The first outcome: 100 % of the staff will comply with hourly rounding and promptly answer call lights. Will be accompanied by the following activities: laminated sheets and markers will be placed in each postpartum/post epidural mothers room. The nurse on duty will initial each hourly round that she/he complies to. Signs reading, "To prevent a fall, please call" will be hung in every postpartum/post epidural mothers room. The second outcome: 100% of the staff will be able to assess the maternal mother's deep tendon reflexes and motor strength (using the motor strength scale) prior to receiving an epidural to use as a baseline and again once the epidural is discontinued. Will be accompanied by the activity: initial and annual training courses will be mandated for all ante and postpartum nurses. …show more content…
Will be accompanied by the following activities: a nurse will review the agreement to call letter with each postpartum/post epidural mother and at the end simply ask the mother to sign it. By having the mothers sign this letter confirms the understanding and creates the nurse/patient partnership in fall prevention. This letter will be left at the bedside as a visual reminder for the postpartum/post epidural mothers. In regards to the removal of the purple fall risk wristband, nurses will only be warranted to remove these when the postpartum/post epidural mother returns to their baseline deep tendon reflex and motor strength. If a mother fails to reach their baseline the purple wristband will remain on and they will be reassessed at a later
What makes a neonatal nurses so important? How would birth be different without your perinatal nurse? Neonatal nursing and perinatal nursing differ in the job benefits, the schooling, and the training. The two professions also share some qualities during the job, and in the nurseries. In order to get an accurate understanding of the two jobs you need to go in depth on what each job requires you to do. Despite baring some minor similarities, the differences between perinatal nursing and neonatal nursing are clear.
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
" One may think that most registered nurses do the same tasks in the medical field.
The prevention of falls in the long term care facility is one of the most important interventions the health care team can do to ensure the safety of loved ones under their care. According to the Summary Data of Sentinel Events Reviewed by the Joint Commission (2016), there were 806 falls between 2004-2015 with 95 of those occurring in 2015 . As health care providers, we have a responsibility to incorporate interventions that will help protect the patient while under our care. Interventions as simple as ensuring the use of a gait belt by any team member that transfers the patient, to making sure all team members are aware of the medications that can make certain patients more of a fall risk, will help in the prevention of falls.
In the film, Jules did not want to be on epidural because she wanted to give birth as natural as possible. A guest speaker, Tabitha, gave the class an advice that, especially women, we should not be on epidural for more than 6 hours because that can affect your baby and you as well (personal communication, March 28, 2016). Mostly the guest speakers talked about how the doctors and nurses treat them during their stay at the hospital. From what they were saying, some nurses were more understandable than others and it also depends on the location of the hospital. In the movie, Wendy had to do C-section after many long hours of labor-inducing activities. The dangerous part is that she lost too much blood, but she was okay at the end. In my opinion,
Neonatal nurses spend their career working with babies, those that are healthy and those that are not. Working with newborns is guaranteed to have its challenges, especially for those particular nurses who choose to work in the neonatal intensive care unit. The neonatal intensive care unit, or NICU, is where the infants suffering from potentially fatal diseases/disorders are held. NICU nurses struggle with life and death situations each and everyday, which is sure to be accompanied by specific emotions such as moral distress. In the words of researcher Kain (2006), “moral distress is defined as uncomfortable, painful emotions that arise when institutional constraints prevent the nurse from performing nursing tasks that are deemed necessary and appropriate” (p. 388). In simpler words, Kain (2006) is saying that a nurse experiencing moral distress is undergoing painful emotions that are getting in the way of the nurse’s ability to perform essential tasks (p. 388). Heuer, L., Bengiamin, M., Downey, V., and Imler, N. (1996) pointed out that nurses caring for critically ill and dying infants often feel hopeless, incompetent, and disappointed, especially if the overall outcome for the infant is death (p. 1126). These negative feelings that NICU nurses often have are those that are associated with moral distress and can often lead to prevention of proper performance in necessary nursing duties.
Imagine having a job that helps guide mothers during their process of bringing new life into the world. Imagine being one of the reasons a new life was brought into the world. Labor and Delivery nurses are responsible for being a good support system to women experiencing childbirth. L & D nurses help guide mothers through labor before and after the birth of their newborn(s). Due to my fascination in helping mothers bringing new life into the world, I have chosen to attend Germanna Community College and continue my education at the University of Virginia in order to pursue my career as a registered nurse specializing in labor and delivery.
At Wildcat Hospital, I performed my first newborn assessment on a baby. I walked into the postpartum room and greeted the mother and family and asked if I could (along with another student) perform and assessment on the baby for the second time. This assessment was different from the initial assessment I performed four hours previously, because the second time around I had more control of the assessment. I listened to the heart, lungs, and stomach. I assessed the newborn’s respirations, reflexes and temperature. After our assessment was over, I was able to swaddle the baby back up and hand the infant back into the arms of an excited new mother.
A labor and delviery nurse has vast knowledge of the process and methods that are required for delivery and bring a new life into the world and is educated with the responsibilities of assiting the new born babies with their medical issues. Considering all the responsibilites needed to take on this career, such as assisting women with complications within the pregnancy, delivering a newborn and managing post birth issuses, the nurse must be professional in his or her work at all times. All people wishing to pursue the career of being a Labor and Delivery Nurse must also have good analytical skills, as part of there job to montior and analyze the mother and child (CollegeAtlas.org).
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
The version of childbirth that we’re used to is propagated by television and movies. A woman, huge with child, is rushed to the hospital when her water breaks. She is ushered into a delivery room and her husband hovers helplessly as nurses hook her up to IVs and monitors. The woman writhes in pain and demands relief from the painful contractions. Narcotic drugs are administered through her IV to dull the pain, or an epidural is inserted into the woman’s spine so that she cannot feel anything below her waist. When the baby is ready to be born, the doctor arrives dressed in surgical garb. The husband, nurses and doctor become a cheerleading squad, urging the woman to, “Push!” Moments later, a pink, screaming newborn is lifted up for the world to see. Variations on this theme include the cesarean section, where the woman is wheeled to the operating room where her doctors remove the baby through an incision in her abdomen.
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
There are many different areas to consider when preparing for and having a newborn. Whether the pregnancy was planned or unplanned or the couple is married or not, a newborn baby brings new responsibilities. Having a baby also forces people to make adjustments both financially and within the family. Parents also express concerns and expectations when having a newborn comma especially when it is their first; including what roles each parent and family member should play, how much confidence they have in their parenting skills, and how much financial strain would be placed on the family once the newborn has arrived. The newest issue in today’s society is the fact that many women are delaying childbirth and having more children in their later years of life.