FINAL ND Module 09-10.pdf - AaronsWorld.com

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ACADEMIC ADVISING APPOINTMENTS WITH CLINICAL FACULTY ADVISORS Each student clinician will be assigned to a clinical faculty advisor. You may find out who you are assigned to through the registrar’s office or by checking with the clinic faculty assistant. If the student desires to change that assignment, contact the main campus registrar’s office. Advising sessions are an opportunity for students to share any suggestions or issues and to practice skills and review competencies. Appointments may be made with your advisor in person or by email. Advisors are a resource to mentor students and supervise mini exam competencies. If a student is at risk of failure, they are required to meet with their advisor on a regular basis as outlined in their learning contract. It is the student’s responsibility to contact the advisor and make an appointment. All the faculty members have posted office hours for student drop in visits, or will make appointments with students through email. The faculty assistant can also assist students in making appointments with faculty or with the associate clinical dean. CODE OF CONDUCT Student clinicians are expected to function within the code of conduct expected of a professional physician. This includes awareness and integration of the standards of the profession, and honesty in their behavior and interactions with staff, patients, supervisors and colleagues. Clinicians will integrate integrity and responsibility in their interactions and uphold those standards with their supervisors and other clinicians. The practitioner will also disclose all potential conflicts of interest or potential for secondary gain that may arise during practice and patient treatment. A patient may not be referred to an outside resource that may provide benefit to the clinician or practitioner. Failure to abide by these standards will lead to sanction or even to dismissal. DOCUMENTATION TIME SHEETS •Students are responsible for having their time sheets at each shift. •Four hours is the maximum number of hours that may be counted for each shift, unless otherwise noted. •Students need to have the supervising faculty member initial the time sheet each week. •Any time missed on a shift due to absence, tardiness, or holiday will result in an IP grade for the shift. These hours will be made up with substitution or extra interim shift hours. Time Sheets must be turned in to the supervising faculty by the last day of each quarter. If a student does not submit their time sheet, the registrar will send a request to the student. If there is no response within a week, the Associate Clinical Dean or their designate will be notified. The AD or their designate will investigate whether the time sheet is held by the faculty or student. If the student has not submitted their time sheet and does not respond to the AD the registrar’s office will record an N (no Grade) grade. The financial Aid office will be notified in order to calculate whether this affects the status of the student’s financial aid. The student is required to meet with the AD or their designate to change the grade from N to IP or AC. If the student is found to be negligent in their responsibility a fee may be charged. HAND WASHING/SANITATION The student applies proper awareness and observance of public health and sanitation rules by washing their hands, cleaning the tables and equipment before and after each exam and shift. The equipment may include lights, gynecological lights, tables, mirrors, and personal medical equipment including their stethoscope. Proper hand washing includes washing for 20 seconds, rinsing and drying the hands thoroughly. There are hand sanitation stations throughout the clinic that may be used up to two times before washing with water. 24
HOURS/PATIENT CONTACTS Students are required to keep a summary of patient contacts from all shifts, interim clinic, substitution, and extra time. These are to be recorded on the “summary of patient contacts” form, and each patient contact must be initialed by the supervising faculty member. Students must designate each contact as either primary (P) or secondary (S) and use a separate form for each shift. IMMUNIZATIONS-SEE THE GLOBAL HANDBOOK FOR POLICIES, REQUIREMENTS AND PROCEDURES Charting/Medical Records PROCEDURES All chart entries must be made in black ink on the appropriate form. Computerized chart notes must be completed on clinic read-only templates installed on clinic library computers or on your PC. Charting may not be stored on personal computers or PDA’s unless it is completely de-identified. This policy is to protect the confidentiality of patient medical records in compliance with HIPPA privacy guidelines. All charting corrections or changes made by a student or supervising faculty in a chart on the day of the original entry are to be made as follows: 1. Draw one line through the entry to be changed. 