Externship Orientation Medical Programs TIME TO SHINE

Externship Orientation Medical Programs TIME TO SHINE!

Introductions: Karee Peigné, CAHI, NA, MA Manager-Spanish Medical Interpreter Program and Allied Health Care Externships • My experience and how I got here. • What do you plan to do with your training, what are your future goals? Be the difference you want to see in the world!

As we begin, My advise to you: It is Important to Laugh and find ways to de-stress in the ever changing world of Healthcare! Attitude is everything! You are the face of the Doctor, the Lab, the clinic, the hospital, the Dept! Smile!

MA Jokes , its only a reptile dysfunction. Don’t be embarrassed “Yes, you can take your earrings off If think that would help” you

Interpreter Humor

Overview of Externship The externship program is a valuable part of training at The South. West Skill Center. • It allows students to apply the skills, and training they have acquired in an actual health care setting. • The externship must be understood to be a real class and an assignment. Always remember this: Externship is a class EG: (SIM 120) and requires a grade (pass or fail) in order to complete the program and receive your certificate of completion. • • A satisfactory externship evaluation, overall rating of at least “average=75%) is required. I am your instructor for externship • Students must successfully complete externship in order to complete the program and receive their certificate.

Overview of Externship Cont’d • Many externship sites cooperate with the SWSC as a way to identify future employees, but the externship is not a form of job placement and employment cannot be guaranteed. • Each sites supervisor and trainers/preceptors have agreed to take an active role in our student’s education and training and are required to evaluate student performance in a constructive manner to help students improve skills, identify strengths, and prepare for their career as a professional in Allied Health Care. • All parties involved-the school, the student and the site personnel must work together to maintain the relationship for future students.

Be aware, every clinic is different: • Some practice skills different then what you are taught in school. • Learn the office policies and procedures. • Some clinics do not practice venipuncture, and will send patients out to labs. • Don’t do anything you were not trained in school to do. • Do not pick up bad habits that may put your safety at risk. • Do not do anything that causes you to question your ethics. • Not all providers are talkative. Do not take their lack of conversation personal. • You will hear from your classmates during externship all about these differences! JUST BECAUSE IT IS DIFFERENT DOES NOT MEAN IT IS WRONG!

Discussion • Share ideas of what you think externship will be like. • What is a day in the life of an MA/Phlebotomist/Interpreter like? • Flexibility is Key! Ø How Many of you know who Gumby is? Ø http: //www. youtube. com/watch? v=jj 1 e 3 Uh. QIMA

Activity For MA’s • A day in the life of an MA: http: //www. youtube. com/watch? v=6 jb. S 5 b. Lz. Qo. U Ø Room, room-vitals , vitals! Ø Anticipate the providers needs! How? ? ? Ø Take direct orders from provider-don’t take it personal Ø Are you ready? *RESEARCH MEDICATIONS* Ø Externship Tips from a student: http: //www. youtube. com/watch? v=spb. Ed. NHFo. OY &list=PL 5 CCB 2 C 2 BD 7 C 9 AC 6 C

Per Man ny: Thes e are bef cleaned ore I room 3. The first shows th picture e horror on my fa ce. Why you ask?

The next picture is very inspirational. I call it, "Man v. s. Scabies“ Externship Site: Express Urgent Care

Cross Cultural Healthcare and Awareness Think Cultural Health What exactly is cultural health? Well, cultural health is a special discipline that covers the health and accurate description of a particular culture. Cultural health is a complex study that can be broken down to national cultural health and ethnic cultural health. National cultural health is basically a study of how healthy a society is culturally nationwide, whereas ethnic cultural health covers the health of a given ethnicity. • https: //www. thinkculturalhealth. hhs. gov/Content/clas. asp • http: //www. thinkculturalhealth. org/ • You will work with patients who do not speak English, ask for an Interpreter, be courteous until you can find someone who speaks their language!

Standards Of Practice/Creeds Each profession has its own “creed, ” or “standards of practice. ” Students should know these and keep them in the back of their minds when providing patient care and working with others. • http: //americanmedtech. org/files/Standards%20 of%20 Practice%20. pdf • http: //www. aama-ntl. org/about/code_creed. aspx • http: //www. ncihc. org/assets/documents/NCIHC%20 National%20 Standards %20 of%20 Practice. pdf • http: //www. ncihc. org/assets/documents/NCIHC%20 National%20 Code%20 of%20 Ethics. pdf

Allied Health Programs Clinical Policies • In addition to policies and procedures in the Maricopa Community Colleges catalogs and student handbooks, for the protection of students and patients, any Allied Health Program which includes assignment to patient care facilities such as hospitals, ambulatory care clinics, skilled nursing facilities and other health care settings requires students to comply with the MCCD AHC student policies. • Please read and abide by the policies in the Shared Academic Allied Health Program Student handbook. • Make sure you completely understand the policies regarding student accidents and exposure guidelines, drug screening, and professionalism

New Training Requirements As of 5/1/12 all MCCCD allied health care and Nursing students must complete regulatory training modules online through OCO (online clinical orientation) https: //www. myocoaz. com/ You may have additional facility specific training. If so, you will receive an email from OCO.

