[Iveth]

BreAna’s group : Kaelynn H, Dayanara B, Kimberly B, Brenda N, Jason M, Iveth D.

• Introduction:

• Begin by discussing the initial steps your team should take upon hearing the fire alarm and discovering the unresponsive child.

• Identify the key priorities and sequence of actions required in this scenario.

Call 911

Assess the scene around the child and take them a safe distance away from the clinic to perform cpr Assign others to go and help the patients evacuate the clinic Get emergency/travel bags Have someone else do a headcount of all the people at the clinic and be ready to assist anyone and be ready to make contact with paramedics

• Identifying Urgent Cases:

• Explain how you would determine the most urgent cases and prioritize actions.

• Discuss the role of each team member in addressing both the fire emergency and the unresponsive child.

[Iveth]

BreAna’s Group : Brenda N, Jason M, Dayanara B. Kimberly B, Kaelynn H. Iveth D

Discussion Points :

1. Introduction (10 minutes):

.

• Hello I am —- and I will be your medical assistant today.

• I will take your vitals and get the physician in as soon as possible

• As a medical assistant my responsibility lies with being the first face the patient sees at the reception area. Doing the vitals and inputting the medical history into the ehr. Inputting complaints and anything relevant that the patient tells me.

2. Identifying Urgent Cases (15 minutes):

– Discuss how your clinic defines and prioritizes urgent cases, especially near closing time.

– Brainstorm strategies for managing urgent cases while ensuring patient safety and adhering to closing procedures.

When there are any urgent cases, especially near closing time all the workers in the clinic should provide attention to the patient. It is important to care for the patient and even if it’s near closing time, this is why we should be prepared for any of these cases. The first thing to do is provide the basic care for the patient for example, basic first aid, providing oxygen, or stabilizing the persons conditions while waiting for any further instructions. We should also never express any negative emotions when your shift doesn’t go as planned, this can make the patient feel uncomfortable and scared especially since they’re a child.

3. Communicating with Patients (15 minutes):

– Consider how you would effectively communicate with the child’s parent about the situation and potential wait times.

• Greet and introduce myself to the child’s parent

• Acknowledge the parent’s concern and provide reassurance/comfort

• Explain to the parent about the clinic closing time

• Describe the next steps that will be taken for the child’s care and what to expect next

• Provide child’s parent with any additional information

• – Discuss methods for conveying empathy and maintaining clear communication during stressful situations.

• Use a calm/friendly and reassuring tone

• provide updates

• Maintain eye contact and be an active listener

• Acknowledge the parents anxiety

4. Staff Coordination (15 minutes):

– Outline how you would coordinate with other staff members, including receptionists, nurses, and physicians, to manage the urgent case effectively.

• We would need to coordinate with each other to see how serious of a problem it is. We don’t necessarily need a lot of people to stay in the clinic. We need to make sure that there is at least one MA that can take the child’s vitals and to just make things run smoothly we could use another MA to talk to the parent. That MA would need to talk to the parent about the concerns they are having while at the same time make sure that they are trying to calm down the parent. If there is anything that is needed afterwards that MA would also talk to the parent about the following steps. Of course we would need a physician to stay to do the primary check on the child. So we would need a receptionist, around one or two MA’s , the physician, and possibly a nurse. We would need to make sure that everyone is ready to do their part so that it can run smoothly.

– Discuss the importance of shift handover and ensuring continuity of care for the child.

• The importance of shift handover is that it ensures the best care for the child. There are two aspects. First is that if it had been a long shift for the patient’s bst care you would need to switch so that the Ma’s mind is fresh and not tired. The other aspect would be that you need to make sure that you are there for your shift to make sure that no one has to stay longer hours or find a replacement. If that is the case someone might not be able to do either and there will be a gap in the system that you have set up which will cause things to run slower because now someone is responsible for your part.

5. Ethical Considerations (15 minutes):

– Explore ethical considerations in managing urgent cases near closing time, such as balancing patient needs with operational constraints.

Some ethical considerations that would be acknowledged would be wanting to provide care but also finishing the procedures of closing the clinic. Deciding to see the patient can reset the entire process as well as putting their health at risk because there might not be a ready space available so close to closing time.Especially when dealing with urgent cases

– Discuss any ethical dilemmas that may arise and how you would approach them.

Some ethical dilemmas would be choosing whether or not to see the patient being that close to closing, another issue that could happen is when assessing the patient the proper people that would need to care for them might have left already. The procedures of closing the clinic might make it harder to collect any needed items and having a room set for the patient.

