Internship PowerPoint

1. HEALTH 4200- INTERNSHIP
EXPERIENCE
Ainsley Wingard
Clemson-Seneca Pediatrics

2. INTRODUCTION
 In the fall semester of 2015 I completed a clinical internship at
Clemson- Seneca Pediatrics and spent over 200 hours in a pediatric
practice.
 This presentation includes:
 Description of the internship site
 Internship site Mission, Values, and Vision
 Internship Description
 Internship Duties and Projects

3. CLEMSON-SENECA PEDIATRICS
 Clemson-Seneca Pediatrics (CSP) is a multi-physician, multi-office pediatric
group that is a part of Greenville Health System. The practice has locations in
Seneca, SC as well as Clemson, SC. Both sites share the same providers, nurses,
and office staff.
 CSP provides quality pediatric care to infants, children and adolescents from
birth through the college years.
 Services at CSP include health maintenance, acute care, emergency care, and
chronic medical care.
This is a view of the Seneca location of CSP.

4. MISSION, VISION, VALUES
Clemson-Seneca Pediatrics shares the same mission, vision, and values as Greenville Health System.
 Mission: Heal compassionately. Teach innovatively. Improve constantly.
 Vision: Transform health care for the benefit of the people and communities we serve.
 Values: Together we serve with integrity, respect, trust and openness.
Clemson-Seneca Pediatrics also had their own mission and goals
 Mission: “Clemson-Seneca Pediatrics is dedicated to advancing the care of children and
promoting healthy families”
 The primary focus of CSP is on preventive care and keeping a child healthy.
 Goals:
 “Serve as a family resource for raising happy and healthy children.”
 “Provide as much education as treatment in order to help children thrive.”

5. CLINICAL INTERNSHIP DUTIES
 I completed my clinical internship at CSP working primarily with registered nurses and
medical assistants.
 My role at CSP was to assist the nurses and medical assistants in any way I could and
function as a member of the healthcare team.
 Throughout my time at CSP I was able to observe various procedures done by physicians
including cryotherapy for warts, breathing treatments, and suture removals.
 My duties included:
 Working up patients for providers
 Determining which diagnostic tests may be necessary for a patient (hemoglobin, rapid strep,
mono, flu) and performing these tests.
 Preparing vaccines, necessary forms and recording in electronic health record as well as SC
DHEC site.
 Vision and hearing screens.
I will go into more details about my duties in the following slides.

6. WORKING UP PATIENTS
 My primary role in the practice was to work
up patients for providers. Working up a
patient includes calling the patient back to
their room, obtaining their vital signs (height,
weight, blood pressure, oxygen saturation,
pulse, and temperature) as well as asking any
developmental questions necessary.
 While working up a patient I was responsible
for determining the chief compliant of the
patient as well as any potential diagnostic
tests that may need to be ordered.
 After working up a patient I was responsible
for putting this data into the electronic health
record system.
This is a picture of me
obtaining a patient’s
temperature

7. WORKING UP PATIENTS
This is a picture of me
obtaining a patient’s blood
pressure.
This is a picture of me
obtaining a patient’s
height.

8. PERFORMING DIAGNOSTIC TESTS
 One of my other duties was performing diagnostic tests on patients.
Diagnostic tests performed at CSP include rapid strep testing, flu
testing, urineanalysis without a microscope, mononucleosis testing,
hemoglobin testing as well as culturing any specimens necessary to be
sent off to the lab.
This is a picture of a rapid strep test I performed on a
patient. This test is performed by swabbing the back of a
patient’s throat and then placing the specimen in a
solution for 5 minutes then reading the test.
This is a picture of the results of a
urineanalysis (urine dipstick)
performed on a patient.

9. PREPARING VACCINES
 I also prepared vaccines for nurses to
administer at CSP. The process of preparing
a vaccine includes determining the
appropriate vaccine for the patient,
assembling the proper forms, drawing up
the vaccine, and then recording the vaccine
administered into the electronic health
record as well as the Vaccines for Children
Program’s website.
This is a picture of me preparing
a influenza vaccine.

