Friday was the first time I was in the clinic and had the opportunity to do an evaluation. Every time I have been in the clinic I either do a rehab, a treatment, or a practice. My schedule is also so busy that it is hard for me to be in the clinic in the afternoon because I work every day. So Friday was the first time I did an evaluation. However, I was not alone on this evaluation, I was able to tag team it with Colin. Colin did most of the writing while I performed the palpation, ROM, and special tests. The evaluation was on a shoulder. I went through the whole evaluation and tried to remember my practical sheet. However, this was not the right thing to do. I got stuck in trying to remember what to do next, and I started to freak out because I didn’t want to embarrass myself in front of the patient and Colin. So then, I used to patient to remember what to do. I forgot about all my memorization from my practical sheets and used the history and ROM to proceed to my next task. I was able to pin point where the pain occurred, in what position, and what made it irritated. I also found three muscles in particular that I were the most inflamed including the subscapularis, supraspinatus, teres minor. After getting to the ROM section, my preceptor came in to continue watching the evaluation. I was able to learn different ways to bilaterally check the ROM of the scapula which was helpful because the patient could not abduct their arm past 90 degrees. Throughout the evaluation I was able to perform the rest myself, and my preceptor did not say anything. By the end, I was told what I did good and what I needed to work on. I was very nervous because it’s a lot harder when trying to figure out what the patients initial injury is then just following my practical sheet. But I was also told I perform my tests right and diagnosed the patient with the correct injury. I learned from this experience that I show review my old practical sheets every Sunday (which I have already started). I have been feeling behind with remembering special tests, so I know by doing this will help me in the long run. This experience helped me realize that I couldn’t just relay on knowing my practical sheet. I need to take time to go back and put together injury and special tests for the body.
Lastly, this week was a good week for my clinical book! I wrote in 17 attempts and masteries. I was able to get them from practicing with my preceptor for my wrist and hand practical, and I got my masteries from m practical the next day.
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So far this clinical semester I have been progressing slowly. I feel like I have not had a lot of time to actually sit down and learn a chapter before the professor goes over it. I knew coming in from fall semester how to handle my schedule, but this semester has been a struggle for me. I have been stressing over lots of little things, and I have not been giving myself enough time to get prepared for tests. I also have been pushing myself to get enough hours to get to 150 for this semester. I am on track right now because I just need to average about 10 hours for the next four weeks to get the minimum of 150. I have also been challenged with staying focused. I know last semester that I was very into the classes and interested to learn about all the new subjects. However, this semester has felt like a drag to me. I guess its where its getting warmer, and I am wanting to be outside more compared to fall semester when it was cold which kept me inside to study. I have been successfully this semester by being a better student on my tests/quizzes/homework. Although it may be done at the last moment, this semester I have received better grades. After rereading this journal entry, I was surprised to realize how even though I have been struggling with time, I have been able to improve my grades. I have been working really hard to improve my grades since my freshmen year because I came in thinking I would be fine, but I was way wrong and now I am working towards improving my GPA.
This week I was able to put together all my masteries and attempts for this clinical packet. I was able to view my progress, and I have been doing a lot better than what I thought. I have documented all my attempts and masteries, and this past week I was able to count all my masteries to my total which is a relief to know I am on track! This week I was able to get a lot of attempts for the wrist. I was able get all ROM, and some special tests which came out to a total of 9 attempts. I did not get any masteries this week. Although, next week I have a wrist practical which will help me to get the masteries needed to be on track with my goals in my clinical book.
After taking my first Athletic Training course freshmen year, I knew this was the major I wanted to be in. I enjoyed being able to make a difference in someone’s life. I enjoy working with athletes because I feel like I can relate to them on certain issues. I also feel like I can relate to certain injuries that athlete have because back in the day I had a consistent injury every year. Yes, that process was awful, but I have broken that streak once I got to college! Since I have been in the program, I have had a constant goal to make a difference in someone’s life. First semester of my sophomore year, I know I affected a soccer player’s life. She had surgery on her knee, and she was in the process of rehab. I worked with her every time I was on women’s soccer rotation, and I started to notice little changes about her attitude and work ethic. I keep trying to make her work outs more fun and challenge her at the same time. The results showed throughout her rehab, and she came and told me how thankful she was for the push and inspiration that I helped her with. I continued having this goal to myself which I also saw a difference in another athlete. Because I did have surgery and go through a rehab process, I have a sight understanding how a lot of athletes feel when they are in the clinic. Recently there was an ACL tear athlete in the clinic that I started to become really interested in. This athlete wasn’t taking the rehab seriously and just going through the motions. Of course some people have those days, but this was starting to become an every day thing. So, I decided I was going to change his motive. Every time I was in the clinic, he was in there doing his rehab. I began joining in and talking him through his rehab process. I was able to relate to him which helped him open up to me about his rehab because I went through the same process. However, this has taken him a lot longer because he isn’t motivated to get through rehab. By the end of the week, I noticed a change in his attitude. He was on time to rehab and asking to do more reps than what he was given. I am going to continue to work with him throughout his rehab and maybe I shined a light through his eyes like I did for the soccer player.
