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Electronic portfolio

  1. 1. Electronic Portfolio Shelby Lovegrove
  2. 2. Orientation Week <ul><li>Learning about hospital policies such as HYPPA laws </li></ul><ul><li>Touring both hospital campuses and visiting the various units that we visited on rotations </li></ul><ul><li>Learning about parking and receiving badges from security </li></ul><ul><li>Tuberculosis testing </li></ul><ul><li>Learning about the necessary procedures for the Operation Room </li></ul>
  3. 3. General Surgery- Thank You <ul><li>On my first day in General Surgery, I was with a nurse named Megan. She discharged a woman after she had surgery. While she was charting, I looked at all the charts of patients on that floor. I found the surgery reports the most interesting. Some patients also had medication that they needed. Another man was discharged right before the day was over. </li></ul><ul><li>On my second day, I was with a nurse named Courtney. Courtney had a patient who had recently had surgery on his pancreas who needed medicine very often. She also had a patient who was debating about what she would need when she went home and received advice from the social worker. Just as I had done the day before, I looked at the charts when Courtney was recording her activities on the charts. </li></ul>
  4. 4. Laboratory- Thank You <ul><li>The first day in the laboratory, I followed around three phlebologists, Shae, Jimmy, and Jocelyn. They retrived blood from patients around the hospital such as the oncology unit as well as 7SE and 8SE and the trama center. Shae also performed a blood test. </li></ul><ul><li>The next day, Laurel, who works in the blood bank of the hospital, showed me how to classify blood types and showed me several pictures of blood cells. Next, Jan Gilliam showed me blood underneath a microscope and the process of testing blood. Then, Kathy Temeyer showed me how the highly sophisticated machine tests blood. Then, Barb, from the Microbiology lab, showed me how they test different specimen. She also showed the purpose of gram stain, and how biologists grow certain bacterias. Finally, I visited the pathology and histology lab, where Scott showed me kidney tissue, breast tissue, and a whole prostate. He showed me how they test for cancer and other damage by using microwaves and dyes. </li></ul>
  5. 5. Neurological Critical Care Unit Thank You <ul><li>On the first day, I shadowed Sarah, a nurse who was taking care of two patients. One of the patients had some form of sclerosis had been in the hospital many times for long-term stay. She was wheel chair bound and had a feeding tube. She also had a history of stomach problems, which caused diarrhea as well as constipation. When the patient was not sleeping, her conversation was not very appropriate for the situation she was in. The second patient had just undergone surgery for an arteriovenous malformation (AVM) earlier that morning. An AVM is condition that occurs when the arteries and veins are not separated my capillaries in the cerebrum of the brain. Eventually, usually when the patient is older, this condition causes a rupture in the brain creating a hemorrhage. Most of the time, it is fatal, but fortunately, the problem was discovered early and was treated with surgery. The operation that was performed was called &quot;gluing&quot;. A glue-like substance was injected into a major artery and the glue sealed off the rupture and stopped the hemorrhage. </li></ul><ul><li>The second day followed Brooke, a nurse who was caring for a trauma patient who had been in a car accident earlier that day. The patient had a fractured cervical vertebrae as well as a very small brain bleed that may have been present prior to the car accident. Brooke gave him medication throughout the day to ease his back pain. She also assisted other nurses in the unit. </li></ul>
  6. 6. Cardio 4SE- Thank You <ul><li>The first day I followed Michele and Teresa. They each had five patients. One of Teresa's patients was extremely overweight and constantly needed attention to replace his oxygen tank and give him insulin. Michele discharged two of her patients during the day. During the uneventful moments, I read charts. </li></ul><ul><li>The second day I followed Nancy. She had all of her charting caught up, but she needed to chart on the computer. During this time, I read the charts of the patients that had recently been discharged. The rest of the day she distributed medicine. </li></ul>
