On Wednesday January 11th, 2017, I was able to observe my weekly clinical meeting at my job. I’m a supervisor at the League Treatment Center which is a Day Habilitation program in Brooklyn, NY. We serve almost 100 individuals in Day Habilitation 1 with intellectual disabilities. Our program caters to the challenging behaviors that an individual may display. We work above and beyond to decrease challenging behavior while increasing independence in multiple areas that the individual may need improvement in. The clinical meeting takes place every Wednesday at 1:30pm and ends at 3:30pm. Sometimes, we won’t meet if the clinical director is on vacation or if she’s in another meeting. The clinical director run the meeting and takes the minutes as well. The clinical team consists of the Program Director, Clinical Director, three Supervisors, three social workers, two behavior specialists, Program Nurse and the Art Therapist. Sometimes, the Direct Service Professionals that work in the classroom may attend the meeting if had a pressing matter about an individual in the room. On Wednesdays, the Clinical director makes an announcement before midday to let the clinical team know that the clinical meeting will be at 1:30pm and another announcement is made at 1:30pm so everyone can gather in the large conference room. There is a large table …show more content…
We only discuss those individuals having issues or positive milestones. Also, we also have to sign the minutes from the previous meeting. Once the agenda gets back to the Clinical Director, then we are able to start the meeting. The order of the meeting goes as follows: 1) Med changes, 2) Hospitalizations, 3) Room Screenings (if any) and 4) The individuals. Sometimes at the end of the meeting, someone from the clinical team may need to present a new idea for the individuals we
You did an awesome work, I heard. We have monthly meetings, where we talk about the latest news in the nursing world, policy and procedure, quality improvement and many more issues. What I really enjoy about the meeting is that everyone can address his/her concerns without feeling afraid and intimidated. The meeting led by a registered nurse who is familiar with our day to day situation at work.
rofessionals from different disciplines collaborating to provide care to patients. Effectively coordinated and collaborative inter-professional teams are essential to the care and treatment of patients (Rowlands & Callen, 2013; Doyle, 2008; Ruhstaller, Roe, Thürlimann & Nicoll, 2006; Simpson & Patton, 2012, p. 300). Communication is a process of conferring information between individuals through use of speech, writing or various other means, and is critical to the success of a multidisciplinary team (MDT) (Higgs, McAllister & Sefton, 2012, p. 5; Rowlands & Callen, 2013; Sargeant, Loney & Murphy, 2008). An MDT must use multiple strategies to enhance communication and ensure their success (Doyle, 2008). An effective MDT generates opportunities that benefit healthcare, which is the reason for the recent dominance of inter-professional care in health practice (Simpson & Patton, 2012, p. 300; Rowlands & Callen, 2013). Many barriers prevent effective communication within inter-professional teams. Lack of communication within MDTs presents challenges to their success, leading to numerous consequences, including the failure of the MDT (London Deanery, 2012; Sargeant et al, 2008). Communication between professionals is the key factor underpinning the potential success or failure of inter-professional teams, the outcome of the functioning of MDTs will either benefit or impair care of patients.
This is a reflective essay based on my attendance at a multidisciplinary team (MDT) meeting whilst on my two-week placement at a local mental health day hospital. The aim of this essay is to discuss the importance of the multidisciplinary team within the mental health environment and discuss factors that can influence the success or failure of multidisciplinary teams.
Openness and effective communication between team members ensure each member is aware of their roles and responsibilities within the inter-professional team as well as the roles of the other members, and can reveal possible conflicts in interest, which can then be attended to before they pose risk of affecting the care and treatment of the patient.
The AA meeting I attended took place at a church. The church that holds the meeting has a beginner AA meeting that meets Monday nights at 7 pm. However, I decided to go to the regularly meeting which takes place an hour later at 8 pm. I felt as though I would get more out of the regular meetings and get a sense of what regular AA members talk about. Before arriving at the meeting, I was a little anxious because I felt like as though I would be out of place, and I would be intruding on the members who come to the meetings for support. Also before attending, for some unknown reason, I imagined the meeting would to be similar to AA meeting featured in movies. Contrary to what I thought, the meeting was completely different. When I arrived at
There are many committees that are open to staff such as staffing committees, unit practice counsel, nurse practice counsel, and so on. Having direct dialog with leadership and managers such as Clinical Managers and Directors of Nursing gives the ability to observe the insight of how the staffing grid is developed.
My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
Every morning the RD participates in a Flash meeting. This meeting is a 15-20 minutes agenda announcement. Open positions, complains, events, deaths, etc are announced. Thursday and Thursday the RD attends with Interdisciplinary Team meeting (ITM) to develop, implement, and monitor nutrition care plan. The Rd also involves the patient/family in planning objectives and goals for the patient, conducts nutrition education individually and in classes to patients; families, and staff and, conducts meal rounds to ensure patients are receiving therapy that meets patient’s needs.
Therapy Analysis The purpose of this paper is to examine the efficacy of my work as a co-therapist during the fifth session with the simulated couple Katy and Michelle. I will discuss our therapy agenda and the goals we hope to attain during the session. It is prudent to begin by giving a brief outline of the couple’s present problem and the patterns of dysfunction that I have identified within their relationship. In my opinion, it is the therapist’s job to recognize patterns and behaviors that disrupt the intimate bond between the partners.
The concerns regarding group billing and scheduling as far as I know are new , who has to be present how long, Due to change in number of fellows there was also confusing about supervision junior fellow did CBT group now senior. Dry Maher was able to address that added supervision of the fellow before CBT group and Dry Maher was clear fellow cannot be left alone. He is essential to Anxiety Program and CBT groups we had very difficult
The first observation I had when entering the unit was how strong the sense of community was among clinical team members. Each morning begins with a meeting with the OT (and two COTAs), social workers, head nurse, psychologist and unit manager to go over what happened during the PM shift and identify priorities for the day. I had never observed in a setting that met daily before. The professionals care about each other; I heard teasing and questions about each other’s weekend. They also clearly cared about their patients.
I hope everyone is so excited to start the clinical part of nursing education. I am very happy to have you in my clinical group. On Wednesday March 1st, 2017, we will meet in the lobby of University of Cincinnati Medical Center. We will spend first few hours talking about the clinicals and what are the expectations. We will also go over the paperwork and how to be successful in completing it. At 1300, we will go the badging office to obtain the badges and your parking passes.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
There are seven different activities social workers usually perform in the middle stage of treat groups. The first of the seven activities is preparing for the group meeting. Preparing for the group meeting is having all required materials ready and being up-to-date with the information to properly help clients. For example, if you are unfamiliar with one of the client’s cultural beliefs, this could mean informing and educating yourself to become cultural competent. Also, preparing for the group meeting could mean planning any activities for the meeting. However, choosing group activities requires cautious assessment at the group’s needs as a whole. All preparation for the meeting should be contain clear objectives so the social worker remains
From the beginning, where we were unfamiliar with each other and became a team, my team and I had started to learn each other name and getting to know each other. Throughout each meeting, we slowly start to feel more comfortable and open minded with each other. Not only are we getting familiar with each other, each meeting that was held we progress of becoming an effective team member, we learn our strengths and weaknesses of everyone. During the meetings, we learn many concepts from the textbook, “Communicating in Small Groups: Principles and Practices” by Steven A. Beebe and John T. Masterson. We were able to learn different types of concept in the textbook and utilized it as a team to complete certain tasks. The three concepts that impacted my team and I are human