What were your first impressions about this clinical rotation? Please discuss the facility, the patient care your observed, and staff interaction with other members of the healthcare team. How does this area differ from a medical-surgical unit?
The facility itself was impressive. I have never been on an L&D unit before, but it felt much more like a hotel than a hospital. This was probably a conscious effort on the part of the designers to reduce the environmental stress of giving birth in a hospital. The nurses and doctors I observed interacted with the patients warmly and seemed more genuine than some of my other clinical experiences. Not to say that professionals on other units were not genuine, they just did not display it in such an easy way. I was especially impressed with the doctor I observed. He was more hands on than other doctors in med-surg units. He was also more overtly caring and open with his clients and coworkers. This seemed to create a relatively low-stress environment in a field where stress may normally be rampant.
I was on the Mother-Baby floor Tuesday and found it to be very strange for me. I guess being a guy I've never spent much time around infants or been around anyone that has had a baby. The nurses seemed very nice to the mothers, babies, and familes that were visiting. The nurses were also great teachers in the post-partum unit. The Mother-Baby floor seemed to differ from a med-surg floor in that a nurse was assigned 2-3 mothers and their cooresponding children, but also that the patients were able to take care of themselves for the most part.
I really enjoyed my experience on the L&D floor. I thought the layout was convenient and well-done. The rooms were very spacious and had a cozy feeling to them. The part that sold me were the baby pictures on the walls! The L&D nurses seemed to spend more time with their patients then the med-surg nurses. I thought the nurses their were really nice and enjoyed their jobs. The nurses were always very warm, calm, and reassuring to their patients. They seemed particular interested in always finding out exactly were the patient's pain was located.
I was on the mother-baby floor this week. It was so refreshing to see the joy a tiny baby can bring to so many people—the nurses, the visiting families, and of course, the parents. The unit rooms were not as spacious as the labor and delivery rooms and were basically like rooms on a med-surg floor. However, the big difference in this floor and med-surg is the fact that these patients aren’t sick or recovering from an operation (except the c-section patients). I was able to observe my nurse do patient teaching with a Spanish-speaking couple on how to use a breast pump. The most exciting thing I got to do was listen to an infant’s heartbeat and the most challenging thing was to accurately count it (that takes a little practice!)
I was on the L&D floor on Tuesday. I thought the unit was set up extremely well. The rooms were large, which was helpful, and the nurse stations allowed for each nurse to have a computer to be able to monitor their patients, and they seemed to be less crowded than the Med Surg floor. I also thought the doctors interacted with the nurses more than I have seen on any other floor. Also, the nurse I worked with not only was great at explaining things but she also seemed very thankful to have student nurses helping. The L&D nurses definitely spend more time with their patients and are able to constantly monitor them, which is different from the Med Surg floor. Overall I think it was a great experience.
I was on the Mother-Baby Unit. The nursing care delivered by the nurse I was assigned to was extremely different from the Med-Surg floors that I have been on. My nurse was assigned to 4 patients and all were able to care for themselves so she claimed there was nothing that needed to be done. I definitely do not agree and believe that there are always opportunities for teaching and assisting the patient. I thoroughly enjoyed the time we spent in the well baby nursery and the opportunity that was provided to me to give the newborn his first bath. I'm looking forward to the next couple of clinicals!
L&D clinical this past week was a great experience for me. The nurse that I was assigned to was very informative, and took time to explain to me assessment techniques and nursing actions that was appropiate for my patient. Overall, I was immpressed with the unit. My patient had the privilege of being in one of the new L&D rooms where the monitors continue to work even when mom gets up and moves around the room. It is a different environment than med-surg floor in that a calm approach is implemented and the room was kept dim. I would describe the nursing staff as a professional team that is respectful to each other and works well together to provide the best possible care to the patients.
I was on the mother/baby floor on Wednesday. I really enjoyed my experience this week. The nurse that I was assigned to was a former UAH graduate, and she was very excited about having students on the floor. She took time to explain the different types of assessment that she does each day and then walked me through one and explained every step of the way. I also got to do some newborn care which was extremely exciting. The one thing that I got to see a lot of this week was discharge teaching because three of my patients were leaving the hospital that day. Discharge teaching on the mother/baby floor is very extensive because most of the new mothers had many questions for the nurse to answer before she left the hospital with her brand new baby.
