Wednesday, June 13, 2012

Welcome to the Jungle


The last two weeks, we have had an amazing experience at the clinics surrounding San Feliz.  Our clinic is in a small village called Buenos Aires and serves about 2,000 residents in the area, as well as villagers who walk for up to ten hours from the mountains just to get to the clinic.  The clinic staff consists of two doctors, a nurse, a nutritionist, a dentist, and a health promoter.    
Panama as a country prides itself the vaccination of its people.  This is very apparent in the setup of the local clinic.  Upon registration every patients’ immunization record is checked by the nurse, and any missing immunizations or vaccinations are given and signed off on their form before seeing the doctor.   In addition, nurses also deliver vaccinations at health fairs in the community; as well as going door to door among the houses and businesses to make sure that everybody is up to date on their vaccinations, and if not their receive the shots on the spot.
There are also differences in the scope of practice for Panamanian nurses, as they have a much wider scope compared to nurses in the U.S.. For example, the other morning Kelsey and I shared doing a pap smear on a young woman at the clinic.  It was a personal experience for everybody involved, and one that probably wouldn’t have happened in the United States.  Panamanian nursing students are also required to deliver a certain amount of babies before graduation, and can do so without the assistance of a doctor in the room!
Today we are headed up to the mountain town of Boquete.  We will be doing some education with students at an orphanage on the way, and tonight some of us will attempt to summit the Baru volcano.  Let’s hope we all make it to the top!!! 

-Chiara Stetson

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