...Paper) RN (Labor and Delivery Nurse) Instructor Miller RN (Labor and Delivery Nurse) When I finish school I would like to become a Labor and Delivery Nurse. The reason why I choose to become a Labor and Delivery Nurse is because I get excitement out of women baring children. Working in obstetrics is a rewarding field that allows you to work with new families and newborn babies. Being a labor and delivery nurse is a well-paying job with excellent benefits and rewarding job satisfaction. It requires several years of education and training, but it provides you with expertise in an area that won’t fluctuate with changes in the economy. EDUCATION There are a number of different paths through which to gain a nursing education. You can obtain a bachelor’s of science degree in nursing, an associate’s degree or a diploma. Programs prerequisite mostly is including math, science, and health sciences. Additional languages and computer skills will help you obtain a position later [source: Discover Nursing]. If you are wondering how to be a labor and delivery nurse, there are a few steps you’ll need to take. As with many nursing professions, it’s usually a good idea to start off as an LPN (Licensed Practical Nurse). This entails a one-year program assisting RNs (Registered Nurses) for the purpose of on-the-job training. After working as an LPN you will likely want to become an RN with a Bachelor of Science in Nursing. This is a four-year program. To become a labor and delivery...
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...Board of Nursing located in Jefferson City, Missouri, has the sole responsibility of protecting the public, and enforcing the state laws to ensure safe and competent nursing care is being provided. The Missouri State Board of Nursing consists of 9 board members who oversee that RNs and LPNs throughout the state are providing safe and competent care to the general public by following the Nurse Practice Act (“Board of Nursing”, n.d.). The Missouri State Board of Nursing is also responsible for the approval of applications for licensure after a graduate nurse has taken the NCLEX exam, as well as taking action against nurses who have demonstrated unsafe nursing care by suspension or possible revocation of their nursing license. Time range for the approval of an application in the state of Missouri is typically 30 to 45 days (“Board of Nursing”, n.d.). If an application requires further review, then the application could take up to 4 months to process. Nurses within the state of Missouri receive a two year license, LPNs renew on even years and RNs renew on odd years. Other things the Board of Nursing is responsible for include: “Approving nursing education programs, establishing nursing practicing guidelines from the regulatory standpoint, and developing policies, rules and regulations” ("Roles of State Boards of Nursing: Licensure, Regulation and Complaint Investigation," 2012). The Missouri Board of Nursing holds hearings and investigates any complaints of nursing care within...
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... Maternal Child Nursing Course - Care Plan | | | Student: Tiffany Rogers | Clinical Date: 11/07/2015 | Site: St. Vincent’s South | | | | | | Sections | Grading Criteria | Possible Points | Points Earned | Comments | Patient Information | General Information | 10 | | | | OB/Medical/Surgical Hx | | | | | Psychosocial Hx | | | | | Lab Information/Vital Signs | | | | | | | | | Postpartum/L&D | L&D Complications (or) | 10 | | | | PP Complications | | | | | Interventions | | | | Nursing Diagnosis (3) | Problems (Exclude Pain) | 10 | | | | Goals (2 goals (short/long term) per dx | 5 | | | | Interventions (5 min per goal) | | | | | | | | | | APA 6th edition reference page | 5 | | | Medication - Classifications | Name of Drug: | 10 | | | | Dose, Range, Route | | | | | Side Effects, Time Schedule | | | | | Action | | | | | Rationale for Drug Therapy | | | | L&D or Postpartum Clinical Rotation Worksheet Chamberlain College of Nursing Student: Tiffany Rogers Date: 11/07/2015 Faculty: Ellis Vaginal Delivery Client’s Initials: JL Age: 24 G: 1 T: 1 P: 0 A: 0 L: 1 Admission or (Post Delivery) EDC: 11/ 06/2015 Date of Delivery: 11/05/2015 Gestational Age at delivery: 39.6 Weeks EBL at delivery: 200 mL Date of...
