Mobile Clinic

By Debbie Martinez,2014-07-01 11:32
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Mobile Clinic

Mobile Clinic

    Volunteer Information & Application


The Mobile Clinic Mission:

Healthcare is a universal human right. Many people in our community are currently denied this right. The Mobile Clinic was

    founded to:

    ? Provide free health screening, prevention, education, and basic health services to underserved populations in and

    around Iowa City.

    ? Utilize interdisciplinary potential from the allied health sciences at the University of Iowa.

    ? Raise awareness of existing health resources in the community.

    ? Connect people in the communities served by these resources.

    ? Partner with these communities to assess their changing needs and adapt our services to reflect these changes.

    ? Advocate for patients both in clinics and the larger social arena.

General Clinic Operations:

The Mobile Clinic currently has clinics at these sites:

    ? Regency Hills

    ? Columbus Junction

    ? Pheasant Ridge

    ? Cedar Rapids Community Free Health Center

We see patients on a drop-in basis at the clinics, and see all patients regardless of insurance status. Volunteer roles at clinics

    are detailed later in this packet. Volunteers are required to help with the administration of the clinic by serving on a committee.

Commitment expectation:

Volunteers are expected to:

    th? Attend orientation (September 10, 6-8pm)

    ? Attend all-clinic meetings, usually 1x per semester

    ? Serve on one committee and do a minimum of 4 hours of committee work each month (committees are described at

    the end of this packet)

    ? Attend at least 2 clinics per semester (see roles later in packet)

Clinics are typically open to patients for 4 hours, and volunteers should expect to spend 6-7 hours volunteering the day of the


Volunteers not meeting expectations will be asked to reassess their commitment to the clinic at the end of each semester.

See next page for application

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Mobile Clinic

    Volunteer Information & Application



    Please turn in your applications to the Mobile Clinic mailbox in the Boulware Community in MERF by stSeptember 1 at 5pm. Any questions about the application should be sent to

Name: ______________________________

Email: ______________________________

Phone: ______________________________

Check one:

    ? Professional/Graduate student. College/Professional School: ________________________

    Year in school: ______________ Degree Expected: _________________

    ? Undergraduate, non-nursing. Year in school: _____________ Major: _________

    ? Undergraduate, nursing. Year in school: ____________ Major: _____________

    Are you enrolled in the Community Health Outreach (CHO) elective in the College of Medicine? ? Yes ? No

    What languages do you speak? What is your proficiency level in each (i.e. fluent, intermediate, etc.)?


What special skills or training do you have (computer programmer, health educator, dietician, website design etc.)?


What clinic role / roles are you interested in? See attached pages (2-5) for descriptions.


What committee do you want to join? See attached pages (5-6) for descriptions. Please list your top 3 preferences below:

    1. _______________________________

    2. _______________________________

    3. _______________________________

    thWill you be able to attend orientation on September 10 from 6-8pm? ? Yes ? No



Receptionist (any student):

    a. Greets patients

    b. Records each patient on intake record (name, reason for visit, time. . . )

    c. Tells patient approximate wait time.

    d. Assembles chart elements on clipboard

    e. Gives chart to history-taker or examiner who finds patient.

    f. Works with Clinic Coordinators to maintain clinic flow (goal time/patient is max of 30-45 min being seen).

    g. Accepts completed paperwork, verifies completion, assembles chart elements in folder, files chart folder.

    h. Makes copies as needed.

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Mobile Clinic

    Volunteer Information & Application


Interpreter (I):

    Requires working knowledge of target language (currently only Spanish and Arabic needed) and medical vocabulary.

    a. Work as part of care team to promote effective communication of concepts across language barrier

    b. Work to facilitate communication, by conveying meaning (? word-for-word translation) without inserting or removing ideas.

    c. Only act in dual role (i.e. clinic helper, examiner…) if directly requested to do so by clinic coordinator because of short


Clinic Coordinator (CC) (during the clinic):

    This role requires previous experience at 3+ clinics and extra training.

    a. Leads pre-clinic orientation for all volunteers clarifying goals of clinic, volunteer roles, expected physical locations of

    volunteers, teams.

