Transcript Orientation for MSIII

Orientation for the
Nix Senior Health Care Center
Welcome to the Community
Geriatrics Rotation
Overview
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MS 3 students have 2 weeks in the geriatric
clinic during your family medicine rotation.
Family Medicine and Gyn Residents will
have 4 week rotations.
We have 5 clinical geriatricians, geriatric
nurse practitioners and geriatrics fellows who
will supervise your clinical experience.
Feel free to ask faculty or staff any questions
regarding clinic operations, grading or any
other issues of concern.
A PARKING Map is at the end of this
presentation
Geriatrics Faculty
Robert Parker, MD
David Espino, MD
Kathleen Owings, MD
M. Rosina Finley, MD
Liliana Oakes, MD
Fellows & Nurse Practitioners
 Geriatrics
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Drs. Adeeba Akhtar, Kathy Owings,
Jeanette Ross, Cynthia Stone
 Nurse
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Fellows
Practitioners
Tukumbor Efeovbokhan, Colleen Keller
(at Pavilion)
Ms. Rebecca Carreon at the
Wednesday PM Clinic at the Brady
Clinic Clinical Staff
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Medical Assistants
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Chris Ramirez, Clinic Administrator
Receptionist
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Julia Piedra
Medical Records
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Gloria Valdez RN, Head Nurse
Tina Cano
Syria Rose
Mary Helen Peña
Location
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Nix Senior Health Care
Center
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Monday-Thursday, except
1, 3, 4 Wednesday
afternoons
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Nix Hospital 414 Navarro,
Suite 1111
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PARK in the Nix Valet
Wednesday Afternoons
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1, 3, 4 Wednesdays at
South Module
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3rd Floor Building C,
University Health CenterDowntown
Educational Goals
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Learn the common geriatric syndromes
Learn the geriatric assessment tools
Evaluate at least one geriatric patient per
session.
Learn use of summary face sheet for care of
elders
Learn use of electronic medical record in the
care of elder patients
Medical Student Evaluation
Areas
 Presentation
Skills
 Knowledge Base
 Problem List Completeness
 Team Work as reflected by volunteering
for extra patient work, completion of
prescriptions, etc.
Assessment Tools
http://geriatrics.uthscsa.edu
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Review Tutorials and Be
Familiar With The
Instruments
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Mini Mental Status Exam
Activities of Daily Living
Instrumental Activities of
Daily Living
Tinetti Gait and Balance
Scale
Geriatric Depression Scale
(GDS)
CLOX evaluation
Assessment tools are located under
TOOLBOX at
http://geriatrics.uthscsa.edu.
The White Board
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The nurse will put the
patients name on the
white board after
vitals are taken.
 Begin to see patient
as soon as they are
on the board and
place your initials by
the patient’s name.
Seeing your Geriatric Patient
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Review the patient’s chart
Take your patients history
and do a physical exam.
If you need a translator,
ask the nurses for to
help.
If you need to do a genital
or breast exam, wait until
this can be done with
your attending.
Geriatric Patients
cont’
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Present your patient to your attending, including
your assessment and plan.
 See your patient with your attending.
 Next complete the following
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Write any prescriptions
Complete any consult or x-ray request
Complete the order sheet including any lab work and
indicate the return appointment.
Tell the nurse your patient can be checked out.
 THEN you may complete your note
Value the patient’s time
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See your patient
promptly
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New visit: @45 min.
Followups: @30 min.
Complete all
prescriptions,
referrals, and orders
promptly to allow your
patient to leave.
 Lastly do your
progress note!!!
If you are waiting for the
attending……
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Start your note
Write the
prescriptions for your
patient.
Fill out referral forms
Look up patient’s
previous labs and xrays
Update the Blue
Problem List
Write Scripts
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Write prescriptions for patients on the faculties
precription pad
 If you are unfamiliar with a particular medication,
look it up before writing the prescription
 Chronic medications - give 90 day supply with 3
(three) refills.
 Have your attending sign them.
Notes & Problem Lists
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Write out your notes on
the note sheet provided
Fill out the BLUE
Problem List completely
(NOTE: there is a front
and back).
Third year students will
be graded on the
completeness of their
Problem Lists.
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The Lists will be randomly
audited
Wednesday Afternoons
1st , 3rd and 4th of Month
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Show up at the
Brady-Green 4th
floor, South Module
by 1:00 PM
 Attendings are usually
Dr. James Kvale and
NP Carreon with a
geriatric fellow
3rd Year WARNING: You Need To Complete
ALL of Your Patients Cover Sheets Completely
to Be Eligible to Receive an Honors
Evaluation
Conclusion
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We hope your learning
experience in our clinic
is valuable.
 Please feel free to give
us feedback on what we
could improve.
 Feel free to ask
questions.
 If you like geriatrics, we
have a fourth year
elective for medical
students.
 Parking, Subacute and
Morningside Maps are on
the following slides.
Maps of Site Locations
Nix Parking
Options:
Park in Valet on
your first visit. Tell
them you are part
of the Nix Senior
Healthcare Center
Staff.
Note: We do not
pay for parking if
you do not follow
the directions
above!
Morningside Manor
Take Fredricksburg Rd. to Babcock Rd.
Go west on Babcock Rd. to St. Cloud Rd.
Morningside Manor is on the corner.
Texas Specialty Hospital
Take Babcock Rd. to Louis Pasteur Dr.
Turn on Salk Dr.
Follow it around to IHS