Checklist for daily clinical activities

  • Prepare for patients by reviewing records in Epic for patients assigned to you in the clinic schedule shared OneDrive document; preparation should be completed on a previous day so that you only need to quickly review your patients prior to the planning meeting with your preceptor.
  • Arrive at clinic dressed professionally and in good health with your IHDD building key, office and room 342 keys and UW Medicine ID, allowing adequate time for equipment check/calibration and general preparation prior to meeting with your preceptor at 8:00am.
  • Unlock the test rooms (331/332, 339/340, 342). Turn on test room lights and control room heaters, as needed, and turn on all equipment in the 3 booths.
  • Complete equipment check/calibrations
    • Daily: complete equipment check of 3 test rooms using the Pediatric Booth Guidelines.
    • Weekly: every Monday: Complete Verifit calibration.
    • Monthly: 1st Tuesday: complete calibrations of Otodynamics OAE and Tympstar
  • Dailly 8:00am meeting: present to your preceptors your patient summaries/assessment plans.
  • Prepare room and materials prior to each appointment
  • Use appropriate personal and equipment hygiene with every patient
    • Wear a mask during appointments and meetings and replace your mask regularly.
    • Sanitize your hands on entry/departure to a test room and prior to touching the patient
    • At the end of every appointment, clean equipment, chairs/tables and toys touched by the patient/family and turn on air sanitizer and close door.
    • Wash your hands with soap and water prior to eating.
  • Escort the patient and family
    • Escort in and out of booths to help safely navigate the steps/thresholds.
    • Escort family back to either the elevator (audiology only) or front desk (teams) and let receptionist know of their return.
  • Save all patient data with patient name and type of data and upload to shared folder on laptop.
  • End of the day:
    • Turn off all of the audiology equipment, lights, air sanitizers, room heaters in test rooms.
    • Put ABR dirty laundry in the laundry bin in room 277.
    • Lock control rooms with padlocks, lock cabinets in room 342, lock room 342 with key. Return the door keys to white box in 342.

 

Report deadlines

  • First drafts of your reports should be completed by the end of the next workday.
  • Your preceptor will complete edits by the following day.

Attendance/Punctuality

    • Regular attendance every week is a requirement and arranged absences must be approved by your preceptor 3 months in advance. If you are ill and will not be able to attend a clinic, contact your preceptor by email or phone as soon as possible so that accommodation can be made.
    • Students need to arrive to turn on equipment and meet to discuss patients at the time specified for the clinic day. Students who arrive late and are not present for patient discussion will not be permitted to remain in clinic that day.

Professional conduct

      • You are expected to have professional conduct in your interactions with families, with fellow students, your preceptor, and colleagues at IHDD. Please dress appropriately in either scrubs or professional clothing with no open-toed shoes, non-sleeve tops or shorts. Working with children involves sitting on the floor, and a lot of bending and squatting; make sure your clinic outfit is comfortable and modest for your clinic maneuvers. You must wear your ID card at all times in the IHDD and UWMC buildings. UW Medicine and IHDD require a fragrance-free workplace, so do not wear any fragrances when you are in the building.
      • Clinic rooms are cell-free zones, so leave your cell phone with your personal belongings.
      • Computers in clinic rooms are for UW work only, not personal use. Printers can be used for printing clinical documents and family resources.
      • Disposal of patient information: Due to HIPAA regulations, you are required to appropriately dispose of all written and electronic information containing patient information at the end of every week. Delete all patient name and hospital numbers from files to be saved. If you have handwritten or printed documents containing patient information, these documents must be placed in the bins in the student office to be shredded.

Professional Development

        • Weekly Intentions: During the first few months of the UW LEND AuD Externship, your preceptors will identify a clinical concept as a focus area for each week. You are expected to discuss the concept and focus on the concepts in your clinic work Intentions are listed in the shared OneDrive folder and on the website.
        • Professional Explorations: During our work in clinic we will identify topics that require out of clinic reading and exploration. We will rotate which of us (preceptors and externs) will explore the topic and report back to the group with detailed information.

Professional Self-care

          • Practice self-care in your personal life. Mindfulness and self-care are personal practices that keep you healthy and emotionally balanced and help you develop skills of positive regard and empathy. Audiologists are at risk for compassion fatigue and professional burnout.
          • Use self-care strategies during the workday. In the few minutes before an appointment, center yourself by using relaxation strategies to bring awareness to your thoughts about the session as well as a personal calming statement/affirmation.
          • Eat healthy foods and drink water throughout your workday to maintain your energy and health. Take breaks away from your desk, move your body, and go outside, if possible.

