Site Visit Summary
For my Long Term Care rotation both of my site visits were held via zoom. Like my other rotations, I was tasked with preparing 10 total drug cards, 3 H&Ps, and one journal article with a summary. My classmates and I took turns presenting our patient, answering questions about our drug cards, and briefly summarizing the article we selected. For our mid-site evaluation, our site evaluator prepared a case scenario for us. We were tasked with developing differentials based on the vignette, ordering labs, and creating an assessment and plan. During this exercise I realized I needed to review antibiotic regimens for bacterial gastroenteritis. I was under the impression that fluoroquinolones such as ciprofloxacin were appropriate for most bacterial causes of gastroenteritis such as shigella, campylobacter, vibrio, legionella, etc. Our evaluator informed us, however, that this class of medication tends to be second-line. For our final site evaluation, our preceptor prepared 10 questions and we answered them as a group. This exercise was particularly helpful for emphasizing what I should review before I take my PANCE. For example, one of the questions presented a patient suffering from seasonal allergies. I initially thought that the best course of action would be to use nasal saline to irrigate the nostrils. I remember learning that seasonal allergy symptoms can be lessened by implementing this method so I felt confident in my selection. During review, however, our site evaluator revealed that oral antihistamines would be preferred for a patient with allergic rhinitis. There were no other site evaluations where the evaluator challenged us in this way, and I really appreciated going over treatment plans and questions to determine what my weak areas are.