Summarize the main what occured in this lecture Leah Rigney 00:00:29 Hello! Hell

Summarize the main what occured in this lecture
Leah Rigney
00:00:29
Hello! Hello!
Can you guys see and hear me?
You can just type. Yes, okay, great.
So if you, if I’m ever just like talking, talking, talking, and you can’t hear. Just feel free to put it in the chat box like we can’t hear you feel free to unmute, because that’s like, you know. The worst thing ever is to think you know me just prattling along, and no one can hear or see me. So without further ado, let me share my Powerpoint.
Alright, give me just a second guys.
Oh, see, I’ve got so much stuff pulled up for you guys.
1 s
just takes a while to get this stuff situated
where I can share a portion of the screen presenter view.
Okay? And then
I’m going to going to try
to make sure I can see the chat box.
Just give me a second.
because sometimes when I go into all of this I can’t see the chat box.
Where is it?
he
alright, guys, I can’t see the chat box. So if you have like, if you can’t hear me, or whatever just unmike and say something. So, guys.
this is MN. 6, 6, 2 psychotherapy for individuals, groups, and families, the clinical seminar, one so welcome. Welcome. I am Leah Rigney, your instructor for the next 10 weeks.
okay, so it’s a pleasure to meet all of you just a little bit about me. I work full time as a psychiatric nurse practitioner.
I have also been an instructor for Purdue going on 2 years. I usually do teach. Oh, I have taught in the past. Mn, 6, 6, 4. So that’s a couple of clinicals. After this.
I did kind of a quick peek in core elms. I think most of you guys, this may be your first clinical.
So the the good thing is is that I’m going to. Hopefully, you will feel better after this seminar, because you will find that I’m a very flexible instructor.
and you know a lot of you are nervous. You’re unsure what to do. But but the good thing about this is I’m gonna orient you to clinical the documentation, tell you. Oh, hold on! I can see the chat now. Yes, darling, yes, alright
And this goes for the same. What I’m going to go over today with you in regards to clinical and document documented inquiry. It’s going to be the same in MN. 6, 6, 4, MN. 6, 6, 9. Your other clinical courses. So I’m trying to laid a good foundation because one of the things that I found
from teaching my MN. 6, 6, 4, which is like the third clinical. A lot of the students still had some confusion about core elms, about charting, about the encounters and things like that. So I’m gonna lay that foundation and hopefully give you a good boost and a good start. Got to say, this is not the most interesting seminar.
so don’t judge me on this one. It will get better during the next seminar. But
back to me.
So I work full time as a Psych Mp. At a large university health system.
I’ve been there for over 8 about a year. And before that I worked exclusively in child psychiatry. And before that I worked in patient psychiatry adults, kids, you name it teens. And so that was fun. And
before all of that circa 2,006, I was a teacher. So that kind of explains the masters in education. I actually started out as a teacher in 2,006. So and I’ve taught off and on. I don’t know for the last 15 years, and nursed and Psych impede. And
you know. So that’s a little bit about me. I clearly clearly have a thick Southern accent. Some of you guys are probably giggling, because, you know, it’s true. So
take a guess. Where do you think I’m from? I said the South.
but we’re in the South. I’m always curious what people say, and I’ll give you a hint.
it’s the birthplace of Oprah.
the birthplace of Elvis.
and the birthplace of blues. Music?
Not Georgia, not Tennessee, not Alabama. Okay.
probably the least likely guess
Mississippi, yeah. And I.
Ellaine Manabat
00:05:17
This is the.
Leah Rigney
00:05:18
And the
Mississippi. I live in Central Mississippi. Small rule town, Morton. It’s probably 30 min from Jackson, which is the biggest city in Mississippi, but not a very big city.
And I guess if you’re trying to peg me on the map just to kind of give you an idea I am 2 h north of New Orleans, and that brings me to the next thing about myself. I love New Orleans. I love visiting New Orleans. I love eating the Creole Cajun food, although the best, is sometimes right outside of New Orleans. And so that’s just a little bit about me.
I work telehealth psychiatry. So I do get to work from home a good bit. I choose to drive into the office one day a week, just because I’m a social person, and I like to see my coworkers.
But it’s nice being at home, because it’s more flexible. And I can dedicate more of my time to you guys, and I love that
on a more more personal note. I’m married to the love of my life, my husband. Almost 19 years now we have 2 little boys, Asher, my 9 year old, and Levi my 4 year old.
so they keep me pretty busy. I don’t have a lot of free time between work and kids, and they are into everything like
total house, full of men.
husband and 2 boys. Total boy, mom. They wrote me into all this jujitsu and baseball and all that. So
let’s see. So that’s just a little bit, you know. I like to read. I clearly like to teach.
and I will say, and then I will quit rambling.
So I am teaching 3 sections. So section 2 and section 8. You were mine, and you have been mine since the very beginning. And then section 14,
the guy, my, my, my students, that just showed up and just saw my announcements yesterday.
it’s because you guys were added to me last night at 5 30. So I I promise I’m an organized and prepared person. But the the Dean sent me a text and wanted me to pick up that section. I don’t know if your instructor had an emergency or backed out. I’m not really sure but that kind of explains. If you didn’t see anything until last night at 5 30 that that kind of explains because I I didn’t know I was, gonna have you guys until last night at 5 30.
But that’s okay. I think you will find that it’s gonna work out in your favor.
all right. So let’s see.
okay, so I will look at your video journals.
And I look forward to learning more about you. So let’s get back to this. So
that’s my email address. If you need to get in touch with me, definitely email me to the Purdue email and email from your Purdue email because I guess it’s the firewall or the spam. I don’t always get it. If it’s from an outside email
cell phone number totally. Don’t mind if you text. Me, I live in the central time zone.
Let’s see. I I respond pretty quickly. I know I have virtual office. So if you guys ever go into virtual office. I put a little message like, I’m not the best at checking virtual office. Send me a text or email, but you can certainly post in virtual office. I’m just saying I’m not the fastest at checking that
and I usually will, will respond faster than 24 HI will say this.
I am pretty flexible.
I have been in your shoes. Many of you are working crazy shifts.
You are balancing family, and you are balancing, clinical, and and doing all of this in 10 weeks is no joke, because I did all of this in like a 5 month semester. And so
the work is not less. It’s just all crammed into 10 weeks, so it can be stressful. Take care of yourself. But anyway, I say all that to say is, you know, I treat you guys like adults.
I’m pretty flexible, pretty understanding. And you’ll you will kind of see as we go along. But one of the things I do always mention to students. You know, we all live in different parts of the country.
