My clinical site is at Good Samaritan Hospital at Downtown, Los Angeles. On my first day, I was a bit nervous because I have never seen a friend or family member give birth. All I can think about is, how can I carry a newborn baby, change diapers, and feed the newborn. We did orientation on my first day and we were introduced to each floors that we will be assigned for the next three weeks. On the 7th floor is the Post-Partum floor, and the 8th floor is the NICU and Labor and Delivery On my second day of clinical rotation, I was assigned to postpartum floor. I followed my Nurse everywhere she went as well as observed what she was doing. Every patient she was taking care of, she let me do the assessment on the newborn and on the mother. She would show me how to check the fundus, the peripad for locia, and to check on any sign of bleeding. Doing the assessment on the newborn was a little different. However, my Nurse …show more content…
I saw my first Cesarean Section. It was mind-blowing. I thought, I was going to faint or not able to handle the sight of blood, however, I was there for my patient from her C-section to transferring her to postpartum. I developed a trusting rapport with the patient, her husband, and the newborn baby that they allowed me to teach them with cord care. On my last day of clinical rotation, I was assigned to NICU and I was able to also witness two vaginal delivery. I was able to follow my NICU nurse and she allowed me to do some feeding as well as change diapers. I was able to witness a placement of the IV line through the umbilicus and saw a Nurse drawn blood for peak and through for erythromycin for the newborn. My overall experience was educational, amazing, and most of all, hands-on. I was scared at first because it was very different from Med Surg and Mental health, but with nurses that explained, demonstrated, and allowed me to be hands on, I felt confident at the
My role as a patient advisor with Kaiser Permanente began in 2010 after the birth of my daughter. I was induced and spent 6 days in the hospital and during that time my family and I experienced wide fluctuations in the level of care and communication provided by the various healthcare professionals attending to us. At the end of my stay, I shared my observations and perception of the labor & delivery and postpartum hospital experience with the department administrator and ombudsman. Upon providing my feedback I was impressed with the reception I received. My input was welcomed and embraced.
In episode three in the series More Business of Being Born by Lake & Epstein (2011), one of the doctors interviewed argues “The caesarian rate went from 5% in the late seventy’s to over 30% in the mid ninety’s…That’s crazy!”. When I first heard this statement I was very confused to say the least. I did not understand why the doctor felt that the increased rate of caesarian sections over the years was crazy. Previously, I had thought a caesarian section was a beneficial advancement in childbirth procedures.
The job required more talking and interactions with others. Discharge patients by pushing them thourgh the door in a wheelchair. Delievering and returning unneeded supplies. Newspaper pass out gave me a oppurtinity to interact with the patients. One lady told me her story and I was suprised on what she had been thorugh.
Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit. It was about 3-5-45 minutes into the shift before we received hand off report. After about 8 minutes of waiting to get report on the rest of her patients, my nurse went ahead and started to see patients.
On September 8, 2008 I arrived to the hospital at six o 'clock in the morning to get induced to have my first daughter due to a blood clot I had in my leg. The nurses first told me to change into a gown. Shortly after they hooked me up to the monitors to hear the baby moving all around. Also to track her cute little heartbeat. Another one was to monitor my contraction and watch them on the screen.
I believe in this career I will get to have the pleasure of experiencing both. Being a mother myself, I know firsthand the unexplainable feeling of your first ultrasound or they day you find out whether its boy or girl. I will get to interact with the patients and be the one to deliver the news first hand. As in anything, it’s not always rainbows and sunshine. There will be times where I have to deliver bad, or even devastating new.
I believe that by applying myself with hard-work and commitment to the realisation of my goals, I will be able to achieve my potential and become an excellent midwife. Since the birth of my beautiful daughter I have been focussed on perusing a career in midwifery. The care and support that both my partner and I received throughout the Antenatal, Labour and Post-partum periods was outstanding and this made, what I can only describe as the most intense and incredible experience of my life. I would feel a huge sense of satisfaction and pride in knowing that my hard-work will allow me to guide thousands of expectant parents and families through this lifechanging journey.
