Clinical Rotation – Week 10 Journal
Dates of rotation: Monday – Friday (June 11, 2018 – June 15, 2018)
Location: Harlem Hospital OB Clinic
Activities & Assignments:
Monday (8:30 am – 5:00 pm) 8 ½ hours
- Staff huddle
- Made photocopies of some of the educational materials
- Herbal tea, Iron, and Nutrition during pregnancy handouts
- Counseled new patients on my own
- Preceptor observed while I conducted nutrition assessments and counseling for new clinic patients
- Thoughts: I was very excited and eager to counsel patients on my own. I found that I enjoy counseling pregnant women. The information is pretty much the same for every patient, but it still needs to be personalized depending on the patient’s habits and condition.
- Challenge: I struggled a bit with the calculations since I was not used to doing calculations while counseling. However, I slowly got used to the flow of the counseling session and felt more comfortable by the end of the day.
- We recommend breastfeeding, drinking milk, following a healthy diet, and exercising to all of our patients and show them evidence as to how these are beneficial during their pregnancy using scientific evidence and data.
- Calculations and charting of all the new assessments
- Thoughts: I’m getting used to charting. The only part that takes me a little longer is developing a PES statement.
Tuesday (8:30 am – 4:30 pm) 8 hours
- Staff huddle
- Counseled high-risk and regular OB patients
- Calculations
- Thoughts: We had so many patients today. I don’t know how one RD in this clinic can handle all of the OB clinic patients. It is a challenging position.
Wednesday (8:30 am – 4:30 pm) 8 hours
- Staff huddle
- Charting notes from high-risk and OB patients
- Did some research on how to increase milk intake through cooking.
- Plan is to make a handout
- Research on traveling during pregnancy
- Plan is to make a handout
- Research on exercise during pregnancy
- Plan is to make a handout
Thursday (8:30 am – 5:00 pm) 8 ½ hours
- Staff huddle
- Counseled new OB clinic patients
- Calculations and charting
Friday (8:30 am – 4:30 pm) 8 hours
- Staff huddle
- Counseled new OB clinic patients
- Ambulatory Care Town Hall Meeting
- Thoughts: All staff from ambulatory care has a chance to raise questions and concerns. It was interesting to observe the concerns that the workers had when it comes to how management is set up. It was also interesting to listen to the questions they had regarding patient care. All in all, I learned a lot about the management of a hospital.
Learning Objectives Met:
CRDN 1.3 Justify programs, products, services and care using appropriate evidence or data.
CRDN 2.1: Practice in compliance with current federal regulations and state statutes and rules, as applicable and in accordance with accreditation standards and the Scope of Nutrition and Dietetics Practice and Code of Ethics for the Profession of Nutrition and Dietetics.
CRDN 2.3: Demonstrate active participation, teamwork and contributions in group settings.
CRDN 2.4: Function as a member of interprofessional teams.
CRDN 2.5: Assign patient care activities to NDTRs and/or support personnel as appropriate.
CRDN 2.10: Demonstrate professional attributes in all areas of practice.
CRDN 3.1: Perform the Nutrition Care Process and use standardized nutrition language for individuals, groups and populations of differing ages and health status, in a variety of settings.
CRDN 3.3: Demonstrate effective communications skills for clinical and customer services in a variety of formats and settings.
CRDN 3.5: Develop nutrition education materials that are culturally and age appropriate and designed for the educational level of the audience.
CRDN 3.6: Use effective education and counseling skills to facilitate behavior change.
CRDN 3.8: Deliver respectful, science-based answers to client questions concerning emerging trends.
CRDN 4.1: Participate in management of human resources.
Total Clock Hours: 41 hours