This week I was able to get 30 attempts and 14 masteries all having to do with elbow evaluations.
Athletic trainers are with athletes from the start on an injury, through the rehab process, to the end of the injury. The athletic training profession is the only health profession that is with the athlete before the injury occurs. They are able to critique mechanics every day on different athletes. The slogan: “Your Protection is Our Priority,” describes the role on an Athletic Trainer. This expresses that Athletic Trainers want athletes to participate in play with in the healthiest way and safest way. Protection is key in order to allow the athlete to continue to play. AT’s have the ability to keep the athlete protected during play at all times. They can interrupt a practice to retape an injury, they can work before and after practice for the athlete to gain strength, and they can prevent more injuries from starting just by being with the athlete on a daily basis. There goal is to make sure all athletes are healthy and using proper mechanics throughout their workouts. They are able to identify an injury earlier to help the athlete to fix this problem before a more serious injury happens. This is significant to me because Athletic Trainers have such a different role in the health profession. They are with the athlete from the beginning to the end. Which is really significant to me because they know more about the player and their health concerns than anyone else. However, AT’s are seen as the “trainer” or “water boy” they are not. The have such a different impact to help the athletes. I like how they are able to work with the athletes from day 1 to the end of their career. AT’s are not just with colleges and high school athletes, but they can be in a clinic too. AT’s can impact multiple peoples lives to help them gain strength and protect their bodies.
Throughout this week I was able to get 8 attempts, but no masteries. I was not able to complete both my masteries and attempt goals. This week I spent half of my time at the Johnson Memorial Outpatient Therapy Clinic, and I was not able to perform actions to the patients in order to receive an attempt. However, I did some ROM with the a patient, but it was not included in this semesters clinical packet. I have been keep track of the times I will be able to get my masteries, which will be the week after spring break when I will be doing the elbow practical. Since a lot of our clinical book consists of concepts we cover in Upper, I am able to get a lot of attempts, but I have to wait until we cover the material before I can get the attempt and masteries on them.
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So far my clinical packet has been going fairly good. I feel as if I am meeting my goals in my package each week. I have been working a lot hard this semester to learn all the special tests with a better understanding instead of just memorizing them. I have been able to focus more on them because I want to be fully prepared when I am in the clinic with someone coming to me with an evaluation. So far I have not be able to fully do an evaluation on someone by myself. So I hoping by completing the sections in my clinical packet I will have myself prepared. This semester my clinical packet seems to be going by a lot more quickly than last semester. I have been able to get more masteries and attempts than last semester. As a lot of the sections use Brianne’s class, I have been able to record them and practice them on a daily basis. My clinical packet has been with me every where I go and when I have free time I am able to record what I have recently done in the past few days into my packet. Last semester I thought I would have more time and be able to come back to it, I was wrong. This year I figured out that writing them as soon as I perform them I have a better time in making sure I write them down and keep track of what I have done. I have been progressing a lot better with my packet this semester.
I was not able to achieve my 2 week goal of getting 7 masteries. However, last week I did get more than7, so that does help take into account of my missing action. I did get 14 attempts this week. I got them from ROM with the elbow and MMT with the elbow. However, that does make the goal for my attempts for the past two weeks. After spring break I will be able to get my masteries from my practical to get me back on track with having my 7 masteries in 2 weeks. I have been doing very well with making my cuts with my goals. This week and the first week of the classes is the only time I have not been able to make my goal. So I have been doing good with meeting my goals.