I have students from Washington, California, Maine, Florida all over
from sea to shining sea, and we all have different weather weather patterns, hurricanes. It’s tornado season where I live in Central Mississippi. It will be hurricane season this fall, so I understand people lose power. And you, you know you can’t turn your assignment in you know. Just send me a text like, Hey, so you know, if you wanna maybe make a note in your phone of my my cell phone number, you can, because you won’t be able to send me an email
if you don’t have power or Internet. So
you know, and I’m not one of these instructors. I’ll I will go ahead and tell you, you know, just to kind of put you at ease. So you’re not stressed.
you know. I’m not out to get you. I’m not trying to fail you. I try to always give you the benefit of the doubt. You know you’re all adults. So this is not like undergrad, you know where some of the nurse, you know, like an A is not possible. And oh, I’m gonna get you and all of that. So you know, just rest easy and and let’s get through this, and
you’ll find that you know I try to make this course as painless as possible.
Course books. So you know, the other thing is is, this is a clinical course. This is not your didactic course.
so I know you have that teacher that’s doing the lectures, and you’re getting the 50 multiple choice questions and the oculus. Well, you don’t have any of that in this course. So you know no oculus assignments.
No. 50, you know. Question multiple choice test or quizzes nothing like that. All right, and we’ll go through this assignments in a minute. I will attach the syll syllabus to a message after this seminar. So that brings me to the other thing.
I do post my Powerpoint and the recording and any documents after the seminar the same night. It may take about an hour, because I have to wait for the recording to be uploaded to the cloud.
but you know I usually watch it back you know. Make any notes, make sure you can hear me all that stuff, and then I post the Powerpoint. You can totally download the Powerpoint or any of these forms, so you don’t have to kind of fish around in bright space for them, or you, Ca, you will see them all in bright space. It’s it’s up to you. But you know a lot of you probably already have these books.
Okay? And I might pull up the syllabus in a minute.
But just know that like there’s also a course reading list
again. You know. I know you’re busy with clinical. You’re trying to get 130 h at the minimum crammed in 10 weeks. So I mean.
you’ll see the flow. Okay, I you know I don’t expect you to read everything. You’re probably reading it, anyway, for some of your other classes. So let’s just put that to bed. Alright.
The the other thing. This is the seminar schedule.
and it’s pretty much I stick to Wednesday, 7, 30, Eastern time. If nobody’s told you all the times in Purdue or Eastern, even though I live in the central Time zone, and you may live in Mountain Pacific, whatever everything is, gonna be Eastern, and I usually will specify it. But
usually the day before night before. I will send out the zoom link for the invite, like I did. And you can kind of expect that every now and then I might run behind. But I I promise I don’t forget.
you know, as far as like ever posting the link. That would be bad, wouldn’t it? Let’s just be bad. Important dates.
So
I will remind you periodically
of these dates.
because I feel like some instructors or some students in the past have told me. Like Leah, I had no idea I could take an incomplete. I had no idea about these dates and these deadlines. So I try to stay on top of these things because I have not had one student fall through the crack
at all. And I don’t. And I want. I don’t want any of you to fall through the cracks, because here’s the thing about clinical classes.
medical classes. There’s there’s 3 partners in this relationship. There’s me, the instructor, and there’s you, the student. But the third person and this is the person that’s uncontrollable.
That’s your preceptor.
And do they have some say in your grade absolutely, and I’ll tell you when they do the midterm evaluation, and they do your final evaluation. I don’t have control over those grades.
And I will talk more about that in a minute. But
let’s just say, you know.
I I can’t make a precept, or change a midterm or final eval grade. But I will advocate for you. And there have been some that I have emailed. I’m like, look this, this student doesn’t deserve it to. They don’t deserve to fail. Whatever could you please change this, so we’ll talk more about that later. But you know, like I said, I tried to give you.
yeah, Hannah, you said the reading list was the same for the deducted. So yeah, so don’t feel like you have to go through and read that for me because you’re not gonna have any test on that material, and I’ll tell you about seminar later.
and assignments and all that fun stuff. But but anyway, back to the evaluations, there’s 3 people in this relationship, me, you and the preceptor. And you know I have the best intentions, and I do my job. You have the best intentions, and you do your job. But sometimes things go sideways with the preceptors. I mean, I’ve seen everything in the last year and a half
that could probably happen happen. I’ve had students who, Leah, I’m 7 weeks into this term, and I had a car record. I’m in the hospital for 3 weeks, and I’m not going to finish my clinical hours.
If I know in time we can take an incomplete which gives you more time.
I’ve had preceptors go to Europe for 2 or 3 weeks, and they didn’t confirm the students hours, and that’s not the student’s fault.
I have had preceptors getting car crashes. I’ve had students that have had a heart attack. I think my oldest student has been 70 years old, and and she was an attorney, and she was wanting to, you know, full circle life and go back to be a Psych. Mp. So I love it so, anyway, with all that said life happens.
and I can’t control the preceptors. And also, you know, while I love Purdue, and I think the curriculum designers are great. I don’t create these assignments. I grade the assignments
and the seminars, and you know I kind of like guide you.
But I don’t create these assignments or topics. So you know, if you’ll have complaints about that, and they’re great.
Leah didn’t do it, though. Okay.
alright unit one. So I’ll try every because this is day one of week one.
So Wednesday is always the first of the week when you’re looking at Purdue Weeks, and some of you already knew that some of you may not.
That means midnight on Tuesday is when your work is deep. Now some instructors are very strict, and they’re like no, you turn it in on Sunday by midnight.
Well, that’s them. Tuesday by midnight is fine with me.
unit one. This is what’s due. It’s a pretty easy unit. You have an Intro discussion board. That’s basically like 2 intro discussion boards. But I wanna say, this first Intro right here on the discussion board is not graded unit, the the second one unit, one where you have the 2 to 3 min like video Link, Youtube link acknowledgement of syllabus that that’s graded. Then you have seminar one, which is this, and I’ll tell you how we get attendance for this.
And then I think you actually have a video journal where they ask you questions. 3 to 5 min, and you
drop the link in your dropbox and I’ll watch it. It’s like a Youtube video totally. Don’t mind if you use any other
platform besides Youtube, and we’ll talk more about that. And then you don’t want to sign. It’s easy. It’s not a note. It’s not a treatment plan. It’s it’s just your preceptor contact form. So that’s pretty easy. Just a couple of discussion boards and a preceptor contact. So discussion boards in this whole course
you have 3. So that’s pretty good, because a lot of students aren’t the biggest fan of discussion boards every week, you know, it’s like.
but these are pretty decent.
unit, one has 2,
which they’re basically intros. That’s it. Easy unit 10 has one. And it’s just basically like a reflective journal like what you feel like you’ve learned and how far you feel like you’ve come over the course of of the 10 weeks. And so most students like that one.
you don’t have to use Apa references, citations, or anything like that in this class for the discussion boards, because they really are like introductory. They’re not
like a question where you have to go pull from the literature. So don’t worry about apa references, citations, anything like that. Just
answer it, and you’ll be fine.