The way i would approach on whether or not the patient can be seen is thinking about the area around the clinic and if there are any other places still open the can see them, but i would greet them and find out their reasoning for coming so late and once finding out the case is urgent i would inform all the necessary staff about it and get them checked in. In the scenario it’s known that there isn’t enough staff present to help, you could possibly help the patient contact another clinic and inform them of sending the patient their way. If there is staff with the right experience to provide care and get them in we could try and find a room that had already been cleaned and ready for use, and just try to provide the physician with whatever they may need.

6. Documentation and Compliance (10 minutes):

• Review the importance of documentation and regulatory compliance during closing procedures

It ensures patient safety and smooth clinic operations.

• Discuss what specific documentation would be necessary in this scenario and how it should be handled.

In this scenario, immediately document the child’s basic information and their symptoms. Check how serious the situation is and ask a doctor for help if needed. Keep the parent updated on what’s going on.

7. Conclusion and Debrief (10 minutes):

– Summarize key points discussed during the session.

– Reflect on what you have learned about managing urgent cases and closing procedures in pediatric healthcare settings.

– Discuss any improvements or changes you would propose to enhance clinic operations based on this scenario.The key points discussed during the session were the introduction,Identifying Urgent Cases, Communicating With Patients, Staff Coordination,Ethical consideration,Documentation and Compliance .The introduction is important as a Medical Assistant because it is the first thing a patient sees and talks with since it is in the reception area. The introduction to a patient is what makes a patient feel comfortable or uncomfortable, we as a medical assistant should always have good energy so that we can leave the patient with a good feeling. This shows to the patients that they are in good hands. Identifying Urgent Cases is important for a Medical Assistant because we should know if a patient is in danger and needs immediate help, this can also help in cases when there are too many people and we have to attend to the people who are in danger and then go to the non-urgent cases. Communicating with patients is a really important part in the medical field and as a Medical Assistant we should be able to communicate efficiently with the patient. Communication with the patient is needed when patients share their complaints and when the Medical Assistant has to deliver approved news about their health and any other important information. Staff Coordination is really important in a healthcare setting so that everyone is organized and knows their task, this helps things go smoother and leaves patients with a good impression seeing how well each member works with each other. This can also help the members because they won’t have any problems with each other when working together. Ethical Consideration is an important thing to have in the medical field because it is what helps you decide whether you attend a patient and obviously the ethical thing to do is to care for the patient. Documentation is important because it is what helps keep records of a patient’s medical history and it is a legal document. Documentation is also helpful for when the clinic has an audit and they need to prove something. It also secures the information given especially during closing time.

[Iveth]

BreAna : Brenda N. Kaelynn H Jason M. Kimberly B. Dayanara B. Iveth D.

Discussion Points:

1. Reviewing Immunization Schedules:

– Discuss the importance of adhering to national immunization schedules (e.g., CDC guidelines).

– How would you explain the schedule and its significance to Emily’s parents?

It is important to adhere to the national immunization schedules because there are a lot of new diseases that go around and hurt our immune system or that could even kill us. If we adhere to the national immunization schedules we won’t have a weak immune system, this means that we would be most likely to survive the diseases going around and be left with less side effects. To explain this to the parents I would start off by telling them how taking immunizations on time is important and how it can protect their children from any disease. This can also help in their community by stopping any disease from spreading rapidly. This would be able to protect the families in the communities and encourage other people to adhere to any new national immunization schedule.

2. Providing Educational Materials:

– What types of educational materials would you provide to Emily’s parents before entering the vaccine room?

The type of educational materials that can provide to Emily’s parents before entering the vaccine room can be a brief summary about the information of what the vaccine is and what it can help with that their child.Or also can be the medical assistant just explaining what the vaccine benefits for their child and why it can help reduce any chance of sickness.

– How can these materials help in addressing the parents’ concerns and questions about vaccinations?

Some educational materials that I would provide for Emily’s parents so that they better understand the immunization she is getting are pamphlets or brochures with information about the vaccines. If they have any questions they can come to us so we can answer them. The pamphlet will have the name of the, what it’s needed for, the age and if there is one, and ofcourse the side effects of the vaccine. This will help address the parent’s concerns because they will be able to read it in front of them and not have a clearer mind when talking about the vaccine because they would understand what it is for. If needed I can also show them Emily’s vaccine schedule explaining all the vaccines she will need during that age frame so that they aren’t caught off guard when it’s time for her to receive it.