  7. 7. Burn Unit- Thank You <ul><li>The first thing I did when I entered the Burn Unit was read &quot;The Burn Book&quot;. I learned about the different types of burns such as first degree burns, superficial second degree burns, deep second degree burns, and third degree burns. The first day in the burn unit, I followed Amber. She had two patients, and I read their charts. One had a severe third degree burn on his hand from hot grease from cooking tamales. This burn required a &quot;vacpac&quot;. The other patient caught on fire at a bondfire in northern Oklahoma after gas was thrown into the fire while she was too close. She had deep second degree burns and third degree burns on her face, neck, stomach, arms, hands, and upper legs. Amber showed me how important it was to keep up facial care. If it is not then, it can be extremely painful for the patient. </li></ul><ul><li>The next day, I was with Lonie. The population of the burn unit had decrease from the previous day, therefore Lonie only had one patient who was the man with the third degree burn on his hand. I read one more chart of a woman who was having problems with the incision from her surgery healing up. Lonie helped her use the bathroom. Then the director of trauma took me from the burn center and showed me an x-ray of a man who was in a car accident. He had a badly broken femur as well as fractures in his ulna and back. </li></ul>
  8. 8. Pediatric Intensive Care Unit <ul><li>The first day in PICU, I really didn't follow a certain nurse around. The charge nurse made the charts available to me to read. The first chart I read was about a little boy who had unbuckled his car seat on the highway. Unfortunately, the vehicle was involved in a car accident, and the boy was ejected from the car. The boy suffered spine fractures and his scalp was severely damaged and required surgery. Later that day, the boy was transferred to the Pediatric floor. Next chart I read was from an infant who suffered from shaken baby syndrome. The young boy had been in the PICU for most of January, and was actually transferred to hospice for two weeks, but the boy's father thought that he might be improving and asked for him to be put back in PICU. The boy was on a ventilator during his first stay in the PICU, therefore he had developed pneumonia while in hospice. </li></ul><ul><li>The next day, I followed Amy, and she was caring for two patients. One was a young boy that had been extremely ill for a few days. The boy was soon sent up to the pediatric unit, and Amy showed me how to remove his IV. Her other patient had an MRI, but they had to sedate her since she is young and moved around a lot. Amy had to wait for her to wake up and be able to walk around without help. Then, Amy went to lunch and I stayed with Cat in the baby with shaken baby syndrome. As I was leaving, I was told that the shaken baby was being transferred back to hospice to receive palliative care. It was very emotional, because he was so young. It made me very thankful that my parents took great care of me as I was growing up. </li></ul>
  9. 9. Pediatric Mentor Form
  10. 10. Operation Room <ul><li>The first day in OR I watched a wound/ burn surgeon repair an ulcer on the buttocks of a paraplegic man. An ulcer developed, because it is a pressure point and since he was normally sitting all day, there was a lot of skin damage. The surgeon repositioned the skin on the pressure point. </li></ul><ul><li>The second day, I watch the surgeons cut open a woman's leg to allow more blood flow. Then, I watched another surgery which was a laminectomy. The surgeon put in six screws and two plates to relieve pain from a narrow spinal cord and from displaced disk disorder. </li></ul>
  11. 11. Respiratory Therapy- Mentor Form <ul><li>The first day I observed a respiratory therapist in the CICU. She had to give people various breathing treatments. She also extubated a woman with lung cancer who was getting better. </li></ul><ul><li>The second day I observed another respiratory therapist in the PICU/ BICU/ and NCCU. She recorded information from the patients who were on ventilators. She also finished her rounds giving patients breathing treatments. After she was finished with her work, I went to SICU. One of the therapists was treating a woman who had almost died from an asthma attack. I also observed a therapist who was caring for a brain dead woman on a ventilator who was donating her organs. He also had to giving breathing treatments to a woman. </li></ul>
  12. 12. Emergency Room- Thank You <ul><li>The first day I was in triage with Jeanne and Curtis. Many patients came in, and Jeanne would record their blood pressure, temperature, and oxygen level. One of the most interesting patients was a man who lived with his mother, and his mom had taken away his pain pills. The man compensated by drinking vodka, and he was very drunk and had tremors. Another patient was a young boy who was suicidial and needed a psychological evaluation. Most of the other patients were diabetics who were having problems with it, and others were having problems using the restroom. </li></ul><ul><li>The second day I was in zone 2 of the ER. The less severe cases go to this area. As a result, the day was pretty uneventful except for a pregnant lady who was a little overdramatic. Even though zone 2 was uneventful, there was a code blue in Zone 1. He was a diabetic and had collapsed in front of the doctor's office. I got to watch the paramedics, doctors, and therapists bring him back to life. He was a diabetic and had collapsed in front of the doctor's office. They shocked him three times, and finally got a pulse with the help of some drugs. </li></ul>
