Shoulder Dystocia Patients

‘’Communication is an essential tool a carer can use to meet the needs of children. It is a basic requirement of my job role to communicate with individuals and their families, other members of staff on a daily

Even when last Friday week three was, it was the second time that I have a patient assigned to my care and as expected I was still feeling nervous due to the age of my patient. However, at the same time I was looking forward to experiencing taking care for a little one and be able to applied new nursing skills due to mu first interaction with a patients his age. The experience was very gratify and enjoyable to be able to help a little one to feel more comfortable while performing nursing skills. The fact that the instructor was with me during the assessment help me to feel more confident as well as be able to ask questions and concerts that developed during the assessment. My assigned patient has a twin who was also staying at the same unit but on a different room so it was very interesting to be able to interact with both twins and observed the development differences even when they are identical twins. The nurse assigned to care for the patient was very helpful and approachable as well which make things a lot easier going in reference to taking care for a little one for the first time besides OB rotation which was more observable and not so much hands on. So far, I am looking forward to next week rotation and excited about learning new

For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the

I enjoyed reading your post. During my clinical rotation, I had the opportunity to be part of hospital huddle. The physician, surgeon, dietitian, assigned nurse, charge nurse as well as the parents of the patient’s (minor) were all present discussing the patient health status from the day of admission to current day (day of huddle). Each member was getting a turn to give their insight of the patient’s health condition, plan of care, and new approach that can be taken to improve patient outcomes. During the huddle, the parents were given the opportunity to ask questions about the treatment plan, surgery options and any other concerns they may have. Then, the surgeon explained the risks and advantages of the surgery, how the surgery

By following good practise I proved appropriate care, and I fi didn’t individuals would suffer. Communication is very important when working with young children as they need to be able to understand simple instructions and want to be able to listen and communicate back to you. Communication does not involve just speaking but also listening,

During the past few shifts, I have been astonished, and thankful about how often the nurses, doctors, and respiratory therapists have been providing me with learning opportunities. I feel this is because they have observed my enthusiasm and willingness to learn. For example, I asked a nurse if I could observe her giving care to a 24-week old preemie with necrotizing entercolitis. This nurse explained, that because of this baby’s immature age, she had to cluster the baby’s cares, and monitor this baby’s oxygen saturation. If the baby was overly stimulated her oxygen saturation would decrease, and the nurse needed to stop working with the baby. This nurse also pulled up a PowerPoint about NEC, so I had a visual of this baby’s condition. She provided me with a NICU parent book, and I read the section about NEC. This nurse said that she gives NICU parents this book to read, so that they have a better understanding about their baby’s condition. This is an awesome education technique that I want to adopt. This is because the parents will hear the diagnosis explained from the doctor and nurse. They may or

Another important clinical competency I experienced while working with this patient was identifying the necessity of constructive feedback from my preceptor and others. Specifically when it came to feeding practices by this patient’s mother who I felt was over-feeding the baby. I realized that after explaining the situation I was sounding judgmental, and that I needed to disregard my personal feelings about the mom’s feeding style and instead find opportunities to advocate for the patient and educate the mom further. With advice from my instructor and the help of Kathryn we then placed a phone call to the hospital lactation consultants and arranged a meeting for her to come and work with the mom to try and encourage breastfeeding and offer further education about proper feeding practices for her new baby.

These things went well because I have adopted desirable behaviours that facilitate effective communication. For example, When interacting with patients, I actively listened and watched with great concentration. This helped me identify cues that concerned the patients, and to acknowledge their challenges as well as establishing strategies to follow them up. In addition, I would reflect back o the issues, which helped me expand on the potential concerns and problems. I also sought clarification whenever I was confronted with contradicting information. In addition, I would question to seek clarification of discrepancies (Gustafson & Reitmanova,

When my daughter was in the Neonatal Intensive Care Unit (NICU) 11 years ago, I was I was blissfully ignorant of patient-to-nurse ratios and budget constraints. I had confidence in the competence of the nurses and believed that they had the time and the tools necessary to care for my child. Now that I'm a nurse myself and I see my support staff numbers cut and my patient load rise, I wonder what my patients and their families think of me.

Communication is a huge key to having a successful heath care team. There was some assertive communication

I began volunteering at the Hospital for Special Surgery, to get an overview of what is is like to work at a hospital. Volunteering at a hospital was an eye opening experience, because I got to encounter how physicians, and medical staff communicate, and listen to their patients. These two skills are essential to understand patient needs, and therefore make the right decisions in diagnosing diseases. My role at the hospital was to provide snacks, beverages, and aid kits to patients, families, and medical staff. I have witnessed families that stayed up long nights, because they had loved ones undergo surgery. Any person that has a loved one undergo surgery becomes worried and scared, because of the uncertainty that lies ahead. However, the imperative skills that I have learned and exceeded on was my communication skills. Communicating with these families, and patients was exceedingly important, because you have to place yourself in their shoes to understand the situation they are in. I met young patients, as young as 5 years old, that were in the hospital for days recovering from surgery, or undergoing

Patient safety, and care are the top priorities for healthcare providers, and that is why communication is greatly encouraged (Coiera, 2006). Examples of communication in the healthcare setting are face-to-face, emails, SBARs, rounds, phone calls, and meetings (Coiera, 2006). In order to disseminate information regarding the change topic, it is crucial for the stakeholders to practice good communication skills. Nurses for example give report to nurses through an SBAR, which is great because they can explain to the incoming nurse how the patient, and parent reacting to the skin-to-skin contact care (Daughtery et al., n.d). Not only is it essential for these stakeholders to communicate in the various ways listed, but it is important that they are trained, and educated enough to be able to support the

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.

In the case of the CNM who delivered a 35 week breeched infant, several factors need

I had to learn to master the skill of active listening and properly decoding messages to understand what others were communicating to me even when cultural barriers were present. I had to manage my body language to ensure I was always displaying positive, non-verbal communication no matter the content of what may have presently been taking place. Giving eye contact was critical as the patient needed to know I was present, attentive, and concerned with their health dilemmas. Maintaining pleasant facial expressions, utilizing positive mannerisms and the appropriate tone of voice were skills that allowed me to create a positive experience for the patient even in their time of discomfort.