Doppler Ultrasound in Obstetrics Essay

Ultrasounds continue into Obstetric and Transvaginal. Obstetric is the use of ultrasound scans in pregnancy (Woo, Dr. Joseph S.K). Transvaginal are used to capture more precise images in patients who are obese and/ or in the early stages of pregnancy and is conduction through the vaginal cavity (Woo, Dr. Joseph S.K).

The nursing field is caring, dependable, and effective. None of which could be accomplished without teamwork, collaboration and informatics. I believe these concepts are fundamental in the nursing profession. Nurses must work with other healthcare staff, the patients and their families to provide patient-centered and quality care. The use of informatics enhance both the quality of care the clients receive and the teamwork and collaboration aspect of nursing. No one nurse can do it all on their own. Nursing requires the use of teamwork and new technology.

Technological advancement is very rapidly affecting every aspect of life and is making an immense impact in Health Care. My clinical experiences as a staff nurse caring for patients can be effectively integrated with technology in the Nursing Informatics field. To make valuable contributions to the field of Nursing Informatics, I realized that a Graduate degree would be very beneficial. Therefore, I decided to pursue my MSN in Nursing Informatics to achieve my goal of using my skills and knowledge in the best possible way to make effective advancements in the field of nursing informatics for a constructive impact on my patients’ health and my colleagues.

Ultrasound imaging has many uses in medicine, from confirming and dating a pregnancy to diagnosing certain conditions and guiding doctors through precise medical procedures

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

During a pregnancy, many expecting mothers will travel to the doctor to have a check up with how the pregnancy is doing. Many mothers will get done a special procedure that is called an ultrasound. An ultrasound is a procedure that uses high-frequency sound waves to scan a woman’s abdomen and pelvic cavity, creating a picture (sonogram) of the baby and the placenta.(2-1) Ultrasounds may be performed at any point during a pregnancy, and the results are seen immediately on a monitor during the procedure.(2-2) The ultrasound doesn’t hurt the mother or the fetus. There are many situations where ultrasounds can be used. Some doctors will use an ultrasound to look at someone’s abdomen, especially if there is stomach pains and nausea present. One

Although it has been proven that ultrasound is a safe modality there are still issues that sonographers encounter on the daily basis. There is the need for a chaperone for certain procedures and especially if it is done by a male sonographer. According to goggle dictionary a chaperone is a person who accompanies and looks after another person or group of people. DMHC (Dartmouth-Hitchcock medical center hospital) Department of Radiology states on their policy that intracavitary, transperineal and breast ultrasound examinations done to female patients may be performed by a male sonographer only in the presence of a female chaperone.

While we were doing our assessment I noticed that Ms. K.R. had been lying on her back for some time. During moms contractions the fetal heart monitor displayed variable decelerations and a slight deviation from the baseline heart tones. Once contractions subsided the fetal heart rate recovered to

When I tell a person that I want to pursue a degree in Diagnostic Medical Ultrasound their first thought is babies. Which I don’t blame them because that is the part of ultrasound we are exposed most too. But ultrasound is so much more than just seeing an unborn baby. There are so many amazing things that ultrasounds can do. DMU is an imaging technique used to visualize the tissue structures/internal organs of the body by recording the returning reflections of ultrasonic waves with the purpose of pathology diagnosis. There are two names it goes by, ultrasound and sonography. These two terms are often used interchangeably. Ultrasound uses sound and acoustics to produce images that are then reflected back in real time.

The Life of an Ultrasound Tech Ultrasound technicians, also known as sonographers, play a very important role in the medical field. One must be skillfully trained and strong-willed to pursue such a career. This career can either be extremely rewarding or stressful and troubling, depending upon the workplace you choose to perform in. There are many ups and downs to the job that should be considered before diving into the world of sonography. Before actually becoming a diagnostic medical sonographer, some education and training is required.

Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs, and enhancement of the quality of patient care (Murphy, 2010). It is also described as a growing area of nursing specialty that combines computer science, information technology, and nursing science in the management and processing of nursing information, data, and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013), and they are defined as a

appear similar to conventional stents.”8 Middleton, Teefey and Darcy8 note that the use of PFTE endografts will likely become standard as their performance outweighs the early stent materials used. Color Doppler as well as pulsed Doppler should be used to interrogate the stent and supporting vessels. Velocity measurements are taken using angle correct and spectral waveforms are recorded. Careful examination of the liver vasculature is imperative to verify proper stent function. Specifically, thrombosis or occlusion can be assessed with color and Doppler ultrasound. Velocity parameters may vary from patient to patient and also will change from immediate post procedure velocities to those obtained during long term follow up. Universal Doppler

In many U.S. hospitals today the patient care that women receive during management of labor and delivery doesn’t look very evidenced based. Electronic fetal heart rate monitoring (EFM) is the most common form of intrapartal fetal assessment in the United States. We continue to see widespread use of EFM in low risk pregnancies. Electronic fetal monitoring is standard procedure despite numerous randomized controlled trials that have disproven its validity. It is routinely used, yet does not decrease neonatal morbidity or mortality compared to the use of intermittent auscultation. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. So why do we use continuous EFM in the low risk pregnancy and what does the best evidence support and how can nurses apply the best available evidence to practice? As a patient advocate it is the nurses responsibility to answer these questions and provide the low-risk pregnant woman with current evidence about options for fetal heart rate assessment during labor.

Nurses can review vital signs history for a patient to spot abnormalities and creating a baseline with a few clicks of a mouse and identify inconsistencies and changes in health quickly, which saves not only time but lives too when using nursing informatics. Opportunities in nursing care can be discussed with management and the nursing informatics team to better serve patients. There is a huge push to reduce costs in healthcare and nursing informatics helps save money while improving patient care. Various members of the healthcare team can now look at the same patient's chart at the same time at many healthcare facilities. Nursing informatics professionals look for ways to improve the patient experience so that redundancy and waste are removed, but they try to keep the nursing process in mind to avoid sacrificing the level of care provided. Most jobs in this field are in hospitals, insurance companies, pharmaceutical and research companies, and healthcare consulting companies. The locations of available jobs are similar to those offered to a traditional nurse, but it is clear that this position is considered niche and the traditional nurse would have more job opportunities (“Johnson & Johnson Discover Nursing”, 2014).

monitor fetal heartbeat. In the first stage of labor , the neck of the uterus,