GUIDE WITH EXAMPLES UNI Undergraduate Field Placement Weekly Summary of Learning Fall 2015 Revision *All students are required to complete the weekly summary of learning by mailing, emailing, faxing or scanning it to their agency instructor with a copy going to their faculty liaison. The summary should always be typed. Refer to your faculty liaison's syllabus for any additional/different requirements. NAME: Joe Super Social Worker AGENCY: Hospital setting WEEK: February 16-21 (Week #6) A. HOURS (include the dates; do not include your lunch break unless authorized by your agency because you are completing agency assigned work) Tuesday, 2/17: 8-4:30 = 8 Wednesday, 2/18: 8:00-4:30 = 8 Thursday, 2/19: 8:00-2:00 = 6 Friday, 2/20: 8-2:30 = 6.5 Saturday, 2/21: 8-3:30 = 7 Total Hours for the Week = 35.5 Total Hours for the Semester = 186 = (cumulative for the field placement to date) B. DAILY SUMMARY (include the date; brief three to four lines for each day of your field experience activities) Tuesday, 2/17: I went out to the floor and went through the census and my email. I headed off to do a few intake visits before patient rounding. I also had my midterm evaluation, attended the length of stay meeting, did a few PASRR screens, and called a patient’s niece. Friday, 2/20: I went over the census with field supervisor, then went and did an intake with a new patient. I did a PASSR and went on rounds. During patient rounding, I stayed back and met with patients immediately if they needed anything. I did some follow-up and intake visits. Saturday 2/21: I met field supervisor on 4 medical, and we went through the hospital census. I went through and made a checklist of people to contact with updates. Then I got an ROI before we headed to 3 medical. We also went to the obstetrics and gynecology, 4 surgical, and pediatric units. I saw many patients, doing intakes and getting choices for discharge placement. SUMMARY OF LEARNINGS FOR THE WEEK AND EPAS COMPETENCIES (Rely on the complete list of the 9 Competencies with Practice Behaviors and highlight field experience activities for the week; some competences and/or practice behaviors may not apply each week. Below is an example of a student who gave examples in red of the practice behaviors that were exhibited during a certain reporting period) Competency 1–Demonstrate Ethical and Professional Behavior Practice Behaviors a. Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context; -I ensure client files were kept in a location that was not accessible to other patients. c. Demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication; - I worked with quite a few concerned family members this week – I was patient, empathic, and understanding. -Use professional writing skills when taking down intake information and updating notes d. Use technology ethically and appropriately to facilitate practice outcomes; -I did not sure client names in emails to other professionals. e. Use supervision and consultation to guide professional judgment and behavior. - I learned about the different units when we floated on Saturday Competency 2 –Engage Diversity and Difference in Practice Practice Behaviors a. Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels; -I watched a webinar on parenting practices with a refugee population that impacted clients seeking out appropriate health care b. Present themselves as learners and engage clients and constituencies as experts of their own experiences - This week, I worked with a blind patient, whom I needed a signature from. I was clear in communication and let her guide me through what else I needed to do to help her. Competency 3 –Advance Human Rights and Social, Economic, and Environmental Justice Practice Behaviors a. Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels; and - This week I considered my recent research as well as my previous internship experiences during patient interactions. Competency 4 –Engage In Practice-informed Research and Research-informed Practice Practice Behaviors b. Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings; and - I assessed agency’s interventions in my research paper this week. c. Use and translate research evidence to inform and improve practice, policy, and service delivery. - This week, I was able to take my recent research to inform my practice. I was more aware of patients that may be at higher risk for readmission and was more adamant about getting them set up with services. Competency 5 –Engage in Policy Practice Practice Behaviors a. Identify social policy at the local, state, and federal level that impacts well-being, service delivery, and access to social services; -Learned about Medicare and Medicaid policies, and ID Waiver program. -Learning more about NEI3A programs and their services to better serve our discharge patients. Competency 6 –Engage with Individuals, Families, Groups, Organizations, and Communities Practice Behaviors a. Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies -Used reassuring skills when contacting client's family as they this was their first experience with a social worker at the hospital. b. Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies. -Used reflection, clarifying and reassuring skills when doing intakes with client base to ensure understanding. Competency 7 –Assess Individuals, Families, Groups, Organizations, and Communities Practice Behaviors a. Collect and organize data, and apply critical thinking to interpret information from clients and constituencies; - I look over notes and do intake assessments to understand each patient. c. Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies; and -Assisted my supervisor in developing a treatment plan Competency 8 –Intervene with Individuals, Families, Groups, Organizations, and Communities Practice Behaviors a. Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies; - We select appropriate interventions by doing intake assessments and looking at doctor and therapy notes. b. Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies; - I had to be flexible on Saturday while working with a large variety of patients as most were not happy to be in treatment. e. Facilitate effective transitions and endings that advance mutually agreed-on goals. - We often facilitate transitions using skilled nursing facilities or home health services. Through these things, patients can regain strength or learn to manage their own care again. Competency 9 –Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities Practice Behaviors a. Select and use appropriate methods for evaluation of outcomes; -Completed discharge paperwork on a client (Additional information) WHAT I LEARNED – KNOWLEDGE (i.e., procedures, agency services and policies, theory becoming “alive”.) ID Waiver = intellectual disability waiver PRN = as needed Hospice takes over discharge planning for patients who are on hospice care SW gives daily updates to nursing facilities when possible Practitioner Certification Form ANDS = Medicare discharge form WHAT I DID – SKILLS (From beginning to advanced.) Initial SW contact with new patients Used interviewing skills; esp. clarifying and reassuring Wrote several intake and update notes Completed a few PASRR Level I Screens Filled out and obtained ROI Faxed paperwork Contacted patient’s family Patient and family education CHARACTERISTICS DISPLAYED (Continuum from positive to negative behaviors; include your feelings and responses to clients, situations, etc. These characteristics are yours, not the client’s.) Empathy & Warmth Patience & Listening Humor (when appropriate) Independence Organization & Preparation COMMUNITY RESOURCE KNOWLEDGE (Visit, Contact About w/Client) Intellectual Disability Waivers NEI3A Social Workers WIC - Supplemental Nutrition Program for Women, Infants, and Children WORK PRODUCT (Written reports; treatment notes, summary of interviews, etc.) Initial intake notes Update notes ROIs CLIENT CASELOAD (A = Assigned; C = Co-signed; D = Discharged) Use initials of each client, e.g., JGM (A). State your role/goal in one sentence.) Patient #1 (C) – Intake, home health referral, medical power of attorney Patient #2 (C) – Intake, home health education and referral Patient #3 (C) – Follow-up consult per nurse request Patient #4 (C) – Follow-up with patient and brother Patient #5 (C) – Intake, skilled nursing education and referral