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Conclusion on vaginal birth vs cesarean section
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Today was my second day on labor and delivery. When Grace and I first arrived, we were sent to change. After Grace and I changed into our scrubs, we went to the front desk to receive our tasks. A registered nurse (RN) asked us if we would like to see a vaginal birth or a caesarean section (c-section). I choose to watch a c-section, and Grace decided to observe a vaginal birth. Once we decided on who would do what, we went our separate ways. I followed the RN nurse who was to assist and prep the operating room (OR). She first went into the clean utility room, where she picked up essentials for the surgery. When everything was gathered and prepared, we had to sit and wait for the patient who had arrived late. The RN would check the computer constantly to see if the patient was on file. After the clock hit 9, which was the time for the surgery, the RN nurse decided to go help put the patient on file quicker. When we arrived at the patients room, there was a nurse making the patient fill out papers. The RN nurse took over the papers while the other nurse completed the documents on the computer. While watching all the questions being asked, and the time it took to fill out the paper work, I realized that the paper work process is not easy. Once we were done with paper work, we went back to the labor and delivery unit where we suited up. We wore medical booties, face masks, and nurse caps. Once the patient was ready to go into the OR, she first had to meet with the anesthesiologist to fill out more paper work. After meeting with the anesthesiologist, we all went into the OR. There was a student nurse, two anesthesiologists, the patient, and two RN nurses. While the student nurse was preparing the OR, the patient was getting an epidur... ... middle of paper ... ...my aunt who is pregnant with her third baby after two miscarriages. I remember thinking what a miracle, and gift it is to bring a child into the world. I also remember hoping that my aunt gets the opportunity to experience the miracle and receive the gift. If I were to become an obstetrician, how rewarding it would be to deliver a child to the world. Hearing the baby cry for the first time, or seeing the mothers face after seeing her baby for the first time is something special. In this rotation, I learned the procedure of a c-section. I also learned how tough the skin really is. How much pressure is used to remove a baby from the uterus. I loved how hands-on this experience was, and how much my RN let me witness. I love how much I learned, and got of this experience. There is nothing I disliked about this rotation. It was an amazing day for me at the internship.
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.
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
As I walk thru the doors of Floyd Medical Center, I look back at all I've accomplished. How far I have come from that shy girl in high school to an outgoing and friendly registered nurse. Walking down the hallway to my boss’ office, I feel a sense of relief. I'm finally finished with college and on to the start this new chapter of my life. Becoming a neonatal nurse has taken a long time but I know in the end it will all be worth it.
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...
...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.
She was given her due date, July 17. Shortly after, she would feel the thump, thump of mine and my sisters ' kicks against her stomach, you could even see our hand and foot-prints extending out from her stomach. On the 22 of may, my mother was awoken in horror, surrounded in a puddle of blood. She was rushed to the hospital where she was told she had hemorrhaged, one of her children went into respiratory distress, and she had placental abruption which caused the hemorrhaging. An emergency C-section was needed immediately if she wanted my sister and me to live. They wheeled her in, and began the procedure. At 7:40 in the morning, my sister was taken from my mothers uterus, not breathing or eating; I followed two minutes later, perfectly healthy. A breathing tube was placed into my sister, pumping her small fragile lungs with essential oxygen, and later a feeding tube was placed. Because of our prematurity, we were extremely small. My sister, who my mother decided on naming Taylor, weighed four pounds two ounces, I was three pounds twelve ounces. We had to be incubated until was at a healthy weight for an infant, and until Taylor reached the breathing and feeding stage. We shared an incubator, I would scoot towards her. Doctors were not sure whether I did this to make sure she was okay, to protect her, to give her warmth, or because we were in the same position in the womb. They released us from the hospital a few weeks later
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
This program is a continuation of schooling and clinicals in a safe and beneficial way. The precepted weeks help to become comfortable with the floor and equipment. All the while, there is someone there to support my growth and development. I think the guidance provided is not only helpful for new graduates, but also a smart move for the hospital. Change can be hard for nurses that have been working on a floor for a while, and this program allows a smooth integration of new nurses without the frustration of having to help a new grad with every little
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
The labor and delivery unit is an amazing place filled with pleasant, friendly, and knowledgeable staff members that help bring miracles into this world. The client population on the unit consisted of patients ranging in age. The patients were 16, 17, 21, and 35 years old. The staff members on the unit worked consistently well with each other. They were nonjudgmental about all client situations. There were women at all different stages of life in the unit. They were all culturally diverse some had a very large open close knit family where others had a small private family present. For some it was there very first child and wanted it to be their last; for others it was not their first and they had several other children. The staff seemed to work well together. Never once during my shift did I see anyone get out of sorts even though, it was a rollercoaster ride. One minute no one would be busy and the next there was too much stuff to do. The staff handled this well; they split up and designated the tasks at hand. No one complained about the work they had to do. The staff was effective, pleasant, calm, and worked well together at all times.
This was a great experience for me in my junior year. I had never been in an OR setting, nor did I have any knowledge of how the collaborative team worked together. I also didn’t know the role of an OR nurse, which was a great addition to my education of nursing student. Being able to observe this task, I can now say that I have watched two surgical procedures being done, which is very critical in my career path as a nurse. Now that I have had the chance to watch these procedures, an OR nurse is a position that I may consider my future, as a nurse.
While routinely preparing the patient for his procedure, which involves placing multiple ECG leads and cardiac mapping patches, this nurse noticed the patient looking very apprehensive. This nurse stopped preparations and asked the patient if he was okay and if he had any questions. His eyes became a bit teary. This nurse reached for his hand, which he squeezed, gratefully. An explanation ensued regarding the purpose of each piece of equipment in the room, the placement of each patch and the purpose of the same, and why so much equipment was needed. At this point, the patient squeezed this nurses hand and related that he had just needed that moment to connect with someone. He was having an anxiety attack and just did not know how to let anyone know. After a quick squeeze, preparations resumed, and the procedure started. Later in the day, the patients’ wife stopped this nurse to let her know how much she helped her husband calm his fears before the procedure. Being present for the patient does make a
I was quivering as I sat on the pristinely white sheeted gurney. I had no idea what to expect. Ami sat in a plastic, maroon chair over in the corner and looked at the cold, disinfected, tile floor. The sounds of beeping machines and ticking clock flooded my ears. The nurse knocked on the door and both Ami and I jumped. She handed me a clipboard with some paperwork on it that asked for the basics: name, date of birth, reason for being here, consent to treat, and so on and so forth. I filled it all out the best I could, my mind was lost in another galaxy. Besides, how was I supposed to know what year my father was born in and the phone number to my mother’s work? Once I finished, the nurse took the clipboard and exited the room once again.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
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.