    b. Oversees setup, ensures unpacking complete, rooms ready for use BEFORE first patient is taken.

    c. Pays particular attention to the orientation of new volunteers, using M3 orientation checklist (and other role checklists as they

    are developed).

    d. Circulates during clinic to answer volunteer questions, fetch supplies to rooms, promote timely work (with help of

    receptionist’s intake record).

    e. Be flexible, reassign roles as needed. One of two CCs can fill roles as needed during the clinic. f. Communicates with staff: introduce to volunteers, (other stuff to make good use of this person’s time).

    g. Communicates with site staff during clinic, after clinic to get ideas, troubleshoot concerns.

    h. Keeps running list of ideas/suggestions/needs for clinic report.

    i. Distributes and collects evaluations from all volunteers.

    j. Stops taking patients one hour before clinic scheduled to be finished.

    k. Starts clean-up thirty min. before clinic is scheduled to be finished.

    Gathers volunteers for wrap-up 10-15 min before clinic is scheduled to be finished. Allow 3-5 min oral feedback, brainstorming. Use

    rest of time to discuss interesting cases, learning points (try to get staff to participate in this). Remind volunteers that we’re looking

    for grand rounds presentations, that there are lots of committee opportunities if they want to be more involved.

History-taker (H) (M1 students only):

    At clinics, history-takers should be learning:

    a. Art of focused history taking

    b. Oral presentation of history findings

    c. Consider topics for patient education, ask patient about interest

    d. “S” of soap notes

    e. To recall interesting historical findings to mention at end-clinic meeting

    Additionally and importantly, the history-taker will serve as the patient guide through his/her encounter with the Mobile Clinic.

    Therefore, it is the responsibility of the history-taker to ensure that each team member has a visible nametag and to introduce each

    team member by name and role to the patient.

Examiner (X) (M2/PA1 students only).

    At clinics, examiners should be learning:

    a. To mentor history-taker to do focused history by guiding questions, adding extra pertinent questions. (Help history-taker

    consider differential during history.)

    b. Art of physical exam assessment of adults

    c. Work with history-taker and educator, to discuss health topics with patient using handouts after discussion with staff.

    d. Oral presentation of exam findings

    e. “O” of soap

    f. To recall interesting physical findings to mention at end-clinic meeting

Mentor to history-takers and examiners (M) (M3/M4/PA2/Nurse practitioner students only):

    At clinics, M should be learning to:

    a. Mentor history-taker and examiner in above roles, especially focused and timely hx and physical.

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Mobile Clinic

    Volunteer Information & Application


b. Mentor history-taker and examiner in history for pediatric patients (only M who have

    completed pediatric rotation).

    c. To perform pediatric physical exams, teaching some relevant skills to history-taker and examiner. d. To facilitate team discussion of differential, planned oral presentation for staff.

    e. To discuss planned education topics, including consults (dietary counseling, HIV testing, reproductive counseling), to oversee

    education discussion with patient after staffing.

    f. To facilitate teamwork on SOAP note.

    g. To verify that forms are complete and SIGNED. It is crucial that handwriting be legible.

    h. To recall interesting cases to present at end-clinic meeting

    Labs person (certification required, and will be provided to interested students) At clinics, the labs person should:

    a. Work closing with examining team to determine which patients should receive glucose or cholesterol testing

    b. Make sure that all required controls and material are present before and after the clinic

    c. Conscientiously run controls on lab machines

    d. Explain to patient the reason for the lab test

    e. Provide the patient with their results in writing and an explanation of their results

    f. Refer the patient to the M3/4, health provider or educator for any questions they cannot answer regarding the patient


Patient educator (any student that has been trained at one of our many education sessions):

    At clinics, the educator should:

    a. Familiarize themselves with the handouts available in the education materials brought to the clinic

    b. Engage patients in education pertinent to their spoken needs

    c. Provide them with applicable handouts in their own language

    d. Inform clinic coordinator of any education materials that were used up or that would be beneficial next time

    e. Remind examining team to bring patients for education during any time the patient is waiting for the next step in