Professionalism • • Students are expected to display professionalism at all times. Being ready to begin work on time each day. Adhering to established lunch and break times. Personal hygiene that is excellent. * Smokers: Please take measures not to smell like smoke* Respecting confidentiality of patients and staff at all times. Dress and Appearance: No colored hair (must be of natural color, no colored streaks) no extensions, no gauges or piercings. Tattoos must be covered at all times and not offensive. Engaging only in appropriate conversations with patients and staff. No use of cell phones. Personal calls, texting should be made only at breaks, lunch, or after hours and in a discreet area. Interpreters may use their phones for looking up vocabulary ONLY with Permission of the site supervisor.

Facility expectations from Students • • • Show up as scheduled. Ask questions when unsure. Communicate and perform assertively & professionally. Excellent customer service. You are the face of the lab, the clinic, the hospital! Practice confidentially. Be prepared to perform on the first day. Follow facility rules and practices. Show initiative. Keep busy.

Externship Dress Code • Wearing scrubs, or required work attire that are clean and wrinkle free. You do not have to wear the uniform colors of the employees at the externship sites. • No specific scrub color is required per facility. *Banner Health and MIHS now color coded by profession, but students are not required to wear these colored scrubs* • For MIP Students; No jeans or heels. Students must dress in professional casual business attire. • Shoes should be comfortable- closed toes, vinyl or leather, no holes, white or mostly white and clean. • Wearing school ID on a lanyard or clip at all times. (Students may be sent home without ID visible. ) Students must wear the facility student ID badges as well, if applicable.

Guidelines • Questions or concerns regarding training or requirements/policies at the clinical site should be discussed with the site supervisor prior to bringing them to the attention of the Externship Manager. This is a common request of our externship trainers/preceptors. Give them a chance to resolve any concerns. • If a student is dismissed from the original externship location for performance or behavior issues, the student may be required to repeat the entire externship hours at another facility. • If a student is dismissed a second time from the second clinical site the student will be withdrawn from the program with no certificate of completion, and may not be allowed to apply for re-admission for a time period determined by the program manager. • Remember: Integrity, professionalism, honesty, compassion, imitative, skills and a good attitude will make you successful for externship and open doors for your career! Learn more by referring to your handouts provided during the first externship meeting and your student handbook.

Social Media/Social Networking • Communication is vital to the role of a healthcare professional. With the advent of new technology, there are multiple methods of communication with faculty/staff, preceptors and/or fellow students. • It is unacceptable to post any inflammatory or derogatory words and/or pictures related to your education/externship including: faculty, clinical preceptors, support staff, physical domain or the educational environment of the SWSC or externship site on Facebook, Twitter, My. Space or any other social media/blog/internet site. • This will be viewed as libelous and considered a violation of the student conduct and/or confidentiality policy. A student conduct incident report will be filed. • It is equally unacceptable to post any pictures, comments or reference to any patients, clinical sites and/or affiliates, employees or situations related to your clinical education. This is irrespective of the nature of the comments. This is a violation of confidentiality and federal law. It may be dealt with through the legal system. Failure to comply with these guidelines may result in disciplinary action up to and including suspension or termination from the Medical Program. • Share past student experience on facebook

Additional Facility Training/Requirements • All hospitals require proof of flu and H 1 N 1 vaccinations during the spring and fall prior to starting any rotations at any of their facilities. • Students are responsible for the cost of these vaccines. Declinations are only accepted with documented proof of religious or health reasons. • Banner Health now requires a background check in addition to the fingerprint clearance card. There is no charge to the student for this check. • Mrs. Peigné will inform students attending at Banner facilities and have these students fill out the background check forms to return to her prior to externship. • SHC now requires a urine nicotine screening, so this is included in your drug screen at no extra cost. • Some facilities require a pre externship interview, that may be in person or on the phone and may require the student to come dressed in business attire.

