Wednesday, April 30, 2008
NURSE MIDWIFERY
I GOT ACCEPTED!!!!!!!!!!! CNM in the MAKING!!!!!!!!!!!!!!!!! I"M SO FREAKIN EXCITED!!!!!!!!!!!!!! WHOOOOOOOOOOOHOOOOO!!! THANK YOU JESUS!!!!!!
Saturday, April 26, 2008
3hrs in the Life of a L&D Nurse
So thru my hospital we have a nurse residency program in which we're taught materials from the AWHONN module materials. SO these past two weeks we went thru the Labor and Delivery process. I really loved it. I really had a sense of appreciation. i say that because while in the accelerated nursing program I really didnt have the time to appreciate the material. Plus our professor seemed like she was on her menstrual for the whole 3 mos. which we found out she was at the end of her doctorate program which consisted of long nights of getting ready for her dissertation.
Anyhoo, I love these classes, so we went on the floor and I was the only one paired up with the nurse who had a patient in labor or in the process of being induced for labor. I got to hang the holy grail of Pitocin. The end result of my experience is that I loved my interaction with the mom and family. But I didnt feel that the doctor/resident did not take the time to explain to mom what she was going to do beforehand. Only explained she was doing a cervical check but while she was in there she ruptured the membrane which produced +1 meconium amniotic fluid. Went ahead and inserted a fetal scalp and contraction monitor. And she left. The nurse then cleaned changed the chuck and stepped out to get something to hook her to the monitor.
I told her that she can hold my hands and squueze if need be thru the whole procdure and chanted some encouragement and for her to focus on me. It seem to work. Then when I saw no explanation was done I went ahead and did the patient teaching. She was concern about her fluid being green and I explained that her baby had a little poop in her tummy and that most likely peds would be there when she was ready to deliver to make sure everything was okay with baby to address and issues that could arise from meconium aspiration. In which the resident felt that it wasnt a great concern due to lightness of green signifying a small amount. And that they inserted a little probe on her baby's scalp to monitor his heart rate along with her contractions. She also wanted to know how long she would be having the baby which I again informed her that being that this is her first pregnancy based on stats it takes the average primip 12hrs of labor, but also informed everyone is different and that it can be shorter or longer.
What I really disliked was that when the resident came in the room she asked the mom if she's okay with her mom, brother, and father being in the room while she did the exam. Mom clearly said yeah she was okay with it. But I guess the noise level in the room was too much for MD in whcih decided to boot everyone out. In my head I was like what da hell, isnt this a family centered facility, and at least keep the dad in the room. Now that I think about it I should have spoke up at this time. Other than that it was a great experience and enjoyed it more than my nursing school rotation.
Sent my midwifery application off and have a scheduled phone interview. I'm really psyched. I cant wait to be a midwife.
Anyhoo, I love these classes, so we went on the floor and I was the only one paired up with the nurse who had a patient in labor or in the process of being induced for labor. I got to hang the holy grail of Pitocin. The end result of my experience is that I loved my interaction with the mom and family. But I didnt feel that the doctor/resident did not take the time to explain to mom what she was going to do beforehand. Only explained she was doing a cervical check but while she was in there she ruptured the membrane which produced +1 meconium amniotic fluid. Went ahead and inserted a fetal scalp and contraction monitor. And she left. The nurse then cleaned changed the chuck and stepped out to get something to hook her to the monitor.
I told her that she can hold my hands and squueze if need be thru the whole procdure and chanted some encouragement and for her to focus on me. It seem to work. Then when I saw no explanation was done I went ahead and did the patient teaching. She was concern about her fluid being green and I explained that her baby had a little poop in her tummy and that most likely peds would be there when she was ready to deliver to make sure everything was okay with baby to address and issues that could arise from meconium aspiration. In which the resident felt that it wasnt a great concern due to lightness of green signifying a small amount. And that they inserted a little probe on her baby's scalp to monitor his heart rate along with her contractions. She also wanted to know how long she would be having the baby which I again informed her that being that this is her first pregnancy based on stats it takes the average primip 12hrs of labor, but also informed everyone is different and that it can be shorter or longer.
What I really disliked was that when the resident came in the room she asked the mom if she's okay with her mom, brother, and father being in the room while she did the exam. Mom clearly said yeah she was okay with it. But I guess the noise level in the room was too much for MD in whcih decided to boot everyone out. In my head I was like what da hell, isnt this a family centered facility, and at least keep the dad in the room. Now that I think about it I should have spoke up at this time. Other than that it was a great experience and enjoyed it more than my nursing school rotation.
Sent my midwifery application off and have a scheduled phone interview. I'm really psyched. I cant wait to be a midwife.
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