Clinical Rotation At St. Anthony Hospital

Vacuum assisted deliveries are a method to help facilitate a vaginal birth even if the mother is becoming to exhausted to push or if the baby has reached a difficult position during labor and is prevented from progressing. While the vacuum may be helpful for the labor it runs the risk of causing a subgaleal hemorrhage (SHG) in newborns this condition is a result of the connection between the sinuses of the scalp and the veins of the brain have been ruptured which causes bleeding and swelling of the head and can lead to severe hypovolemia and death (Davis, 2001). SGH occurrences after vacuum delivery are in the range of 26 to 45 per 1000 vaginal deliveries (Modanlou, 2010). In order to treat and correct SGH nurses are

Providing an effective care and support to the patient and for their babies during labour

Once the patients arrive to the unit, if the person belongs to either scheduled induction or C-Section, they are provided with a delivery room. If the patient does not belong to previously mentioned categories, and about to deliver, she is moved to a delivery room. One final category is, where patients come in because they feel that they are about to be in labor or the patients that experience various pregnancy related complications. These patients are monitored by the nurse, seen by the physician and put under observation. If any of those observation patients are about to go into labor, they will be moved to delivery room. The rest of the patients will be treated and discharged. A quick registration will be done for all patients as soon as they enter the unit. Additional documentation for triaged patients will be done after they are moved to triage. For patients in labor or C-Section, it will be done earliest of patient’s

As of 2013, around 353,000 babies were born in one day, according to the United Nations Children’s Fund (Be Fruitful and Multiply). Delivering babies is very difficult and strenuous, luckily labor and delivery nurses are trained to help care for the mother during the process of welcoming her newborn into the world safely. Labor and delivery nurses play a very crucial role in helping the delivery of babies and bringing safety and peace to the mother. I am choosing to pursue a career as a labor and delivery nurse because they get to provide care to babies, they get paid well, and they get to assist in the delivery process.

Throughout my experience of clinical rotation time I have witnessed several scenarios and I also learned the need of special skills such as empathy and communication that are required to be used in the medical environment. There were some parts that I enjoyed and loved a lot, then there were parts in which I did not like so much. However, through my clinical rotation time I have an idea of whether or not I would want to pursue a career in the medical field. To start, the first thing that I liked the most about my clinical rotation was that I got to witness, nurses, doctors and specialists altogether help people become better.

During February, I had a rotation in Cleveland Clinic infusion center. The rotation should be focused on the ambulatory care. However, my preceptor gave me an opportunity to have a leadership rotation, so I had a leadership rotation. My preceptor, Eileen Hendrickson was the director of home care pharmacy in Cleveland Clinic. She was so excited to have me as a leadership rotation.

On this day, my clinical rotation in the community setting step up when Joel Polanco, RN was actively participating with the walk in cases at the clinic. One more time I observed the procedure done with those patients during the visit and how the nurse handle and triage the cases, which contribute to lower the workload of the physicians. Some patients came only for prescriptions on their medications. For those cases, the nurse just sends by email the task and then later in the afternoon, the physician sends the electronic prescription(s) to the pharmacy. This exercise at the clinic save time and bring patient satisfaction. There were very interesting cases like a person with several symptoms of hyperthyroidism. He was first time at the clinic

This is one of the biggest hospitals in Florida and I feel really fortunate to work here as an observer in the Department of Nephrology. The morning rounds with the attending physician are very informative as they are enabling me to learn many new concepts like indications of renal biopsy and management of post-transplant patients. Observing management of patients before, during and after the dialysis is a routine over here. Since there was a training course regarding the EPIC software of electronic medical records before the start of the rotation, the advantage of having access to patient records will go a long way in consolidating my grip on patient notes and charting.

Optimal care for delivering babies is “care that promotes, protects, and supports the normal physiology of labor and birth” (Lothian, 2014, p. 176). There are many risks for healthcare workers when delivering babies, especially nurses. Nurses, at the rural hospital this nurse works, are often faced with difficult and stressful situations, when it comes to this issue. We seem to have a number of inductions that are sent to the facility at exactly 39 weeks. The facility has policies and procedures to follow for each type of induction. Pitocin inductions are individualized for each patient and increase of dosage is at the nurses’ discretion following policy, yet physicians like to pressure nurses to go straight to max dose as quickly as possible.

They say nothing can prepare you for childbirth, but that doesn’t mean you can’t at least prepare for the moments surrounding it, namely those two-ish days spent in the hospital. Only after my short stint — which, granted, felt like an eternity — did I learn enough to successfully navigate nurses, dodge visiting hours, and loot the supply closet. So, get your go-bag packed and read on for a guide to mastering the neonatal version of office politics.

The post-partum section of the women’s department is dedicated mostly for women who have already given birth. Although they have a labor and delivery room set up just in case any surprise or emergency births occur. I was told in my orientation that this room is rarely used and if it does get used than the most of the nurses will be working with that mother in labor. When I came into the hospital to volunteer, I noticed that the room was occupied and the nurses were working on the laboring mother. Since I am not qualified to help out the nurses during this situation, I went to my post at the nurse’s station and watched the phone that is linked to the other patient rooms.

Buitendijk states that “women are less satisfied in a very medicalized birth system” and “A lack of control considerably increases the probability of anxiety and even panic and as a consequence of a negative experience”. For the women who do birth in the hospital, if everything goes well, they can expect to go home within a few hours.

I was working night shift in a level 3 Neonatal Intensive Care Unit facility and my 10 days orientation was over. It was my first day working without my preceptor. Since I was a new staff, the charge nurse allocated two stable babies for me. One was Baby Zahra, a 33 weeks preemie, on room air, with nasogastric tube, with peripheral intravenous line to keep the vein open and feeding with expressed breast milk every 3 hours. I started my shift with a bit of nervousness knowing that I am on my own and wondering if I can remember everything that my preceptor had taught me during our orientation. I started my assessment and observed Baby Zahra to be pale, her skin was slightly mottled. I checked her vital signs. The cardiac monitor showed that she

The data from Consumer Report is that many patients as well as hospitals do favor scheduling when hospitals are fully staffed and not to spoil recreational plans, hence fewer night time and holiday deliveries. With this level of control over the delivery and birth process, comes the higher incidence of induced labor, often times starting before the woman’s due date which increases the risk of a C-Section with doctors believing labor as progressing too slowly for mother and baby’s health.

It was an unpleasantly early morning in the hospital waiting room. Nurses buzzed around, busy attending to their patients while a faint beeping sound could be heard in the background. I was starting my second shift of the day at the hospital, just finishing working a shift in the dark, grimy morgue. Groggy, I sat down at my desk to begin another four hours of labor. My position was to assure that the paper work was properly completed and that all patients were attended too. While being a supervising nurse was a great responsibility, it left time to day dream.