Mass removal was done by Dr. Cabeza and dental cleaning was done by technician Hilda while I monitored.…
Patient may have previous bad experience (e.g. treatment was painful, patient was anxious but dental team didn’t really care, patient may have had dry socket following extraction); maltreatment; no LA or topical gel with previous treatments (not every dentist using topical gel before administering LA or automatically offering local anaesthesia if he believes the nerve is death, but patient may be more sensitive or very scared); invading personal spaces (no one likes if stranger get too close so it’s quite normal patients don’t feel ok in the dental chair with dentist leaning over them with sharp instruments)…
It was a great experience for me because I had to communicate with the patient and explain the procedure I had to carry out. Also, the injection was going straight into the muscles and the patient did not have enough flesh. When I gave the injection, I could feel the bone and it done without the patient feeling any pain. After I have finish with the injection, my mentor congratulated me and said “well done”…
In an OSCE assessment which conducted during week 7 of the semester. I was required to perform venipuncture, using the vacutainer system technique to draw blood for a pathology sample. Firstly, I had identified the indication for the blood sample, verified the validity of pathology requisition and confirmed the correct identify of the patient. Afterward I get a verbal consent from the patient and explained to the patient what I was going to do, gathered the appropriate equipment and performed venipuncture. To perform venipuncture, I must complete hand hygiene, selected an appropriate vein to draw blood and demonstrate safe use of sharps. Venipuncture involved several techniques such as where to apply a tourniquet or an angle of needle gage.…
The Nashville Veterans Affairs (VA) dental clinic was a beneficial learning experience because it was a unique population. The VA is committed to improving the health of Veterans through a comprehensive and high quality system, which focuses on each patient's special needs. This mission was important because each patient I saw was completely different with special needs, but they were all similar in a few behavioral ways. My rotation at the VA clinic was helpful because each patient I saw had different medical conditions. It was interesting to learn that all of the VA records were accessible to all of a patient’s providers in the hospital. This seemed important and helpful in my opinion because everything about that patient’s medical treatments…
To ensure proper healing of the extraction sites, please follow your dentist’s instructions to the letter. There are also some things you should avoid while the site is healing. Please avoid:…
The clinician begins the clinical session by welcoming Terri and thanking him for coming to the session. Throughout the clinical session the clinician positioned herself so that she was facing the client but still kept her body at a slight angle so that she was not directly across from him. I noticed that their bodies were in close proximity and that their knees were almost touching. The helper made sure to keep eye contact throughout the session and kept her hands crossed in her lap. The body positioning that she used allowed her to be open and comfortable with the client.…
Before beginning the teaching plan, I have asked client L.J his understanding of the Ostomy and the care it needs. I have identified that there is insufficient knowledge, this will help me have a better understanding of how much information to include. Client L.J’s learning need is help him have a better understanding of what the ostomy is and how it works, how it is effected by his diet, how to care for the skin, what to look for and how to clean and change the…
The day finally came to job shadow my dentist. I carefully watched him perform a number of different procedures and found it all so intriguing. Not only were the techniques and procedures he performed interesting, but I was also fascinated with the connection he had with each and every one of his patients. Each patient brought to the table a unique personality and oral health concern, yet he seemed to connect in some…
Even though I inserted a Foley catheter for the patient, I broke the sterile field during the process. This was bad since it has the danger of exposing the patient to infection. Because I could insert the Foley easily without repositioning the mannequin, I forgot to position the patient well before the Foley insertion. I also could not do a proper massage of the patient’s fundus even though I perfectly know the rationale and implication for performing the fundal massage. I felt comfortable most of the time during the scenario except when I knew I had broken the sterile field during the catheter insertion.…
A surgical procedure is medical treatment that involves a physician cutting into a patient’s body to repair or remove something. Surgery procedures have existed since prehistoric man. In 1540 C.E. barbers and surgeons united to form The United Barber-Surgeons Company. These barber-surgeons performed tooth extractions and bloodletting procedures. As our knowledge grows, so do our abilities. Some procedures such as tracheostomy, described in detail by Paul of Aegina (625-690 AD), remain pertinent today while others which contributed to the demise of many patients (e.g. bloodletting) were surprisingly slow to disappear (Hindle, K. S., & Hindle, S. J., 2001).…
Interning at Queens Boulevard Endoscopy Center has been a learning experience. Not a day went by of interning where I was not amused. It is amusing to know what I learned taking all of the health science classes was put to use tremendously. It is now winding down to the last few days of completing my 180 hours soon. My first day of interning was one of the most overwhelming and stressful feelings I have had. I went in this center knowing nothing. It is now where I have felt I been there longer then just these few months.…
For the needs of the patients, families, and the health care consumers, and health care practice current assessment practices should be maintained by using evidence –based practices. Health care professionals are expected to demonstrate competent practice within the society. Determining sufficient of clinical assessments and the evaluation of the nursing students has redesigned a large amount of nursing school curriculum to remain relevant. Assessing students educational outcomes based on current clinical practices can be more challenging than just relaying on typical classroom theory in which the evaluation of cognitive knowledge can be tested. Within the clinical setting, students are required to reach a particular level of competency in areas of knowledge, psychomotor, and safety. The clinical performance measurements and determining the how to grade the clinical course has caused debate and concern among nursing educators for years (McCarthy & Murphy, 2010). The purpose of this paper is to examine current assessment practices through current research : reflective journaling (self-evaluation), competency-based performance assessment, and faculty/agency personnel observation/communication that are designed accurately to document competency within the framework of accelerating and fluctuating needs in education and practice.…
I was excited to return to clinical the next morning. My client had a big smile for me when I walked into her room. Throughout the evening the ostomy nurse had come in, did some assessments and quickly taught my client how to empty and clean the appliance. Unfortunately since the nurse was…
As a novice, I never really enjoy giving injections, but after my second practise, good compliments from colleagues and lecturer my confidence increased. Most importantly, l kept thinking, if l gave the injection to an unwilling patient, how awful would I feel? I reminded myself, ethically, what is it like to carry out a therapeutic procedure that inflicts pain on another human being? All these challenges came to my mind before giving the injection. I began to feel quite anxious and nervous, wanting to delay the procedure for as long as possible hoping my anxiety would decrease. I believe the build up of nervousness beforehand is common, particularly for beginners like me. I prepared the injection using the necessary mathematical calculations, picked the right syringe and…