I really enjoyed my experience on the L&D floor. I thought the unit had a very good layout and the rooms were nicely set up. The floor seemed to have a caring staff and the nurses and doctors communicated well towards one another. By having having a much smaller patient load than med surg, it seemed like there was more time for compassion from the staff towards the patients and families. I was very excited to see a delivery and was amazed at how quickly everything and everyone came together.
I was on the L&D floor this week and I really enjoyed my experience. The rooms were cozy but practical. The nurse that I was assigned to was awesome. We spent zero time at the desk. We were nonstop with one of her two patients. I got to watch my 1st delivery (you can't really be a spectator when you are the patient). I also was able to insert a catheter. I learned to read the strips and why the decelerations occur. The doctors that I had experience with on the OB side were from UAB and did not seem very personable or knowledgeable. I loved the pictures on the walls lining the hallway. The L&D floor seemed to have an organized chaos during deliveries and the nurses seemed to work in more of a team effort than I have observed in the med-surg clinical. I would love to work in L&D. I really felt at home during this clinical experience.
The first clinical day was an eye opening experience. I fell in love with mother baby. However, I had mixed emotions throughout the day due to the types of patients I cared for. My nurse did not impress me. She said there was nothing to be done for the time i was there, but when i walked in my 3 patients room..they all needed something or meds. I believe the care of 2 for one is the biggest difference than med-surge. I look forward to being back.
I was on Mother/Baby Wed. morning. The rooms were large and less like hosptial room. The nurses station was smaller than some others that i have seen. My RN was wonderful she talked me through everything that she was doing and explained why she was doing it. My RN was very careing toward her patients and she treated them all equally. Everyone was friendly and helpful. I really enjoyed the nursery and interacting with the infants it was a great experience.
My rotation was in labor and delivery. This clinical facility really impressed me as far how much thought was given to patient comfort and making the rooms practical. The use of environment impressed me and it also made the clinical rotation more pleasant. The nurses showed great care for their patients and used great communication skills. They showed me how necessary it is to use communication to calm the patient and keep the environment stress free for the laboring mother. As far as nurse to nurse interaction, I noticed that they seemed to be very focused on their own patients but they also were quick to help each other when needed. None of the nurses were short or snappy when it came to answering questions or lending a hand. The difference between L and D and med/surg was very noticeable. The amount of monitoring that goes on was amazing. Each nurse was constantly looking at vitals on the computer screen or checking on patients in person. The charting method was also greatly different. Charting happened right then and there. Each nurse was able to get her information, analyze it, and make a decision as to what to do. This fast pace would seem stressful but the way they did managed their time made it seem like just another day. This clinical experience was great and I learned a lot.
I absolutely LOVED my clinical experience in labor and delivery. The second I walked into the room which I was assigned my patient was giving birth to the most beautiful little boy. It took everything within me to hold back the tears. My nurse was very helpful with me in directing me on what to do and teaching me new things about labor and delivery. Each nurse and MD that I spent any amount of time with were more than willing to explain procedures and such to me. I found everything to be very organized and the rooms were amazing. It was definitely an enjoyable and eye opening experience for me.
I really liked our clinical in mother baby. All of the nurses were really kind and helpful to all of us. It is very different from a med-surg unit because you have such different types of patients- you have mother and baby pairs that you have to care for. Also, the patients are relatively well, so your care for them is very different from the care you would give to a med-surg patient. I really found it interesting to see how the nurses balanced the workload and how they gave different care to these patients.
This week I was on the Mother-Baby Unit. It was a very exciting day just to have only been there for such a short time...I was able to get in there the first day and actually learn some new things and use some previous skills. It was exciting to listen to a baby’s heart and feel a couple of fundus. I love the unit and could really see myself working there I loved all the staff! Unlike many other units where there were several nurse who you could tell hated their job, this time it was completely different...they seemed to love being at work and was very eager to teach the very nervous and anxious students. This is one clinical that I can't wait to come back to again!
My first impression about this clinical rotation was that the psychological atmosphere reflected the physical environment – possessive and defensive. The nurse I worked with was friendly and helpful but too busy rushing from patient to patient to spend much time with any patient or with me. Because we students spend so little time learning about this field which is so specialized and the environment has to be so guarded, I feel like we don’t have enough time to develop sufficient skills and rapport with the staff to be considered assets. Instead, we are tolerated intruders into their sacred domain. I spend less time with patients and with nurses than I do during med-surg clinical days, and the time I do spend with patients is spent on more superficial interactions. Part of that, I think, is because the mother isn’t interested in spending time interacting with me as a nurse because she isn’t “sick” and needing significant nursing interventions, another reason is that the mother is usually absorbed in her baby. The nursing station is cramped and computer stations for charting are spread around so nurses don’t appear to have the opportunity to spend time working together to develop team dynamics. I feel that this rotation, like pediatrics, has complications that can’t be resolved but I’m glad to have the opportunity, however limited, to experience OB nursing at all, and as negative as I think my thoughts sound I’m really having a good experience overall.
