Clinic

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Clinic Day Instructions:

Alterra Check-In:

When you arrive at Alterra Apartments officers will be checking you in. They will check for your U.S passport/passport card, collect fees, collect signed shadowing guidelines, collect emergency contact information, and provide scrubs. Once all volunteers have arrived and checked in, you will be assigned to your cars and will leave together and head to clinic no later than 6am.

Location:

We travel 15 minutes south of the Otay Border to a church called “Parroquia San Benito Abad.” Our free services are offered in a small building next to the church and the space is provided to us by the San Benito Abad church.

Caravan:

There are always 6-8 cars that travel together at all times. The only exception is the 5am group, which is a 2 car group. Every car has an officer and a Spanish speaker, which is why we ask that you remain in the car assigned to you. If you are a driver: please respect all rules, drive in a single file, and remember to look out for the FS cars infront and behind you. Should there be a problem, pull over so the rest of the group knows to stop.

Once at the Otay Border, we suggest you put your phones on Airplane Mode, so that you are not charged with roaming fees.

After all patients have been seen and we are ready to head out, the carpool list will be announced and ALL cars should leave together to make sure we all arrive safely at the border.

Wait time is usually between 30min-2hrs. There’s always plenty of food/snacks that can be bought while we wait. After crossing all cars head to the Alterra Apartments where volunteers are dropped off. Each driver is to report to the President once the group has made it to Alterra.

 Belongings:

The building that we work in is small so it gets crowded, therefore we ask that you leave your belongings in the car. They should remain safe as cars are parked in front of the church.

 Food:

Flying Samaritans brings water and snacks for volunteers, but we suggest to bring your own lunch/snacks. Also, most months the church’s kitchen sells tacos and snacks. There is also a small dining area which volunteers are welcome to use.

 Restrooms:

There are restrooms located in the far back area of the church that we are allowed to use. Plumbing in those restrooms is “sensitive”, so please do not flush any paper. 

Patient Privacy:

We ask that you do not upload pictures of patients on social media and apply the shadowing guidelines to the entire clinic setting.

Clinic Setting Overview

 Patients start arriving at 6am and they are checked in as soon as we have all stations set up. There are 6 stations in total and patients go through each one in the following order: 

  1. Registration
  2. Triage (skipped if only going to Dental clinic)
  3. Lab (if needed)
  4. Exam Rooms/Dental Chairs
  5. Physical Therapy (if needed)
  6. Pharmacy

*The Public Health  department works independently with the patients and the officer in charge will be leading the group.

 All volunteers should be assigned a station and they are to remain in that station unless instructed otherwise.

 Clinic day is split into 2 shifts where most, but not all, volunteers switch stations. We start letting volunteers go on break at around 11am, depending on how busy clinic is. Towards the end of the day clinic starts to slow down and it’s during that time that we ask that you help cleaning up.

Patient Process 

Each patient has a file with 2 important sheets added during their visit: Demographics and Patient Assessment. Also, each patient file has a  Medical Record Number (MRN) which we use to track their file. All patients go through clinic in a first come first serve basis, unless there is a medical emergency and those that are in triage will send the patients immediately to see a provider.

There is a file tray for Registration, Lab, Exam Room, Physical Therapy, Dental Clinic and the very last station Pharmacy. All files remain in those file trays unless they are in the hands of a runner, provider, or Pharmacy Coordinators.

To keep track of patient flow we have a “Patient Tracker Sheet” which runners are responsible for filing out.

Seven Stations: 

  • Registration
  • Triage
  • Lab
  • Exam rooms/Dental Chairs
  • Public Health
  • Physical Therapy
  • Pharmacy

Clinic Layout

 


Registration: 

First stop for the Patients!

Patients will be signed up in a first come, first serve basis.

ANYONE CAN HELP. No requirements, besides the need of two Spanish speakers.

Volunteers will check in patients by recording their name, finding their patient file or making a new file for new patients and attaching new provider assessment sheets to each patients file. Runners will take the file to triage, making sure to log in the patient on our patient tracker system. Meanwhile, patients will wait to be called by the next available Triager.


Triage: 

  • WHO can triage? Must be a Certified EMT, Nursing student, Certified Nursing Assistant, Licensed Medical Assistant, or other licensed healthcare member, provider trained, and experienced in taking vital signs.
    • A note to nursing students: must have received and passed the vital signs training in N202.
  • What is a triage volunteer’s ROLE?
    • To collect information about the patient’s chief complaint, medical history, current medications, and allergies.
    • Measures height, weight, and vital signs.
  • EXPECTATIONS for this station:
    • Respect patient privacy & confidentiality.
    • Know normal vital sign ranges and which values are considered dangerous.
    • Use proper hand hygiene when in contact with patients.
    • Understand the importance of DETAIL
  • At this station, we also need Spanish translators for any Triagers that don’t speak spanish (no triaging experience required for translators but knowledge of spanish medical terminology is required).

 


Lab: 

  • WHO can volunteer in lab? anyone!
  • What is a lab volunteer’s ROLE? Perform various lab tests which include:
    • Blood glucose
    • A1C
    • 10 panel urinalysis
    • Pregnancy test
  • EXPECTATIONS for this station:
    • Respect patient privacy & confidentiality
    • Know normal blood glucose ranges and which values are considered dangerous
    • Utilize appropriate safety measures when handling needles and body fluids
    • Use and encourage proper hand hygiene.

Pharmacy: 

  • OPEN to all volunteers, with Pre-Pharm students having priority.
  • Minimum of 1 Spanish speaker to hand out medications and relay information to the patients.
  • At this station, volunteers will fill prescriptions, count out pills and proper dosages, and make medication labels.
  • When working at this station, PLEASE WRITE LEGIBLE and refer to coordinators for proper translation of instructions.

Dental Clinic:

  • Open to all volunteers with pre-dental students having priority.
  • Volunteers will assist dental providers with teeth cleaning and extractions. They will be shadowing the providers, assist with suctioning, and handle

If there are any questions during clinic ask the officers in charge for help.