1. What were your “ah ha” moments? For example: What surprised you? Did you have a moment when practice clicked into place with theory? Did you have a moment when you saw something related to what you had previously only heard about? Did something just click into place and make sense? Describe.
I saw a delivery done by a midwife this week. I have an impression that it will be different. And yes, it is very different. I don’t think the midwife focused on the sterile technique. However, the midwife is very helpful in looking into the patient needs more than OB doctor.
We are in the Triage this week also and we came into a patient who are a 10 on our first check. We had to rush her to the delivery room---running down the hall, shouting …show more content…
What did you do to overcome these?
My greatest challenges are giving report, pull together the report and understand the abbreviated terms that commonly used at the labor and delivery, such as AMA, TOLAC, VBAC, H&H, VAVD, etc. Trying to comprehend these words is not easily since I am not used to them yet.
My preceptor is really working with me on the A+ level for sure. She let me do the Mag assessment on the patient. My preceptor is also very detailed and careful; she did all of her work and even more. For example, the way that my preceptor set up the room can tell you q lot about who she is----from the bed with 5 sheets, a warmer with 5 baby blanket, in specific order stacking the gown, cold pack, pad, underwear, etc. according on how we think the patient will use it; set up the IV station orderly like how you start an IV; organized the bed –raised with gown urine cup and wipe at the end of the bed; and the warmer need to be organized and check with all 14 things needed to advocate the baby. Even her way of giving report is very detailed. Her way helps me learn things the proper, even though sometimes it slow me down. And yes, it is stressful sometimes for me since I don’t have that good memory to digest all the details. Finally, I decided to write everything …show more content…
What learning objectives relate the most to this week’s experiences? Describe.
Provide evidence based professional nursing care. We rotated our patients when the strip has absent to minimal variables. We also provide the patients oxygen to help the babies. We turned the patients. Some nurses will disregard the bad strip and don’t even attempt to turn the patient, most likely due to the horrible smell coming from the patient. They would leave the patient and go on with other business. We will try to monitor the strip to make sure the patients meet the requirement for Pitocin.
4 How did you use evidence-based practice?
As mention above. Moreover, we monitor the urine output, reflex as well as Homan’s sign of patient on Magnesium.
5 What are you doing to prevent compassion fatigue?
I don’t have fatigue compassion since all of my patients turn out well in the end. Even the Mag pt, after her waiting for more than 24 hours, get to deliver her baby on our shift.
6 Are your learning needs being met? If not, what help do you need from faculty? Yes, It being met. More than being
I saw a delivery done by a midwife this week. I have an impression that it will be different. And yes, it is very different. I don’t think the midwife focused on the sterile technique. However, the midwife is very helpful in looking into the patient needs more than OB doctor.
We are in the Triage this week also and we came into a patient who are a 10 on our first check. We had to rush her to the delivery room---running down the hall, shouting …show more content…
What did you do to overcome these?
My greatest challenges are giving report, pull together the report and understand the abbreviated terms that commonly used at the labor and delivery, such as AMA, TOLAC, VBAC, H&H, VAVD, etc. Trying to comprehend these words is not easily since I am not used to them yet.
My preceptor is really working with me on the A+ level for sure. She let me do the Mag assessment on the patient. My preceptor is also very detailed and careful; she did all of her work and even more. For example, the way that my preceptor set up the room can tell you q lot about who she is----from the bed with 5 sheets, a warmer with 5 baby blanket, in specific order stacking the gown, cold pack, pad, underwear, etc. according on how we think the patient will use it; set up the IV station orderly like how you start an IV; organized the bed –raised with gown urine cup and wipe at the end of the bed; and the warmer need to be organized and check with all 14 things needed to advocate the baby. Even her way of giving report is very detailed. Her way helps me learn things the proper, even though sometimes it slow me down. And yes, it is stressful sometimes for me since I don’t have that good memory to digest all the details. Finally, I decided to write everything …show more content…
What learning objectives relate the most to this week’s experiences? Describe.
Provide evidence based professional nursing care. We rotated our patients when the strip has absent to minimal variables. We also provide the patients oxygen to help the babies. We turned the patients. Some nurses will disregard the bad strip and don’t even attempt to turn the patient, most likely due to the horrible smell coming from the patient. They would leave the patient and go on with other business. We will try to monitor the strip to make sure the patients meet the requirement for Pitocin.
4 How did you use evidence-based practice?
As mention above. Moreover, we monitor the urine output, reflex as well as Homan’s sign of patient on Magnesium.
5 What are you doing to prevent compassion fatigue?
I don’t have fatigue compassion since all of my patients turn out well in the end. Even the Mag pt, after her waiting for more than 24 hours, get to deliver her baby on our shift.
6 Are your learning needs being met? If not, what help do you need from faculty? Yes, It being met. More than being