I’m working on a social work project and need a sample draft to help me learn.
1. What did you learn about the population in your research that caused a shift in the way you think?
2. Do you believe there are adequate services available for the population? Why or why not? Any suggestions for improvement to existing services or service delivery?
3. When interviewing the social worker, what impacted you the most about what he/she shared and discuss. Elaborate.
(This reflection paper should be a minimum of 2 full pages.)
BELOW IS THE TRANSCRIPT OF THE INTERVIEW WITH THE SOCIAL WORKER I HAD NAMED JULIE:
To work for a hospital setting you need at least an MSW. Some hospitals require you to obtain an LCSW (Pediatrics and the VA)
My typical day starts between 8-8:30am, I gather my census and check out the patient list. On average I am assigned 18 patients plus one case in our clinical decision unit. Interdisciplinary rounds start at 9:15am and last about an hour. Our rounds include 2 social workers, one RN case manager, one Utilization RN reviewer, ARNP, DIetary, one hospital physician and the charge nurse for the floor that day. After rounds I prioritize patients, 1st discharges, 2nd orders, 3rd high risk, 4th by length of stay.
Working on a medical floor with patients with new diagnosis consist of working with families, and the individual. I also have to work with nurses, doctors, the community, and insurances.
Hospital social work consists of being culturally sensitive. you have to be aware that you will encounter different demographics and different cultures. You have to be aware that your job is to advocate for the patient and sometimes serve as a mediator.
I work in Coral Gables and have a lot of Caucasian patients who are not as attentive to their parents. I have worked with Muslim patients whom we have to assigned female staff members and certain protocols are in place so they feel as comfortable as they can. I have also worked with transgender patients who use She/He pronouns but are still labeled as male or female on their demographic sheet.
Hospital Social work is not easy. Sometimes you have to battle with the opinions of doctors and patients’ insurance. I worked a case where a doctor wanted to discharge a patient at home. When I went to complete my biopsychosocial the patient was bed bound, contracted and non-verbal. I knew a discharge home was not safe. I spoke to the doctor and he said the patient was to return home. I told him no. I spoke with the patient’s family. and they also explained the patient could not return home. I spent 2 days fighting back and forth with the doctor trying to get the patient the right care and transition to the right place. The doctor would not change the discharge order, and thankfully my superiors agreed with my judgement and I did not get into any trouble for going against the doctor’s order.
You’ll notice working with geriatric patients, insurance do not have a lot of covered benefits. The Alliance of Aging which helps elderly patients with home care, have a waiting list and patients are not able to get services so fast. You also face challenges with families, especially with either really older patients or young patients. older patients often want their children to make their decisions for them but those children do not include the patient in decision making or consider what they wanted. We see it a lot with patients who are undecided about resuscitation. Whether or not they want to be intubated or put on life support if needed.