An infant getting discharged from the hospital because they are well enough to go home will be the best moment of my career. Knowing that in some way, shape, or form I played a part in them leaving the hospital, will leave me happy and in tears. Just by the infant leaving the hospital, I know that all the hard work that I put into becoming a NICU Nurse has paid off. It will also show me that I know what I am doing when it comes to critically ill newborns. Five to ten years down the line when I bump into the infants and their families outside of the hospital, I want to recognize the impact I had on their life.
My clinical rotations presented unique opportunities to improve an existing workflow for the Neonatal Intensive Care Unit (NICU) rounding with an electronic hand-off tools, to present a proposed premedication protocol for premature infants undergoing non-emergent endotracheal intubation, to provide evidence-based recommendations on post-operative pain management for infants after surgical procedures, and to conduct multiple educational sessions for pharmacy students and residents, medical residents and fellows, clinical pharmacists and other health care providers. Besides being well-experienced in the clinical settings, I am also proficient in the areas of operational and administrative. During my administrative rotation, I implemented an efficient IV workflow technology for the technicians, facilitated an installment of the automated medication dispensing cabinet in the NICU, provided in-depth tutorials on the dilution of selected medications to the neonatal nurse practitioners (NNPs), and participated in numerous administrative decision-making sessions with my Operation
I felt like a lack of FCC concept of respect and dignity was lost from the primary care nurse, which assumed and judged immediately. The father showed an enthusiasm to learn how to care for his infant. This was a helpful promotor, during bath time. I first
It is my understanding that the role of midwife is to also be an advocate for women and to make sure they are feeling empowered and not disempowered because of pregnancy is my only wish. I aim to give each lady individualised treatment that considers her own requirements, choices, and circumstances. I will work hard to give my patients a safe and comfortable atmosphere while still being caring, sympathetic, and empathetic. Additionally, I'm dedicated to my professional growth and ongoing study to keep my knowledge current and deliver the highest quality of care. I think good communication is essential in any healthcare environment, and I know how to cultivate enduring bonds with Women, families, and co-workers.
For my first assigned patient, I was unable to watch the birth. However; the nursing staff at SRMC worked very hard to find another individual that wouldn’t mind having a student nurse in the labor and delivery. I was glad, I finally was able to watch a delivery and have a better understanding of the ways the operating room (OR) and OB work together to delivery a baby. Student will discuss in detail the type of delivery the patient had, any medical interventions done, how the patient progressed throughout the labor, the roles of the support person and specific cares and procedures done for newborn directly after delivery and for the hours after delivery. During my OB follow through, I was able observe a caesarean procedure on the patient.
This made me aware that the role of a midwife involves more than just delivering babies. Despite the fact that child birth and the human body have always fascinated me, and that I'm sure delivering new born babies into the world could provide unparalleled job satisfaction, when I spoke to Irvine midwife Jackie Reid she made it clear that midwifery can be a tough, hard slog. She pointed out that midwives work with women in a highly emotional state and try to guide them through the biggest, and most scariest event in their lives, a responsibility not to be taken lightly.
During my rotation in the emergency room, I experienced some things I already did plus few things that I did in skills lab but waited until clinicals. First, I did vital signs on several patients who came in and then every two hours. I was also able to put several patients on the cardiac monitor and be able to know which cable goes with which. I saw nurses put IVs on mostly all patients including teenagers and older adults. Last, I was able to insert an indwell catheter on patient who had a distended bladder.
During my time as a student midwife I cared for a number of bereaved parents and while it was a challenging experience I found it to be very rewarding also. Student midwives are offered the opportunity to complete a one week elective placement during their training program. I elected to spend a week with the clinical midwife specialist in bereavement and gained a wealth of knowledge from observing her practice during that week. Following the completion of the Higher Diploma in Midwifery I worked in the labour ward of the National Maternity Hospital. I thoroughly enjoyed this experience and spent over three years working very happily in the labour ward.