Eighty percent of the population that I've worked with in the past three semesters have been patients who are extremely ill. I notice that most patients on the fifth floor can do a majority of things for themselves. Also, the large amount of family members that are there in the room is different than in med surg. Unlike the med surg floor, the security on the fifth floor is extremely strict. They are suspicious of people who look like they don't belong on that floor.
The L&D unit is completely different from the medsurg floor. It has a whole new variety of skills and patient care. One thing that I noticed about the nurses was that they were alot more open to having students following them around than the nurses on the medsurg floor. They made me feel welcome and seemed happy and eager to teach me as much as possible. I did not get to see a delivery today,but I did learn exactly what late decelerations look like on the monitor and aided the nurse in the interventions (changing the position of the mom and then giving O2 when that didn't work). After that, the late decelerations stopped. Even though I didin't get to see a delivery, I really enjoyed my time and couln't wait to get back on the unit.
I was on the mother/baby floor Tuesday and it was much different than the med-surg floor because the patients were not sick but rather healing from a natural process of life. The RN I followed was helpful...she was generous to let me do different tasks that M/B nurses are responsible for. The mothers seemed hesitant and first to let me do anything but became a lot more comfortable with after talking with them a little while.
I attended HH clinicals on Tuesday. This was the first day that the Decatur group was there so there were many challenges that faced the staff and the doctors that day. Overall, the staff and the doctors transitioned well with no real drama. The doctor that delived my patient baby was no different then the med surg doctors. He did what he needed to do with no explanition to my patient and then he was done and left. It was her first child so her anxiety level was very high and I could tell she was scared. The nurse that i worked with was wonderful. She explained everything to the patient and even me. I learned so much from her that day. I enjoyed my foirst day at clinicals. Laura
Married 28 years to my college sweetheart - Tom; 2 sons: David, a broadcast communication major and Jonathan, an education major who is going to seminary later
21 comments:
The facility itself was impressive. I have never been on an L&D unit before, but it felt much more like a hotel than a hospital. This was probably a conscious effort on the part of the designers to reduce the environmental stress of giving birth in a hospital. The nurses and doctors I observed interacted with the patients warmly and seemed more genuine than some of my other clinical experiences. Not to say that professionals on other units were not genuine, they just did not display it in such an easy way. I was especially impressed with the doctor I observed. He was more hands on than other doctors in med-surg units. He was also more overtly caring and open with his clients and coworkers. This seemed to create a relatively low-stress environment in a field where stress may normally be rampant.
I was on the Mother-Baby floor Tuesday and found it to be very strange for me. I guess being a guy I've never spent much time around infants or been around anyone that has had a baby. The nurses seemed very nice to the mothers, babies, and familes that were visiting. The nurses were also great teachers in the post-partum unit. The Mother-Baby floor seemed to differ from a med-surg floor in that a nurse was assigned 2-3 mothers and their cooresponding children, but also that the patients were able to take care of themselves for the most part.
I really enjoyed my experience on the L&D floor. I thought the layout was convenient and well-done. The rooms were very spacious and had a cozy feeling to them. The part that sold me were the baby pictures on the walls! The L&D nurses seemed to spend more time with their patients then the med-surg nurses. I thought the nurses their were really nice and enjoyed their jobs. The nurses were always very warm, calm, and reassuring to their patients. They seemed particular interested in always finding out exactly were the patient's pain was located.
I was on the mother-baby floor this week. It was so refreshing to see the joy a tiny baby can bring to so many people—the nurses, the visiting families, and of course, the parents. The unit rooms were not as spacious as the labor and delivery rooms and were basically like rooms on a med-surg floor. However, the big difference in this floor and med-surg is the fact that these patients aren’t sick or recovering from an operation (except the c-section patients). I was able to observe my nurse do patient teaching with a Spanish-speaking couple on how to use a breast pump. The most exciting thing I got to do was listen to an infant’s heartbeat and the most challenging thing was to accurately count it (that takes a little practice!)