So week 2 is where the assignments kind of switch up week 2 through 9. Basically with the video journals. It’s going to be a reflective video journal about a patient encounter or a patient experience. And I promise you, in psychiatry it’s almost never a dull day. It’s almost never a dull day. You will have something to tell me. And and they sometimes in each unit for the video journal. They have specific questions. So you know, be sure to look at those. But usually it’s going to be surrounding
a patient encounter. So 2 through 9, that’s what those video journals look like 3 to 5 min post to Youtube or use another platform doesn’t matter to me. Make sure the link works. It’s common for the link not to work. And it’s fine. I will email you and say, Hey, your link didn’t work resubmit, and you know we’ll all have a merry Christmas.
Alright, seminar! How do we get credit for the weekly seminar? Well, clearly, Purdue encourages you, encourages you to attend. Live however, we all live in different time zones, and that may or may not be possible. So what I do is I post the recording
after the fact usually the same night of, and if you attend, live all you have to do for this first seminar is, drop a code,
and I will give you the code. No worries. I will give you the code. I’m just let me at the end. I’m trying to get
little boxes situated.
Alright, give me a second. There it goes
alright.
So what I do is I usually give a code at the end of the seminar and you put it on a word document. You drop it to the dropbox. If you attend, live, if you don’t attend, live. If you’re watching this recording after the fact, then it’s just usually a brief little outline like, watch it. A brief little topic, subtopic outline questions, thoughts, and the code.
In seminars, 2 through 9. I usually throw out a couple of random questions that are super easy, and they’re probably going to be on your board exam. But that’s just kind of how I check attendance, and I feel like it checks knowledge, too. They’re super easy. Don’t stress about it.
But that will be 2 through 9.
let’s see.
Okay, you’re responsible for all the information in the seminar. I’m pretty sure every instructor you have had it. Purdue has told you that so
alright assignments. Again we mentioned this is all the bright space work. And then we’re gonna get into the clinical stuff. Which is, I, I know you guys really wanna get to. So this is just the bright space stuff assignment. So week, one clearly preceptor contact form. Pretty easy
type. It, please. It’s very important, because I will. I will tell you later. Weeks 2 through 9. The weekly assignment is usually a soap note or therapy treatment plan. I’ll be honest, I’m not the biggest fan of the therapy treatment plans, because I don’t really feel like psych and peas. We really do that in the real world. But that is part of this class, and I will share.
You know the template. For you if you have me for M in 6, 6, 4,
I totally kind of change that around, and I feel like it’s gonna prepare you more for the real world. But since this is your first clinical, we’re, gonna you’re just dipping your little toes in.
You’re dipping your little toes in and be glad, because you know the other clinical. You know, I get more into medicines, and this this and that
But this this clinical focus is on therapy. Clearly, some of you are going to be sitting with therapists or psych Mps psychiatrists, you know, do the best with that therapy treatment plan, you know. Stick to the template. We’ll pull it up in a minute.
Week, 3, 4, 9. There’s like a learning activity, I think, like a video or something along with the soap note. It’s pretty easy. I click through it. So it’s not a big deal week, 10 assignments, a case study. So that’s the bulk of what the assignments are. Again. No oculus, no multiple choice test. So
students always ask me.
they are like Leah.
I am doing like.
I’m getting all 130 h in 4 weeks. So I’m going to be done early. Do I still have to submit a note or a therapy plan. Yes, you do. Yes, you do. Just go back and pick one of the the patients from the prior weeks.
So notes. We’ll talk up. We’re gonna I’m gonna tell you this. And then I’m gonna pull up the note.
So I’m I’m not really picky about the soap notes. And I’m certainly not really picky definitely the first few weeks. Okay, so put put your mind at ease. You know, nobody’s gonna fail. The first couple of weeks at nobody’s gonna fail at all. But you know, I know that you guys are just.
you know, you’re trying to figure this thing out.
So you know, I’m pretty easy. Just stick to the template. I’m gonna give that to you in a minute. But you know I do want it to make sense. I want. You know, when you’re looking at the treatment plan. For example.
you know I’m not nit picky about what medicines you choose. If if if that’s the soap net. You you do if there are medicines that are given. I’m not picky about that, but I want things to match. So, for example, in the subjective or the Hpi portion. If you were telling me the person is inattentive, hyperactive, not focused, often distracted. Taking a long time to complete tasks, you are painting the picture for
Adhd. You’re not telling me, is Adhd. You’re really not supposed to say the diagnosis and the Hpi. But it it’s fine if you do. But you’re supposed to to have the problem with, and the symptoms and things like that. And so then, when I go on down to the note, I want to see Adhd. I don’t want to see depression. Will you just painted the picture of Adhd? I don’t want to see depression down there, and the same with the medicine
like you painted the picture with Adhd symptoms. The diagnosis is Adhd. Well, the medication needs to be an Adhd medication. Now, there’s dozens of those.
so I don’t care which of the dozens you choose. But I just you know I want it to match. You know I don’t want you to choose Prozac for Adhd, even though people some people do take Prozac, for you know not to manage Adh because they have depression too. So you get what I’m saying. I just want it to make sense. I’m not super picky. I’m not gonna pull everything apart.
okay, so we’ll we’ll try to do this, and hopefully, I won’t mess everything up. But
let’s see.
Alright.
Well, let’s see
as the reading list.
Where’s the note?
No, that’s the Ms middle status exam
just gonna do this. And maybe
there it is.
I think I can do the basic. I don’t have to do the advanced.
And we’ll do this
Ari.
So, guys, you should
hopefully.
hopefully, you guys, you know what I’m going to do the advance share. I don’t like how that looks.
And I can stretch this out just a little bit for you guys.
Alright. So this is the the soap note. You should be able to see portions of it.
You know, it’s it’s in bright space. And like, I said, if I have you later in M in 6, 6, 4, you know, I basically totally revamp this because
I just I don’t feel like sometimes this is a follow-up note, probably in the real world, in psych and P world. Follow up. Note
so, you know. Fill that in chief complaint, Hpi.
As is for subjective information, so it’s whatever the patient states to you, it may be true. It may not any crisis issues.
allergies, current medications, review of of systems. You know. I know I have some Fmps. You guys are used to to listing out the whole review of systems, and you can do that, or you can say pertinent items noted in a Hpi pertinent items noted in in medical record whatever. No complaints. I don’t care but that’s perfectly appropriate for psychiatry. I mean, of course, in family medical
you. That’s a that would be no
objective data.
And then you’ve got the mental status exam.
This is where I like this format, because I feel like it’s easier for you. Instead of sitting down to type a paragraph, and it also helps you not to forget
a part of the mental status exam. And it’s not me being picky. But you just have to have that on every
follow up psychnote and every Psyche, Val for it to be a billable visit. So the good thing is is that I will post a template. That’s kind of just a plain template, and all you have to do is just kind of plug in the words.
and I’m also going to give you guys the mental status exam some of the terminology. We’ll talk more about that next week, because that’s really key with psychiatry is is the mental status exam. But right now I’m just gonna briefly mention it for the sake of this note.
Clicking along, you’ve got differential diagnoses. So what are the 3 possible things. And then what is your your definitive diagnosis? Now I will go ahead and give you an easy hint.
