North Coast OB/GYN: A Case Study

For this assignment, I had the opportunity to interview Samantha Hage De Reyes, family nurse practitioner, currently working at the University of California, Riverside (UCR) Health Center in Riverside, CA. Family nurse practitioners are described as health professionals with analytic skills for evaluating and providing evidence-based, patient-centered care across settings, and advanced knowledge of the health care delivery system (Hamric, Hanson, Tracy & O’Grady, 2014). My objective was to ask a series of questions pertaining to the role of a family nurse practitioner, challenges concerning this nursing role, opinions regarding the future of family nurse practitioners, and more. This interview was conducted over the phone, and it was a valuable opportunity to learn more about what it means to be a family nurse practitioner and to start thinking about what I want to achieve in my own

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

Working in women’s health has always been one of her interests. She was happy to join Women Partners in Health and work with patients and our Austin obgyns. “I love the patient interaction, spending time with the patient and coming up with solutions and treatment plans for them.”

As a family nurse practitioner, I plan to work in a medical office in Palo Alto Medical Foundation (PAMF). PAMF is a multi-specialty group practice, comprising of physicians, nurse practitioners and physician assistants from all specialties. It has more than 1000 health care providers and has more than 2 million patient visits each year (Palo Alto Medical Foundation, 2015). The group’s administration is headed by a Chief Executive Officer and is led by the PAMF board of directors. I will be working in the family medicine department in PAMF. Family medicine department team consists of family medicine doctors, nurse practitioners, physician assistants, nurses and medical assistants. My clients include newborns, infants, children, adolescents, pregnant and post-partum women, adults and elderly. In an average day, I see anywhere from 20-26

Women’s health is an important and rewarding field of study. Certified Nurse-Midwives or CNMs are Advanced Practice Registered Nurses provide education and care prior to conception, during pregnancy, childbirth and after delivery of a baby. CNMs work in settings that may include doctors’ offices, hospitals, birth centers, health clinics and attending patients’ homes for birth services or routine pre and post-natal care. CNMs also provide health care to women throughout their reproductive lives that may call for reproduction education, health visits, annual exams, and post-menopausal

A key recommendation for transforming nursing practice from the IOM is improving quality of care. There is an ample amount of research that associates midwifery care as being of comparable or higher quality to obstetrician/gynecologists with increased patient satisfaction and lower cost (American College of Nurse Midwives, 2012). Midwives work to improve care outcomes through providing holistic, patient-centered care.

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I interviewed Beth Lindung via Skype who is a RNC-OB assistant nurse manager at the Labor and Delivery center at Franklin Square Hospital in Baltimore, Maryland. Beth has been a RN for 16.5 years with an emphasis in Labor and delivery 15 years. She got involved in Labor and Delivery because she never knows what her day can bring, and that excites her. Her day can vary greatly due to different circumstances and birth plans. She can come in and be put in the position of needing to be a triage nurse, ICU level nurse, OR nurse, a PACU nurse of simply a newborn nursery nurse. She decided to go into a leadership role after have having poor nurse managers and someone told her If you can do it better, Why don 't you (B. Lindung, personal communication, September 25, 2014). What she does everyday inspires me to be a greater nurse and be an advocate for women 's pre and post natal care through nursing.

Adolescence: As you develop, it’s important to have an experienced obgyn by your side. Stellar Women’s Health Specialists sees young women on a daily basis. They can perform routine checkups

They have 4 onsite GP’s available providing general medical care, obstetric knowledge, minor surgeries e.g. skin excisions and a broad range of mental health knowledge. Working alongside the GPs they have 5 nurses each specialising in their own fields such as midwifery, antenatal and postnatal care, chronic clinical conditions and child and family health.

As Nurses, we often ask ourselves what more can we do than is currently being done to improve the health of our clients not only in an individual sense but as a community. We are required by the scope and standards of nursing to ask ourselves this type of question by virtue of our profession and indeed is a baccalaureate nurse essential as well. We are in a unique position as nurses to have the most interaction with the community of patients we serve, and we often see the issues that affect the communities we serve more readily. One such issue that is undeniably

Like most women, it’s important to find an OB-GYN you can trust while getting the care you deserve. Stellar Women’s Health Specialists in Wailuku shares tips on finding the best OB-GYN for your personal needs.

When it comes time to select a new gynecologist, due to a move or a change in insurance, a woman needs to take time to choose one that will work well for her. There are a variety of items to contemplate such as location, philosophical compatibility, specialties and whether he or she has any openings for new patients. Here are the top ten tips to help choose this important medical practitioner.

When I was a little kid my mom had bought me a fisher price doctor play set. It had everything from stethoscope, blood pressure cuff, thermometer, syringe and etc. I loved acting like I was doing real surgeries on people. As I got older Dr.Jackie Walters inspire me even more to become an obstetrician and gynecologist because she's a breast cancer survivor and I feel like her message is saying don't let anything hold you back overcome your fears and believe in yourself.

The future is bright for those who try hard to succeed. I know this to be true because I have set the bar extremely high for myself. A doctor is no more than a regular person who had a dream and was willing to rearrange parts of his life to be great. I am a premed major at SVSU, which is really exciting to say because I feel closer to my dream each day. While growing up, I knew my calling to the world was making a positive change in people’s lives. Somehow the topic of obstetrician gynecologist came about and in seventh grade I began my research. I was sold at the idea that one day I could be an African- American woman performing births and surgical procedures that aid in the advancement of women. With every dream, jagged shaped obstacles appear. Whether it’s feeling like what you’ve set out to do can’t be