Responsibilities: To observe the RN as well as observe the surgery.
Knowledge: I learned all about the process of the contractions a woman goes through, and how it affects the baby. I also learned how it is possible to halt contractions with magnesium sulfate and when it is necessary to have a c-section.
Best: The best thing this week was I got to watch an emergency c-section. I got gowned up and even got to hold the placenta!
Worst: The only bad part was that I didn't get to stay longer.
This week was good! It was by far the best week of clinical rotations I've ever had.
Technology: I saw these monitors that show the contractions and vitals of the mother and baby. When they took the baby out I got to see a specials pump they use that gets all the gook out the babies mouth.
Diagnostic: The pads they use to monitor the discharges during contractions showed lots of blood meaning that something had ruptured and she needed surgery. They also measured the distance away the baby is from being birthed. (10 cm)
Therapeutic: The anesthesiologist numbed her torso and tested her to see if the anesthesia worked by poking her with something sharp. They worked very quickly during the operation so the mother wouldn't have too much discomfort.
Diseases/ Disorders: She had ruptured something while in labor. The baby wasn't reacting well to the pressure changes during the labor process.
Terms: C- section- Emergency surgery to remove the baby by cutting it out.
Umbilical chord: chord that connects the mother to the baby supplying nutrients.
When I first walked in the nurses looked kind of bored. After the nurse answered a few of my questions, all hell broke lose and everyone was rushing around yelling. A bunch of doctors and nurses were arguing on weather they could send one of the soon to be mothers by life flight to downtown MH, but ultimately decided to deliver the baby here. I had been watching the contractions chart the whole time and saw how after one contraction the baby had freaked out. Apparently the woman had ruptured something during the contraction.
At fist everyone was arguing and it was pretty hectic, but once they decided on a course of action everything and everyone fell into place. The communication between the nurses, doctors, and anesthesiologist was absolutely perfect as everyone knew exactly what to do. I got gowned up and got to be in the operating room and got to see the c-section from the beginning all the way through. I saw the anesthesiologist give her the good stuff and how the doctors made the first incision. At the end, the nurse let me hold the placenta and umbilical chord!
I learned how a good labor can turn bad in an instant. I also got a pretty general sense of how to deliver a child through a c-section. This really helped to solidify the career I want to go into. I also learned just how connected the mother and baby really are during pregnancy.
The labor and delivery area is super fun as you never know what can happen. I enjoyed watching the c-section and it amazed me of just how cool it would be to be an obstetrician. The nurses actually seemed to want to give you a glimpse into there field of practice. It was a really cool experience that I will take with me for the rest of my life.:)
Monday, February 16, 2015
Wednesday, February 11, 2015
Responsibilities: To follow the nurse and observe.
Knowledge: Post pardom is just about managing pain. The mothers are asleep a lot of the time and you have to document changes in them.
Best: The best thing that happened was that I got to go in one patients room.
Worst: The whole thing was amazingly boring. I had a new nurse to the unit and she really had no clue what she was doing yet because it was her second day.
This week was bad because no one was awake, and the person I was following had very little responsibility.
Tech: The only thing I got to see was the charting that looked complicated and the nurse was having some trouble with it. I also got to see a bed.
Diagnostic: I saw a women coming back from a blood or urine test. I didn't see that much as there weren't that many mothers, and the ones that were there were asleep.
Therapeutic: Instead of waking patients up for tests you are suppose to let them sleep. The women are given vitamins and pain meds.
Diseases: They can have vaginal bleeding or an infection from the c-section incision. They can also have their organs shut down during pregnancy or pneumonia.
Med terms: Hysterectomy- the removal of the uterus. Morphine- a strong fluid painkiller.
When I walked in it was super quiet until about 10 minutes in when the construction workers made as much noise as humanly possible. I was amazed at how the mothers could sleep through it. There was barely any nurses, and the one I shadowed was a new one who had only 2 patients. She charted the whole time as well as tried to discharge a patient, but kept messing up. The only other equipment I got to see was a hospital bed. We only got to see one of her two patients and she didn't even need us
The job of a PP nurse looks extremely easy as a large majority are healthy young women who really just want to be left alone with their babies. The communication skills I observed was the nurse asking another for help during charting. We went to give the one mother vitamins, but she had taken her own from home before we got there so we left her room. They occasionally get hysterectomy patients but they control their own morphine pumps.
The knowledge I gained from this is that I for sure am not going to be a PP nurse. She couldn't tell me anything I didn't know except that when the new mothers start farting they can be discharged. If a women has a child that is in the NICU the mother will be discharged before the baby and has to go home without her child.She also told me that they will either use glue or tape to keep the c-section incision closed kind of like an arts and crafts project.