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...nurse-patient transaction from King’s Theory of Goal Attainment was employed to explore the impact of the nurse-patient transaction as it relates to primiparous patient satisfaction with the childbirth process. In this descriptive study, intrapartum nurses were interviewed regarding their perception of primiparous patient’s childbirth experience. The interviews were reflected upon to develop a better understanding of the impact of the nurse-patient transaction on achieving patient satisfaction with coping strategies. The findings revealed that although only one-half of the patients had participated in formal childbirth classes, effective nurse-patient transactions were successful in goal attainment of satisfaction with coping strategies in labor and delivery. TABLE OF CONTENTS Page LIST OF FIGURES ........................................................................................................... iii CHAPTER 1 – INTRODUCTION ......................................................................................1 CHAPTER 2 – THEORETICAL FRAMEWORK AND LITERATURE REVIEW ..........3 Personal System ..............................................................................................................3 Interpersonal System .......................................................................................................5 Social System ................................................................................................................10 CHAPTER 3 – METHODOLOGY...
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...Being able to have a chance to watch parental visits, the delivery and postnatal visits, is a great way to put all the steps together. My OB experience has positive and negatives outcomes. The first OB mother I got paired with, did not have any prenatal visits left when I contacted her, but I was able to watch the placement of her cervidil. Her labor went extremely fast, and the nursing staff was unable to call me due to the fasten of her deliver. Then I was going to get place with another nurse’s student, to watch that birth. The OB mother of that birth did not feel like I deserved to watch her give birth, due to not attending any prenatal visits. Lastly, while in the labor and delivery suite, the nurses worked extremely hard to find me another...
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...Comparison of Delayed Versus Immediate Pushing During Second Stage of Labor for Nulliparous Women with Epidural Anesthesia Comparison of Delayed Versus Immediate Pushing During Second Stage of Labor for Nulliparous Women With Epidural Anesthesia The research was done by Erica Gillesby, BSN, RNC, is a staff nurse, Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO, Suzan Burns, BSN, RN, is a staff nurse, Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO, Amy Dempsey, MSN, RNC, is a clinical nurse specialist, Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO, Kami Mogensen, BSN, RNC, is a staff nurse, Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO and other registered nurses to determine if the use of delayed pushing after the onset of the second stage of labor decreases the time of active pushing and maternal fatigue. Participants were randomly selected from nulliparous women, with continuous, standard dose, lumbar epidurals who reached the second stage of labor and assigned to two different methods of pushing, randomized by computer. The first group was the immediate pushing with a sample of 39; the second was the delayed pushing with a sample of 38. The participants were older than 16 years, viable, vertex singleton fetus and fetal age of 36 weeks or older. Cesarean delivery, samples with a maternal weight ≥275lbs, due to increased risks for both mother and fetus, magnesium sulfate...
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...Medically Elective Caesarean Deliveries; Risks vs. Benefits Jason LeBeaú College of Du Page County Complex Medical Surgical/Leadership Nursing NUR206 17 October 2012 Medically Elective Caesarean Deliveries; Risks vs. Benefits Introduction Women have been giving birth for millions of years. Before the advent of technology, women just instinctively knew when it was time to give birth and their bodies did the rest. They trusted that their bodies were meant for this purpose. Midwives and village elders would come to be with the laboring mother and to help her through the process. Vaginal birth was not only considered the normal way of birth, it was also the only way of birth. Vaginal birth is no longer the only choice when it comes to delivering a baby. Cesarean deliveries (CDs) are now a lifesaving strategy. CD is a surgical procedure in which a doctor in an operating room makes an incision through the mother’s abdomen and down to the uterus. The baby is removed from the uterus and the uterus and abdomen are then closed with sutures. This takes place while the mother is awake and made numb from the waist down by either a spinal or epidural anesthetic. In emergency situations, a general anesthetic is used and the mother is put to sleep and is unconscious for the procedure. CDs were originally used to save the life of the mother, save the life of the baby or when a vaginal delivery wasn’t possible. Since the birth of CDs, they are now performed for...