Attendance • Students are required to attend the full amount of externship hours per each program. • If a student requires attendance part time, the Externship Manager will need to be advised prior to discuss this option with the selected facility for approval. If approved, the student will be expected to attend consistently as per the agreed set schedule with the facility. • In all options (full time/part time, ) a student’s schedule must be flexible to accommodate the required days and hours available at the assigned health care facility. • Clinical experiences occur primarily during the day hours. Students are expected to attend day time externships, unless the day shift is unavailable. • Some facilities will offer evening and weekend hours and may include 8, 10, and/or 12 hour shifts. These are usually limited and only approved by the externship manager on a case by case basis. • Please refer to the attendance policy in your student handbook.

Required Externship Hours Per Program • Medical Assistant=160 (4 weeks) • Phlebotomy=120(three weeks) effective 7/1/14 • Spanish Medical Interpreter=40 ( 4 hours prep with Karee prior to 36 hours at site.

Externship Partners Spanish Medical Interpreter Program • Scottsdale Health Care Osborn • Maricopa County Hospital • St. Josephs Hospital • Banner Estrella, Desert & Thunderbird Medical Centers • Cyra. Com International • Transperfect Remote Interpreting • Mountain Park Health Care Centers (dual Role only)

Schedules You will need to plan ahead to attend the schedules professionals would work in the industry and what is available per the facility. • MA-typically 8 am to 5 pm, M-F. Urgent Cares=eve and weekends, 8 -12 hour shifts. #3 12 HOURS SHIFTS AT EXPRESS URGENT CARE • Interpreter-days(8 am-5 p, ) Eves (3 p-11 p, ) weekends(10 a-830 p) • Phlebotomy-Varies. Please be prepared to attend on either shift, depending on what the site has available: Ø 1 st shift-4 am to 1230 OR 7: 30 am-4: 30 pm (OP) Ø 2 nd shift-11 am to 8: 30 pm ØNo Weekends *Please consider if you ask to have your scheduled changed after you have been assigned this will not set a good first impression for you!

Interpreter Schedules You will need to plan ahead to attend the schedules professionals would work in the industry and what is available per the facility. • PREFERRED: days M-F (8 am-5 p) • Eves (3 p-11 p) *St. Joseph’s, SHC, and Banner facilities. Not Maricopa Medical Center • Weekends(10 a-830 p) *St. Joseph’s, SHC, and Banner facilities. Not Maricopa Medical Center

Interpreter Schedules • SHC=M-F 10 am to 8: 30 pm or weekends same time • ST. Joes=M-F 8 am to 5 pm, Weekends-10 am-8: 30 pm, Eves=6 pm to 11 pm M-F. #2 students at a time on day shift, 1 per eve, and 1 per weekends only. • Maricopa Medical Center=Days only (8 am-5 pm, ) no weekends. • Transperfect/Cyracom Remote Interpreting-Schedules open 24/7 and they hire right after externship! Good experience to help build your resume and then apply for hospital positions! • Banner Desert, T bird, =M-F, 8 am -5 pm, Eves and Weekends. #1 student per shift • Banner Estrella= M-F, 8 am -5 pm

Externship Partners: Medical Assistant • • • • Banner Arizona Medical Clinics (same day care and clinics) Cigna Medical Groups (various sites) Healthy Life Family Medicine Buckeye/Avondale Estrella Mountain Medical Group(Avondale or Goodyear) IMS Medical Group(Various practices) South. West Family Medicine Maricopa Integrated Health Systems (MIHS) Family Health Care Clinics Luke Air Force Base 56 th Medical Group Mountain Park Health Centers Sonoran Heart Cardiology Estrella Women's Health Phx and Goodyear Express Urgent Care (various locations) Several other Family Practice, Internal Medicine, OB/GYN, Peds and Cardiology offices. If you arrange your own, please provide me the contact person’s info ASAP so I can ensure we have a legal contract in place.

Practice Choices for MA • • • Family practice OB/GYN Derm Urgent Care Pediatrics Internal Medicine (Adult Primary Care) Geriatrics Multi Specialty Urology

Keep in Mind: • Specific site & schedule requests may be considered, but not guaranteed. We have to accept what the facility has available. • Remember this is an assignment and ultimately up to me, as the Externship Manager to place you where we can to successfully complete the externship! • The Agency may refuse access to its site for any reason. The site may also choose to refuse access to any student who does not meet its employee standards for safety, health, or ethical behavior. • Due to competition with other Schools, some students may be required to travel farther than others depending on externship site availability. Please make sure you have reliable transportation. • Students are reminded to be flexible and plan ahead to attend externship as scheduled & ASSIGNED by the Externship Manager. • Students will not be permitted to change sites during their rotation.