You look in the Dsm. 5. The Diagnostics Statistical Manual.
You will find like, if you look up, major depressive disorder. If you look that up, you will see differential diagnosis listed.
So that’s an easy way. If you’re struggling to come up with differentials, just look at the Dsm. And they’ll have some. Course, the the definitive, and then your plan. You know. What are we doing? Are we gonna continue the medicine, stop the medicine, discontinue the medicine, start it, start something new, Restart whatever
And then there’s this, and this is the part that
this is the part that a lot of my am in.
so I would. They don’t have to do. You won’t have to do this psychotherapy treatment plan after this class, all right
in any of your clinical classes. But for this class you you do. Yeah have to do it. And this is the part I think a lot of students don’t like. But I’m sorry I don’t. I don’t design this course, but I will say
you know you can plug this in.
Do the best you can.
Don’t be lazy with it, but don’t type a novel. I don’t want a novel. You don’t have all that time to type a novel, and you’re going to find out why? Because you’re going to be typing clinical encounters.
you know, definitely address goals here on the objectives on this template there are 6 objectives.
I’m okay with 3.
You don’t have to. You know I had a student last time. Her name is Gwen, and she was awesome, and she’s like Leah. I typed 6 pages, I said, Gwen.
do not give me 6 pages of this. I do not want 6. I don’t want you to be lazy with it.
but I don’t want you to be like we’re not Stephen King. Don’t don’t write a novel, you know. 3 objectives for the therapy, and some of the interventions are perfectly appropriate. You don’t have to get into
all of that. That’s a lot. And
you know I don’t need it
so hopefully that that will make things a little
less complicated for you. Usually one of those notes is due
like every week.
so pick a patient. Any patient is your choice.
Mental status. This is what I had pulled up for you guys.
Alright there, advanced
here.
No, no.
give me just a second.
Oh, it is
alright! So hopefully. I see a little question in the
Hannah, I think you said, if we are with a therapist and no med management, do we just say not managing? Yeah, that’s fine.
That’s absolutely fine to not have mid management.
because some of you it is acceptable to only be with a therapist, and your therapist is likely not prescribing medicine, you know, like I said, just do the best you can to fill in. You know. Don’t be lazy with it. Do the best you can, but like I’m not gonna knock, you know. Take off for every tiny thing.
And you could, you could say, you know.
come up with what you want to recommend medicine wise. A lot of you’ve been nurses for quite some time, and you’ve worked in psychiatry for quite some time. I mean, you basically know, anxiety. Depression. First line treatment is going to be an Ssri. If it’s Adhd, it’s going to be, you know, a stimulants. First line treatment. If it’s bipolar disorder, probably a mood stabilizer or a second Gen. Antipsychotic
and if you don’t, that’s fine, just say not managing medicine. And I’m totally okay with that. So, you guys, you should be able to see mental status tips, terminology, and I’ll tell you where I got this from.
If you can’t see it, put it in the chat box.
and I will post this. So I got this from an old school psychiatrist, and it was amazing when I was a student, and he was my preceptor. It was at the State Hospital
here in Mississippi. So some wild stuff I saw, but it kind of look at these as answer choices to that mental status. Exam. So the appearance? Are they thin, obese, appropriately, casually dress
poor hygiene appears older than stated age, so those are choices that you don’t have to sit there and rack your brain about that and that psych Mp. Language. Just look here, you know, they’ll usually fall into one of these categories. I promise you the same with behavior. Are they cooperative, attentive, not cooperative, guarded, suspicious, sarcastic, belligerent.
Minette, I will. I will. I’m gonna go in quarryms, and I’m gonna show you they’re gonna be super brief.
I’ll get to that when I get to the clinical. I promise this is just in regards to your
what your little weekly assignment note will be that you turn in in bright space.
and we’ll get back to this later. But you know, speech. There’s choices there affect
you know, blunt, appropriate flag
thought processes. Are they logical, linear, coherent.
suicidal thoughts? We’re going to talk about suicide in one of our seminars, because that’s going to affect you for sure in clinical gosh!
And then memory and all that. So I will post this, because that’s a good little thing to kind of have, and I would just recommend getting it like a binder.
and just
save some of this little stuff, cause I promise you like, if I take the time to probably put it. Now, don’t count this Powerpoint, but, like, if I take the time to put it on a Powerpoint or mention it in a seminar. It’s going to be important to you in real life practice, or either in the board. That’s how I choose my seminars, because, like I have 1 h.
so I don’t want to waste your time, and you know you don’t want to waste my time. So I want it to be something useful, something meaningful, because I know how it feels to be in your shoes, and
I know the things that I wanted to know when I was in your shoes. So I try to make that happen in seminar. Yes. Do I stick to the reading list. Yes. But do I also bring real live, real world? Yeah. And I got some crazy stories for you. So
I will post that. Let’s get back to this Powerpoint.
Oh, okay, okay.
I can exit out of that one.
Give me just a second guys. I have all this stuff up.
Ellaine Manabat
00:35:07
Professor Rigby. I might be too fast. I know you’re discussing assignments right now. But
oh, you’re discussing assignment regarding the case. Study on soap notes. And you mentioned about the psychotherapy treatment plan regarding the objectives. Are you expecting us to do the same when we are submitting the field encounters on the there is a section there regarding Mini soap. Note.
Leah Rigney
00:35:38
I’m not expecting you to to do.
Just a full treatment plan. That Mini soap note is going to be brief.
brief, because you have a hundred 30 the log, and
that’s a lot. So I’ll I will get to it, I will. And I’m actually gonna show you. And then, and then we’ll get into quorums.
Okay.
Ellaine Manabat
00:36:00
Anything.
Leah Rigney
00:36:01
yeah, don’t be stressed about it. I know a lot of my students like I said. I taught a later clinical course, and they were so stressed about it. They were like Leah, just. You know. I had one instructor that made me go through and redo everything. And she just, you know, and they were just real on edge about it. And I I hate that. So I’m gonna really try to give you guys a good a good foundation, I promise, and you know I’m gonna I’ll talk more about that in a minute. But
you you you will. I promise it will be okay, I promise. Give me a second
alright basic
trying to get back to my
think.
I think
all over the place.
Let’s see, I think I stretched that out.
Let me do this presenter view. Give me a second. This happens.
alright
prisoner here.
Oh, my God.
huh! But
what I get for jumping all over the place.
There it is. Oh, thank goodness, okay, alright. So that’s that. I’ll post that afterwards we’re getting to it. And and then, guys, if you guys have to dip out, then dip out. I will post this all after
Gosh, it’s already 707. Okay, so that’s the therapy note, you know. Again, be clear, be concise. Don’t write a whole novel
in the real world, you know. Think about you’re making a case for the insurance company to reimburse for this bill.
So that’s the thing. That’s why they’re they’re wanting you to to learn how to document. Because, you know, insurance.
