StudentNurse
Thursday, April 19, 2007
OBGYN Clinicals
Tuesday, 04/23
Mom, X. G-1, P-0. Had Chorio( strong vag odour), Preeclampsia and was 40+6. She had been pushing for 3hrs, no progress. She was on Magnesium Sulfate(Mag) and Gentamicin(due to the chorio infection). The 2 main side effects of mag are Pulmonary edema and DTR's. Calcium gluconate was on the bedside if it came down to that. Finally, after failure to progress, she had to get cut. The baby's sunny side was up too. She was wheeled to the OR and c/s was done. Delivered a big baby girl 8lbs 14oz. It's no wonder the baby wasn't descending. The OBGYN surgeon did a very neat job,she used some glue to seal the incision. This glue keeps the incision dry, helps it heal faster and no dressing is required now how cool is that?
Wednesday, 04/24
Mom, Y. G-3, P-0. Normal pregnancy. She got an AROM. She dilated and effaced from 5cm to 8cm in the bat of an eyelash, in like 15mins, no kidding. Pitocin(Pit) was stopped. She got amnioinfusion, 500ml to cushion the baby. The baby was getting some serious decels due to the pressure and discomfort of the ctx. The baby was still not descending and the mom was 100% dilated. She was put in the tredenburg position. Baby's heart was in the 60's. She got Terbutaline/Brethin(terb), 0.25mg to stop the ctx. Finally, the ctx stopped and the baby's HR was back to normal. After an 1hr baby had descended and mom started pushing.
I love L&D in a weird sort of way you know? you get the adrenaline rush, you might think it's routine but really it's not. I'll truly miss it.
Mom, X. G-1, P-0. Had Chorio( strong vag odour), Preeclampsia and was 40+6. She had been pushing for 3hrs, no progress. She was on Magnesium Sulfate(Mag) and Gentamicin(due to the chorio infection). The 2 main side effects of mag are Pulmonary edema and DTR's. Calcium gluconate was on the bedside if it came down to that. Finally, after failure to progress, she had to get cut. The baby's sunny side was up too. She was wheeled to the OR and c/s was done. Delivered a big baby girl 8lbs 14oz. It's no wonder the baby wasn't descending. The OBGYN surgeon did a very neat job,she used some glue to seal the incision. This glue keeps the incision dry, helps it heal faster and no dressing is required now how cool is that?
Wednesday, 04/24
Mom, Y. G-3, P-0. Normal pregnancy. She got an AROM. She dilated and effaced from 5cm to 8cm in the bat of an eyelash, in like 15mins, no kidding. Pitocin(Pit) was stopped. She got amnioinfusion, 500ml to cushion the baby. The baby was getting some serious decels due to the pressure and discomfort of the ctx. The baby was still not descending and the mom was 100% dilated. She was put in the tredenburg position. Baby's heart was in the 60's. She got Terbutaline/Brethin(terb), 0.25mg to stop the ctx. Finally, the ctx stopped and the baby's HR was back to normal. After an 1hr baby had descended and mom started pushing.
I love L&D in a weird sort of way you know? you get the adrenaline rush, you might think it's routine but really it's not. I'll truly miss it.
Labels: OBGYN ClinicalRotations
posted by Student Nurse at 4:29 PM
Quick Update
Things are looking up. Trusting God and realizing He is the only one who will meet ALL my needs has been the main lesson in my life lately.
I finished my outline and turned it in and got it back for revision which I'll do and re-send for approval so I can go on and put my ppt slides together. God is awesome. It took a minute to get a response from the prof but finally it's in and that is all that counts!
I submitted my WIC report during the weekend. I did my two last NCPs on tuesday and submitted them. All I got now is one more paper, the parent ed report which is the class I attended on Monday 0700-0930. Monday was a very long day to say the least. I'm also done with this week's assignments from the study guide, all i had to do was three chapters, they're done and graded.I did a stupid thing two weeks ago which cost me 2pts. I graded my week 4 assignments but did NOT mark off the wrong ones so I lost the points.
I have to stay focused I still have a handful to do this weekend. I have the electronic clinical journal that's due Friday by midnight, I have to revise the outline to the best standards, put together my ppt slides, and then read for Quiz VII. And just may be start on the Parent Ed. report. See something gave...
Brilliant! All praise, glory and honor to God.
I finished my outline and turned it in and got it back for revision which I'll do and re-send for approval so I can go on and put my ppt slides together. God is awesome. It took a minute to get a response from the prof but finally it's in and that is all that counts!
I submitted my WIC report during the weekend. I did my two last NCPs on tuesday and submitted them. All I got now is one more paper, the parent ed report which is the class I attended on Monday 0700-0930. Monday was a very long day to say the least. I'm also done with this week's assignments from the study guide, all i had to do was three chapters, they're done and graded.I did a stupid thing two weeks ago which cost me 2pts. I graded my week 4 assignments but did NOT mark off the wrong ones so I lost the points.