10. VISUAL ACUITY TEST
 Patients visit the practice annually for a well check in which the provider
does a physical examination to determine that the patient is healthy
and developing accordingly. One important aspect of the well check is
the vision screen which I performed regularly . Each eye is tested
separately for near and far vision. For patients who have not learned
their alphabet yet a three dot vision test is performed to determine if
the patient is colorblind.

11. VISUAL ACUITY TEST EQUIPMENT AND PROCEDURE
The patient looks into this
vision screener and first reads
the line for 20/20 vision
This panel is used to control
near/ far vision as well as
left/right eye tests
This chart indicates which letters the
patient should be reading for the
visual acuity test

12. HEARING SCREEN
 Patients presenting to the practice for
well checks also receive an annual
hearing screen. The patient wears
headphones while buttons which
produce a “beep” sound are played at
different decibel levels. When the
“beep” is played the patient raises the
hand which corresponds to the sound
the “beep” is played on. The
frequency level is changed to test the
range of the patient’s hearing.
This machine is used for the
hearing screen. The person
operating the test raises and
lowers the decibel level
according to the patient’s
response.

13. INTERNSHIP PROJECTS
Throughout my time at CSP I completed various projects within the practice. Further
information about these projects can be viewed in my online portfolio.
 Influenza Vaccine Clinic
 I worked with Christie Oliver, RN to complete the practice’s annual influenza
vaccine clinics which were held on Tuesdays/ Thursdays this fall. I created a form
for parents to fill out upon arrival about the patient’s medical history as well as
prepared vaccines for Ms. Oliver to administer. I located information pamphlets
about the vaccine and ensured that patients were educated about possible side
effects. After the vaccine was administered I recorded the vaccine information
into the electronic health record as well as the SC CARES network which is a
registry for vaccines given to children in South Carolina.
 Vaccine Information Project
 I organized all of the information pamphlets for various vaccines by age in
which the vaccine is typically given. I ensured that these pamphlets were given
to parents of patients who would be receiving the vaccine as well as being easily
accessible to providers to hand out the pamphlets.

14. INTERNSHIP PROJECTS CONTINUED
 Laboratory Record Book
 The State of South Carolina requires each laboratory test be recorded in a book
as well as the results. I created the laboratory record book for 2016 in which
providers will easily be able to record the results of laboratory tests as well as
temperatures of each refrigerator in which vaccines are held in. I assembled a
book for each location including tabbed dividers to find information easily.
 ICD 10
 With the implementation of the ICD 10 coding system in October 2015 I
assisted providers in the transition from the ICD 9 system to ICD 10. I created a
spreadsheet of the most frequently used codes in each system so that providers
would be able to complete their charting quicker and more accurately. I helped
prevent many billing and coding errors by creating this spreadsheet.

15. INTERNSHIP OUTCOMES
Through my internship experience I was able to…
 Develop an understanding of childhood development as well as important
milestones that must be met for each age group.
 Learn common treatment plans for pediatric patients who have chronic
conditions such as ADHD, obesity, and anxiety/depression.
 Gain greater interest in pediatrics.
 Improve my knowledge of language used to ease pediatric patients and
their parents fears.
 Confirm that I want to pursue a career in a clinical medical setting.

16. CONCLUSION
Overall my experience at Clemson-Seneca Pediatrics was a fantastic one. I
was able to see how so many different people come together as a part of
a healthcare team in order to provide positive patient outcomes. This
internship taught me more about being a professional and the language
used in a medical practice. Many of the doctors and nurses I worked with
have become my role models and I aspire to one day be as great of a
healthcare provider as they are. I learned how to ease patient and family
concerns through this internship and developed a greater understanding
of empathy. I have enjoyed my internship that I am continuing to
volunteer at CSP with the hopes of taking a part time job as a medical
assistant there in the spring semester.

17. SOURCES
“Clemson-Seneca Pediatrics”: Greenville Health System Children’s
Hospital. Web. 29 November 2015