1 Running head: Service Learning Through the Developmental Assessment Clinic Service Learning Through the Developmental Assessment Clinic Nicole Chambers Ferris State University 2 Service Learning Through the Developmental Assessment Clinic Abstract Service learning is serving within your community and learning while you do so. I have chosen to do my service learning through the Developmental Assessment Clinic in Saginaw, MI. The clinic assesses development of the high risk and premature infants. Infants are seen by multiple professionals during their visit which include a registered nurse (RN), physical (PT) and occupational therapist (OT), dietitian and if needed a neonatologist. As a volunteer I will be assisting with assessments, making appointments and teaching parents. After assessments are completed I, along with the RN, will be comparing the infant’s measurements to growth charts. I will learn important information about critical milestones the infant will meet and also about diet and physical development. I will meet objectives that are necessary to complete the bachelor of nursing degree through Ferris State University. In conclusion I will examine what I learn and how I plan to evaluate what I have learned. 3 Service Learning Through the Developmental Assessment Clinic Service Learning Proposal What is service learning? Service learning is just that learning while you serve. It is offering your services as a professional in order to help the community and learn something new while doing so. Getting out into the community is a great way to sharpen your tools that has been gained throughout your career. According to Ferris State University Service learning policy (2010, p.1), “Service learning is a form of practical experience, enhances learning in all areas of a nursing program, and the experience of community service reinforces the moral and civic values inherent in serving others”. The agency I have decided to do my service learning through is the Developmental Assessment Clinic (DAC) at Covenant Healthcare in Saginaw, MI. Agency Description The Developmental Assessment Clinic also known as the DAC is a follow up clinic to the neonatal intensive care unit (NICU). The clinic serves eighteen counties. The DAC was developed to follow the growth and development of premature infants. The goal of the DAC is assess and perform a screen on high risk infants and to identify and provide interventions for the infants. (Covenant healthcare 2002) High risk infants are described as infants who were born with complications at time of birth, low birth weight or prematurity. These high risk infants are watched more closely to identify disabilities to be treated early. Often treating early can decrease effects the infants may face. Infant are seen as early as one month or as late as six months. After the first visit it is determined how often the infant will need to be seen. There are many different professionals the infants are seen by in the DAC. Every infant is seen by a nurse, physical therapist, dietician and a social worker. The nurse performs a developmental assessment, weighs and measures each infant. The infants may also be seen by, if necessary, a psychologist and a 4 Service Learning Through the Developmental Assessment Clinic neonatologist. If a disability is found or suspected the infant’s pediatrician is notified and referrals are made as needed. (Covenant Healthcare, 2002) Infants with apnea are sent home on monitors who alarm when it senses apnea. The DAC provides downloading of the monitors. After results have been obtained it is determined if the infant needs to continue to wear the monitor or other interventions are indicated. During the infants visit to the DAC teaching with the family is reinforced form that which was done in the NICU. This visit offers an additional opportunity to discuss normal development, diet and any other questions the families may have. Volunteer Role Description As a volunteer to the DAC I will have multiple opportunities to help the community. One of the jobs the DAC does is contact the family of infants to set up the initial appointment. I will be helping with this process. I will be calling individuals to set up their first appointment. My other duties will include measuring and weighing infants. This will help the nurses so they are able to do the developmental assessment. I will also help with teaching and reinforce the teaching that was done in the NICU. Teaching will include diet, apnea and developmental milestones. Since the DAC serves eighteen communities I will not only have the chance to help my community but many others in northern Michigan. Objectives Related to the Program As a Volunteer to the DAC I hope to learn more about the developing infant and the impact that the DAC has on the community. I hope to learn how collaborative care improves the outcome for these infants. All children go to well baby check in which they only see the pediatrician. In the DAC the high risk infants are able to be seen by many disciplines. I am anxious to see how the multiple disciplines work together. This experience will help to fulfill a 5 Service Learning Through the Developmental Assessment Clinic few of the bachelors of nursing degree objectives. The objectives that I will fulfill are genralistic nursing practice and professionalism (Ferris 2011). Activities to Meet Objectives Objectives that I plan to meet include genralistic nursing practice and professionalism (Ferris 2011). Genralistic nursing practice will be meet with multiple activities. During my experience I will be performing assessments that will help decide the disciplines that will need to be involved in infant care. I will work with children from infant to five years old from the many communities. Patient safety will be practiced throughout my experience by providing a safe environment that is suitable for infants. I also will meet the objective of professionalism throughout my experience. Professionalism is a must when working with the public. I will demonstrate this with ethics and values that are necessary for nurses. As I set out on this journey I hope to learn more about the developing infant. I plan to learn this through working with other disciplines and the nurses. I hope to learn what to expect our premature infants and high risk infants when assessing their development in comparison to normal infants. I will assess this through growth charts and research based care. I will also listen to the other disciplines while they assess and teach parents. I also hope to learn how the DAC impacts the community. The care and assessment provided now can impact how these children grow and develop throughout their lives. Evaluation After I have completed my twenty hours of volunteering I will take time to reflect on what I have learned. I will have a better understanding of what milestones premature infants versus normal infants make and at what age. I will also see how the DAC affects the eighteen communities it reaches. As a new NICU nurse I hope to learn from my peers and other 6 Service Learning Through the Developmental Assessment Clinic disciplines to make me a better nurse. I will be able to see infants pass the critical stage and what they have overcome. There will be times that I will have to research answers and learn from my peers. I know that at the end of this experience I will look back and know that I have made a difference in some one’s life and they in return have impacted my life. Agency Contact Information Agency: Covenant Healthcare Developmental Assessment Clinic Contact Person: Rebecca Champney RN, BSN Contact Phone: 989-583-4298 Contact Email: Rchampney@chs-mi.com Contact Address: 1447 N. Harrison Saginaw, MI 48602 7 Service Learning Through the Developmental Assessment Clinic Reference Covenant Healthcare. (2002). Neonatal Follow-Up Clinic. Saginaw, MI. Ferris Stated University. (2011). BSN Program Outcomes. Retrieved from http://www.ferris.edu/htmls/colleges/alliedhe/Nursing/BSN-program-outcomes.htm