I didn't fully grasp it ,c hew it up,
swallow it, digest and assimilate it into my being
(MUSIC)
So hi everyone. Welcome back to my channel so today we're going to be
speaking about a few things that I did
not learn during my dietetic internship!
So I don't know if this is true for
every dietitian, but a few dietitians I
have met we also same thing. There are
few things that we did not learn during
our dietetic internship. So let's not
waste any time and get right into it. Let
me just first start by saying this is
not to throw shade at any dietetic
internship at any dietitian. No, that is
that the whole entire point of making
this video, but there are some things
that I feel that you do not actually
learn until you're in the field and what
I mean by learn like yes, it's reviewed,
but you don't fully grasp it. I know for
me the type of learner that I am I'm
someone that needs to see the same thing
over and over and over again so that I
can take it, assimilate it, and it become
a part of me. The first thing that I did not learn
was to actually learn how to listen! Let
me be honest with you when I was doing
my out patient diabetes internship the
dietitian did say to me "Kim you need to
read in between the lines." Silence is not
bad a lot of people you know when you're
speaking, especially someone that you
don't know, you try to fill up the
silence with your speech and that's what
I was trying to do in my outpatient
diabetes education. So I have learned
just to do this (SIT IN SILENCE) and have the client
that I'm dealing with talk and talk. You're
able to pick up certain things as they talk.
Active listening is something
that I did not learn during my dietetic internship.
The second thing and I did not
learn in my internship was actually how
to calculate TPN= total parenteral
nutrition, as well as tube feeds. Now during
that rotation I did have a certified
nutrition
support dietitian. She was as smart as a
whip! I will be like, let's let's give her
a name, I don't want to say her name um
Sue! "Sue so slow down, you're losing me." and
then Sue would be like : "Okay, all right
let's do this again let's take it from
the top Bam Bam Bam Bam." And to be honest
with you, it didn't make sense to me at all!
Because again, I think that rotation was
only 2 weeks and I had to learn TPNs
and tube feedings at the same time. We
had the computer there you just plug in
your numbers and it gave you everything,
but she wanted us to do it (the calculations) by with my hand and
I did not know how to do my hand until I
actually became a dietitian. I didn't
fully grasp it chew it up, swallow it,
digest and assimilate it into my being.
So I didn't understand that clinical.
When I actually started working like "OH!
this is what Sue meant; oh this is easy." I
would pull out my calculator I'm like "oh
ok Bam Bam Bam Bam". Tube feeding rates
going to be 50 and you're going to flush
with 150 ml of water every six hours and
they're going to titrate up by 10
milliliters every six to eight hours for
tolerance until the max goal rate of dadada
that is reached. So I was pretty
confident when I actually started
working and this is something that helped
me my R.D. exam because I actually started
working before I actually took my
R.D. exam I was R.D. eligible. TPNs
the same thing! The doctor would say "Oh Kim
I'm starting a patient on a TPN of
sixty four millimeters
and have fifty percent dextrose and
ten percent aminosyn with twenty
percentages lipids every Monday, Wednesday and
Friday. How many calories and protein does
this provide?" If you had asked me that as
a dietetic intern... I would have been like
"REALLY??", but now I know how to do it by
hand. Third thing that I did not know how
to do his paper chart. 'Kim what do you
mean my paper chart?' During my internship
everything was electronical. All your
charting with computerized. Now where I'm
working we do not have a computer-based
charting system. Everything is done with
your hands and with a pen. Not a blue pen
I use a black pen. When you used to typing and
then when you actually have to take the
pen top off and then search through the
chart and just start writing: CARPAL
TUNNEL. (Laughing) I don't have carpal tunnel, but
I'll be honest with you, there are a few
times I thought I had carpal tunnel
based on how my hand was cramping up. Imagine seeing 20 to 25 patients a day and
you're just documenting, your documenting,
your documenting. I did not know how to
paper chart and also with the whole
entire paper charting this has helped me
to learn how to figure out my TPNs and my
tube feedings by hand. Another thing that I
did not learn, it never dawned on me how
important the interdisciplinary team is.
