Physician Assistant Narrative Report

Becoming a physician assistant (PA), just like any other medical professional position, requires gaining an extensive amount of experience. I was able to gain many valuable experiences by working a Skagit Urgent Care Clinic during my underserve rotation. some enjoyable and some stressful.
One memorable positive experience was with a mother who brought her son because of an asthma attack. She was frantic and too emotional to communicate with us. I worked closely with my preceptor to calm the mother down and proceed with treating her child. We had all the tools needed to treat her son at the urgent care clinic. After successfully treating her son, we sent them both home as happy mother and son. Another good experience was with an elderly gentleman who had shortness of breath. He was recently diagnosed with COPD (Chronic Obstructive Pulmonary Disease) due to smoking and was trying to quit his habit. Not only we did treat his shortness of breath, but we also educated him with solutions to help him successfully quit. I saw him a few times during my time at the clinic. Each time he was more energetic. Not all my experiences were happy ones, but they were all important to my training. …show more content…
I once had a patient who came to the clinic for the medications for his back pain, which was caused by a work injury several years ago. He was very aggressive and verbally abused me to the point of scaring me. My preceptor came back, and he tried to talk the patient down and firmly refused to give him pain medication. That was the first time I ever dealt with an aggressive drug-seeking patient.
Another emotionally charged experience involved a teenager who came in with injuries to his forearms. He said they were from falling off a bike but by pressuring him, he told us he was beaten up by his stepfather. We had to keep him in the clinic and contact child protective services. It was an emotional roller coaster that I never experienced before, but a necessary part of my training. Working in the health care field requires medical providers to follow a strict code of conduct and ethical rules that are aimed at providing the best care for the patients they are serving. Even though I do my best in every day activities to follow them, there are still times that I could do a better job. One such occurrence happened at the Immediate Clinic during my preceptorship rotations. One of my new patients was a 32-year-old female who came to the clinic for the flu symptoms. She acted distant and quiet. She was not interested in making any conversation. She would answer my questions with short and often single-word responses. Instead of trying to figure out why my patient was distant and depressed, I asked all my questions to complete triage and reported back to my preceptor. When I reported on her depressed mood, the doctor asked me why she was acting like that. I could not answer his question because I did not interview her properly and I said I think she did not like to speak with student. I followed the doctor back to the room, where he quickly built up a rapport with the patient and questioned her about her mood and recent events in her life. It was at this point that the patient disclosed the recent