  13. 13. Emergency Room- Mentor Form
  14. 14. Rehabilitation Services Mentor Form <ul><li>The first day, I followed Michele, who is a physical therapist assistant. Her first patient was a man who had chronic back pain from an injury 16 years ago. He also had a history of depression; therefore, he had problems recovering from the injury. She made him exercise on the bike and then she applied heat. The next patient was another man with lower back pain. She also applied heat to his back and used a machine to stretch out the muscles in his lower back. After her work was finished, I followed Mike, an occupational therapist. He asked an elderly woman who had just had a stroke several questions and ran a few tests to judge the numbness her hands. </li></ul><ul><li>The second day, I followed Jan, who is an occupational therapist. Her first patient was a young boy who had a large benign tumor in his left cerebellum, and the other part of the cerebellum was missing. As a result, he has problems balancing. She had him grabbing toys to teach him how to control his arms. The next patient was a little girl that most likely had autism. Jan worked to help her learn to follow commands. She also wanted the girl to understand that all her actions have a reaction. She used playdough to demonstrate that. She also used a swing to help her learn to count and use her hands to pick up toys. The next patient she had was a baby with down syndrome and respiratory and heart problems. The baby got tired easily, so the therapist could only give an evaluation with no treatment. Jan also had an inpatient in oncology, but she could only chart, because he was also too tired to do therapy. </li></ul>
  15. 15. CCU/ MICU Mentor Form <ul><li>The first day I followed Rebecca. She had a heart attack patient who was being transported to the floor, but she came back the next day because she had a catheter placed. Her other patient was hispanic woman who was being discharged. Because she had two discharges, she had to visit rhythm central to get information. She also had an admission. The man was a diabetic who was having chest pains. </li></ul><ul><li>The next day I followed Gail. She also had two patients. One was a homeless man who was found unconscious in the gutter. They didn't know what was wrong with him, but he was on a heavy amount of oxygen and a ventilator. The other man was young, and he had a pacemaker. I was shocked to find out that the man had used too much cocaine, and that was the reason for all his problems. That man was later transported to the floor to be discharged. </li></ul>
  16. 16. Labor and Delivery Thank You Letter <ul><li>The first day I scrubbed in and saw two c-sections. The first operation was scheduled, because the woman had a c-section with her last child. The next operation was necessary, because the woman failed to dilate. This baby was also born on her due date. Both babies were healthy and perfect size. </li></ul><ul><li>The second day, I saw two vaginal births. The first baby I saw was born five weeks premature. As a result, the NICU nurses and doctors were present to evaluate the baby to determine if he needed to be taken to NICU. Since the baby was a good size and didn't need oxygen, they determined he could stay with his mother. The next baby was born the day after her due date. She was healthy, but she was stressed in the amionic sac and pooped. As a result, she was very dirty when she came out and needed her lungs sunctioned and needed oxygen. </li></ul>
  17. 17. Labor and Delivery Mentor Form
  18. 18. 5E Thank You Card <ul><li>The first day, I followed around a nurse who had 2-4 patients that day. The first thing she did was discharge a patient. Then she administered all of her lunch time medicine. She got an admission after this, and she had to help get her into bed. While this was happening, the occupational therapist got another of her patients out of bed. Later, the patient was in a lot of pain and wanted back into bed and gave her some pain medicine. </li></ul><ul><li>The second day, I followed around the desk clerk. She had to keep everything organized for admissions and dismissals. She also had to help patients get in and out bed. </li></ul>
  19. 19. 5E Mentor form