Having your physical therapist, having
your pharmacist, having your social
worker, having your nurse, having your
doctor and rounding with them on a daily
basis. Patient-centered care how
important that is. We do do that during
my internship and I just thought well
"okay?!" Like it didn't click, this up here
it wasn't clicking until I actually
started working in the field and I
realized how each of us even though
we're different disciplines, how it all
becomes integrated
when you're dealing with a patient. So
guys, these are just a few things that I
did not learn during my dietetic
internship. I actually learned it in the
real world, in the workforce. So thank
you guys for watching any dietitians out
there please tell me below what you did
not learn during your internship what
you actually learned being a registered
and licensed dietitian. For any student
out there, anyone finishing their
internship, anyone planning on going into
the field of nutrition and dietetics, if
you have any questions don't hesitate to
leave them below. As usual remember to
subscribe. Thank you guys for watching
B-Y-E!
(MUSIC)
For more infomation >> STRUGGLES DURING MY DIETETIC INTERNSHIP - Duration: 6:44.-------------------------------------------
Video: New bobcat exhibit opens at Maryland Zoo - Duration: 0:34.
UNIVERSITY, DOWNLOAD THE WBAL-TV
MOBILE APP.
DONNA: THE NEW EXHIBIT AT THE
BALTIMORE ZOO THAT WE MENTIONED.
IT FEATURES BOBCATS.
THE ZOO HAS TWO BOBCATS, A YOUNG
MALE NAMED KILGORE, AND A
6-YEAR-OLD FEMALE NAMED JOSIE.
BOTH CAME HERE FROM OTHER ZOOS.
OFFICIALS SAY THEY HAVE VERY
DIFFERENT PERSONALITIES.
THE NEW EXHIBIT HAS A POOL AND
PLENTY OF SPACE FOR KILGORE AND
JOSIE TO CLIMB AND JUMP.
KILGORE WILL BE IN THE NEW SPACE
FROM 10:00 TO 1:00 EACH DAY AS
HE GETS USED TO IT.
-------------------------------------------
Oddly Satisfying Video | Life Awesome 2017 | The Most Satisfying Video in The World - Duration: 10:00.
Thanks for watching
Hope you have a great time
Please, like, comment and subscribe for more!!
-------------------------------------------
Police: Man shot, killed 2 people while playing video games - Duration: 0:35.
RUN AND GET HELP.
I'M ASKING BOND TO BE DENIED
AT THIS TIME.
WHITNEY: NO BOND FOR KEN
HAWTHORNE IN PALM BEACH COUNTY
COURT THURSDAY
POLICE SAY HAWTHORNE SHOT TWO
MEN TO DEATH AND NEARLY KILLED A
THIRD -- ABIADE GRANGER.
GRANGER SURVIVED MULTIPLE GUN
SHOT WOUNDS AND CALLED POLICE TO
REPORT THE SHOOTING.
ACCORDING TO COURT DOCUMENTS,
GRANGER TOLD POLICE HAWTHORNE
AND TWO OTHER MEN, CORTNEY
LOWERY AND ISIAH HYNDAM, WERE
PLAYING VIDEO GAMES AT HOME ON
WEDNESDAY WHEN HAWTHORNE WALKED
OUT, RETURNED WITH A GUN, AND
STARTED SHOOTING.
GRANGER ESCAPED AND CALLED 911.
POLICE SAY LOWERY WAS DEAD WHEN
THEY ARRIVED AT THE HOME ON
CARIBBEAN BOULEVARD AND HYNDAM
WAS PRONOUNCED DEAD AT THE
HOSPITAL.
POLICE TRACKED DOWN HAWTHORNE'S
SILVER JEEP AND PULLED HIM OVER.
OFFICERS SAY WHEN HAWTHORNE GOT
OUT OF THE CAB, A 9MM FELL OUT
OF HIS POCKET MATCHING THE
CASINGS INSIDE THE HOME.