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...Thyroiditis * Postpartum Depression * Direct the initial management of the ill postpartum patient * Know the appropriate threshold for consultation with specialist Postpartum Hemorrhage * Be defined as a blood loss exceeding 500ml after delivery of the infant * Excessive bleeding that makes the patient symptomatic (lightheaded, syncope) and/or results in signs of hypovolemia (hypotension, tachycardia, oliguria) * PPH: occurs in 24 hour of delivery * the late PPH: occurs after 24 hour of delivery to 6 weeks * Obstetrical emergency that can follow vaginal or cesarean delivery * Incidence – 3% of births * 3rd most common cause of maternal death in US Causes of Postpartum Hemorrhage Four Ts | Cause | Approximate Incidence (%) | Tone | Atonic uterus | 70 | Trauma | Lacerations, Hematomas, Inversion, Rupture | 20 | Tissue | Retained tissue, Invasive placenta | 10 | Thrombin | Coagulopathies | 1 | Risk Factors * Prolonged 3rd stage of labor * Fibroids, placenta previa * Previous PPH * Overdistended uterus * Episiotomy * Use of magnesium sulfate, preeclampsia * Induction or augmentation of labor Management * Secondary steps * Will likely require regional or general anesthesia * Evaluate vagina and cervix for lacerations * Manually explore uterus * Treatment options * Repair lacerations with running locked #0 absorbable...
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...Nurses do more than take people's blood pressure, give shots, and take temperatures: they also pick up the slack from doctors (7). Being a registered nurse requires dedication, compassion, hard work, and knowledge (4). There are some things that people should know about the job; the job description, education, and potential career paths are just a few (6). Specifically, nursing involves assessing patients, and collecting information about the patient and their medical history. Taking blood pressure, vitals, and body temperature are also a daily task (Career). A big part of being a registered nurse is collecting information about the patient. Nurses can also carry out treatment plans. A nurse could give medications, bandage a wound, or even...
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...a procedure utilized frequently, for pain relief, by woman enduring the labor process. There are many considerations that the nurse is responsible for prior to, during, and after the procedure is performed. Knowing what these assessments, provisions, interventions, and evaluations are will prevent harm of the patient and ensure suitable pain relief measures are successful. According to Wong, epidural is the most effective pain relief measure used for labor (Wong, Perry, Hockenberry, & Deitra Leonard Lowdermilk, 2006). Epidural by Definition Epidural anesthesia involves the process of placing a needle fed catheter into the epidural space of the spinal column in between the L4 and L5 lumbar vertebrae. The purpose of this placement during labor is to block the T10 to S5 required for pain relief of all body areas involved in labor without suppressing organ function and decreasing LOC (Wong, Perry, Hockenberry, & Deitra Leonard Lowdermilk, 2006). The quantity and type of medication used determines the inhibitory effects on motor function and activity. This is a consented procedure which requires adequate education. Assessment Upon admission to the labor and delivery unit, the nurse should be attentive to any surgical history, allergies, obstetrics history, current medications, renal function, last meal eaten and at what time, contraction pattern, progression status of labor, and current maternal and fetal vital signs. The nurse knows that these...
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...different ways to become a registered nurse: a three year diploma program, a three year associate degree, and a four year baccalaureate degree. All three of these programs each prepare the RN at different levels. Nurses attain different competencies in each program. This paper will focus on the associate degree prepared nurse versus the baccalaureate degree prepared nurse. Baccalaureate nursing programs cover all of the content taught in an associate degree program with the addition of “a more in depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities. The additional course work enhances the student’s professional development, prepares the nurse for a broader scope of practice, and provides the nurse with a better understanding of the cultural, political, economic and social issues that affect patients and influence healthcare delivery” (Rosseter, 2014, p1). BSN programs focus on evidence-based clinical practice and leadership. Whereas, students in an ADN program focus on learning the technical skills of nursing needed to provide direct care to patients. The baccalaureate nurse is prepared to work with patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments. The baccalaureate nurse understands and...
