Cornerstone Community Health Free Clinic

Volunteer Orientation and Information CLINIC ADDRESS: 903 E. 3 RD Street, San Bernardino, CA CLINIC TIME: 7:00- 8:30pm Wednesday

Who We Are We are a resident and attending-run free clinic, which operates with the help of medical students, pre-medical students, and help from other healthcare professionals. We provide free medical services and lifestyle counseling to the people of San Bernardino who come every Wednesday night for groceries at Cornerstone Church of the Nazarene.

Meet Our Staff Rikki Martinez,MD Jakki Paik, RNChristina Miller, MD Jeremy Sporrong, DO Alieen Lo, MD Emerald Curry, Pre-PA student Jeffrey Schall, RN

Where Are We Going We envision expansion of the clinic’s impact through grants, health fairs, and integration of lifestyle medicine. We are incorporated with the State of California as Cornerstone Community Health, Inc. (entity #C ), and we have 501(c)(3) non profit status. It is the intention of this clinic to eventually expand with a weekend clinic at different locations

Mission & Vision Mission Statement: To provide free, whole person primary care services to our underserved neighbors in the Inland Empire with compassion and integrity. Vision Statement: To become a welcoming, full-time, multi-disciplinary medical home for the disenfranchised where we heal both patients and ourselves.

Core Values Compassion, Faithfulness, Continuity, Integrity, and Quality. We are a Volunteers in Medicine Free Clinic, and as such, we foster a culture of caring. We are patient- centered and strive for faithful continuity of care with our patients. We serve to the best of our ability with the resources we have available, striving to provide the best quality care that is free of charge to our patients.

Core Values Although many of us come from a faith background, belonging to a particular faith is not a requirement for service in our clinic. Whenever possible, volunteers are encouraged to offer spiritual support and lifestyle counseling to patients who are receptive to or desiring such interventions.

Clinic Limitations At this time, our clinic does not offer imaging or regular lab work. We have some point-of-care testing which will be employed where appropriate. Patients with insurance will be encouraged to go to their primary care providers for extended workup, and patients without primary care may be referred to SACHS clinic for further care. As a rule, we will not prescribe medications which require laboratory monitoring on an ongoing basis. We will refer individuals to emergency rooms and urgent cares when appropriate.

Medical Supervision We ask that volunteers practice within the scope of their training and defer to more experienced practitioners whenever they are unsure of proper treatment course. When a patient is seen in the clinic the treatment plan must be discussed with a licensed physician before the patient leaves the clinic

Medications Medications will be prescribed by licensed physicians on available prescription pads, and attention will be paid to try and provide the cheapest medications available for our patients. We will not prescribe opiate medications. We may administer or dispense non-addictive medications as we have them available from donation, but will limit administration of medications to those patients who have had a full medical work-up.

Medications As a general rule, no more than 7 days of over-the- counter pain medication will be given to any individual, as they can return within a week for more medication. Once a month, volunteers will examine all donated medications to ensure that the clinic is not administering expired medications. All medications which are found to be expired will be placed in a disposal bin and thrown out on a regular basis. Whenever medications are administered, it is important to list medications given on the clinic records form.

Medical Records An extensive paper record is available which includes information on a number of patient demographics. Volunteers should fill out the demographics on any new patient or a patient who has recently changed housing or insurance situation. Key items from this form are logged into an electronic database at the end of the night. We request that patients are asked about smoking, diet, and exercise at every visit, but we also understand if the patient does not have the time to answer these questions or declines answering them

Hygiene Supplies The clinic has benefited from the donation of multiple hygiene supplies. At this time, it is suggested that when patients ask, they may be given a maximum of 2 small items (toothbrush, soap) or one large item (7adult diapers). Persons interested in hygiene supplies but not full clinic visits may be given these items without a full intake and evaluation. It is suggested that clinic staff obtain name, birthday, and demographic information which the individual is willing to offer. These records do not need to be checked by attending physicians, but the records will be logged and counted along with clinic numbers.

Volunteer Responsibilities Any person may volunteer at this clinic upon approval by a Cornerstone Community Health board member. Volunteers are responsible for exchanging information with the clinic director and ensuring that a licensed physician is present whenever they volunteer in the clinic. Volunteers may not provide medical care to patients when a licensed, insured physician is not physically present. The clinic director or volunteer coordinator will make every attempt to contact volunteers in the event that clinic is cancelled, however, it is up to the volunteer to ensure that their contact information is available

Volunteer Responsibilities Volunteers are asked to work within the scope of their training and comfort levels. At this time, volunteers should sign-in weekly and fill out a volunteer form at their first visit, along with giving the clinic director their contact information. Attending physicians and students who have completed online training for Street Medicine may be exempt from filling out the volunteer form.

Volunteer Roles Volunteers should have an idea of at least two areas within their scope of training that they would like to help with before arriving to clinic. This should be discussed with the clinic director before the start of clinic. Please read the HIPAA power point before first visit at the following link:

Volunteer Roles Areas where volunteers may help include but are limited to: Encourage patients to come to clinic and answering questions about clinic Administering hygiene supplies Organizing clinic supplies Organizing medications Logging clinic data on electronic database Initial intake including demographics, health history, and vital signs Obtaining history of present illness, performing physical exams, determining diagnosis, and developing treatment plans Counseling patients about lifestyle choices, including weight, exercise, and substance use

Garden Tent where meal is served Room #3 Physical Therapy Clinic Room #2 Hygiene supplies Check-in first visit Room # 4 Patient triage and assessment Church Facing 3 rd street Room #1 groceries pickup Gravel Parking Lot- most volunteers park here Cornerstone map of buildings 3 rd street

Contact Information Clinic Messaging Service: (909) Website: llufamily.com/cornerstonefreeclinic Thank You!