I thought I would get some educational value out of it but I was sadly mistaken. It is a branch off of the field I look to pursue though it is not the branch I want to go to. It seemed to me that it is a super easy job that the nurses from other units go to too get a brake. 'Twas not a fun time.
GC: Gerontologists are doctors that have specialized in the care for the elderly as well as the end of life process. (dining)
Knowledge: Post pardom is just about managing pain. The mothers are asleep a lot of the time and you have to document changes in them.
Best: The best thing that happened was that I got to go in one patients room.
Worst: The whole thing was amazingly boring. I had a new nurse to the unit and she really had no clue what she was doing yet because it was her second day.
This week was bad because no one was awake, and the person I was following had very little responsibility.
Tech: The only thing I got to see was the charting that looked complicated and the nurse was having some trouble with it. I also got to see a bed.
Diagnostic: I saw a women coming back from a blood or urine test. I didn't see that much as there weren't that many mothers, and the ones that were there were asleep.
Therapeutic: Instead of waking patients up for tests you are suppose to let them sleep. The women are given vitamins and pain meds.
Diseases: They can have vaginal bleeding or an infection from the c-section incision. They can also have their organs shut down during pregnancy or pneumonia.
Med terms: Hysterectomy- the removal of the uterus. Morphine- a strong fluid painkiller.
When I walked in it was super quiet until about 10 minutes in when the construction workers made as much noise as humanly possible. I was amazed at how the mothers could sleep through it. There was barely any nurses, and the one I shadowed was a new one who had only 2 patients. She charted the whole time as well as tried to discharge a patient, but kept messing up. The only other equipment I got to see was a hospital bed. We only got to see one of her two patients and she didn't even need us
The job of a PP nurse looks extremely easy as a large majority are healthy young women who really just want to be left alone with their babies. The communication skills I observed was the nurse asking another for help during charting. We went to give the one mother vitamins, but she had taken her own from home before we got there so we left her room. They occasionally get hysterectomy patients but they control their own morphine pumps.
The knowledge I gained from this is that I for sure am not going to be a PP nurse. She couldn't tell me anything I didn't know except that when the new mothers start farting they can be discharged. If a women has a child that is in the NICU the mother will be discharged before the baby and has to go home without her child.She also told me that they will either use glue or tape to keep the c-section incision closed kind of like an arts and crafts project.
I thought I would get some educational value out of it but I was sadly mistaken. It is a branch off of the field I look to pursue though it is not the branch I want to go to. It seemed to me that it is a super easy job that the nurses from other units go to too get a brake. 'Twas not a fun time.
GC: Gerontologists are doctors that have specialized in the care for the elderly as well as the end of life process. (dining)
Thursday, February 5, 2015
GC Jan 23
Cerebrovascular accident- Blood flow to the brain is stopped by a blockage or ruptured blood vessels. Brain cells die and the damage is permanent.
Transient ischemic attack- Blood flow to the brain is MOMENTARILY stopped. A person will have stroke like symptoms for up to 24 hours, but symptoms usually last for 1-2 hours.
Cerebrovascular accident- Blood flow to the brain is stopped by a blockage or ruptured blood vessels. Brain cells die and the damage is permanent.
Transient ischemic attack- Blood flow to the brain is MOMENTARILY stopped. A person will have stroke like symptoms for up to 24 hours, but symptoms usually last for 1-2 hours.
Wednesday, February 4, 2015
Tech: There was a photo therapy light that was for a baby with jaundice.Other than that the only other technology there were the computers because you have to chart almost everything.
Diagnostic procedures: They did a car seat test on a baby to see if it would lose circulation while sitting in a car seat. The baby would sleep until it began choking on its own spit, then wait for the nurse to get it out then fall back asleep again every five minutes.
Therapeutic: The nurses changed a lot of diapers and rocked and swaddled a lot of babies. A majority of the things done in the nursery are therapeutic things because they mainly are trying to just babysit until the mother wants them back.
Diseases: I didn't see any sick babies but babies can have birth defects. An example is down's syndrome which a baby is born with.
Terminology: Erythomyacine (probably misspelled)- Is a medication put on the babies eyes after birth to prevent against the baby from getting an infection in the eye and going blind.
Vitamin K- Is an anti blood clot given within two hours.
Responsibilities- My responsibilities were to follow the nurse around as she taught me about the babies. I even helped her to wheel a baby to its mother.
Knowledge- I learned about some of the medications given after birth such as vitamin k and the hep. b vaccine. I also learned how the treat jaundice with a light.