I was on the L&D floor on Tuesday. I thought the unit was set up extremely well. The rooms were large, which was helpful, and the nurse stations allowed for each nurse to have a computer to be able to monitor their patients, and they seemed to be less crowded than the Med Surg floor. I also thought the doctors interacted with the nurses more than I have seen on any other floor. Also, the nurse I worked with not only was great at explaining things but she also seemed very thankful to have student nurses helping. The L&D nurses definitely spend more time with their patients and are able to constantly monitor them, which is different from the Med Surg floor. Overall I think it was a great experience.
I was on the Mother-Baby Unit. The nursing care delivered by the nurse I was assigned to was extremely different from the Med-Surg floors that I have been on. My nurse was assigned to 4 patients and all were able to care for themselves so she claimed there was nothing that needed to be done. I definitely do not agree and believe that there are always opportunities for teaching and assisting the patient. I thoroughly enjoyed the time we spent in the well baby nursery and the opportunity that was provided to me to give the newborn his first bath. I'm looking forward to the next couple of clinicals!
L&D clinical this past week was a great experience for me. The nurse that I was assigned to was very informative, and took time to explain to me assessment techniques and nursing actions that was appropiate for my patient. Overall, I was immpressed with the unit. My patient had the privilege of being in one of the new L&D rooms where the monitors continue to work even when mom gets up and moves around the room. It is a different environment than med-surg floor in that a calm approach is implemented and the room was kept dim. I would describe the nursing staff as a professional team that is respectful to each other and works well together to provide the best possible care to the patients.
I was on the mother/baby floor on Wednesday. I really enjoyed my experience this week. The nurse that I was assigned to was a former UAH graduate, and she was very excited about having students on the floor. She took time to explain the different types of assessment that she does each day and then walked me through one and explained every step of the way. I also got to do some newborn care which was extremely exciting. The one thing that I got to see a lot of this week was discharge teaching because three of my patients were leaving the hospital that day. Discharge teaching on the mother/baby floor is very extensive because most of the new mothers had many questions for the nurse to answer before she left the hospital with her brand new baby.
I really enjoyed my experience on the L&D floor. I thought the unit had a very good layout and the rooms were nicely set up. The floor seemed to have a caring staff and the nurses and doctors communicated well towards one another. By having having a much smaller patient load than med surg, it seemed like there was more time for compassion from the staff towards the patients and families. I was very excited to see a delivery and was amazed at how quickly everything and everyone came together.
I was on the L&D floor this week and I really enjoyed my experience. The rooms were cozy but practical. The nurse that I was assigned to was awesome. We spent zero time at the desk. We were nonstop with one of her two patients. I got to watch my 1st delivery (you can't really be a spectator when you are the patient). I also was able to insert a catheter. I learned to read the strips and why the decelerations occur. The doctors that I had experience with on the OB side were from UAB and did not seem very personable or knowledgeable. I loved the pictures on the walls lining the hallway. The L&D floor seemed to have an organized chaos during deliveries and the nurses seemed to work in more of a team effort than I have observed in the med-surg clinical. I would love to work in L&D. I really felt at home during this clinical experience.
The first clinical day was an eye opening experience. I fell in love with mother baby. However, I had mixed emotions throughout the day due to the types of patients I cared for. My nurse did not impress me. She said there was nothing to be done for the time i was there, but when i walked in my 3 patients room..they all needed something or meds. I believe the care of 2 for one is the biggest difference than med-surge. I look forward to being back.
I was on Mother/Baby Wed. morning. The rooms were large and less like hosptial room. The nurses station was smaller than some others that i have seen. My RN was wonderful she talked me through everything that she was doing and explained why she was doing it. My RN was very careing toward her patients and she treated them all equally. Everyone was friendly and helpful. I really enjoyed the nursery and interacting with the infants it was a great experience.
My rotation was in labor and delivery. This clinical facility really impressed me as far how much thought was given to patient comfort and making the rooms practical. The use of environment impressed me and it also made the clinical rotation more pleasant. The nurses showed great care for their patients and used great communication skills. They showed me how necessary it is to use communication to calm the patient and keep the environment stress free for the laboring mother. As far as nurse to nurse interaction, I noticed that they seemed to be very focused on their own patients but they also were quick to help each other when needed. None of the nurses were short or snappy when it came to answering questions or lending a hand. The difference between L and D and med/surg was very noticeable. The amount of monitoring that goes on was amazing. Each nurse was constantly looking at vitals on the computer screen or checking on patients in person. The charting method was also greatly different. Charting happened right then and there. Each nurse was able to get her information, analyze it, and make a decision as to what to do. This fast pace would seem stressful but the way they did managed their time made it seem like just another day. This clinical experience was great and I learned a lot.
