While my students were attending their OB rotation I was asked to assist Mrs. Miller with her clinical group at the VA Medical Center. Kristin is a student in Mrs. Miller\'s clinical group. As part of my responsibilities with Mrs. Miller I was asked to assist with the students regarding their clinical assignment. 

Concerns arouse when I was assigned to Kristin. I found that Kristin was unsure clinically. She had difficulty completing a head to toe assessment on her patients appropriate to level. She was hesitant and required much prompting and guidance. She also struggled in regard to her patient\'s diagnosis. A patient had a diagnosis of thrombocytopenia secondary to chemotherapy. This diagnosis was significant in the fact that the patient had an extremely low platelet count and received multiple platelet infusions. Kristin could not related the 3 large ecchymotic areas on her patient to the diagnosis. She stated, \"because of the blood transfusion.\" 
Kristin also struggled with a diagnosis of UTI. She was unable to recall normal anatomy in regards to transmission of infection from the urethra to the bladder. She did not know what was beyond the urethra.
I made Kristin aware that these area of weaknesses are very concerning especially at the end of a Level 2 rotation.

Mrs. Nita
2/16/11