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On May 3, 2017, I did my job shadow at the Labor and Delivery department at UCSD Jacobs medical center. For my job shadow, I chose to shadow a perinatal nurse in which I shadowed from 8:00 a.m. to 12 p.m. When I came one of a perinatal nurse gave me a tour of their own floor. I got to know where change, medication room and labor and delivery rooms. What I observed was that perinatal nurse has to check on their patients are going into labor. I got to observe the nurses assigned patients. The nurse would check on the patient's vital signs and the babies. I observed how the nurse would change the IV and drain some of the IV. They also gave me the opportunity to observe a c-section. During the c-section, there was a lot of cutting and getting the
In this paper I will write about my observation of the Miss Z who was a 28 year old patient in the S hospital where I had my Lifespan 1 clinical placement. Also, I will write about Mrs. M. who is a Registered Nurse at the High Risk Pregnancy Unit of the S. hospital where Miss Z. was a patient. More specifically, I will describe how Non-Stress Test was done by the nurse Z. During this test nurse repositioned Miss Z, strapped two sensors to her belly, and interacted with Miss. Z. In the second part of my writing I will discuss two types of nursing knowledge such as Case knowledge and Patient knowledge. (Joan Liashenko, Anastasia Fisher 1999) I will describe how nurse Z incorporated these types of nursing knowledge into her encounter with Miss. Z.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
On November 17th, 2015 I had an observation clinical shadowing a Registered Nurse in Case Management. Case management is a side of nursing that is not brought up very often. We started off the shift in the nurse’s office. Morgan, the nurse, had a meeting to attend at 9:00am, so we stayed in her office to get organized for the day.
The next time I walked into a Neonatal Intensive Care Unit was as a fourth year medical student. This time not as a spectator, but as a medical professional expec...
This reflective essay will lay emphasis on one of the learning needs I have developed during my two week taster placement in hospital. Reflection helps an individual build upon their skills and makes room for self-criticism as he or she can contemplate upon actions and make relevant changes (Taylor, 2000). I will be applying the “What”, “So what” and “Now what” model of reflection by Driscoll (2000) in this piece of work because it is a more coherent and comprehensible approach to follow when writing a reflective account and is also an easier guide to writing reflections. The learning need I chose to reflect on from my learning plan is having a better understanding of diabetes and the 6 basic medications used in treating the condition since it is a common illness on the ward I am have been allocated on for my first placement. The timescale set for achieving this objective was by the end of my two week placement that is from 27th January to 9th February and I achieved it with the help of a host of factors. In this assignment, all the names of the patients and wards have been omitted and indicated with letters and numbers for confidentiality reasons as stated in the Nursing and Midwifery Council (NMC) code of conduct (2008). The paper will primarily touch on the type 2 diabetes and furthermore on the achievement on my learning need.
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).
Erik Erikson was heavily influenced by Freud but while Freud was an ID psychologist, Erikson was an ego psychologist. Erikson stressed that the development of the ego depended heavily on personal and social aspects. “According to Erikson, the ego develops as it successfully resolves crises that are distinctly social in nature. These involve establishing a sense of trust in others, developing a sense of identity in society, and helping the next generation prepare for the future” (McLeod, S. 1970). His theory focused on personality development through eight distinct stages. He believed that personality progressed in a stacking or pre-determined manner, this is referred to as the epigenetic principle. One must
For one woman, this vision of childbirth is not the norm. Ana Rhodes is a midwife, and she is one of the only birth attendants available to...
Shadowing in autopsies satisfied my early high school curiosity in that I was able to understand the anatomy of the human body. Knowing the appearance of a normal organ helped me to recognize when an organ was abnormal whether that was through weight or appearance. I have learned that the human body encapsulates teachable knowledge and evidence that leads to the diagnosing of disease and corresponding treatment. My time spent shadowing in autopsies confirmed my interest in learning more about the field of medicine and the doctor’s role in direct patient care. I have shadowed Dr. Simmons, a cardiology specialist and Dr. Fitzhugh at the NIH sickle cell department. In cardiology, I witnessed the physician’s role in patient education regarding
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
For some, childbirth is one of the most wonderful and worthwhile experiences of their lives. In contrast, for others, their deliveries are looked back upon as harrowing and traumatic. Oftentimes a negative experience with delivery can be attributed to the attending medical staff—for example, their performance of situationally unnecessary medical interventions such as routine episiotomies. An episiotomy is a surgical incision made in the perineal area and the posterior vaginal wall during childbirth to hasten delivery. An article published by Kaiser Health News, shared by National Public Radio, and written by Jocelyn Wiener, entitled “Episiotomies Still Common During Childbirth Despite Advice To Do Fewer”, explores this issue.
Both aspects are important qualities to address; doing all that is possible to advocate for, protect, and educate the patient will create a better patient-nurse relationship. Spending time with patients is also important, since the ability to listen to individual concerns and reasoning for decisions can improve the quality of care that is received from the nurse. Another positive aspect of nursing that the nurse describes relates to her experience in working on a labor and delivery floor, which is that she can help in bringing new life into the world. This can also loosely relate to the impacting event that she describes, because although she was not bringing new life into the world, she could help ease someone out of life, and support them through each decision that they
However, nurses in the maternity ward have expressed their deepest concerns about meeting the needs of first time mother on discharge education during their stay in the hospital. Some of the nurses’ concerns include the lack of time and the amount of information they are required to equip the first time mothers to care for their newborn. Mothers have also reported dissatisfaction with the discharge education provided by the hospital. One of which that causes their frustration was the inconsistent breast feeding information and the need for more information about newborn care which was not covered by the hospital. (Barbara L. Buchko C. H., National Center for Biotechnology Info...
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.