How do I put it.
they kind of see sometimes behavioral help as low hanging fruit
to kind of kick back the claims, so we try not to avoid. We try to avoid that at all cost, and that will make more sense. We get out to practice. And don’t use real patient names or initials, or anything like that. Just
initials are fine. But don’t use real names. That’s a hipaa violation.
Okay? Clinical. This is where you guys are like, okay, I know all that, Leah. I can go through bright space. So that was all the bright space stuff. Right?
Let’s talk about clinical core amms. We’re with our preceptor. We’re getting our encounters. So what is required for this course and pretty much every clinical course after this for the Psych Mp. Program, there are 130 field encounters. That’s where you’re charting a Mini soap. Note there are. That’s a minimum. Can you have more? Absolutely 130 h.
So it says you have to physically be present in your in your clinical. But telehealth is allowed for site, so don’t let that throw you off. I’ll probably change that before I post it but 130 h. So hours. That’s where you’re just logging your time like clocking in clocking out that kind of stuff, and you do that in quorums. Do take a lunch, but you don’t have to take a lunch.
the encounters.
That’s the Mini soap note now, and I’ll explain how this works in a minute, and I’m going to show you like, go into quorums and show you what it looks like after you’ve logged because it’s probably looking pretty blank
right now for some of you guys. But so there’s 3 contacts with your preceptor, the person you’re going to clinical with the the Mp. Or the therapist. So
none of this you have to set up for, you know. I don’t. You know some students do set it up. Some instructors make them set it up, but I have an easy way to do it. That saves us both a lot of time and stress.
so I will contact your preceptor at 3 points during the semester or term the first contact. It will be usually unit one or unit 2.
When I get that form back. I will email them, you know. Hey? My name is Leah. I’m their instructor, you know. Here’s my contact information. I will be reaching out to you in week, 4 or 5 for the midterm call.
And and so it’s just kind of a brief intro. It’s also a way for me to make sure the email address works. So the the preceptor is getting the emails and the contacts and whatever also, if they have trouble logging into quorums, there’s all kinds of things that happen.
the second contact with your presenter is your midterm evaluation. I will post the rubric, and when it gets closer to time, because I’m throwing a lot at you. When it gets closer to time. I I will pull up that rubric and kind of tell you how that call goes. So you’ll feel better about that before I do it.
But basically unit 5 is the midterm. And so the week of
probably towards the end of week 5. So it it cuts you. I want you guys to have enough hours and time with your preceptor for your preceptor to get to know you, to actually be able to score you.
and you know what I don’t want to happen. Is your preceptor to say.
oh, well, it’s week 5, and I’ve only I’ve only seen them a couple of days.
I’m sorry I have signage drainage.
but
you know a perfect world.
We would all just go and get our little 5 or 6 h of clinical hours every day for the whole term.
but in reality
reality check here right?
It’s really hard to find a preceptor.
You guys. Probably some of you probably had to pay thousands of dollars for your preceptor. So you are at your preceptors. Mercy! You have to work when your preceptor says work.
So if your preceptor is pulling down 12 h shifts every day for 7 days, and that’s what you’ve got to do, and that’s what you’re probably doing.
And then you might not have any time next week, because you’re resting so your priest after may do 7 on 7 off.
so I recognize that
you know you probably won’t have clinical encounters for that week if you just work 60 h the week prior with your preceptor.
So with that said.
You know. Just try to have some time
in with your preceptor before that call, so they they can at least score you, or know enough to tell me
something about you. All right. You know how you’re doing.
40 clinical hours is the threshold. So some of you guys have 2 preceptors. If you don’t, you don’t have to worry about what I’m about to say.
But some of you had to get to preceptors, and you’re probably like, okay, Leah, which one gets my midterm.
Well, it’s whichever one you have the most hours with with midterm. You probably only have hours with one. Maybe
if you have equal amounts with both of them. Well, then, I would do a midterm eval with both of them, and I would average the grade.
But 40 h is the threshold for a preceptor to complete an evaluation for you. So it’s the same for the final clinical evaluation. If you have 2 preceptors, but maybe I only had 35 h with one preceptor, but I had 95 h with another.
Well, it would be the 95 h preceptor, the one you spent the most time with to do your clinical Eval. But if you had 40 h with one preceptor and 90 with one preceptor, they both would do an email. So 40 h is the threshold. I know that’s confusing. That’s just an Fyi. I will catch it, anyway, in quorums and reach out to you. But you know, if you do have, 2 preceptors do turn into preceptor forms.
contact 3 is just an email at the end. I say, Hey, thank you for being a preceptor.
Alright! So clinical evaluations. A lot of you’re like, Leah, that these are a lot of points in the grade book, and they are your final clinical. You get a thousand points. This whole class and 300 of those.
is your final clinical evaluation.
and a good portion of those points will be your midterm evaluation.
So you have 2, and your preceptor is totally responsible for these 2. The first one, again, is a phone call.
What I do is I set up a
are any of you familiar with calendly calendly is basically like where I go in. And I say I am available Monday, Tuesday, and Wednesday in 15 min increments, and you’re I send them the link to my page and your preceptor schedules the phone call.
It’s pretty easy. The preceptors love it, and you don’t have to do a whole lot of back and forth, me and you and them, me and you and them coordinating. I just send your precept with the link, and they pick a time, and they love it, and I love it.
Do you have to be on the call. No, you don’t have to be on the call at all.
If you want to be on the call, you can. I’m certainly not trying to kick you out, but you don’t have to, because it’s probably really hard to coordinate my schedule and their schedule and your schedule. So you know we’re not just meeting and talking about you behind your back. You’re certainly welcome to to chime in on that. But you don’t have to.
The final clinical evaluation is done a little differently. It is a link sent to core out from core elms to your preceptors email. This is again why the preceptors. Email has to be correct like, it has to be correct because you don’t want to.
You don’t want your preceptor to not get that link to do that final email because time is ticking there at the end. And I’ve seen preceptors not get it. And students not follow up. And then it’s like, it’s the end of the term. And I have to post grades. And we’re not. We’re not gonna dilly dally with that. So make sure the email is correct. So they, there’s lots of factors that hinge on that email being correct with your preceptor.
type, the preceptor form.
make sure there’s a phone number. Make sure the email is accurate things that have went wrong in the past.
You know that it was just the wrong email, or maybe core elms did not give your preceptor a way to log in to approve your hours.
And like, I said, I know that’s probably foreign. I’m gonna show you. And this, it will make more sense final clinical evaluations. I just said that. Oh.
if you ever have a problem with quorums right here, that’s the help desk ticket.
So
sometimes they take a couple of days. If you run into problems with quorums like I can’t log in Leah, I can’t confirm. You know I can’t chart my account, whatever you know. That’s a help desk ticket. But if you don’t hear from them definitely, let me know, because sometimes they will be faster for an instructor.
Let’s see.