HAWTHORNE FACES TWO COUNTS OF
FIRST DEGREE MURDER AND ONE
COUNT OF ATTEMPTED FIRST DEGREE
MURDER.
IN WEST PALM BEACH, WHITNEY
-------------------------------------------
ビデオ通話アプリ「Google Duo」が音声のみの通話にも対応しました - Duration: 2:03.
Video call app "Google Duo" was also supports audio-only call
Hello everyone
This time, we will discuss the smart phone for video calling app that also supports audio-only call "Google Duo"
For Android and iPhone (iOS) version of "Google Duo" app update of v9.0 on March 28, 2017 is distributed,
You can now also perform audio-only call in addition to this to video call
How to make a call of the only voice in the "Google Duo" is simple, only to switch the buttons on the display at the top is "video ⇄ voice" Once you start the app
When you switch to the "voice" is the front camera turned off, and revert to operating mode so that you can perform the audio-only call
Set of voice calls of "Google Duo" is basically the only this, there is no such other complicated settings
However voice call function of this "Google Duo", you need to have installed the "Google Duo" app of the other party also v9.0 or later to call
Or did not install the "Google Duo" app, you will not be able to make a call of the only voice in the case also of v8.0 below if you have installed
Since this addition the Internet phone function to the Internet line use to say that the voice call,
Since the call charges is data communication of things that do not occur are carried out when making a call using the mobile network, you must pay attention to the consumption of the packet
It is wise to to carry out as much as possible in the Wi-Fi environment of if you want to use a "Google Duo"
Above, was the discussion of smart phone for video calling app that also supports audio-only call "Google Duo"
-------------------------------------------
Oddly Satisfying Video 2017 | The Most Satisfying Video in The World - Duration: 19:46.
Thanks for watching
Hope you have a great time
Please, like, comment and subscribe for more!!
-------------------------------------------
Vaibhav Sharma speaks on Supply Chain Management - Duration: 3:09.
My name is Vaibhav Sharma and I come from a
family of lawyers. However, law wasn't
really my thing and I went on to pursue
Mechanical Engineering at the Indian Institute of
Technology Delhi. At IIT Delhi how our
program was structured was that we had
very little exposure to supply chain
management. The only course that could be
called relevant was Production
Management and this was just one course
in the final year. However, I still found
these topics interesting and I decided
that I wanted to marry my quantitative
background with some kind of engineering
aspect and I realized that I found the
right place at Fractal Analytics. At
Fractal Analytics I was a part of the
supply chain analytics practice. Now, as
you already may be aware, Fractal
Analytics is a global provider of
analytics solutions to clients from various
industries. Now as a part of the analytics
practice, supply chain analytics practice, at
Fractal, I consulted with various FMCG
clients and helped them understand the
supply chain, the health of their supply
chain. I worked in various individual
contributor roles as well as in various
teams and had exposure to demand
planning, supply planning, inventory
planning, production planning. I worked
with people who were very senior in the
organization as well as people who were
very intelligent, people who were six sigma
certified and I had tremendous
exposure to supply chain. Within one year
though
I felt that I was not learning more and
this is when two very significant events
happened. First, I then enrolled
myself for the supply chain design
course offered by MIT on the EDX
platform and I realized that the supply
chain that I was exposed to was very
limited and there was much more that I
still needed to learn in the supply
chain management space and the second
was my movement to Citi Big Data team
and I came to realize the importance and
the ability that Big Data provides for
people to understand their supply chains
better. So now I want to.. bringing all
that experience and background, I want to
delve into learning supply chain
management in general, in depth, in detail
and contribute to the global
community in supply chain, becoming an
expert. Of course, the topics that I will
be looking most forward to in the
program would be Analytical Methods
because that's where I am coming from and
that's where I believe the future lies.
Big Data and advanced analytics will be
the future and supply chain should not
be left far behind from any other
industry such as the financial services
industry. I hope this video was able to
answer all the questions that the
admissions committee would have and I'm
looking forward to a positive response.
Thank you!
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