  20. 20. Operation Room Thank You <ul><li>The first day in OR, I saw an operation on a woman who had a very large kidney stone. The doctor had to insert a very fine scope into the ureter to find the stone. Then, he took a laser and broke the stone into small piece and then picked out the small fractions of the stone. The next surgery I watched was a nephrectomy and the robot was used. I thought it was interesting how they inserted the rods into the body. The doctor and nurses had to make sure that they did not severe any arteries. </li></ul><ul><li>The next day, I saw a prostatectomy performed by the robot. The procedure seemed to be about the same as the nephrectomy. Then I saw a colectomy. The patient had cancer in his colon and the stool couldn't be pushed out. The nurse opened up the colon and showed me where the colon was clogged (it was really smelly). </li></ul>
  21. 21. Week One in Career Options <ul><li>Dr. Singh: This class is available to students who are discerning career fields in science and medical interviews professions. Students will learn through discussions, lectures, exhibits, interviews, and advice from professionals. Students should become aware of what will best suit them. Students are expected to take an interest in a specific career opportunity. This interest should result in further research by the student. </li></ul><ul><li>Dr. Leyba: As science professor with a Ph.D. in nuclear chemistry, he often tells his students that there are three main career fields they may choose. Many scientists teach, because they are funded to do research. Scientists may also work for an industry such as a pharmaceutical company. Many of these companies need managers, which are other opportunities. The government also has a high demand for scientists in agencies such as National Institute for Science and Technology or the Department of Energy. </li></ul>
  22. 22. Week Two in Career Options <ul><li>Dr. Bernadette Fetterolf: This lecture stressed that there are many opportunities for nurses in the medical field. Nurse can also form valuable, lasting relationships from school and the workplace. Newman University is an excellent college to attend, because they have low student-to-teacher ratio and the classes relate very well to each other. It may be difficult, because Newman University is competitive and expensive. </li></ul><ul><li>Dr. Greg Reichenberger: Veterinarians need to know all about the anatomy of animals and be knowledgeable in the use of medical equipment. They can in private practice and own a clinic, work on ranches, or work for the armed forces. Other smaller opportunities are researching, teaching, and development. Veterinarians treat many animals that are obese, diabetic, or have osteoarthritis or an auto-immune disease. </li></ul>
  23. 23. Week Three in Career Options <ul><li>Ms. Shelley Steadman: Forensic scientists usually work for city investigation agencies in various departments such as toxicology, drug identification, and trace evidence. In Shelley’s work, DNA is very important. She uses saliva, blood, semen, and other products of the human body. She used to DNA to prove that Dennis Rader was BTK. </li></ul><ul><li>Dr. Thomas McCarthy: Optometrists can work in several different areas. Most work in their own private practice, but some teach, work in the military, or work for corporate companies such as Lens Crafters or Eyeglass World. </li></ul>
  24. 24. Week Four in Career Options <ul><li>Dr. Mark Troilo: The need for dentists is increasing significantly. Many dentists are retiring and not many are coming into the profession. The number of people who need to see a dentist also is increasing. Many dentist have to work very hard in school but they usually make a good amount of money. </li></ul><ul><li>Dr. Ron Shipley: The professor showed us many of the diagnostic images that are used in the medical field such as the Magnetic Resonance Imaging (MRI), sonograms, positron tomography (PET), and myocardial perfusion imaging. They also must take care of their patients like a nurse would. </li></ul>
  25. 25. Week Five in Career Options <ul><li>Dr. Diana Crooks: Becoming and working as a family practice doctor and obstetrician and managing can be very challenging but well worth it; Dr. Crooks is a real life example of this when she shared her story about school and her career. </li></ul><ul><li>Clint Stucky: Occupation therapists help people who have physical disabilities such as spinal cord injuries or stroke or cerebral palsy and have mental disabilities such as downs syndrome, attention deficit, hyperactive disorder, depression, and autism. They work with people of all ages from newborns to the elderly. The goal of occupation therapists is to make people more independent and have concerns such as the self-care, work, and play of their patients. </li></ul>