I’m gonna already said that alright clinical evaluations. I’ll show you what I mean in a minute. I have it already pulled up in quorums for you so
clinical. This is final clinical evaluations.
So the final clinical evaluations your preceptor goes in, and I’ll show you what it looks like, because I’m going to pull up one of my old students, and I’ll just show you what the numbers are. But it’s 0 to 5
and 5 is the highest. 5 is the best. 4 is okay. 3 is okay, but you cannot have a 2 or a one on any section. It doesn’t matter. If your average is 4.5, it does not matter if your average is 4.7
in each individual place, it has to be a 3 or 4 or 5, you cannot have a one. You cannot have a 2
and so that’s the final clinical evaluation. And usually, if I see that
I will call the preceptor. And I will say, Okay, having 1, 2, not the average having 1, 2. On this evaluation causes the student not to pass this whole class.
I know. That’s that’s
that’s not fun.
And this is me just being extremely clear, because apparently
some students, before coming to me, had an issue with the instructor not making this clear. So like, I said, I’m trying to make this a good foundation for you guys going forward because this, the same applies in the next clinical classes. So in order to get those 300 points there towards you know at the end, in bright space, your final evaluates worth 300 points. What makes that?
Because it can get confusing? So I I have to see 130 h minimum in 4 elms logged.
I can have. You could have a hundred 38. You can have a hundred 40. I don’t care as long as 130 h, and I don’t care when you get them. I don’t care if you get 40 h in 3 weeks, and you’re done, or whatever, or you get 10 h ever, and I don’t care. I don’t care how you slice and dice the hours. I just care that they’re done by the end. The same with the encounters. You have to have a hundred 30 field encounters. That’s basically like one encounter an hour.
I don’t care if you chart a hundred encounters during the first 3 or 4 weeks.
and you, Char, I don’t care. I just care that they are a hundred, and there are 130, and they’re done by the end of our term, which is June 20 fifth. It’s midnight, June 20 fifth.
It’s also the last time to take an incomplete if you feel like you’re not going to finish your hours.
And I know this is overwhelming, and I promise you, as you kind of click along, you will see.
Let’s see
the other thing that makes that 300 point so 130 h
130 field encounters
your evaluation of your clinical site that’s going to be in core elms pretty easy to access
the final clinical evaluation. All threes are higher, no negative comments. And so just me being extremely clear.
there are no partial points. I mean, you can make hundreds on the discussion boards. You can make hundreds on your video journals. You can make hundreds on your seminars, hundreds on your assignments in bright space. But if you don’t have these.
it’s going to fail you for the class. That’s just how this the clinical classes are are designed. And I will tell you I haven’t had anyone ever fail. I’ve had some take incompletes and finish a little later. But I’ve never had anyone fail. And that’s another reason why I am a little flexible with you guys, especially with some of the grading, because I realize
that the midterm is out of my control. And the final email is out of my control. So I do try to give you guys a little cushion
just in case your preceptor tries to pull something out of the hat, and some of them do let me tell you.
I see a question. Give me a second.
Alright.
So 130 encounters. They definitely are 130 patients. And I I will show you in just a bit. I know, you guys, this is where you guys are getting a little nervous clinical tools stalls. You probably already.
have that. The stalls. Book Dsm. 5 is awesome. That’s the purple book. I usually show that up here, but you know I still have my Dsm. 5, and I love it epoches is a free app.
When you get into medicines you may not be dealing with medicines a lot, and I know a lot of you are anxious to get to medicines, but when when you’re dealing with the medicines, apocritis is a great app for meds up to date, if you can afford the the monthly subscription is definitely worth it. When when you get in and I will pull up some up to date, cause I will try to get in with some meds where I can with this class, cause I know you guys wanna learn, and that you’re probably a little anxious about that.
alright. We’re not much longer. So
core elms.
so core elms is the separate thing, right? It’s the separate thing where you log your clinical encounters, you log your clinical hours you can see the site approval for your clinical site. There. You can see your clinical manager.
and so time, log hours, you log the hours, and you can log them all day long, and I love that. But your preceptor also has to go in and to and confirm them.
Okay, so what has went sideways with this course?
I’ve had students log their hours, or
like just piddle, paddle around and wait to the last minute to log their hours, and then assume that their preceptor can just log in and approve them last minute, and that doesn’t always work or confirm, confirm is a better word, so they have to be logged. But your preceptor confirms in
alright field encounters. So field encounters are the Mini soap notes.
and your preceptor should have a login to core Elm Sue.
and if they don’t have a login they should have had an an email sent to them, and the clinical manager is responsible for that. But your preceptor should have had an email or some type of packet emailed to them, and if they didn’t, then that is, reach out to your clinical manager because they were supposed to do that.
yeah, so, and it may have gotten lost in spam. But if if they don’t have it, you know. Don’t dilly dally with that like they need to be able to get it to log in and to confirm your hours.
The encounters. Those are the many soap notes you log the clinical encounters. I will go in and approve the encounters. Those are confirmed by me. That’s what I look over. I’m responsible for that. And then the final clinical evaluation. So
let’s go take a look in quorums, though.
because a lot of the these are. And I’m gonna actually go into the site in a minute. But so
and I did not teach this MN. 6, 6, 2, this the MN. 6, 6, 4 was mine. And this one is my student. Okay.
so a lot of you guys, when you log into quorums, you’re going to see MN. 6, 6, 2
or whatever clinical course you’ve taken as you take them. And so you can see hours here you can see field encounters or facial encounter, whatever you want to call it patient encounters
here, and so when you log your hours when you log it, those hours will pop up right here. You see nothing now, but they will pop up right here, and
when your preceptor has confirmed them, you should see it here.
When you log your field encounters.
Whatever you have logged, you will see it here.
and whenever I go in and me, I go in and confirm. You will see it here now. I don’t know who taught him in 6, 6, 2, but they did not go in and confirm all these.
But now, yeah.
this is the green tells me that you have completed your clinical site. Eval, you’ll do that at the end.
and this is is not an f grade. Green is good.
but when you click, you can click here towards the end. And this is what your preceptor scored you on your final email. Now, here is what I like it to look like. I like them automatically. So this is when I taught MN. 6, 6, 4.
I like it all the match. You see how they had a hundred 36 h.
I don’t like, I said. I don’t care how many hours it is. I care that it’s more than 130, though it could be any number above 130, I don’t care.
And that preceptor did their job, and they confirmed everything.
The student log their encounters.
and I went in and confirmed, and you know, you can see they did good on their clinical evaluation. So this is ideally match match match. You want them to match. You don’t want them to be all over the place. This is no, I don’t. That’s a no. This up here in Mn 6 2. Don’t do this, but that’s the instructor spot. Right there. You could see the student did what they were supposed to do, so I don’t know who did that alright.
Ellaine Manabat
00:56:31
Sure I have a question.
Leah Rigney
00:56:31
So yes.
