Bedside Delivery

My clinical rotations are at St. John Moross Hospital in the city of Detroit on the labor and delivery unit.

A labor and delivery nurse is a nurse who cares for woman and newborns during antepartum, intraparetum, postpartum, and neonatal stages of birth. These nurses take vital signs to make sure the mother and her newborn are healthy. Labor and delivery nurses aren’t there for the medicine they are also there to provide support for the mother and the family. I would like to become a labor and delivery nurse because I love helping and taking care of others, especially when it comes to babies, I have always been interested in how the human reproduction systems works, and I love seeing others happy.

Nursing has always been in my life since the day I was born… literally. My Aunt, a labor and delivery nurse, was the one who basically helped my mother deliver me. The fact that my Aunt was lucky enough to be the one that was there for people on those special days fascinated me. As long as could remember I knew I wanted to do that and be the one to help and comfort so many through their highs and lows.

Operations management refers to all levels of an organisation and how best to efficiently convene, fund, maintain and maximise its services and/or operations, both internal and external. The core goal/objective of operations management it to maximise outputs while reducing and minimising the inputs required to achieve the desired results.

• Pharmacy award rates from 200% to 150% for full-time and part-time workers for work between 7am and 9pm, and from 200% to 175% for casuals at the same times.

In today's world of developing technology, nurses are often required to stay up-to-date with current information systems. A typical day of practice would likely begin by starting up a computer and checking for staff news updates. The day would consist of multiple patient appointments. During each appointment, a nurse will interact with information systems several times whether it is a hand held device or a computer entry to an electronic health record. One of the major challenges healthcare faces today is the time spent with bedside patient care vs time spent using electronic devices. I have heard many experiences regarding the decline of bedside patient care. Because of the technology dependency, nurses are becoming less personal and communicable

These are real and interesting happenings in the nursing profession. While it is a great opportunity for nurses to lead through advanced education, I have witnessed much abuse of power in the hands of these educated nurses once they were given a leadership, managerial position. Sadly, the task of bedside nursing seems to be disdainful to new nurses as they aim to obtain a higher education to get out of that condition. In our unit, the turnover of nurses happens almost every two years. Most nurses leave to pursue advanced degrees and come back as managers. It is through their leadership when work dissatisfaction happens because the new leaders focus more on the task than their subordinates. Seasoned nurses have been around to observe the

Bedside report defined by Ferguson and Howell (2015) termed the method as transfer of vital patient information from one nurse to the next nurse during a report that allowed “an opportunity to ask questions, clarify and confirm” (p. 736). The increase communication and accountability established during report lead to effective communication and better patient outcomes. Patients feel satisfied because they are more aware of their caregiver and included in their plan of care. Visualization of the patient during shift report improves risk management, creating patient safety related to falls, medication errors, and identifying patient issues (Maxson et al., 2012, p. 144).

Delivering of patient?s care is intertwined withcommunicationand person centred care.Understanding that healthcare professionals put patient needs at the centre ofthe whole process of their care. This is achieved by providing patients with the best treatment regarding their illness, give them the choice of treatment, respect their decision making and keep their information confidential (NMC,2010).

James, T. (2011) defines Operations Management as the management of the processes which aid production of goods and or services. This implies that all production activities must be coordinated well to ensure a lean process of resource management is adopted.

Operations Management in an organisation is repsonsible for managing and in making decisions concerning the activities that convert inputs into outputs , that is goods and services. This covers both short term actvities as well as longer term activities to meet strategic goals. Inputs can be the raw materaials need to manufacture goods such as furniture or the computers needed to create a service like online shopping site. Operation management’s role is to make decisions to improve how operation activities function, for example, to improve the final quality of the output or to change production methods to be more efficient in terms of cost and in time.

Operations management (OM) is that phase of an organization where inputs are put into operations to acquire required output (services) without compromising on quality. In other words operations management is also described as combining and transforming various resources in the operations sub-system into value added services in line with formulated policies of the organization. (Kumar and Suresh, 2009)

Operations Management is responsible for designing, operating and improving productive systems or in layman’s terms, systems for getting work done. Operations Managers are found in all walks of life. In anything you basically do or have done there are operations managers. When you go to the store, when you buy gas, in factories, in hospitals, banks even in your government there are operation managers. They are the ones who design systems, who ensure the quality of your

Operations management focuses on managing the processes of producing and distributing products and services. Operations activities often include product creation, development, production and distribution. It deals with all operations within the organization. Related activities include managing purchases, inventory control, quality control, storage, logistics and evaluations. The nature of how operations management is carried out in an organization depends very much on the nature of products or services in the organization, for example, retail, manufacturing, wholesale, etc.

Operations management is generally described as the planning, arrangement, and control of activities that change raw materials or an organization's input into finished products and services. The overall activities covered by operations management include the creation, development, manufacture, and distribution of products. The concept also relates to various activities such as inventory control, controlling purchases, quality control, logistics, storage, and evaluation ("Operations Management in McDonalds", n.d.). Since operations management covers the entire operations in an organization, it mainly focuses on the efficiency and effectiveness of the firm's processes.