 

Patient Population

  • Patient population: Patients at IHDD are seen as part of the Pediatric Audiology Clinic, or as part of a number of interdisciplinary teams:
  • Pediatric Audiology: Children are seen in the Pediatric Audiology Clinic for a variety of reasons: re-screening after not passing an initial hearing screening, full evaluation after not passing several hearing screenings, hearing evaluation due to concerns about hearing and/or speech and language development, monitoring hearing due to a risk factor for late onset hearing loss, or for monitoring a permanent hearing loss. Children who use hearing aids are seen in clinic at various stages; at an initial diagnosis, as new users, and as experienced users. Typically, children with permanent hearing loss are seen every 3 months in the first year after diagnosis, every 6 months until age 5, and then yearly, thereafter. Children with unstable hearing or concerns about progress may be seen on a more frequent basis.
  • Interdisciplinary clinics: For children seen as part of an interdisciplinary team, hearing is evaluated to determine if hearing is contributing to the child’s development. You have 3 main objectives in reviewing records:
    • determine the child’s developmental level and appropriate test method
    • determine the child’s hearing and middle ear history
    • determine any risk factors for hearing change
  • Child Development Clinic (CDC): children for whom there are developmental concerns; Mondays and Tuesdays.
  • Infant Development Follow-up Clinic (IDFC) and Late and Moderate Preterm Babies (LAMB): children at risk due to prematurity or birth complications; Mon, Wed, Thur.
  • Cardiac and Down Syndrome Neurodevelopmental Follow-up Clinic (Cardiac): children at high risk due to a congenital cardiac defect and/or Down Syndrome; Tuesday.

 

 

Room/equipment orientation

  • 1st floor of IHDD
    • Lunch room: tables/chairs, microwave and refrigerator and snack/drink machines.
    • CD150 classroom (across the courtyard): for in-person Monday LEND Seminars.
    • Bloedel Hearing Research Center offices and labs
  • 2nd floor of IHDD:
    • Front Desk and reception
    • Nurse’s station for extra masks and medical supplies
    • Offices for clinical coordinators: 207, 208, 209
    • Observation rooms for peds (216), psych, OT/PT (235,247B), social work (227)
    • Laundry room: 277
    • 2nd floor conference room: 246
    • LEND trainee room: 245
  • 4th floor of IHDD
    • LEND faculty offices
    • Outdoor deck with couches/tables & chairs for breaks/lunch
  • 3rd floor of IHDD
    • Lisa Mancl’s office: 330
    • Leah Martin’s office: 341
    • Student offices: 335, 336
    • Patient side (339) of behavioral test booth suite
      • Ear tips, tape for securing eartips, container for dirty tips
      • VRA centering toys
      • CPA toys
      • Assistant wireless earphone
    • Control room (340) of behavioral test booth suite
      • audiometer, VRA reinforcer DVDs and control boxes
      • CDs/CD player for some speech, noise testing
      • speech materials and response books
      • outcome measure questionnaires
      • additional CPA and VRA toys
      • additional VRA reinforcers
      • extra play toys for children in tall cabinet
      • family EHDI notebooks in tall cabinet
    • Room 342 test room/counseling room
      • Cabinet near door (C, D):
        • Counter: Tympstar Pro, Otodaynamics OAE, eartips/speculae, otoscope, cleaning supplies, cabinet/padlock keys
        • Cabinet:
          • tools for cleaning OAE and tympanometry probes
          • extra ear tips
          • additional cleaning supplies
      • Cabinet near table (A, B):
        • Counter: laptop (password=2020), Verifit II
        • Cabinet A:
          • demo hearing technology
          • RIC and BTE parts
          • Patient technology for new fittings
        • Cabinet B:
          • earmold impression supplies
          • hearing aid/earmold cleaning and repair materials
          • HA, EM color choices
    • Rooms 331/332 ABR test room suite
      • Patient side (332): cabinet: Patient preparation materials (alcohol wipes, gauze pads and Nu-prep), eartips and tape, electrodes and clean pillowcases
      • Control room side (331) Biologic NavPro system, ABR worksheets and equipment guidelines.
Where Pediatric Clinical Care and Leadership Training Intersect
intersect-mobile