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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
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
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.
Goal 2- Garner experience and practice in treatment planning and assessments through performing psychosocial and diagnostic assessments; consider methods of interventions appropriate to client presentation; develop treatment plans with supervisor for assigned clients.
Over the last few years, I shadowed a Primary Care Adult Nurse Practitioner whose office is located in the underserved urban area of Irvington, NJ. She also takes care of patients from the surrounding areas of Irvington, Newark, and East Orange, all of which have very large underserved populations including African Americans, Latinos, and patients from the Middle East. During my clinical shadowing, I gained a appreciation for the complexity of treating long term chronic conditions such as asthma, diabetes, HIV, and hypertension. In many cases these conditions were exacerbated due to poor nutrition, non-compliance, and lack of education about healthy lifestyle choices. I gained a keen understanding of the importance of patient education and the ability to connect patients with community services to help them with their economic and social challenges.
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.
My sixteen week class in English 111. I was really nervous about this class. Because English has never been my strong point. This class has hard, but fun all at the same time. I learn a lot from this class. Meanwhile,the first day of class you handed a paper with a question on it. “The first thing I want to say to you who are students is that you must not think of being here to receive an education; instead, you will do much better to think of being here to claim one.” Even though putting my all in what I have learned, claiming my education with hard work because using the skills of the meal plan, as we write to different audiences and learning to be a Critically thinker as I start becoming a critically-Literate Citizenship.
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).
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...
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.
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.
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
This week I was able to shadow for two days, for a total of sixteen hours. On Wednesday Thursday, and Friday I spent twelve hours researching articles for my journal entry and senior project. During my days of shadowing, it ran almost exactly as it has been for the past three weeks. The day began with meeting D.L. in her office. She would review emails and voicemails for any emergent conditions and handle those properly. Next, she would print off her patient list of her patients that were in the hospital for bedside rounds. Then she would review each of the labs, any test results and notes from the disciplinary team for any problems. On bedside rounds the patients, family or caregiver members were made aware of the care after heart surgery meeting, which is required if the patient is going home after surgery. When the patient’s family/caregiver attends the meeting, it is documented in the chart of the patient. If the patient has had no family/caregiver attendance at the meeting, it is brought to the surgeon’s attention so it can be discussed with the patient and/or family/caregiver who will be taking care of the patient at home.
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.