Clinical Experience In Implementing The Institutional-Based Concepts

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Institutional-based concepts are essential components during the clinical experience; they assist the healthcare providers in relating the theoretical part of healthcare professionals to what is happening on the ground. Many principles are applicable in medical practice, all of which are guided by the values and code of conduct in clinical practice. The application of a broader scope of knowledge is advantageous to a clinical student as it increases the exposure levels and improves the diversification of the medical practice. Through a demonstration of examples, this paper reflects on my experience in implementing the clinical concepts at a clinical site.

Therapeutic communication refers to the process of transmitting information that incorporates the use of interpersonal relationship skills and competent clinical skills to apply the patient-centered model of care. This concept is an essential nursing tool for the professional development of a nurse, especially in improving the psychological and physical well-being of a patient. The diverse patient needs require an approach that fosters close interaction of patient-provider to influence the decision-making aspects of health management practices adequately. The feature of nursing adapts to principles and ethical consideration that directs the patient's behavior and impacts the engagement of patients in their health management. The modern world dictates the approaches to care that institutes both professional and social concepts in clinical practice. Regards for ethical standards is a vital component for delivering healthcare services in the current health settings. In my clinical experience, I have helped more than 20 patients to take the X-ray. Through this experience, I was able to apply my therapeutic communication skills through one-on-one interactions with the patients, whereby they were inquiring about the essence of their respective X-rays. I had to use the aspects of respecting the privacy and confidentiality of the patients who visited the X-ray room. Secondly, I implemented the concepts of offering patient-centered diagnostics, which instituted the elements of sharing thoughts with the patient and prioritizing their queries by providing a little bit of health information concerning their specific health concerns.

The primary role of any healthcare provider, especially a Medical assistant, is to offer preventive care by administering the available vaccinations and taking the standard precautions while delivering these services. Particular vaccines have adverse side effects on specific patients; therefore, before applying the vaccines, one must take note of the patient's history to discover any past occurrences that might jeopardize the patient's health while administering care. Infection control also involves diagnosis and assessment practices to determine the type; in this context, I have conducted more than 30 flu tests and sore throat swabs. Flu is a bacterial infection that incubates for about five days after contraction. It is an infectious disease that spreads through air droplets, and thus requires infection control practices such as vaccination using the influenza vaccine. While in the healthcare facility, I administered the flu patients who were on the waiting bays with droplet precautions as a standard precaution for patients confirmed with influenza virus seven days after the onset of the illness.

Patient safety is a broad clinical topic that elaborates on the Medical assistant's capacity to improve the quality of care. The patient safety concepts learned in class involve the detection of errors, learning from clinical mistakes, and commitment to a culture of professionalism, patient-centered care, and organizational factors. Patient safety practices reduce the risks of adverse effects related to exposure to health hazards in the occupational setting. During my clinical experience, I referred to patient safety practices such as barcoding, which is created at the point of admission containing the patient's full information based on the electronic health records to reduce errors during diagnosis and treatment. The other measure for patient safety that I enacted was simulations that involve practical applications of assessment and advancing patient health information. This aspect was to enhance my experience in medical practice and contribute to the quality of care, which entails patient engagement in their health management.

Upholding the patient's rights and values was another essential area of enhancing patient safety. Patients feel safe when they have confidence in specific medical interventions, which are developed by respecting and recognizing their rights to consent, engaging them during the treatment progress, and involving them in decisions making forums on their health. In my experience as a medical assistant, I interacted with the electronic health record Epic software, which deals with the storage, protection, and dissemination of patient information. The Epic has improved patient safety by ensuring that health information is appropriately utilized and protected to enhance the quality of care and promote patient values.

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My experience in caregiver safety concepts involves adequate preparations for the management of complex health issues, regular assessments for the detection of changes in reforms and policy structures in the unit of care, and the creation of conducive working environments that fosters productivity and commitment to providing care. These concepts were vividly portrayed through the aspects of induction programs that were carried out to prepare the Medical assistant for the implementation of evidence-based practices in their models of care. I had a chance of putting empirical research into practice. It plays a critical role in advancing the caregiver's scope of practice, thus in a better position to implement the best safety measure.

Healthcare providers face challenges that diminish their performance levels; I have witnessed the reforms made in units of care to address the ever-changing health issues that require different approaches that increase safety levels. Lastly, in one instance, during my experience, there were legislative and organizational policies introduced in the nursing units to address the challenges of a shortage of nurses. The regulations involved authorization for the application of a broader scope of practice, which entailed investments in recognition and experience of nursing practice. More nurses felt privileged and were more committed due to the minimum supervision levels and freedom to practice to the full extent of their knowledge and skills.