Pharmacy student

    At clinics, the pharmacy student should be:

    a. Assigned to a particular team

    b. Taking pharmaceutical history of each patient seen by the team

    c. Participating in team preparation for staffing (esp. subjective, assessment, and plan)

    d. Presenting medication history during staffing

    e. Working with team to write notes in chart (esp. S, A, P as above)

    f. Working with team to provide appropriate preventative- and disease- education to patient.

    g. To recall interesting pharm findings to mention at end-clinic meeting

    Vitals Coordinator (any student): At clinics, the vitals coordinators should:

    a. Set up the vitals station at start of the clinic.

    b. Oversee vital sign assessment for all patients at the clinic.

    c. Teach interested health science students to take their patients’ blood pressure, verify readings.

    d. Collect data and complete growth charts for children.

    e. Explain vitals findings to each patient.

    f. Break down vitals station at the end of the clinic.

Dental students:

    At clinics, dentals students will perform the following services:

    a. Oral assessments

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    b. Oral health education

    c. Referrals to dental school clinics

Social work students:

    This role is undefined and can be shaped to accommodate the student’s expertise. Familiarity with community resources and

    insurance information would be helpful.



    *If you have questions about a committee before you mark your preferences, please contact the committee leaders

Education: Emma Mohr and Andrea Menzi:

    We organize and lead patient education sessions where students learn/practice how to talk with patients about topics that interest them, such as exercise, blood pressure, and women’s health issues. We also organize the education materials to bring to clinics. Education committee members will become trained educators and will be expected to participate in at least one clinic a year as a patient educator.

Referrals: Erin Schmidt

    The referrals committee will investigate local resources to find places where we can refer our clients for services that we are unable to provide. We will continue to focus on Columbus Junction and look for specific services such as dentistry and eye care that our clients have trouble finding.

Labs: Tess Stoffer

    This committee is in charge of organizing the glucose and cholesterol tests we currently offer at many of our clinic sites and

    organizing lab certification sessions. We also research the benefits and feasibility of offering new lab tests, such as lead testing, at some of our sites.

Fundraising/Grants/Finance: Tess Stoffer and Brandi Vennink

    ? Become familiar with grant searching process

    ? Identify a half dozen potential grant opportunities and research fundraising opportunities

    ? Apply for grants and organize fundraisers, such as the Halloween Trick-or-Treat for the Iowa City Free Medical Clinic

Website/Public Relations: Jay Cooper

    The Website/Public Relations committee is responsible for outreach for the Mobile Clinic, both on campus and throughout the communities we serve. Members of this committee will be responsible for providing content for the Web site and for designing and distributing public relations material (posters, flyers, presentations, etc.) throughout campus, as well as researching new ways of reaching the populations served by the clinic. Experience with web or print design is a plus, but not required.

Clinic Flow: Adam Headly and Anne Obrecht

    We have difficulties moving patients quickly at some of our sites because there are many stations (reception, vitals, education, labs, exams) that patients move through. We will be analyzing the patient flow at those sites and identifying areas for improvement, then implementing the changes to improve patient flow.

Interpreting/Translating: Harb Harb and June Yoshii


    ? To facilitate the communication between the patient and the medical staff from start to finish.

    ? To provide a welcoming environment and efficient experience when seeking medical attention at the Mobile Clinic.

    ? To remain with the patient throughout the process and encourage expression of concerns and comments.


    ? To have several interpreting resources and volunteers in order to evenly distribute workload.

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Mobile Clinic

    Volunteer Information & Application


    ? To provide approximately four (fun and exciting) training sessions involving practice in

    order to feel prepared for the mobile clinic.

    ? Discussion of cultural competencies and acceptance of other cultures and ways of life.

    ? To create a “family feel” within the group of interpreters by organizing social activities.

E-records/Charts: Adam Headly and Amber Reighard

    We are figuring out the best way to keep and maintain patient records and are considering using a couple of e-record programs. Work in this committee would entail examining how to bring patient charts to clinics and comparing different record programs


Physician Recruiting: Todd Stanhope and Jen Miller-Meyer

    1) Schedule physicians to staff our clinics.

    2) Recruit new physicians with a commitment to student education and community service to work with our organization.

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