2013 nm ems educators conference
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Transcript of 2013 nm ems educators conference
2013 NM EMS EDUCATORS
CONFERENCE
HOSPITAL CLINICALS
WelcomeI Am NOT Kevin McFarlane
My Name is Nikki
Hospital ClinicalsWhat We Wish Your Students Knew
AND WHAT WE WANT YOU TO KNOW
Only about 25% of learning occurs in the classroom setting –Jay Cross Informal Learning
No Pressure, Right???
Ask Yourself
Does my teaching institution have realistic expectations of the learning objectives in the clinical setting?
Are these clear to the hosting hospitals? Are these clear to the students? What does my teaching institution
contribute to the learning objectives of the clinical rotation?
What Is A Successful Clinical? How do you measure success in
clinicals? How are your clinical sites measuring a
successful clinical, or are they?
Reality Check
How many clinical sites also participate in college advisory boards / EMS department specific?
What type of relationships are existing?
interpersonal
phone
hand signals
Status Quo
The Obvious
Badge Uniform Appearance
Piercings, tattoos Hygiene Punctual Start and Finish Organization Legibility of Handwriting
Be Unique On Your Own Time
The Obvious
Be Prepared Meals Valuables Parking Secured Entrances/Exits Patient Privacy Equipment use Skill set
Not So Obvious
Restraining Policies/Protocols Documentation of skills performed,
patient interaction Involvement in patient care (pediatrics,
special needs, inmates, bariatric) Contribution of information to physicians Handling of specimens Access of locked down units
Not So Obvious
Completing clinical notebook prior to change of shift
Introduction Hand Washing Obtaining consent from patients Cleaning up after procedures Posting information/social networking
sites
Not So Obvious
Using nurse’s notes and physician’s
H&P for gathering information Providing translation services Providing patients with diagnosis Students with disabilities Students with chronic illness Unexpected events during clinical
NecessitiesAffective Domain Are you asking your
students if they know when to call the on call instructor?
Do your students know how to resolve issues independently and notify instructors as needed?
Do your clinical sites have appropriate tools necessary for documentation regarding behavioral issues? Are they utilized?
If the answer is no
What can we collectively do to alleviate issues?
How Objective Are the Clinical Evaluation Forms?
Are There Alternatives?
Clinical Instructors
Is their only function a PR role (here is my face and institution)?
Are they expected to interact with staff, and patient’s or only the students and charge nurse?
Are there any changes you would like to see at the clinical sites in regards to the clinical instructor/ on call staff?
New Process For Clinical Instructors Personally fill out Affective Domain form
(with the Preceptor) with measurable yes/ no questions (Did the student introduce themselves, use “please” and “thank you” did they wash their hands?)
Personally fill out Affective Domain (with a patient), same AD, Yes/No questions.
Preceptor Role
Assist with improving patient communication
Help students improve their skill Teach time management as it applies to
patient care Emphasize critical thinking and clinical
decision making Sign off on skills completed
What Preceptors Should Not Be Doing Teaching skills that require signatures Teaching basic knowledge Disciplining Passing/ Failing Students
Charge Nurse’s Expectation of Students Be on time Introduce yourself Conform to hospital policies Inform them of issues sooner rather than
later
Preceptor’s Expectation of Students Identify yourself Identify needs Be an active learner Good attitude Be aware of patient privacy Keep work areas clean Have a solid working knowledge base
and skill set
Preceptor’s Expectation of Students Offer help with tasks Ask questions Ask questions Ask questions Don’t ask stupid questions Hook up on your own time
Physician Expectations of students Ask reasonable questions Stay out of the way when asked Assist when asked Don’t be afraid to say that you don’t
know Be respectful of boundries
Our Areas for Improvement
Online orientation (to the hospital) that is accessible
Yearly preceptor competencies Meaningful preceptor evaluations Participation in clinical advisory boards Suggestions????
Your Areas for Improvement Be persistent in communication Ensure that your presence in the
hospitals is a positive one. Follow up with issues regarding students
Questions?
Thank You! Nikki Arana-Oquendo, NREMT-P, I/[email protected]