2. Write the new entry beside the old entry. 3. Initial the change. 4. Please refer to the medical abbreviations list in the appendix of the global module for approved medical abbreviations in charting. For all chart changes made in a chart after the day of the original entry by the supervising faculty: 1. Draw one line through the entry to be changed. 2. Write the new entry beside the old entry. 3. Initial and date the change. 4. No changes can be made after the provider has signed the chart. Any additions or changes to the charting must be made on a new page and signed by the supervising faculty and inserted into the charting with appropriate referencing to the original chart notes. No patient may be treated without the following: 1. A “consent to treatment” form signed by the patient or the patient’s designated signatory. 2. A completed patient intake form and patient billing/insurance form. CHARTING/MEDICAL RECORD KEEPING FORMAT We utilize the SOAP format for all charting in the clinic. Each chart should have a subjective (S), Objective (O), Assessment (A), Plan (P), Future Plan (FP) and Impression (I). Note that within the SOAP format, there are variable styles of charting. 1. Subjective (S): This section includes what the patient tells you about their health and symptoms. In the large category, this is the history of the present illness (HPI). a. It includes the chief complaint (ex: my stomach hurts), and the seven attributes of that complaint. The attributes include: location, quality, quantity or severity, timing (onset, duration and frequency), setting, aggravating and alleviating factors and associated manifestations. (Ex: the pain began yesterday and was 3/10 in intensity, now it is 7/10. The pain is dull, aching and fluctuates in intensity. I took Pepto Bismol and felt better for a while and then I vomited and had diarrhea two times. I got back from Mexico four days ago. I was traveling in the country 25
Page 1 and 2: TABLE OF CONTENTS MISSION STATEMENT
Page 3 and 4: PROCEDURAL SECTION 3
Page 5 and 6: UNEXCUSED ABSENCES An unexcused abs
Page 7 and 8: 2. HOUR REQUIREMENTS Clinic Entry I
Page 9 and 10: APPOINTMENTS WITH THE CLINIC REGIST
Page 11 and 12: MIDWIFERY All midwifery student cli
Page 13 and 14: ND CLINIC ENTRY II Prerequisites:
Page 15 and 16: PRECEPTOR BASTYR UNIVERSITY’S NAT
Page 17 and 18: BASTYR UNIVERSITY’S NATUROPATHIC
Page 19 and 20: RESIDENCY PROGRAM Bastyr University
Page 21 and 22: STUDENT ACADEMIC ISSUE RESOLUTION P
Page 23: CLINICAL SECTION 23
Page 27 and 28: intervention; any medication (herba
Page 29 and 30: SCOPE OF PRACTICE OF A CLINICIAN Th
Page 31 and 32: SECONDARY SKILLS 1. Professional Sk
Page 33 and 34: A PC grade in this skill is rectifi
Page 35 and 36: C. Motivation, Initiative and Respo
Page 37 and 38: The student will demonstrate profes
Page 39 and 40: • The student will use the curren
Page 41 and 42: Contract for Blood Borne Pathogen a
Page 43 and 44: L/B HOW TO: INJECTIONS AND FINGERP
Page 45 and 46: PRINCIPLES OF NATUROPATHIC MEDICINE
Page 47: SECONDARY COMPETENCIES PATIENT CARE
Page 50 and 51: change 4. Continues to research and
Page 52 and 53: ND PRIMARY CLINICAL COMPETENCIES -
Page 54 and 55: SPECIAL PROCEDURES/PROTOCOLS GYNECO
Page 56 and 57: ND PHYSICAL MEDICINE COMPETENCIES M
Page 58 and 59: Student Name: Supervisor Initial/Da
Page 60 and 61: Student Name: Supervisor Initial/Da
Page 62 and 63: Demonstrate Competency in Assessing
Page 64 and 65: The project is required to increase
Page 67 and 68: HOMEOPATHY CLINICAL COMPETENCIES -
Page 69 and 70: BUSINESS SECTION 69
Page 71 and 72: RETURN PATIENTS: Requires 2 of the
Page 73 and 74: FEES AND PAYMENT •Three component
Page 75 and 76:
When a supervisor needs to do a wai
Page 77 and 78:
APPENDICES 1. Student Clinician Abs
Page 79 and 80:
Appendix 2 BASTYR CENTER FOR NATURA
Page 81 and 82:
Fluid Wave: Have the patient place
Page 83 and 84:
Cardiac Exam Benchmark Basics: Plac
Page 85 and 86:
Head & Neck Examination Benchmarks
Page 87 and 88:
The Pelvic Examination Benchmark I.
Page 89:
E. Examine, Palpate, Percuss and Au
Page 92 and 93:
Patient Seated 39. Test ROM of uppe
Page 94:
INDEX A absence · 4, 12, 33, 36, 7
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