3. Creating a Comfortable Environment:

What strategies can you use to make the vaccine room child-friendly and calming for Emily?

• To make the vaccine room child-friendly I would explain to Emily in an age-appropriate way why she needs vaccines and how it will help her. I would also not make it sound scary but instead more encouraging and interesting.

• To make the vaccine room calming for Emily I would reassure her that she’s okay and safe. I would give her positive statements and also make everything very cheerful and positive so it’s more calming.

– Discuss the role of age-appropriate distractions (e.g., toys, books) in alleviating Emily’s anxiety.

• The role that toys have in alleviating Emily’s anxiety is that toys can shift Emily’s attention away from the needles when taking the vaccine. By focusing on the toy she has she will be enjoying that and not focusing on the procedure which will alleviate the anxiety she has.

• Age-appropriate distractions are very important for children like Emily because it can alleviate anxiety and make the procedure smoother. When engaging with activities such as toys or books they get distracted and get occupied and start focusing more on the toy. This is needed during a procedure like the vaccine because Emily will be too occupied with her toys that it will help alleviate her anxiety. Not only does this alleviate her anxiety and distract her from the procedure but it also makes a positive experience for her and makes the procedure smoother.

4. Preparation and Consent:

– How would you approach the review of Emily’s medical history with her parents?

• I would greet them and and explain to them the importance of gathering any medical history of Emily, and get started with that

• While review her history i can can ask questions that would allow me to gather any details that would be helpful to add to Emily’s records

– What steps would you take to obtain informed consent and address any questions or concerns from Emily’s parents before proceeding with the vaccinations?

• Explain to them what vaccinations Emily will be receiving and what purposes they serve

• Mention the risks and benefits of getting these vaccinations and the risks that can happen if they choose not to let Emily get these vaccinations

• Speak about any alternatives if available

• I would address their questions as they come and if there are things that i wouldn’t be able to answer i can offer them other reliable places to find their answers

5. Vaccine Administration Techniques:

– Discuss the importance of aseptic techniques in vaccine preparation and administration.

• Aseptic techniques in vaccine preparation and administration is important because it prevents contamination and the spreading of germs that could be infectious.

• Protects medical workers from coming in contact with bodily fluids from the patient

– How would you ensure that these techniques are strictly adhered to during Emily’s vaccination?

• I would make sure all the equipment being used is sterile

• Making sure that non-sterile things don’t come in contact with used items

• Wash hands and change gloves after administering vaccines

• Try not to walk in and out the room to much to lower the risk of bringing any kind of germs into the room

6. Monitoring and Observation:

– After administering the vaccine, what specific signs and symptoms would you monitor in Emily to detect any immediate adverse reactions?

• We would need to stay cautious of Anything that would go along with the allergies symptoms like swelling of face, difficulty breathing, hives/itchiness, and dizziness

– How would you document the details of the vaccine administered in Emily’s electronic health record (EHR)?

• The details that would be included would be the vaccine name, brand, date and dosage and the lot number(not too sure but there is probably a section for the immunization on the ehr)

Emergency Preparedness and Response:

Describe the emergency procedures in place to manage potential adverse reactions such as anaphylaxis.

• Recognize symptoms

• Documentation

• Making sure patient is comfortable

• Administer epinephrine if trained to use it

• communicate with healthcare providers

How would you communicate the presence and purpose of emergency equipment (e.g., epinephrine auto-injectors) to Emily’s parents to reassure them?

• Encourage questions

• Provide contact information

• Discuss emergency procedures

• Demonstrate how to use

• Let them know the staff is trained

[Iveth]

(BreAna) Scenario 1: Respiratory Distress

Brenda N.

Kaelynn H.

Jason M.

Kimberly B.

Dayanara B.

Iveth D.

1 Initial Assessment:

• – Ask the parent about the child’s medical history

• – Have them give more explanation about what symptoms their child has been

  experiencing

• – What activities the child was doing before showing any symptoms

• – Also ask them if their child recently was dealing with any illness or injuries

• – Ask if the child had any recent operations

2 Prioritization

• Based on the symptoms presented, determine the urgency of the child’s condition using triage protocols. Explain why you categorized the patient as emergent, urgent, or non-urgent.