  26. 26. Week Six <ul><li>Jean Brinkell: Graduates from Medical Laboratory Science programs can work in a variety of different area in medical laboratories such as clinical chemistry, hemetology, urinalysis, microbiology, and immunohematology. Laboratory sciences can detect cancer, heart attacks, diabetes, infectious monnucleosis, hepatitis, infectious bacteria, and drug use. </li></ul><ul><li>Meg Trumpp: Respiratory therapists work as the eyes and ears to the physicians for patients with heart, lung, and breathing disorders. They need to be able to communicate and work as a team. They often care for premature babies who need to be placed on a ventilator, teens with breathing problems, and adults with sleep problems </li></ul>
  27. 27. Hand Washing Presentations <ul><li>Bubble Girl vs. The Terrible Germs </li></ul><ul><li>Posters for brushing teeth and washing hands </li></ul><ul><li>Black light box experiences </li></ul><ul><li>Wiggles Hand Washing Song </li></ul>
  28. 28. Career List: Pharmacist Requirements <ul><li>Required to have an interest in Chemistry and helping people. </li></ul><ul><li>The outlook for this career is very good. </li></ul><ul><li>Pharmacists must obtain a doctorate of pharmacy degree from an accredited college or school of pharmacy. </li></ul><ul><li>In order to be admitted into a “Pharm-D” program, students must have 2-3 years of prior study. </li></ul><ul><li>Once admitted to a program, it takes four years to complete it </li></ul><ul><li>Must have a year long residency. </li></ul>
  29. 29. Career List: Pediatrician <ul><li>In order to gain admission to a program in order to become a pediatrician, it is required to receive an undergraduate degree in classes like physics, biology, English, mathematics, and organic and inorganic chemistry. </li></ul><ul><li>Students would need to attend four years of medical school. To get into medical school, students must take the Medical College Admissions Test. </li></ul><ul><li>Medical school classes include anatomy, biochemistry, anatomy, biochemistry, physiology, pharmacology, psychology, microbiology, pathology, medical ethics, and laws governing medicine. </li></ul>
  30. 30. Career List: Surgical Technician (entry-level position) <ul><li>Career outlook is good </li></ul><ul><li>Technicians must receive training from a program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) </li></ul><ul><li>Technicians set up equipment and prepare the operation room, prepare the patient for an incision, and transport the patients to the operation room. </li></ul><ul><li>They also keep track of medical equipment and supplies and document notes of the operation. </li></ul>
  31. 31. Career List: Pharmacy Technician (entry-level position) <ul><li>Career outlook is good </li></ul><ul><li>No national certification has been set, but most employers prefer employees to have formal training </li></ul><ul><li>Technicians help the pharmacist by receiving prescription requests, counting tablets, and labeling bottles </li></ul>
  32. 32. Physician Assistant <ul><li>Career outlook is very good. </li></ul><ul><li>Most applicants have a college degree and health-related experience before they enter a physician assistant program. </li></ul><ul><li>Most full time students take at least two years to complete the program. </li></ul><ul><li>Class requirements: biochemistry, pathology, human anatomy, physiology, clinical pharmacology, clinical medicine, physical diagnosis, and medical ethics. </li></ul><ul><li>Other required training in several areas like family medicine, internal medicine, surgery, prenatal care and gynecology, geriatrics, emergency medicine, and pediatrics. </li></ul><ul><li>In order to gain a license, one must receive a formal education from an accredited college or university. </li></ul>
  33. 33. Career Paper: Pathologist Assistant <ul><li>Initial educational programs for Pathologists’ Assistants began 35 years ago at the University of Duke. These programs train certified Pathologists’ assistants. Other training options are available as well. Experience other positions in the medical laboratories is also very helpful. Completing many duties at various workplaces, pathologists’ assistants earn an average of $74,980 per year. My personal interest in this career was spiked when I visited the laboratory on a rotation. I found it really interesting. </li></ul>
  34. 34. Cover Letter
  35. 35. Resume
  36. 36. References
  37. 37. Final Reflections <ul><li>I have learned about many different option in the Saint Gianna Health Academy. I found all of them to be interesting, but I found the laboratory to be the most interesting and enjoyable. I plan on entering a medical laboratory program after I graduate high school. I am very excited and very grateful that I had this opportunity. </li></ul>