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...of the woman’s last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long. When gestation has completed, it goes through a process called delivery, where the developed fetus is expelled from the mother’s womb. There are two options of delivery: Cesarean section and NSVD or normal spontaneous vaginal delivery. A cesarean section is a surgical incision through the mother’s abdomen and uterus to deliver one or more fetuses. NSVD or normal spontaneous vaginal delivery is the delivery of the baby through vaginal route. It can also be called NSD or normal spontaneous delivery, or SVD or spontaneous vaginal delivery, where the mother delivers the baby with effort and force exertion. Normal labor is defined as the gradual subjugation and dilatation of the uterine cervix as a result of rhythmic uterine contractions leading to the expulsion of the products of conception: the delivery of the fetus, membranes, umbilical cord, and placenta. Laboring cannot that be easy; thereby implicating that there are processes and stages to be undertaken to achieve spontaneous delivery. Through which, Obstetrics have divided labor into four (4) stages thereby explaining this continuous process. STAGE 1: It is usually the longest part of labor. It begins with regular uterine contractions and ends with complete cervical dilatation at 10 centimeters. This stage is broken down into three (3) phases: the Early phase, where the contractions...
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...explain how to improve quality and minimize cost. Although there are many issues facing health care, one area of focus is a nursing shortage in health care facilities. Three economic tools that will be focused on in this essay are choice and opportunity cost, supply and demand, and marginal analysis. Registered nurses (RN) are the largest group of health care professionals in the United States, strengthening the entire health care delivery system (Caron, 2004). It is important to understand the effects that a nursing shortage has on the economy and the health care system. Choice and Opportunity Cost Choice and opportunity costs are two of the most important concepts in economics. There is never an endless amount of resources, supplies, or even time so choices must be made on a daily basis. The choices that must be made in health care organizations are how to spend their limited income in the best way. The term best can be hard to define when dealing in terms of buying or spending. Health care organizations must consider what choice will give the most satisfaction or maximize gain. Wiseman explains opportunity costs as being, “…any good, including service, is the satisfaction or benefit foregone in not being able to use the resources involved to obtain some other good which is also desirable and provides satisfaction” (2011). In terms of the nursing shortage, because there are not enough nurses to fill positions, decisions must be made involving mandatory on-call shifts...
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...The professional nurse's scope of practice is defined and outlined by the State Board of Nursing that governs practice” (Nettina, 2013, p.16). In order to practice nursing in the State of Texas, registered nurses (RNs) “must know the scope of practice as defined by Texas law so that they may meet minimum acceptable levels of practice” (Murphy, 1995, p. 37). The nurse’s duty is to assure the safety of his/her patient. The Board of Nursing (BON) developed at six-step decision making flowchart to assist nurses to determine whither a particular action is within their scope of practice. The questions include: 1. Is the act consistent with the Texas Nursing Practice Act (NPA)? Do the Board’s rules or positions statements address this specific act? 2....
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...Associate Degree Nurse versus the Baccalaureate Degree Nurses Nursing is one career that has spent decades establishing education requirements and advancements for those in the field to better the population of those licensed to improve patient care and nurse leadership. A registered nurse starts by becoming licensed after completing either a diploma nurse program, a two or three year associate degree program, or a four year baccalaureate program. Nurses may then advance farther into an advanced practice nurse by obtaining a master’s degree in nursing. When deciding on a nursing program, one must consider the difference between an associate degree nurse and a baccalaureate nurse. At the end of the program, all must sit for the same licensing examination known as the NCLEX. The NCLEX however is not valid proof that there are not differences between the degree levels as the test strictly tests for a minimum safe competency for entry into a basic nursing practice (AACN, 2012). It is believed by some that there is no difference between the clinical competencies between associate degree and baccalaureate degree nurses, however research have shown that baccalaureate degree nurses may be better prepared for different circumstances in a patient care setting. Associate degree nursing programs, also referred to as ADN programs emphasize their training on clinical skills rather than the theory component of nursing focusing less on critical thinking and leadership skills (Miller, 2007)...
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