Best thing- The best thing was getting to see all the newborn babies, and to see how they act. This is the field I want to go into and it was really cool to see what it is like.
Worst- The worst part was not getting to hold any of the babies. The nurse said if one cried I could hold it, but they were all behaving that day.
I would have corrected it by poking a baby, but I think that would be frowned upon in the hospital.
I had a good week because I was locked in a room with a ton of babies.
The nurses on the nursery unit are a lot nicer than on the previous units I've been on. When I first walked in I noticed that it smelled pure. They had nonstop Taylor Swift playing and the babies were all asleep. The nursery nurses mostly are there to make sure that nothing catastrophic occurs, but other than that they take some vital signs, chart a lot, and mother the babies. One baby was in a photo therapy machine for jaundice all the while he slept and occasionally punched the cradle he was in.
Some of the babies will belong to one nurse practitioner who will take the vitals of only the babies who were delivered by a certain doctor. The pediatric nurses will come and work in the nursery if there isn't much action in there areas. The nurses have to be soft and gentle from caring for the baby to communicating with the mother. I got to see the photo therapy and also a car seat test. They put a baby in a car to see if the baby will lose circulation from sitting in a different position.
I learned about all the different tests and medications they give to the babies. Within two hours of birth the babies get a vitamin k shot which is an anti blood clot. Another medication is erythomyacine which is put on the babies eyes to prevent blindness. The babies also get a hep. b vaccine which i got to watch. the nurses do a ton of charting and do a hearing test by using electrodes. Babies don't know to swallow spit, so the nurse had to constantly suck out one babies spit with a syringe.
This is what I want to do in the future so I thought that his unit was very interesting. The nurse I met was very informative and friendly. This was by far my favorite unit probably because of how cooperative the patients were. The highs are high and the lows are low on this unit, but I think its worth it because you are bringing life into the world.
Diagnostic procedures: They did a car seat test on a baby to see if it would lose circulation while sitting in a car seat. The baby would sleep until it began choking on its own spit, then wait for the nurse to get it out then fall back asleep again every five minutes.
Therapeutic: The nurses changed a lot of diapers and rocked and swaddled a lot of babies. A majority of the things done in the nursery are therapeutic things because they mainly are trying to just babysit until the mother wants them back.
Diseases: I didn't see any sick babies but babies can have birth defects. An example is down's syndrome which a baby is born with.
Terminology: Erythomyacine (probably misspelled)- Is a medication put on the babies eyes after birth to prevent against the baby from getting an infection in the eye and going blind.
Vitamin K- Is an anti blood clot given within two hours.
Responsibilities- My responsibilities were to follow the nurse around as she taught me about the babies. I even helped her to wheel a baby to its mother.
Knowledge- I learned about some of the medications given after birth such as vitamin k and the hep. b vaccine. I also learned how the treat jaundice with a light.
Best thing- The best thing was getting to see all the newborn babies, and to see how they act. This is the field I want to go into and it was really cool to see what it is like.
Worst- The worst part was not getting to hold any of the babies. The nurse said if one cried I could hold it, but they were all behaving that day.
I would have corrected it by poking a baby, but I think that would be frowned upon in the hospital.
I had a good week because I was locked in a room with a ton of babies.
The nurses on the nursery unit are a lot nicer than on the previous units I've been on. When I first walked in I noticed that it smelled pure. They had nonstop Taylor Swift playing and the babies were all asleep. The nursery nurses mostly are there to make sure that nothing catastrophic occurs, but other than that they take some vital signs, chart a lot, and mother the babies. One baby was in a photo therapy machine for jaundice all the while he slept and occasionally punched the cradle he was in.
Some of the babies will belong to one nurse practitioner who will take the vitals of only the babies who were delivered by a certain doctor. The pediatric nurses will come and work in the nursery if there isn't much action in there areas. The nurses have to be soft and gentle from caring for the baby to communicating with the mother. I got to see the photo therapy and also a car seat test. They put a baby in a car to see if the baby will lose circulation from sitting in a different position.
I learned about all the different tests and medications they give to the babies. Within two hours of birth the babies get a vitamin k shot which is an anti blood clot. Another medication is erythomyacine which is put on the babies eyes to prevent blindness. The babies also get a hep. b vaccine which i got to watch. the nurses do a ton of charting and do a hearing test by using electrodes. Babies don't know to swallow spit, so the nurse had to constantly suck out one babies spit with a syringe.
This is what I want to do in the future so I thought that his unit was very interesting. The nurse I met was very informative and friendly. This was by far my favorite unit probably because of how cooperative the patients were. The highs are high and the lows are low on this unit, but I think its worth it because you are bringing life into the world.
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