After listening to the seniors present their ATSO presentation, I became very interested in learning more about what athletes can take to make themselves better. There are certain athletes that are in the clinic very often for the same chronic injuries. Since I have been participating in a lot of morning treatments, I was able to see a lot of the same people come in every week. I noticed they had the same injury every time, and it wasn’t just because they had surgery. So, my group Katie, Am, and me, decided to come up with the PICO p-college athletes, I- sodium magnesium potassium, c- results of cramp relief with use of either of the three interventions, o- decrease in cramps/ return of cramps. There is one particular athlete who cramped none stop during her season and after listening to the presentation I began curious. I was with this female athlete for most of my clinical experience last year because my rotation fell with their team 3 times. So this clinical question arose between the three of us in order to figure out if there is a way to stop chronic cramping. I selected these people to be in my clinical question with me because last semester we worked really well together. We also have the same unique schedule as one another allowing us to have better time scheduling to meet with one another, especially Am and I. It is very critical to have the same schedule to be able to find time to get together because each of us doing different parts is hard to put together and know the same things. So working together we are able to know each others thoughts and what we all put into our research. We also were all very interested in the same topic, which really helped in picking a clinical group. We will all be able to participate in this clinical question and be able show feedback to one another because we are all very interested in this topic.
This week I was able to reach my clinical goal again. I was able to get more than 7 masteries due to having a practical with Brianna. Throughout the week I was also able to get all my attempts for my goal. This week I was able to double my attempts, as I perform attempts with both Brianne and Chapypin to prepare myself for my practical. I was able to get 23 attempts. I also completed a personal goal, this week I prepared very hard for my shoulder practical and I was able to perform every shoulder special test on Briannes practical.
I am currently with Womens basketball rotation, but will be switching this Monday to mens basketball. However, they both we typically have the same medical and emergency supplies. First I would make sure my medical kit has a lot of gloves, guaze, adhesive dressings, band-aids as all sizes, scissors, all kinds of tapping (non adhesion and adhesion tape), pre wrap, elastic bandages, a variety of medicines including, asprin, advil, antihistamines for any allergic reaction, itching cream/ antibiotic cream, instant cold and hot packs, eye solution, blood stopper powder, hydrogen peroxide, CPR mask, mouth guards, tape adherent, heel and lace pads. I would also want on hand an AED, splint bag, and spine board; however, we do keep these in the clinic due to not having much in stock. So I would keep in mind that those are in the AT if needed. I believe these items will fit best for the basketball team because of their injuries they tend to have. Mainly having prewrap and tape for these athletes is essential. There are a lot of times when they get scratched or cut their body, and having gloves, guaze and band aids is essential for the team. Lastly, having ace bandages is important because throughout the season many athletes begin having tight muscles and using the ace bandage to prevent pulling a muscle is also very important to the basketball team medical kit. Throughout all the basketball practices I have attended, that is the main item used during the practice. However, having these other medical items just in case if need be is also important because you never know injury can occur.
For my attempts and masteries for this week include 18 attempts and 0 masteries. I was able to get a lot of attempts during Briannes class this week and was able to document all of them that we performed in class. This allows me to conclude the goal of having my attempts. However, for masteries I have the next week to complete my goal of getting 7 masteries every two weeks. I believe I will have this completed this week because we have a practical. I am on track with my masteries and attempts this semester to completing my goals. Lastly, another important goal to me is knowing more special tests than I did last year. This week will be really critical for me to buckle down to allow this to happen. I have a shoulder practical which is a lot of test. However, I have been studying this past weekend to know all of the shoulder tests that are both in my clinical book and for my practical this week.
Many athletes/spectators see Athletic Trainers as just a “personal trainer” because all many people see is that we get water for the athletes and help them stretch. However, they are all wrong. They do not see what we do in the clinic, and how each athletic training student is taught to help in the clinic. Many of the athletes still do not understand someone the treatment athletic trainers perform on them. However, they just see us as a personal trainer to them. I personally get upset when people call athletic trainers “trainers” because we do so much more for the athlete. When I would hear people call the AT’s trainers, at first I didn’t quite understand the difference; however, there is a huge difference. I now get offended when I hear athletes call us a trainer because trainers can take a course and be certified, AT’s have taken a major throughout college in order to achieve this profession. There is a huge difference that all athlete should be aware of. All the classes we have to take in order to learn how to use the machines or the proper way to to massage an athlete in order for them to have the best outcome out the treatment. When athletes come into the clinic to get taped, they just think we have been taught the easy way to tape an ankle. Well again, they’re wrong. There is so many techniques AT’s have to learn in order to allow the athlete to play safely. For example, when taping an ankle, it seems every tape is the same when the athletes come in. Although if the athlete rolled his or her ankle an eversion way, they would not have the same tape job. The public sees us as just being there to help the athletes when they need stretched or muscles are tight, but we help them be successfully in playing by allowing them to be safe and healthy with their treatment.