I have to stay focused I still have a handful to do this weekend. I have the electronic clinical journal that's due Friday by midnight, I have to revise the outline to the best standards, put together my ppt slides, and then read for Quiz VII. And just may be start on the Parent Ed. report. See something gave...
Brilliant! All praise, glory and honor to God.
Labels: OBGYN
posted by Student Nurse at 4:29 PM
Thursday, April 12, 2007
SVD
SVD=Spontaneous Vaginal Delivery.
Yesterday, I was in L&D, my new i'd-rather-be-here-anytime place. The night was slow. I had mother x who was G-1, P-0. She was GDMA2 and Chronic HTN. She ruptured her membranes on 04/09, the epidural wasn't doing jerk for her nor was the pitocin. To say she was in pain wouldn't do her ANY justice. Her baby was also OP meaning the baby's head was facing upwards. She had to get cut. We transferred her to OR did the set-up. The OR team was so in sync with each other, the c/s was done in appro. 20mins. It's the worst operation to watch. It almost seems inhumane to do until you remember the purpose. It was a baby over 9lbs (b/c the mother was a GDMA2) Baby ended up hypoxic and was admitted to the NICU. After this the night slowed down and it was downtime.
Suddenly, I got an SVD. I hadn't watched one before this and the feeling was amazing( no baby not like m&m's) It was the most amazing thing to watch. This mother was al naturale and brilliant push job she did. The baby was delivered in half hour. That made my night! The dad was there too and they were the most cute couple. I think I just might want babies after all, may be one :)
On a different note I still got alot of papers to do and get out. My outline is doing me in but what can a girl do right?
Yesterday, I was in L&D, my new i'd-rather-be-here-anytime place. The night was slow. I had mother x who was G-1, P-0. She was GDMA2 and Chronic HTN. She ruptured her membranes on 04/09, the epidural wasn't doing jerk for her nor was the pitocin. To say she was in pain wouldn't do her ANY justice. Her baby was also OP meaning the baby's head was facing upwards. She had to get cut. We transferred her to OR did the set-up. The OR team was so in sync with each other, the c/s was done in appro. 20mins. It's the worst operation to watch. It almost seems inhumane to do until you remember the purpose. It was a baby over 9lbs (b/c the mother was a GDMA2) Baby ended up hypoxic and was admitted to the NICU. After this the night slowed down and it was downtime.
Suddenly, I got an SVD. I hadn't watched one before this and the feeling was amazing( no baby not like m&m's) It was the most amazing thing to watch. This mother was al naturale and brilliant push job she did. The baby was delivered in half hour. That made my night! The dad was there too and they were the most cute couple. I think I just might want babies after all, may be one :)
On a different note I still got alot of papers to do and get out. My outline is doing me in but what can a girl do right?
Labels: OBGYN
posted by Student Nurse at 10:47 AM
Wednesday, April 11, 2007
Clinical Midterm Evaluation
My clinical hours have changed. My rotations are 3pm-11pm. I fret when I've to walk home that late but what to do? I pray for God to plant his angels on paths I trod on and He is always faithful so nothing to worry about. And my boyfriend...my boyfriend, he is just the most loving and caring person!
Yesterday was midterm clinicals evals and I was very impressed and elated. This is what my clinical instrustor told me and wrote on my evaluation tool "Very good student, but very quiet! I believe your critical thinking skills are the best in the group, but you are hesistant to trust your instincts." I'm going to work on it.
Yesterday was midterm clinicals evals and I was very impressed and elated. This is what my clinical instrustor told me and wrote on my evaluation tool "Very good student, but very quiet! I believe your critical thinking skills are the best in the group, but you are hesistant to trust your instincts." I'm going to work on it.
Labels: OBGYN ClinicalRotations
posted by Student Nurse at 11:47 AM
Saturday, April 07, 2007
Update
Spring break is over! Well almost. Who am I kidding? school resumes on monday. It came and now is gone and not one day did I get to sleep in and tomorrow, tomorrow let's not even talk about it. It's worse. What can a girl do right?
I'm so pooped right now. This morning I went to my W.I.C Observation. I have to say that was fun. I sat with the counselor as she counseled a mum, dad and their kid, then went to the W.I.C store plus I watched a 20mins vid about W.I.C I got back home sooner than i expected. I had to do my two papers. God knows I've been pushing it aside for so long. Today there was no evading it. I sat and racked my brains. I wanted to cry, I didn't know what to write or where to start. With time i picked my way through them and about two hours ago i finished them. I had 'mum' proof read them for me and she made a few corrections which i retyped. I also sent them to my classmate M, who will check to see if they're both in APA format and then on Monday morning S and i'll meet at 0645 and final review them. Yes, all that pain for papers. Someone just shoot me!
Quiz V is on Monday and I haven't read. I need to read tomorrow. I'm sure I'll somehow, I'll make time and at least review the class powerpoints.
