Body Connection 1:15-2 p.m. Susan Cerney Format Overview 1:45 Dr. Kasting Laboratory Components of a Case Study 1:30 12:45-1:45 Case Study Wrap-Up BREAK 1:15-3:00 1:15 Mike Hutchinson 12:30-1:15 12:30-1:15 1:00 Affiliates Sonia Morrison Jason Villavert and Administration 12:00-1:15 p.m. 12:45 12:00-12:45 Discharge Planning/Case Mgt Respiratory Therapy Introduction to Mentors 12:30 Jim Griffith 11:45-12:30 11:45-12:30 Welcome Luncheon 12:15 CEO-Planning Art Gabudao Dr. Kasting CP4 12:00 Social Services APGAR Scoring/ Assessment 11:45 11:15-12:00 11:30 LUNCH 11-11:45 11-11:45 Advance Care Planning Literacy 11:15 RETURN DEMO (VNA) LUNCH LUNCH Communicating w/Compassion 11:00 Hand Massage Roberta Troxell ASSOCIATION Other Ambassador Stuff 10:45 10:30-11 a.m. NURSE 10-11 a.m. 10-11 a.m. 10:30 VISITING Sharon Roberts Lihjen Wang Team and VNA Assignments 10:15 orientation NICU Nursing Pharmacy 10:00 NICU with Dr. Kasting and floor/room 9-10 a.m. 9:45 4 teams x 15 mnute rotations through 9-10 a.m. Diane Mallett 9:30 Chuck Morris and Admission Paperwork Rules of Engagement 9:15 8:45-10:30 a.m. Diagnostic Imaging Pre-Admission Process Finalize Paperwork 9:00 Floor Orientaion and NICU Overview 8:30-9:00 a.m. 8:30-9:00 a.m. Orientation Checklist (Green) 8:45 Morning Review 8:30-8:45 a.m. Morning Review Morning Review Lab Coats 8:30
Patient Room Orientation
PATHOLOGY
Suite Surgical Sterile Field
VISITING NURSES ASSOCIATION
Hartnell College Nursing Skills Lab
Stanford
U.C. Santa Cruz Biology Labs
EXTERNSHIPS
Student Case Studies
Respiratory Case Study
Mr. Ardin is admitted to the hospital after sustaining two fractured ribs and a lung contusion following a motor vehicle collision. His previous health history was positive for smoking and emphysema. He has been on oxygen at 21/min and has been fairly comfortable on MSO4 via PCA.
Neurological Case Study
Mr. Spina, a 22-year-old male is injured while surfing. He is diagnosed with complete C6 spinal cord injury.
Cardiology Case Study
Mr. Eddy has been a patient in the critical care unit for three days being treated for a large acute anterior wall myocardial infarction. Mr. Eddy continues to have chest pain unrelieved with a nitroglycerin drip and MS04. He is obtunded, tachycardic, hypotensive, oliguric, and has crackles in both lungs.
Burn Case Study
You are working the day shift and are assigned to care for Miss Frieri, an 18-year-old female admitted during the night. She was burned in a house fire. She sustained some full-thickness and partial-thickness burns over 30% of her body.
Hepatic Case Study
Mr. Lopath, age 50, is admitted to your floor from the ED. He is lethargic, cachectic in appearance and mildly combative. He smells strongly of ETOH and has a notably swollen abdomen and lower extremities.
During the 1 st 5 years of SHI—Stanford University mentioned an important criteria in selection of students for medical school is advocacy for improvement of the health of their community, which begins with the ability to identify community health issues
Students were learning about health inside the hospital, but outreach wasn’t part of the curriculum
2008—added advocacy projects, based on top health needs in the community (as reported in the 2001 Tellus Report)
Type II Diabetes
Elderly Falls
Access to Preventive Healthcare for Migrant Families and uninsured
Objectives of Advocacy Projects
To provide our SHI students with the opportunity to advocate, within their community, a health issue that they feel needs to be addressed
To provide them with the resources needed to fulfill the requirements we set for them
To give the students the power to create change within their community
Goal
That our students have a better understanding of the preventable health issues within their own community.
Our students will be able to speak on such issues to community members and medical staff with confidence.
Each group assigned to a health issue will create and carry out an advocacy project that they design and develop.
The number one cause of Emergency Room visits among adults over 65, is preventable Elderly Falls.
More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons over 70 years of age.
Elderly persons who fall are 10 times more likely to be hospitalized and eight times more likely to die as the result of a fall.
Hip fracture survivors experience a 10 to 15 percent decrease in life expectancy and a meaningful decline in overall quality of life.
More than 100 Monterey County high school students have parents that are migrant workers.
Health-care facilities for migrants need special investments in terms of educational outreach work to educate migrants on the need for prevention of STDs, translation facilities and timely health-care facilities.
There are over eight special assistance programs available for uninsured individuals in our county alone.
Accessing Health Care for Migrant Families
Diabetes
20.8 Million people suffer from diabetes
Over 90% of obese people suffer from type II Diabetes
9.5 percent are Hispanic/Latino Americans aged 20 years or older (2.5 mil)
The total annual economic cost of diabetes in 2007 was estimated to be $174 billion
Lynn Brooks Director of Volunteer and Health Career more
Lynn Brooks Director of Volunteer and Health Career Services Salinas Valley Memorial Healthcare System Salinas, CA
Randy Bangs Director, Mission Trails ROP Salinas Union High School District Salinas, CA
This workshop provides an overview of the Summer Health Institute, a collaborative with local community college, UC-Santa Cruz, and Mission Trails R.O.P. Students exposed to health related careers through an articulated summer program, including case studies at the hospital, classroom study on college campus, 60 hours of externship supervised by clinical staff and new community advocacy research and presentations. Students will present a sample of their community advocacy research and presentations. less
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