To do prior to beginning • All students will be required to conduct a brief “meet and greet” VIA PHONE OR IN PERSON prior to beginning externship. • You may not get to meet with the site manager, but at least you will find out how long it takes to get to the facility, find parking, establish contact, “break the ice” prior to your first day of externship. • If a formal interview is required prior, Mrs. Peigné will let you know. This is usually for our MA students. Is your resume ready? Our EMCC Career Services Dept. can help! http: //www. estrellamountain. edu/students/career-services • Mrs. Peigné will inform students ahead of time if a formal interview is required.

MA Assignments • • • Due: 2/20/15 Email will be sent to students with instructions Examples and instructional videos attached in email Resume & Cover letter applying for your externship To Mrs. Peigné. Explain where you want to go and why. • Subject in email: your name, resume and cover letter attached • Attach a Professional picture of you

Externship Assignment Process • Dates of externship confirmed • 2 meetings with the Externship Manager • Externship Manager will consult with the Instructor for best placement • Site chosen, student informed via email, OCO & requirements met, student ready for externship. • Shine, Shine!!!! • Get a job you love!

I Consider: • Information from the instructor: student academic performance, (grades/instructor assessment), professionalism, communication skills, write ups, attendance, etc. . • Facility team & environment: Will this student fit in with the team? How fast paced is the office? Does the site have specific requests (GPA, bilingual, assertive, quick with skills, interest in a specialty such as Cardiology, OB/Gyn, Derm, etc…) • My gut instinct! I have almost 11 years experience of working with these partners and placing students where I believe they will have the best externship experience based on all of the above. So far I have been about 99% successful!

2 nd Meeting: • Our second meeting is usually a week prior to externship beginning. • A fiscal clearance must have been obtained by this meeting. • Students will have received their assignment information via email by this time and OCO training must be completed. • Students will receive their externship program folders with required documentation included. • These forms will be reviewed and completed at the 2 nd meeting. • Specific details of each assignment can be discussed further at this time and final preparations conducted.

Fiscal Clearance • Externship is considered part of each program and must be paid for prior to beginning externship. • If a student’s account is not “clear” prior to the externship start date the student will not be allowed to begin externship. • The Externship Manager will provide a clearance slip that each student must take to fiscal services to be signed off and returned to her two weeks prior to externship beginning.

Portfolio • Students will be encouraged to put together and complete a professional portfolio due by the exit meeting. A three ring binder will be required. Contents will be: Ø Ø Ø Ø Updated resume with externship experience included. Example cover letter Letters of reference Copies of certificates for training completed (CPR/First Aid, HIPPA, etc. . ) Print out of report in OCO showing completion of training modules. Copies of Check offs, journals, logs…. . Letter to next student that will be attending at your site with tips, feedback and words of encouragement to help prepare them for their externship.

Other Important Information • Starting March 2014: MA students will be required to meet as a class at the end of their 2 nd week (Friday) of externship (4 p-5 pm here room TBD/announced on white boards in front lobby day of) for weekly progress/case study reports, share tips and feedback, and turn in journals and time sheets. • The Externship Manager will complete site visits (depending on schedule and campus vehicle availability), and conduct progress checks via phone and email, while students are attending externship. • Feedback from the site supervisor and staff will be included in the performance evaluation of each student. • I hope to see and talk with you when I visit!

2 WEEK CHECK POINT NOTES

MAP 3/7/14 Completers

Remember when?

MAP 3/17/14 2 week check point notes in Oct. 2014

PICS OF OUR STUDENTS/GRADS AT EXTERNSHIP SITES

E! IM ERN T EXT

with EMR Cindy hard at work

Yeimy putting out labs for the day!

Make the best of your externship experience • Hot Tip: Begin your organizational habits early. Buy a small notepad that easily fits into your pocket and begin to make lists of things that are important to remember. TAKE NOTES! Make a list of questions that need answered. There will be an overwhelming avalanche of information that you will be responsible for-fact is that it is almost impossible to remember every little detail. • Interpreters: purchase a clipboard with compartment for holding everything you need. • Anxiety is normal. It is a common emotion students share and has nothing to do with how you will perform at your externship site. • Expect your first couple of days to ones of learning and getting used to your environment. • By the end, you will usually find externship to be a very rewarding and invaluable experience. • Your trainers are there to help you. Ask questions and learn as much as you can. • Constructive criticism is encouraged and expected from your trainers. Please do not take this personal.