Ellaine Manabat
00:56:34
So does it
really need to be 1 h, 1 h pay in order for you to see a patient? Because my question is I I need. My hours are 9 h total to outpatient clinic, but I have a 30 min break, so my total inpatient hours is 8 and a half hours. So I have 30 min leeway.
Leah Rigney
00:56:56
Yeah, so.
Ellaine Manabat
00:56:57
30 min more.
Leah Rigney
00:57:00
So
with your encounter.
I think I understand you. What you’re saying. So
an hour is an hour, and and and if you
it’s when you’re there at clinical all day.
Okay.
it it’s it’s there, you know, you know, ideally, there’s a patient sitting in front of you every bit of that hour. But let’s just be honest sometimes. Those visits are 40 min, I mean, that’s that’s an hour. You log the hours you were in clinical, and I’ll tell you what counts and what doesn’t, and then the encounters. It doesn’t matter like it. That’s just. You can chart one an hour, or you can chart 2 or 3 h. It doesn’t matter. It it doesn’t matter. You’re going to probably see more in therapy. The visits are usually 45 min.
Ellaine Manabat
00:57:47
Yes, if.
Leah Rigney
00:57:47
Any of you.
Yeah. So I mean, that’s fine. That’s an hour clinical for you.
Ellaine Manabat
00:57:52
Okay.
Leah Rigney
00:57:54
Okay, yeah. You’re there all day. Take your all day clinical.
it doesn’t always mean a patient is sitting in front of you for every single minute, every single second. You know I I do. 30 min visit, follow up mid visits. Does that mean that the patient is sitting in front of me every single 30 min. No, I don’t, bill on time, I bill on acuity. So sometimes I’m done with the patient in 15 or 20 min. But it doesn’t mean I’m not charting the other few minutes. Okay, I’m thinking about the patient, or I’m charting about the patient. But it doesn’t mean I have to be sitting in front of you. Does that make sense.
Ellaine Manabat
00:58:26
Correct correct. I got it.
Leah Rigney
00:58:27
Yeah,
Now, these are logs. And like I said, some of you guys will in a perfect world. You’ll get 8 HA day some of you will get 5 HA day again. I don’t care. I don’t care if there’s a week where you get no hours.
I just care that there’s a hundred 30 h at the end. That’s easy. A lot of students get hung up on this. But and you know, I have to kind of go over this, you know, because of Purdue, and you know the rules and the Handbook. But just really bottom line 130 h 130 encounters. That’s it. I don’t care how you slice it and dice it, just get it
and you know, pace yourself. Don’t save all 130 charting logs until the end.
Alright. Let me see if I can go into core elms. Alright.
So
I’m gonna say this about the field encounters. It’s not gonna make sense. And then I’m gonna show you that’s the best way to explain this. So field encounters need to be manually logged. So that means each encounter we’re logging. We’re not gonna log them in word and then upload one document. Some of you guys may. It’s been the last year, year and a half
there was a unnamed nursing school in this nation. I will not, I will not say their name.
but basically nurses. They were undergrad nurses. They were failing out of nursing school
and
all over the country. These are nurses. I’m assuming that we’re failing out of nursing schools all over the country, but that anyway, they didn’t pass, and they were buying transcripts and buying nursing degrees like, they say, $10,000. Put it on my transcript that I passed Nursing school, and they were taking this. They were sitting for the inlet. They did not pass Nursing school. Somehow they passed in clicks, and you know. Anyway, it was a big fraud scam. You guys could probably Google like nursing undergrad fake degrees. I don’t know but some of those.
And I put the national spotlight on our profession, and you know nurses don’t play. I don’t care if you live in Mississippi, California, Maine nursing boards do not play nursing Deans, you know. So that kind of put a spotlight on this clinical documentation. You want your clinical documentation to be enough for Purdue.
You want it to be enough for the Ancc. Which is where you’re going to be testing. And and and you want it to be enough to be quality.
because it put the spotlight on all of the schools.
You know that way. There’s nobody faking clinical encounters. There’s nobody faking a nursing degree, or whatever. And so
you know, I know that seems a lot with these clinical encounters, and I don’t have control over it. But that’s why they’ve gotten stricter like 7 or 8 years ago, when I was in school. They just were like log it, Leah, and go on with it. And I did, but they’re pretty particular about it, and the Deans do look at it, and they look behind me. So you know.
Alright. So the field encounters. Make sure you manually manually enter
you can go back and read that. Let me just click along. Okay, so here’s an example.
This is what an example of a field encounter would look like. Now look.
I realize that
you may not have the same situation, and this is more of a medical but basically age.
race, gender, chief complaint. Hpi plan. And that plan. Maybe it’s medicine. Maybe it’s not. Maybe it’s therapy. Maybe it’s not their Dsm diagnosis, their code. Okay, and so you put whatever you can put if you have something you need to put.
but you don’t see a space in quorums, and we’re going to look in a minute.
Then you can put it in the Comments section again. I’m responsible for these. I’m going to be reviewing these. So I’m not. Gonna I don’t want you to feel like you have to type a book. I want it to be enough, but I don’t want it to be a novel. I mean.
you know, that’s brief, and that is fine. Do what you can do what you have. Alright.
let me. Let’s look into quorums. Because you guys
let’s see, give me just a second guys.
Alright.
Let me make sure it’s still active. Yes, I’m gonna continue working
me just pull this up
and I’m gonna share my screen. But I’ve gotta like I’ve gotta hide my this my students name, I mean, though I know I know Gwen probably wouldn’t care. Still.
don’t want to put
it logged me out
alright.
Second.
and that should do it. Give me just a second. All right. I’m going to share my screen, so I’m in core elms
portion of the screen. Okay, so this is quorum. So this is a real student
right here. So hopefully, you guys can see this. I can’t see the comment box. But I’ll look at it after this, and I will have time for you guys to ask questions. And we’re about to wrap this up because this can get long. But you can see right here, you know, they’ve got the preceptor. They’ve got the course. Well, she had 2 preceptors, so you can see where she logged, and then the preceptor confirmed, and she logged her encounters.
You can see right here, and and it’s confirmed, and you see all that, and I’ve already showed you that.
Let me move this away. Let me show you what the documentation looks like. So when you
and I’ll just tell you. If you. If you scroll on up this page
and you click on student menu, it will say field encounters, and that will be where you log it.
Okay, I’m not gonna scroll because I don’t wanna give the students like I, you know, information, identity, all that location away like that would be so totally wrong, but like when you click in this is what where she would log her field encounter. So this is what it looks like on my end so you could see she was an M. In 6 2. She had her encounters logged. You won’t see anything here until I go in and approve it.
So you know I had her for M in 6, 6, 4 this past term she logged and I confirmed. And so, you know, you can see clearly see, she’s moving along the M. In 6, 6, 9, and she’s logging, and that that instructor hasn’t confirmed. So let’s go in and look
at what some of these look like kind of going across.
So
let me see.
make this a little bigger.
I’ll just tell you when I’ll just do this
alright.
and we will go across, and we will
just see
I can do it without screwing things up.