Application of patient rights. Recognition of patient rights and values is a crucial topic for Medical assistants. The interaction between the caregiver and the patient is dictated by various entitlement and legislative provisions that regulate this relationship to facilitate quality health care. The concepts discussed in class concerning this topic include the right to informed consent, information, self-determination, medical records, religious beliefs, to choose the care facility and provider, and humane treatment and appropriate medical care. The concepts discussed in class concerning this topic include the right to informed consent, information, self-determination, medical records, religious beliefs, to choose the care facility and provider, and humane treatment and appropriate medical care. These concepts are to be observed by the different health providers, which primarily aim at providing patient-centered care. In my first week, I had an opportunity of presenting a consent form to a patient with a parent with a child who had pneumonia. The nurse in practice wanted to share the patient's information with another patient to ascertain the prevalence of the health condition. This occurrence required authorization from the patient's guardian since the patient was below the minimum of consent, which is 18 years, depending on the federal regulations.

Ability to meet patient’s need for holistic care. A holistic approach to care in Medical assistants involves the aspects of meeting the mental, physical, and environmental needs of a patient. It is a primary function of public health Medical assistants consisting the inquire about or anticipate the wholly needs of a patient and strive to attain them. In return, the adoption of this model fosters health literacy among patients and thus improves their compliance with medication. In several instances, I have engaged the patients who were suffering from less income the government offer them Medicaid, which is a federal program that provides free medical services for low-income individuals. The patients enrolled in the program were able to access care services and settle their medical bills. I have also interacted with a patient who had a staunch belief in his cultural and religious values that tended to mess up with his compliance levels to medication. I had to share with a patient the knowledge of virtue ethics, which prioritizes the individual's character and rights rather than religious rules. Eventually, the patient trusted the healthcare system and adhered to the prescribed medication.

Application of critical thinking. The concepts of critical thinking in Medical assistants involve open-mindedness, problem-solving, inference, explanation, interpretation, and analysis. They apply to the broader aspect of the Medical assistant, including research, education, training, and ethical dilemma. During the practice, Medical assistants encounter various occurrences that require clinical decision-making skills, which are evolving, continuous, and involve a contextual process. In this setting, the nurse needs to collect data, interpret, evaluate, and develop an evidence-based action that would improve patient health outcomes and enhance the quality of life. In the last week of my clinical experience, I spend it in the labs, whereby critical thinking was being applied. The various collected samples were passed through assessment procedures for evaluation and identification of the health issues that patients are experiencing. The findings were forwarded to the caregivers for the assessment and development of the best treatment options. The caregivers exercise concepts of analysis, explanation, and interpretation of the lab findings.

Professionalism concepts in Medical assistants primarily aim at promoting patient safety. The Medical assistant should incorporate the principles of honesty, excellent communication skills, and adherence to confidentiality provisions. During my experience in a clinical, I discovered the value of being responsible for operations whereby the nurses recognized their medical errors and collaborated in formulating solutions that would enhance patient safety and retain the trust of the healthcare system. For instance, there was an occasion of recording error whereby a patient had misplaced the bar code, and the medical assistant was forced to conduct a physical assessment since the patient required urgent medical attention. Professionalism concept mandates the acceptance of the mistake and instituting of critical-thinking principles in coming up with solutions.

Application of legal and ethics provisions. Organizations and the Medical assistant profession cannot adequately function without the use of legislative regulations and code of ethics. HIPAA plays a critical role in respecting human values and rights and entails licensure provisions. The Medical assistant governing boards are essential tools for the standardization of the daily operational activities. The Medical assistant plays a crucial role in influencing these policies to enhance the quality of care, address future health issues, and create conducive working environments. Healthcare ethics include non-maleficence, justice, and autonomy that guide the Medical assistant in making clinical decisions. It was through improving the patient's health information to improve self-care practices, thus minimizing the patient's benefits in care.

Ability to follow the chain of command. During my experience at the clinical site, I witnessed the various clearance levels that demonstrated the aspect hierarchy in healthcare organizations. Each Medical assistant unit had a manager who had more than ten years of experience. The Medical assistants’ leaders played critical roles in influencing policies and the development of care plans. The organization's chain of command from the lower to highest includes bedside nurse, head nurse, department director of nursing, and lastly, chief nursing officer. This order represents the hierarchy of authority whereby each level has different responsibilities and competencies.

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