Make the best of your externship experience Cont’d • Attendance and punctuality are indicators of reliability and professionalism. • Show initiative and a strong willingness to learn. • Display a positive attitude no matter what. • Do not get caught up in office politics or gossip. • Network with other staff members to explore employment opportunities. • If you do well, ask for letters of reference. • Research the application process for the practice you are attending. • If you like the site, Leave copies of your resume with the office manager, so if any job opportunities arise they will be able to reach you. If you leave a good impression, they will be more than happy to do this for you! • Leave “thank you” notes to the doctor/staff upon completion.

Upon Externship Completion • Students are responsible in making sure they meet the required externship hours before leaving the site. • Time sheets must be sent to Mrs. Peigné at the end of each week via fax, email, pic of time sheets or in person. • Taking a picture of your completed timesheet and emailing to Mrs. Peigné has worked very well! • Keep journals, logs and other assignments for the exit meeting. • Upon receipt of a satisfactory evaluation and verification that all hours have been completed the Externship Manager will start to process completion paperwork. • Students must ensure their performance evaluation has been turned in and they have completed the online evaluations in order to receive their passing grade for externship! • Official certificates will be mailed to completers within 1 month after completion of externship. Please keep your address up to date in mymaricopa. edu

3 rd Meeting/Exit. MANDATORY • An exit meeting will be scheduled 1 -2 weeks after completion of externship. This date & time will be provided to you. • This is a mandatory meeting, and a great time for all completers to come together to share externship experiences and complete program exit surveys, receive employment, volunteer, and certification information & resources. • Your completed portfolios will be due at this time. • We value & need your feedback to help us evaluate our programs so online program and externship evaluations will be completed at this meeting. • Student Externship evaluations will also be copied and returned. • Your official completion certificate will be mailed to you about 4 weeks after completion of externship. • Please keep in contact with Mrs. Peigné and/or your instructors to advise of employment, certification status, and your continued educational goals.

Ring the bell! Susan, the Mother Hen Angelic a Bell ringing… applause, applause!

Graduation/Completion Ceremony • Ceremonies are held quarterly and all SWSC students are encouraged to attend. • The next ceremony date, time and location will be: _? 2015 EMCC • Most externship sites will permit students to have the day off, or leave early for this event. Time is still required to be made up for missed hours due to attending Graduation. • Dress code for the ceremony is: – – MA-Navy blue scrub top, white uniform pants, tennis shoes PHB-Wine scrub top, white uniform pants, tennis shoes. MIP-Professional business attire, purple and black color scheme. EMT- Clinical T-Shirt and dress pants. – https: //www. flickr. com/photos/estrellamountain/sets/72157643418321444/ – Nov. 2014 https: //www. flickr. com/photos/estrellamountain/sets/72157648984852187/

Certification • Certification is not mandatory (YET) to work in Allied Health Care, but is strongly recommended to increase offers of employment, increase salary, and keep you up to date in your chosen profession. • NHA Certification testing is now being offered here for MA &PHB. Please check with your instructor on how to apply and sign up. • For Medical Assistant go to: www. amt 1. com click on “Medical Assistant”-Learn more about “stacked credentials!” • http: //www. youtube. com/watch? v=h. Sfd. G 1 HC 0 LI • For Phlebotomy go to: www. amt 1. com click on “Phlebotomist”. Also The American Society for Clinical Pathology ascp. org for the PBT, Phlebotomy Technician certification. • For Spanish Medical Interpreter go to: www. certifiedmedicalinterpreters. org click on “Get Certified” • Further information will be discussed at the exit meeting, or you can contact Mrs. Peigné at any time for assistance.

Interpreter Students • We offer study sessions to prepare for the certification exam through CCHI. • Carlos Velasco is the instructor for these sessions. • They will be offered based on his schedule availability. • Please speak with him if you are interested.

Important Dates: • OCO Regulatory Modules Due: 5/6/15 • Facility Specific Modules Due: TBD in Block 2 • 2 nd Meeting/Last class to wrap up prep for externship: 10/15/15 12: 30 pm • 2 week externship check point: 11/6/15 3 pm • Completion ceremony: December 2015 • Mandatory exit meeting: 12/4/15 2 pm

Conclusion At this time, please feel free to ask any questions you may have. • My office is located in the back of the Medical Programs Department. • Please check in with the front desk to see if I am available when you may need to speak with me. • Please do not hesitate to call or email me! Remember to consider taking your bilingual skills to a higher level and get paid well for interpreting! Thank you and I look forward to working with you through your externship and completion of your program! Karee Y. Peigné Manager Spanish Medical Interpreter Program and Allied Health Care Externships *Proceed to slide 28 for PHB Notes, 32 for MIP, 34 for MAP*

Externship TIME TO SHINE! Go SHOW THEM HOW AWESOME YOU ARE!