Okay?
So you can see right here, right there. That’s the class
you can see. That’s probably already populated for you right there.
Preceptor name that may already be entered in for you. I don’t know. You may have to enter it in the site name. You can see the dates pretty easy time. Okay, so here’s where you get into the soap. Note their age, their gender, their ethnicity, their chief complaint.
You can put the Mini soap note here that is absolutely fine for you to cop, to to type that little Mini soap note here.
If not, I’ll show you where she put it. There is a Cpt code that’s like the code, and I will give you a bunch of the codes that that exist for medicine. I don’t have the therapy codes. Maybe you can ask your therapist, but that’s basically the Cpt code.
and I’ll just kind of slide this up. You can see all of this is at the top.
You see that Cpt code
right there.
Icd 10. Right here you can see where she she logged it right there.
Was this an in-person or telehealth encounter? Was this inpatient or outpatient?
Was this a group session. And then this is where she put her many soap notes, she just put in the student comments. I mean, what happened with core elms is, they kind of changed it up last term. So
she probably logged in student comments. I prefer you to log that little Mini soap note, you know, here, but you will see as you kind of go across the how to enter that.
Okay.
and then on my Powerpoint, I kind of showed you just like a little mini example. Now, look, you guys have a hundred 30 of these to do
light.
You know she did type a book.
but but but you you you don’t even have to type that much. It it just has to be enough, and I’ll let you know, and then what will happen is, it will be pending. You can see pending when you put it in, and then I will go in, and I will check it, and I will confirm them all.
So that’s kind of what that looks like. I don’t think a lot of the instructors probably took the students into
core Oms.
you know, so it can be confusing. Now let me stop it.
and
we’ll get back to this. And then I know you guys are probably gonna have some questions, at least. So
oh, God.
alright.
let me see this
and I promise once you you get to roll in, you will be, fine, you will be fine. You will be fine
ants.
mute.
Alright!
Let’s get back to this, and we’re going to wrap this up, and then I’ll open the floor for questions.
And you know, I know you guys aren’t. Gonna remember all this. And you’re gonna think of questions after the fact. Like, I’m not just gonna dump you out there.
Alright. So that’s the clinical hours the lunch breaks.
You can only do clinicals with your approved preceptor. I’m not reading the rest of that general requirements.
you know, that’s in the clinical book preparation for clinical. You guys know how to dress your adults. I’m not going over this with you. Responsibilities.
you know. Communicate. Y’all can read through that code for this seminar. So to get credit for attending.
Let’s see, it’s 7, 39. So I only went a couple of minutes over. But 9, 6, 9, 7, 8, 6 is the code for this seminar. So put that code on a word document. Drop it in the seminar dropbox. Okay?
Questions, because I know there are some.
Humayun Popal
01:10:09
So regarding that number, where do we drop that number?
Leah Rigney
01:10:15
In the, in the you will in your assignments, in bright space you will see that you have a seminar one, do.
and so for that number. You will put it in a word document.
and I’ll I’ll go ahead and share it. So you guys,
can still see it. Put that 9, 7, 8, 6, just type it on a word document and drop it in the assignment dropbox for seminar one. You’ll see seminar one is where 30 points. So that’s how I know that you watch the seminar or we’re in the seminar and you get credit, and it shows that you’re active in the course. So all that fun jazz. Alright! I’m pulling up the chat box.
Alright.
Yeah, you’re welcome, Elaine. I it’s overwhelming. But you know the good thing is is, you never have to do this again, and you’ll be all set
with all this.
Hannah, you said you were nervous because your preceptor does longer session. So one patient. Well, if it’s
you should have enough patience to log.
Gosh! That’s a long session. 2 h.
goodness, you know. Just get up and rolling, and then we’ll talk. Hannah. Okay, I mean, if you don’t think you’re going to get your number of encounters.
you can always still try to second it preceptor, or at the very least, take an incomplete. And I don’t think some of the incompletes are gonna hinder you from moving forward either. So cause I’ve had students who took an incomplete before coming to me, and they were doing mine and their old course.
alright, guys, any other questions, any at all.
no questions.
Humayun Popal
01:12:09
Oh, I had a question. Let’s say
so currently I’m with a licensed
marriage and family therapist.
Could we go in with the associate
and see extra patients that way?
Leah Rigney
01:12:28
If they’re not on, and I know I glazed over that slide. But
no, if they are not your preceptor at your site, you’re not supposed to.
Humayun Popal
01:12:44
Okay.
Leah Rigney
01:12:45
Yeah, that’s that’s definitely in the rule book. So I don’t want to advise you wrong.
Humayun Popal
01:12:50
Excellent. Thank you.
Leah Rigney
01:12:51
Now, if if you want to get them approved as a preceptor as well, that’s fine. Visit your clinical manager.
because that happens sometimes. What happens is, the preceptor goes out on vacation, and you want to still get your hours. So you go in with, like their partner. But their partner is not approved. With your clinical manager
you can’t use the partner.
You can turn in some paperwork and maybe get the partner approved.
Does that answer it?
Humayun Popal
01:13:17
Yes. And then another thing was
even though it’s past that deadline. I mean, we can still do it in the middle of the term.
Leah Rigney
01:13:28
I will say this.
I have had students do that in the past.
So it is done.
and it has been done.
If that answers your question, so I’m not sure what your clinical manager is going to say, but it has been done because
I mean clearly, you know, you’re paying for your education, and sometimes things come up so
crystal. You had your clinical preceptor quit like a week before the deadline, but I was still able to submit the paperwork for an additional preceptor. So it’s done all the time. I mean, I’m not saying the clinical managers like doing it, but it is done. Don’t you let them tell you otherwise?
Any other questions?
I you know.
But that’s a hard one with the groups. Do you have a lot of group sessions you’re sitting in on Hannah
family.
They count as a group encounter like they’re when you were logging them, it said Group. They count as group. But now
I’m I’m going to be a thousand percent honest. I mean, if she’s doing 2 h of a family session.
I would count like
one encounter, and I would chart like maybe about the mom, or the dad or the kid, or whatever it, for 1 h.
and then I would put group, and then, you know, maybe for another encounter for the second hour, I would put, you know, pick another member of the family or group, and then just maybe focus the note on like Mom or the Kid, or something, because it’s not fair that you sit there for 2 h with a whole family, and it’s only one encounter like that’s not fair. It is 2 clinical hours, but it’s one encounter. So that’s not fair. So just you know, you’ve got 4 patients really in there. Just tag it as group, though, and it’ll be fine.
any other questions?
Yeah, you can do this absolutely all day long.
Anything else.
Alright guys. Well,
I’m gonna tell you. Goodnight. And I will see you next Wednesday and email me text me whatever I will be in and out of the discussion boards all week, and probably a lot tomorrow. So, nonetheless, I will post this after and hopefully, next seminar won’t be quite as dry.
Alright, guys, look forward to learning more about you, and good night.