• Symptoms: difficulty breathing, a persistent cough, & high fever for the past two days

  Based on the symptoms presented, the child’s condition is likely emergent. We need to see how serious their breathing problem is and we need to give them the right treatment to ensure their safety. If we put them in emergent care, healthcare professionals will treat them quickly.

3. Vital Signs Assessment:

-Check Weight and Height

-Check her oxygen levels with the oxygen meter

-Check her respiration rate, checking if it is normal or irregular

-Check her temperature to see how high her fever is

-Check Blood Pressure

-Check her pain level

-Her heart rate is important to check because we have to know if it is normal,to low, or to high

When checking all the vital signs we should make sure to make her feel comfortable because we don’t want to worsen her condition.

Each step of taking vital signs we should always tell her what we are doing so that we don’t cause her any worries but also make sure to not get her tired.

When taking the vital signs of this specific patient we should take them while she is in a position that she can breathe better in.

4. Immediate Interventions:

• – Comfort is an intervention that is necessary for this child because she is experiencing a hard time. This will help ease her distress and prevent any further difficulties/complications.
  

• – Positioning the child the proper way is an immediate intervention that is needed. The 3-year old is having difficulty breathing so helping the child adjust their position can make a difference in the way they breathe. By adjusting their position that can be seen by using special positions that will make it easier for the child to breathe.
  

– Continuous support and reassurance is an intervention that is necessary for the child because it will help reduce stress/anxiety. In addition, it will help build trust and help the child feel more safe.

5. Outline how you would communicate the patient’s status to the healthcare team and what information would be included in the documentation.

To communicate with the other members on my team about the patient’s health status I would

• – Inform them about the child’s arrival

• – Clearly state exactly what the parents have said about the child in this case it would be the

  persistent coughing , difficulty breathing, and high fever.

• – If the nursing staff or anyone else on the healthcare team has made a comment on the child

  that might be relevant. Also replay those back to the rest of the team. On the documentation it would have

• – Patient basic information ( name, dob, age)

• – The complaints / reason for visit

– Again in this case as stated above which would be the persistent coughing , difficulty breathing, and high fever.

• – If the child has any previous medical history

  • – Either the child’s past illnesses or diseases

  • – Or if the family has had anything relevant

• – The vitals that were taking for that day

  • – Oxygen

  • – Temp

  • – Bp

  • – Heart rate

  • – Respiratory

• – If the child has any pain (so on the pain scale of 1-10 but since it is a child they might do the faces scale instead)

• – The length of the symptoms and if they are taking anything for it (has it better or worsened with it) how long they have been taking it, the milligrams, and how frequent

[Iveth]

I chose the role of MA/Nurse

-some challenges would be that the clinic was extremely busy meaning it was overwhelming for me and the rest of my team since we were short staffed that day. I had to work a little quicker and still make sure that everything would run smoothly.

– each role is important to support the other members. So everyone knows what they are doing and people don’t focus on only one thing. Example so everyone isn’t focused on greeting the patient or doing the paperwork everyone has something that makes the patient care run smoothly.

– it is very important to comply with the HIPAA regulations because it ensures privacy for the patient and protect all of their personal information from billing, insurance, to medical history.if we didn;t follow these regulations there could be a fine, sued, and even get our license revoked

– it helps keep a smooth communication system between members on the healthcare team. If you don’t know how to use tech then it will be hard to use the ehr and therefore hard to communicate patient problems and information with everyone else.

[Iveth]

3) Involving Mrs. Lopez

Even if I try to talk to Alex on my own trying to comfort him it might not be the best help because to him I am a stranger and he is not comfortable with me like he is with his mother. So I would try to talk to Alex but also try to explain to his mother so then she can communicate the information back to him ad comfort him more. Even though we’re trying to comfort the child we also have to make sure the mother is well. We have to take her concerns seriously so she feels understood and more at ease because if the mother is stressed the child might reflect that.

I would explain step by step what I would be doing to Mrs Lopez so she’s in the loop and tell her what to expect from todays examination. So the vitals like I’m taking his temp his weight etc and explain certain details if necessary.if he’s in for imuization explain that to her also

Then she can repeat that info to Alex

And finally I would just tell Mrs Lopez that it’s okay if she wants to hold Alex hand or do something comforting while we are doing the examination it might ease up both of them

[Iveth]

i agree with what you said especially on question four about how being able to use the technology will be better communication between the team (thats also what I put)

[Iveth]

I agree with what you said as in explaining everything that you are doing to the child so they aren’t as stressed about what’s going to happen. I would just explain a bit more about the eye contact thing