Clinical Observation
My first clinical observation was at Penobscot Community Health Center in Bangor, Maine. Upon arrival, I met Angela O’Leary the practice manager. She gave me a short tour to the two suites where she said I would be observing. She was a very nice and pleasant woman. She made me feel very welcomed. I handed her some paperwork in order to observe for the practice. I first observed in Suite one, which was the Walk-in Care and Physical therapy office. There were two Patient Service Representatives. The practice had two mental health providers and two physical therapist on duty. It was a very busy Monday morning after Easter Sunday. I watched two medical assistants who were very busy calling patients in to exam rooms. I
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There were three mental Health practitioners. Some personnel were counselors. There were two patient service representatives. They were very nice. I seemed to feel more comfortable in suite two. The patients were at check in for one-hour counseling sessions with counselors. It is difficult to understand the patients with mental health disorders. Other adults accompany some mental health patients. Patients came into the office to pick up prescription refills for the pharmacy on site. I observed a secretary faxing for release forms. I observed one secretary talking with a difficult patient over the phone. The patient wanted a refill of medication. The patient got very angry over the phone. Her medication said no refills. The patient needed to see the provider first. The secretary calmly repeated not being able to refill the patient’s medication. She remained in very good behavior. Patients can be on cancellation list if …show more content…
I really enjoyed it there. The atmosphere was very welcoming. The staff were very pleasant. I met a girl who attended Eastern Maine Community College. She graduated with the Medical Office Technology degree. I observed a data entry analyst. She showed me how to put the data in the system. She showed me what kind of cases she worked on. She worked on the nursing home part of PCHC. The doctors do their own diagnosis codes. She makes sure the codes are correct. If the codes are not specific enough she will email the doctor. If the codes are not correct, the insurance will not cover. The observed the billing technicians. They were very busy accepting incoming and outgoing calls. They would post payments if patients called to pay their bill. The billing technicians took turns have an hour each of phone calls. Not everyone was expected to stop what he or she was doing. Each staff member worked in a specialty area. Medical records was also in the same building. There was staff who worked with patients who were self-pay and had no insurance. There were also specialist who worked with patient accounts who were insured by Maine Care, Medicare, and Medicare insurance. The supervisor was a coding auditor who manages the coding operation of the business. I would not prefer to work at the Penobscot Community Health Center Walk-in Care. I really enjoyed observing the data analyst position. I discovered the doctors
D-The patient was placed on HOLD to address her no show for last week. This writer asked the patient if she was okay with tomorrow 's appointment based on her appointment letter. The patient to do the session today since she 's already present and waited for this counselor. This writer agreed to conduct the session. Reports stable on her dose and deny the need for a dose decrease as she denies any cravings/withdrawals.
As compassionate organized individuals, they are involved in providing hands-on patient care as well as efficient office management, which entail tasks such as: • Assisting with minor surgeries • Evaluating vital signs and measuring patient's height and weight • Performing basic laboratory tests • Removing stitches and changing dressings • Scheduling
On 11/12/2015, CM wet to the “A” dorm to locate the client. Client was lying in bed and CM requested for the client to come to the social service office. CM along with the client completed Bi-Weekly ILP Review. Client was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting.
If an invoice comes in regarding something that is not required for the patient to have a special approach is taken to state, why they will not be covering this bill then they return it to that office. This job requires a lot of organization. Once an invoice comes in they do not automatically pay them, therefore the stack of invoices becomes big toward the end of the month. I also sat with a lady named Nelda, that covers all the financial statements except the bank reconciliation. I was able to see the format that is used to get all of these reports ready for the end of the month.
Billy called the staff this morning in regards to one of his medication not being delivered to him. The staff facilitated a session focused on psychiatric medication management. The staff taught Billy communication skills by training him to call the pharmacy and ask for the reasons why the medication was not delivered along with the other medications. Moreover, the staff taught Billy to also ask the pharmacist if the medication could be picked up. Billy communicated very well with the pharmacist and the pharmacist informs Billy to come by and pick up the medications.
PT, my preceptor, and I communicated about an order issue for a patient. The PT felt uncomfortable performing PT while the patient had a Doppler order to rule out DVT. Therefore my preceptor and I called the physician to clarify if this was still an active order, since it was 4 days old. When the doctor said to cancel the order, we communicated this with the PT so she was able to work with our patient. I also communicated with the kitchen staff all throughout the shift my patients who had a hard time reading the menu and ordering their own
Once the coding is complete, it is time to submit the claim to the insurance company for reimbursement. Before submitting that claim, however, it is reviewed by the billing specialist. This person verifies that all relevant information is included in the claim and that the coding appears accurate. This simple review reduces the number of denied claims and makes the submission process smoother. If everything looks good, the billing specialist submits the claim to the insurance company.
In my opinion this visit was eventful. I was given the opportunity to perform massage, PROM stretching in all planes, along with resistance on a lady’s right arm which she had rotator cuff surgery performed in January. I also begun my case study on a woman that I plan to work with and hopefully progress over the next six weeks of my
An initial assessment will be completed within 24 hours by our multi-disciplinary team comprised of psychiatrists, nurses, and licensed therapists. Patients meet daily with mental health and medical partners and individualized treatment plans are created. In addition to psychiatric care, we provide individual therapy, family therapy, recreation therapy, group therapy, discharge planning, and medication management. Our educational department provides on-site school support. Please contact our Admission Department for questions regarding transportation, insurance information or to schedule a no-cost
My 295 experience has provided me with exceptional experiences that I can apply in any work setting. My internship during my first year of the MSW program was at the Transitional Community Opportunities for Recovery & Engagement (TCORE) while my second year placement was at the UC Davis Medical Center in the department of Clinical Social Services. I believe that my 295 experience during the MSW program has helped me grow as a social worker. I would rate my clinical (direct) practice training as average. In my opinion, my field placements provided me with some clinical practice training, but not compared to other placements.
The nurses must turn their back to the patient that is due to receive medication. Not being able to see
Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
The family members of the patient Patricia N. Lee 75/F located in room 524 are in a dispute over who can see the patient. Both parties have restraining orders against each other. The daughter Lynda Lee has a restraining order against the boyfriend Robert Rolon who is the significant other of her sister Christa Lee Allender. Both parties are saying they have the Power Of Attorney for the patient. The Charge Nurse Colleen Gibbon separated the parties into two different areas.
During my course with NSCC, where I am studying to become a Continuing Care Assistant. Each student is required to work in a continuing care facility alongside other health care providers for a month. I attended skills development placement at Harbour View Lodge located in Sheet Harbour. This placement has given me the opportunity to apply my knowledge, and skills that I have studied and practiced in the classroom. When entering the facility the first week I felt nervous and excited at the same time.
Doctors should always let their patients have an ample amount of time to ask questions so they also know what they are about to have done to them. Take their time with each and every patient they see. If all healthcare professionals would just do their part in patient interaction, the bad name Hospitals and Doctors get would not be as bad as they do