Throughout this week I was able to achieve 13 attempts and 1 mastery. So far I am continuing down the right path with my goals. I have been able to master my goals for the past 3 weeks. I am going to continue making this progress throughout the semester because I know this will help me in the long run. I have been keeping better track of all my attempts, and more importantly studying each of them before I write down my attempt making sure next time I am ready to get a mastery.
When I reviewed my course objectives for ATR 340 to related back to something I experienced this week, I found two that resembled my week for me: cervical spine trauma and use standard techniques and procedures for the clinical examination of common injuries, conditions, illnesses, and diseases including, but not limited to: history taking, inspection/observation, palpation, functional assessment, selective tissue testing techniques/specials test, and neurological assessment. This week throughout ATR 340 I have focused a lot on learning the cervical spine. This course objective explains exactly what I learned this week. I was able to perform an entire cervical spine injury assessment with all of those course objectives included. This experience has enhanced my learning in this course by allowing me to learn everything for a cervical spine injury. Not only did I enhance my learning on the cervical spine, but I was also able to perform my assessment of a cervical spine injury. I was very confident throughout my ATR 340 class this week, because of the extra studying I have been doing in order to achieve this course objective. This week for my ATR 340 class included completely knowing how to perform a cervical spine injury, which this objective completely expresses. I can say by the end of this week, I feel confident that I could perform an assessment for a cervical spine injury. I have focused throughout this week with a new way to study to be confident to perform this task. I not only practiced with an older AT student, but I also performed this assessment with a preceptor. I want to be more confident when injuries come into the clinic. So this week I felt I successfully perform cervical injury assessment well on all three occasions.
This week I was able to get 24 masteries and 13 attempts. I was able to meet my goal for this week. I have been pushing myself this semester to focus on my goals in my clinical book. I have been able to finally get my attempts and masteries completed for this week. I was also able to meet another goal of mine that is really important to me. I want to be able to perform most of the special tests I learn in upper by the end of the semester. This week I have successfully learned the cervical tests. I feel confident that I know all of them. So, I have completed one part of this goal. I believe by the end of the semester I will able to perform all of the cervical special tests at the end of the semester with confidence.
On Thursday, I encountered a rehab session with a soccer player who had ACL surgery. I personally was excited to help with her rehab because I have gone through the process. Throughout my Rehab class we have been learning about the psychological effect that each individual has on their process to return back to play. So, throughout her rehab I focused on watching her attitude throughout her work outs. She was very determined to get through the work outs, but some of them she seemed to slack off because they were hard and she didn’t want to do them. I reflected this actions back to myself when I was going through this rehab, and I remember what I did to push myself to get better. Many individuals told me I was not able to return to be the same player I was before surgery, and so I proved all of them wrong and came back stronger. I knew the soccer player need some type of motivation to push herself to want to get stronger because there is no reason to go through the work out and not push yourself to get better. I talked with her personally about how I went through the same thing, and we revealed to each other our challeges. I learned that her motivation level was down because she isn’t ever going to play again because it was her senior year meaning she wouldn’t be playing ever again. However, I expressed to her how important it is now to become healthy even if she isn’t ever going to play again. I was able to convinced her that by pushing herself now to get better she will see the results each week. After we talked I saw a different reflection come about her, she was becoming more motivated throughout her work out. Due to the rehab class, I was able to change her physiological emotion because without her mind set of wanting to get better she would continue just going through the process instead of pushing herself. To me, this made me feel more like an Athletic Trainer because as AT’s are with the students before the injury, during the injury, and after the injury, I was able to motivate the athlete to become better by talking with her because I knew how she reacts to things. This experience aligned with my clinical goals because I was able to evaluate her actions and encourage her to start working harder to become cleared of rehab.
So far I now have a total of 27 attempts. I have averaged the amount of attempts I want to get for last week. I am now challenging myself this week to get 7 masteries. I believe I will have this completed because I will be taking a practical in Brianne’s class allowing for me to achieve the masteries I want. I will be on schedule with the amount of masteries this upcoming week. I will push myself this upcoming week to receive 12 more attempts.