My topic is Maternal substance abuse. I was suppossed to get two nursing peer-reviewed journals. I did. Then summarize them and get 3 keys points for each to use for the group presentation. I made a mistake the first time, summarized both articles so my first paper was late and I got nothing, literally. So I had to re-submit that when i submit the second one which is this Monday.I'm done with both, I pray and hope I did great!
I have the W.I.C journal to do hopefully I'll get around to that tomorrow after class. I'll just want to come home and sleep I know lol Like a fool i forgot my clinical hours were change post-spring and went on to make my parent ed observation appointment for tuesday 0730 now I just realized I'll be at clinical rotations then so I have to call and cancel. May be if I call early enough tomorrow they'll let me go in tomorrow night? that just dawned on me, I'm making a mental note to call at first chance tomorrow morning, God help me. I just need to get all my papers out of the way.
I'm so sleepy. I'm going to easter mass in 37mins, I need to get of the computer and get ready. I can't wait to get back home and sleep. Thank you God for helping me do the two journal articles. I'm very graetful.
I'm so pooped right now. This morning I went to my W.I.C Observation. I have to say that was fun. I sat with the counselor as she counseled a mum, dad and their kid, then went to the W.I.C store plus I watched a 20mins vid about W.I.C I got back home sooner than i expected. I had to do my two papers. God knows I've been pushing it aside for so long. Today there was no evading it. I sat and racked my brains. I wanted to cry, I didn't know what to write or where to start. With time i picked my way through them and about two hours ago i finished them. I had 'mum' proof read them for me and she made a few corrections which i retyped. I also sent them to my classmate M, who will check to see if they're both in APA format and then on Monday morning S and i'll meet at 0645 and final review them. Yes, all that pain for papers. Someone just shoot me!
Quiz V is on Monday and I haven't read. I need to read tomorrow. I'm sure I'll somehow, I'll make time and at least review the class powerpoints.
My topic is Maternal substance abuse. I was suppossed to get two nursing peer-reviewed journals. I did. Then summarize them and get 3 keys points for each to use for the group presentation. I made a mistake the first time, summarized both articles so my first paper was late and I got nothing, literally. So I had to re-submit that when i submit the second one which is this Monday.I'm done with both, I pray and hope I did great!
I have the W.I.C journal to do hopefully I'll get around to that tomorrow after class. I'll just want to come home and sleep I know lol Like a fool i forgot my clinical hours were change post-spring and went on to make my parent ed observation appointment for tuesday 0730 now I just realized I'll be at clinical rotations then so I have to call and cancel. May be if I call early enough tomorrow they'll let me go in tomorrow night? that just dawned on me, I'm making a mental note to call at first chance tomorrow morning, God help me. I just need to get all my papers out of the way.
I'm so sleepy. I'm going to easter mass in 37mins, I need to get of the computer and get ready. I can't wait to get back home and sleep. Thank you God for helping me do the two journal articles. I'm very graetful.
Labels: OBGYN
posted by Student Nurse at 6:11 PM
Tuesday, April 03, 2007
OBGYN Update
This week I'm on spring break. I got tons of school work to do. I'm done with the workbook assignments but I still need to grade it. I flanked my first nursing journal I got 1/5. I'm going to re-submit it and hopefully get a 3/5. It's going to make all the difference I know for sure. The second journal is due on Monday too. I haven't started on it and it's 16pgs long. I can do this all I need to do is start but I need to start now.
Finally I made appointments for my two clinical observations to WIC and Parent Ed. That means two more clinical papers to do besides the electronic journal due every Friday by midnight and the two NCPs we've to do every week.
OBGYN is a fun class. It's been my best class so far in nursing school. I'm loving L&D. It's so amazing and interesting. I love every bit about it including the lecture which reminds me Quiz 5 is on Monday too so I also need to read. The only thing I'm not digging so far is the journals but am trusting God to bring me through it. I still have to do an outline paper for the ppt presentation then do the ppt presentation. How can I possibly stay sane? Oh and am doing great on the NCPs. I've submitted two, just two more to go. Woot!
It's going to be alright is all am telling myself. Sometime in the future I'll look back to it and smile. It doesn't matter if it's next week or months from now but one day that day shall come.
Finally I made appointments for my two clinical observations to WIC and Parent Ed. That means two more clinical papers to do besides the electronic journal due every Friday by midnight and the two NCPs we've to do every week.
OBGYN is a fun class. It's been my best class so far in nursing school. I'm loving L&D. It's so amazing and interesting. I love every bit about it including the lecture which reminds me Quiz 5 is on Monday too so I also need to read. The only thing I'm not digging so far is the journals but am trusting God to bring me through it. I still have to do an outline paper for the ppt presentation then do the ppt presentation. How can I possibly stay sane? Oh and am doing great on the NCPs. I've submitted two, just two more to go. Woot!
It's going to be alright is all am telling myself. Sometime in the future I'll look back to it and smile. It doesn't matter if it's next week or months from now but one day that day shall come.
Labels: OBGYN
posted by Student Nurse at 2:08 PM