I absolutely LOVED my clinical experience in labor and delivery. The second I walked into the room which I was assigned my patient was giving birth to the most beautiful little boy. It took everything within me to hold back the tears. My nurse was very helpful with me in directing me on what to do and teaching me new things about labor and delivery. Each nurse and MD that I spent any amount of time with were more than willing to explain procedures and such to me. I found everything to be very organized and the rooms were amazing. It was definitely an enjoyable and eye opening experience for me.
I really liked our clinical in mother baby. All of the nurses were really kind and helpful to all of us. It is very different from a med-surg unit because you have such different types of patients- you have mother and baby pairs that you have to care for. Also, the patients are relatively well, so your care for them is very different from the care you would give to a med-surg patient. I really found it interesting to see how the nurses balanced the workload and how they gave different care to these patients.
This week I was on the Mother-Baby Unit. It was a very exciting day just to have only been there for such a short time...I was able to get in there the first day and actually learn some new things and use some previous skills. It was exciting to listen to a baby’s heart and feel a couple of fundus. I love the unit and could really see myself working there I loved all the staff! Unlike many other units where there were several nurse who you could tell hated their job, this time it was completely different...they seemed to love being at work and was very eager to teach the very nervous and anxious students. This is one clinical that I can't wait to come back to again!
My first impression about this clinical rotation was that the psychological atmosphere reflected the physical environment – possessive and defensive. The nurse I worked with was friendly and helpful but too busy rushing from patient to patient to spend much time with any patient or with me. Because we students spend so little time learning about this field which is so specialized and the environment has to be so guarded, I feel like we don’t have enough time to develop sufficient skills and rapport with the staff to be considered assets. Instead, we are tolerated intruders into their sacred domain. I spend less time with patients and with nurses than I do during med-surg clinical days, and the time I do spend with patients is spent on more superficial interactions. Part of that, I think, is because the mother isn’t interested in spending time interacting with me as a nurse because she isn’t “sick” and needing significant nursing interventions, another reason is that the mother is usually absorbed in her baby. The nursing station is cramped and computer stations for charting are spread around so nurses don’t appear to have the opportunity to spend time working together to develop team dynamics. I feel that this rotation, like pediatrics, has complications that can’t be resolved but I’m glad to have the opportunity, however limited, to experience OB nursing at all, and as negative as I think my thoughts sound I’m really having a good experience overall.
Eighty percent of the population that I've worked with in the past three semesters have been patients who are extremely ill. I notice that most patients on the fifth floor can do a majority of things for themselves. Also, the large amount of family members that are there in the room is different than in med surg. Unlike the med surg floor, the security on the fifth floor is extremely strict. They are suspicious of people who look like they don't belong on that floor.
The L&D unit is completely different from the medsurg floor. It has a whole new variety of skills and patient care. One thing that I noticed about the nurses was that they were alot more open to having students following them around than the nurses on the medsurg floor. They made me feel welcome and seemed happy and eager to teach me as much as possible. I did not get to see a delivery today,but I did learn exactly what late decelerations look like on the monitor and aided the nurse in the interventions (changing the position of the mom and then giving O2 when that didn't work). After that, the late decelerations stopped. Even though I didin't get to see a delivery, I really enjoyed my time and couln't wait to get back on the unit.
I was on the mother/baby floor Tuesday and it was much different than the med-surg floor because the patients were not sick but rather healing from a natural process of life. The RN I followed was helpful...she was generous to let me do different tasks that M/B nurses are responsible for. The mothers seemed hesitant and first to let me do anything but became a lot more comfortable with after talking with them a little while.
I attended HH clinicals on Tuesday. This was the first day that the Decatur group was there so there were many challenges that faced the staff and the doctors that day. Overall, the staff and the doctors transitioned well with no real drama. The doctor that delived my patient baby was no different then the med surg doctors. He did what he needed to do with no explanition to my patient and then he was done and left. It was her first child so her anxiety level was very high and I could tell she was scared. The nurse that i worked with was wonderful. She explained everything to the patient and even me. I learned so much from her that day. I enjoyed my foirst day at clinicals.
Laura
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