How did you change your approach/organization for this clinical experience, based upon your last? I was sure to do my study guide and review it before clinical, as well as completing all labor and delivery drug cards, including two extra. This helped me understand what the nurses and doctors were taking about. This clinical in L&D, which enabled me to use the wave understandings that Traywick taught to us the previous week. This helped me see how the patients were doing in relation to contractions and how the baby was responding. This was interesting and neat to have an idea of what it means instead of going throughout clinical without any insight on this.
Give an example of how you utilized a new assessment technique specific to the patient population you were caring for this week: I was able to assess the mother that was in labor throughout the time of her full dilation till the recovery. During the recovery especially, I visited her room every 15 minutes to check and massage to fundus, the nurse showed me where to locate the fundus and what to and to not expect, because if it was not firm it could risk hemorrhaging. I didn’t do it myself but the assessment of the neonate was interesting because they let the mother hold the baby after assessment because he expressed crying at birth, but if not that shows respiratory distress that would not have allowed the skin to skin touch that the mother was able to experience.
What ways did you observe the nurse or yourself act as an advocate for your patient/other patients? The nurse was very positive throughout the experience. One thing I saw she advocated was to hold off the need for her azithromycin, because she had an empty stomach and would vomit if taken without a meal. The nurse spoke to the doctors and came to a conclusion about her medicine regime that the patient agreed on. During the labor, I surprised myself in helping her with encouraging words during her labor pushes. It was a group effort to...
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