Chapter 7 Quiz Notes

Practicum: real-life on-site learning and terminology

  • Term descriptions

    • Practicum, internship, and clinicals describe on-site experiences during training.

    • Purpose of a practicum: to gain real-life, on-site experience while still a student.

  • Benefits of a practicum

    • Determine the type of patient and employment setting you would prefer after graduation.

    • Possible employment recommendation or a job offer after graduation.

    • Opportunity to apply your knowledge and skills while still a student.

    • Learn new approaches and gain confidence in your ability.

  • Clearance and health requirements for practicum

    • May be required to receive an annual flu shot.

    • May need to provide proof of health insurance coverage.

    • FIT testing for an N95 respirator may be required.

  • Vaccinations for practicum eligibility

    • Vaccinations may include: Tetanus, measles, varicella, mumps, and rubella (MMR).

  • Preparation for a practicum

    • Good ways to prepare include reviewing the site’s printed materials and online information.

    • Inquire about the site’s dress code.

    • Call your supervisor to confirm start date and assigned hours.

    • Determine travel time to the site and locate parking lots.

  • Site visit timing and employer rationale

    • To prepare for your practicum, visit the site a few days before your first day.

    • Employers often hire graduates who did their practicum at their facility because:

    • They know how to process the appropriate paperwork.

    • They are familiar with the site procedures.

    • They can hit the ground running.

    • They can operate the facility’s equipment and complete the site orientation.

    • Being ready to work can raise concerns if inappropriate social media use occurs during a practicum.

  • Social media and confidentiality cautions

    • Inappropriate social media examples:

    • Texting family and friends during practicum hours.

    • Posting photographs of coworkers’ parties that involve alcohol, drugs, or inappropriate behavior.

    • Identifying a patient by name at your practicum site and asking Facebook friends to pray for them.

    • Naming the facility where you are doing practicum on your Facebook page.

  • Patient confidentiality during practicum

    • Key statements often used in exams:

    • Always protect private information contained in patient charts.

    • What you see, hear, or read must stay on-site.

    • Patient records must be maintained as required by policy and law.

  • Family inquiries about your practicum

    • When family asks what you did at your internship site today, you can describe what you saw and did without divulging patient names.

  • Health facility safety, hazard, and PPE programs

    • A facility’s Injury and Illness Prevention Program (IIPP) and Hazard Communication Program identify:

    • How to respond to chemical or biohazard spills.

    • How to access or use personal protective equipment (PPE).

    • How to report and respond to a fire.

    • Which chemicals are present and where they are stored and used.

    • How to use the hazard communication system and which hazards are present and how to prevent injuries.

  • General safety tips in healthcare facilities

    • Base safety tips:

    • Place litter in containers.

    • Watch out for swinging doors.

    • Use handrails when using stairs.

    • Never use damaged electrical cords.

  • Demonstrations of professional appearance

    • Demonstrate a professional appearance by dressing appropriately and being well groomed.

    • Keep long hair neat, clean, and tied back.

  • Language and behavior expectations

    • Profanity or coarse language is not appropriate during practicum.

    • Examples of proper behavior include avoiding office policies becoming cliques (i.e., avoiding cliques or “clicks”).

    • Write down answers to your questions to avoid repetitive asking and to help ensure success.

    • Display good attendance and punctuality.

    • Display enthusiasm, be interactive, and maintain a positive attitude.

    • Display good communication and work skills while maintaining patient confidentiality.

  • Patient and procedural boundaries

    • If a patient does not want a student in the room during a procedure, honor the patient’s wishes.

    • When appropriate to share personal medical history with a patient during practicum: it is never appropriate.

  • Priorities and professionalism

    • Reasons for placing your practicum site first:

    • Participating in a practicum is a privilege; you are a guest in the facility.

    • The site supervisor can terminate your practicum for good reason; your performance could impact the site’s reputation.

  • Absences and obligations

    • If you must be absent for a day, you should contact your instructor and your site manager.

    • It is never acceptable to take free samples at your practicum site.

  • Dress code and office policies

    • Clothing should be consistent with the site’s dress code.

    • Handling office policies during practicum should be done appropriately and within policy; avoid disrupting policies.

  • Eligibility and testing policies

    • Students with any type of criminal history are not automatically disqualified; the transcript asserts this is not absolute in some contexts, but note its context in actual programs.

    • Some states’ marijuana laws and drug-screen requirements are variable; the transcript presents statements about drug screening as true/false for quiz purposes.

  • Travel time, punctuality, and early arrival

    • On your first assigned day, allow sufficient travel time to arrive at the site at least 15 minutes early so you feel more comfortable and less rushed.

    • Graduates who are hired at the facility where they did their practicum may receive a higher wage than other applicants when they first start.

  • Journaling and reflection

    • The primary value of keeping a journal is often misunderstood in quiz items:

    • A statement that keeping a journal to document everything observed being done incorrectly to influence instructor decisions is false.

    • Some educational programs require keeping a journal and documenting certain types of information (true).

    • Keeping a journal to memorize patients’ names is false.

    • It may be acceptable to use a cell phone as a watch to record time when taking vital signs is false; some policies allow limited use, but many programs restrict personal device use during patient care.

    • If a child is ill and you’re expecting a call, the site supervisor may allow you to keep your cell phone on you (true).

    • Set your phone to silent to avoid disturbances (true).

  • On-site conduct and safety practices

    • While on-site, walk on the right-hand side of hallways to prevent accidents (true).

    • Report any injury to yourself or others immediately; some statements indicate reporting by end of day is false in quiz items (note policy differences by facility).

    • Employers generally prefer good attendance over lack of experience with poor attendance (true).

    • Do not assume you’ll be graded only on performance under stress or adaptation to change (the transcript marks this as false).

    • Practicum experiences generally do not involve hourly monetary compensation as a default (the transcript marks the statement about compensation as false).

    • As a student, you may still be bound by site policies and protocols; the transcript marks the statement that you do not have to follow them as false.

    • If you become ill during practicum, it is better to call in sick than to report to work (true).

    • Relationships among groups of coworkers that involve plotting are called protocol or cliques; the transcript marks the claim about protocol as false and notes the term clique is more accurate in common usage.

    • There is not necessarily only one right way to do things; the transcript marks this as false.

    • Avoid asking the same question repeatedly during a practicum (true).

  • Quick recap for quiz-ready tips

    • Keep patient confidentiality at the forefront; never disclose patient identifiers.

    • Plan ahead: know dress code, hours, parking, and site layout.

    • Be mindful of social media and online presence; act professionally at all times.

    • Follow safety protocols and report hazards or injuries promptly.

    • Maintain attendance, punctuality, and a positive attitude.

    • Use journaling as a reflective tool (where required) to document relevant non-identifiable observations and learning experiences.

    • If in doubt, ask questions through proper channels and document answers for future reference.