My Observation at the CWC Clinic: The women’s health clinic performs several different test and procedures depending on how far along the patient is in their pregnancy. During my experience I was on the high risk floor and was able to observe several tests including Group B Streptococcus (GBS), and urine dipsticks. GBS can cause infant mortality but is considered normal flora for the mother. GBS can be found in the pregnant mothers’ vagina or rectum. If the mother test positive for GBS, which my patient did, she will be prescribed antibiotics such as penicillin or ampicillin and will continue this medication until delivery. In a pregnant mom, GBS can cause cystitis, endometritis, and stillbirth. In the newborn, you will typically see the symptoms before age day 7. The symptoms include the most common which is sepsis, pneumonia, or meningitis. The GBS test is done to all expecting mothers’ between 35 and 37 weeks of gestation. The GBS test is done by swabbing the vaginal and rectum area (Smith, 2014). During my CWC clinic cay I also observed urine dipstick test, and was able to perform several test myself. Urine dipsticks are for every single patient that comes to the clinic, this is the first thing they will do when they come into the clinic. The …show more content…
My clinic observation gave me a different look on nursing. I was placed on the high risk floor and if you are a high risk patient you have to come to the clinic each week until the delivery of the baby. I enjoyed being able to hands on see several of the procedures we have discussed in class such as GBS test, urine dipsticks, and ultrasounds. The one thing I didn’t care for much was that the patient interaction was very minimal, the nurse really doesn’t interact with the patient’s much after she get them to their examination room. I liked being able to see the various roles of the healthcare team be fulfilled. The healthcare team as a whole worked very well
For over fifteen years I have enjoyed being an LPN. Working in nursing homes taught me to how to patience and how to use my knowledge to help my patients to the best of my ability. My time as an alcohol and drug rehabilitation nurse helped me to appreciate the courage it takes to admit to a problem, ask for help and the strength it takes to work to get better. Working in a hospital taught me to how to work in a fast paced setting while keeping my sanity intact.
Sanders found it unnecessary for a chorionic Villus sampling to find out if her child had a chromosome deformities. She also opt of taking the maternal blood screening test, because she was not at risk (M. Sanders, personal communication, January 30, 2016). The Amniocentesis test help deal with a pregnancy if a disorder is found. Fetal MRI are used for a detail image of the child and often use for to better detect abnormalities. The chorionic villus sampling is use to find genetic defects.
This week at coastal hospice I felt more comfortable with the staff and was able to address some of the concerns without hesitation. The only thing I still do not like is how I have not been able to keep one consistent preceptor during my rotation. This would not be an issue if I was being trained to work there. I think it is a great idea to learn from multiple nurses and get an insight of the way everyone does something differently.
Regardless of the improvements that have been made there is still a risk of miscarriages as a result. This risk factors can be contributed to the invasiveness of the procedure as well as the time during the pregnancy at which it is performed. The later the genetic testing is performed, the more developed the unborn child is and the later the possible abortion would take place. The two most common forms of testing are ¨amniocentesis or chorionic villus sampling¨ (Rebouché and Rothenberg 989). Both of these tests ¨[require] extracting cells from the fetus in utero, either through the mother 's abdomen or vagina¨ (Rebouché and Rothenberg 989).
My Intent to Be a Nurse Practitioner Coming from a third world country where there aren’t many opportunities for work and funding for education, proceding to nursing school was a grand opportunity. The privilege to attend a government subsidized school where top students in the region compete to get into the program that allowed only 60 students per year was indeed a blessing. As clinical rotations began, what was once considered a mere opportunity evolved into a true passion for caring as I truly love and enjoy nursing and helping people.
Several of these include but are not limited to: gestational diabetes, pre eclampsia, thrombosis, pregnancy loss, and a higher rate of induction (mayo). “According to the 2014 analysis by the Center for Disease Control and Prevention, the prevalence of gestational diabetes is as high as 9.2%”(ada what). Gestational diabetes is just one of the many costly health issues whose risk skyrockets with overweight and obese pregnant women. Treatment generally includes special diet and exercise, but in some cases can also include insulin injections (ada how). Gestational diabetes can cause increased health risks for the unborn child and also increase health risks that can carry over into
The first day I stepped onto the floor, I felt overwhelmed and I questioned myself if I was meant for this line of work. I was assigned 14 patients. Soon after interacting with all my patients, my perspective and doubts changed. After leaving for college; I started my college days as a full time pre-nursing student. I continued to work as a CNA and
Nursing, and everything that it entails, cannot be easily described in just one simple word or phrase. It goes beyond the meaning of a profession and the stereotypical definition of treating the ill. Nursing is the “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, 2010, p. 1). Therefore, it is a career that requires dedication, passion, critical thinking, and knowledge. It demands commitment and an understanding of its core values and concepts, as well as the nurse’s own personal philosophy and principles.
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
Being a nurse is not always as easy and picture perfect as people paint it to be. A nurse is expected to act perfectly professional, even when tears, anger and all-around emotions are begging to come out. A nurse must always be the one that has their life together, especially when others do not. They are there to be the ones to hold and care for others in desperate times of need. Nurses are expected to be more than just a nurse, but rather an advocate, caregiver, support system and professional.
What does nursing mean to me? Nursing means helping people heal, meeting their needs while they are in your care, listening to concerns, protecting them from harm, and educating them how to care for themselves while treating them with dignity, compassion and respect and giving of yourself to the care of people and community. It is having compassion for people and their health and being a humanitarian, making sure they receive the best care possible. Nurses must also treat families of patients with kindness, realizing they are going through a stressful situation also. Nursing is a responsibility to provide the best care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past.
My teaching philosophy stems from my belief that the gauge of a teacher 's success is how effectively the teacher prepares students, not only for present courses, but for their future professional careers. As a Nurse, I am committed to the nursing profession and I chose nursing since; nurses have the chance to a life changing event to every patient. Nurses promote Health Education, Healing and Prevention of Illness, as well as performing end of life care through a dignified death. I chose to be a nurse because I wanted to contribute to humanity, to feel that the world was in some small way, better because I was a part of it.
For instance, it was interesting to be able to see and work within the different dynamics of the nursing profession. In the OR and endoscopy unit I noticed that the nurses seemed much more relaxed than those on the medical or surgical floor. I felt as though they had copious amounts of time to educate on the different procedures and different pieces of the specialty areas, while allowing me plenty of time to ask questions to broaden my knowledge. In the endoscopy unit, the RN that I shadowed was very involved in my learning and made me feel as if I were a part of the team and not just a
Today, I am glad I choose nursing because I have overcome my social fears, learn to be a team player, learn how to prioritize and most importantly learned to manage stress. Lastly, I grew as a nurse with each semester because I learned how to respect and treat each patient as a unique individual. I have also learned to put my patient safety as my priority and provide presence because I realized through my clinical experience that, sometimes that all the patients need. Below is the breakdown of how I have developed each semester in nursing school. FALL 2013 • Foundations of Nursing: NUR 2310
Clinical governance ensures that organisations become accountable for continuously improving their services and safe-guarding standard of care ‘by creating an environment in which excellence in clinical care will flourish’ (Scally and Donaldson 1998). Clinical audit emerged from within the clinical governance framework and is now seen as one of the most important elements of clinical governance (NICE 2002); it has been defined as ‘a quality improvement process that seeks to improve patient care and outcomes through systematic review against explicit criteria and the implementation of change’. The student intends to focus this audit on staff knowledge in relation to Hand Hygiene and Infection Control and to evaluate the hand hygiene education