Postpartum Journal

In postpartum I followed two nice nurses, one who has been a nurse for a while and another one who just started working there for two weeks. I felt a good vibe inside there and looked forward to learning things in this unit. They were really nice to the patients so I got a good vibe out of this unit to start off.

The first patient I saw was a one who was done delivering and the nurses took her to the postpartum unit. Both the nurses and her husband help take her to postpartum. When we arrived in her new room, the nurses set her up in her new room and hooked her up with her IVs. Once she was set, they welcomed her in her new room buy explaining them the phone numbers and what nurse will take care of him and where he will be. After they gave them the legal documents they have to fill out and also gave them a time capsule. After the nurses were done welcoming the patient into her room, they checked her breaking stomach since she had a c-section and took her vital signs. Then they brought the baby into the room and the nurse helped her breast feed her baby for the first time and explain to her what she needs to know.

I learned more with the first patient than with the second or third one. Inside the room they have a sphirometer and that is used for patients to avoid getting pneumonia. A pulse oximetry is used to measure the oxygen level in the blood and most of the time in is put on the feet. Rooting is when the baby turn its head towards the direction of being touched on the cheek. They do this most of the time when they are hungry or want to suck.

My personal experience in the postpartum unit was interesting and good. I learned a lot of information I did not know about and I honestly would want to work in a unit like this with nursing and all that stuff.

Postpartum Experience Record

Technology observed
•sphirometer - this is used for the patient to breath on it so they cannot get pneumonia.
•pulse oximetry is used to measure the oxygen level in the blood of the patient.
•IVs and vital sign machines

Diagnostic procedures
•the nurse checks the vital sign every minute. All of the patients I saw were fine.

Therapeutic procedures
•with every patient, the nurse always checks the vital signs and then checks the stomach wound. They also check how swollen their feet are. They are supposed to breastfeed every two hours and they will get some cramps when they start.

Disease/disorders observed
•walk and drink can help the swollen feet go away. The patient gets hormonal 2 weeks and the best way to cure it is to at least take a walk

Postpartum Learning Report

• My responsibilities for this week were to observe the postpartum unit and gain some knew knowledge about it.
• I learned how the patient transitions from labor and deliver to postpartum, the transition from the hospital to going home, home care instructions, a pulse optometry, rooting, how swollen feet can go away, and a spirometer.
• I go to see some babies and saw the a patient transition from labor and delivery to postpartum and how they helped her set up in her new room and her check up. I thought that was really interesting.
• I honestly cannot think of anything bad or disappointing in this unit. I enjoyed it.
• This week was good because I learned a lot of information that I found interesting and that I might personalty use later in life and I was always interested in going in this unit and I saw satisfy with what I learned.

Nursery Journal

When I first walked into nursery, it felt like a nice and chill environment. It did not feel like the vibes like the other units were everyone is doing something or in a rush. When I walked into the nursery, everyone was on the computers charting and I asked if there was someone I could follow and they just told me to sit down in a chair in the room but they told me nicely.

Since every nurse was busy on the computers, I just decided to walk around and look at the babies that were in the nursery. There was only four and they were all sleeping when I started to walk around. Even thought I had nothing to do, I loved looking at the babies and seeing how adorable they are when they wake up and how they look like wrapped burritos. Some left and some new ones came and I took the advantage to walk with the nurses whenever they take the baby back to their mothers at postpartum.

I literraly did not learn anything new at this unit. The nurses were too busy charting and walking up for like a couple of seconds to another room and then back to chartting.

My overall experience in the nursing unit was bad because I did not learn anything new and nothing was going on to observe. I was also disappointed because this type of stuff is the type of stuff I want to do in the medical field.

Nursery Learning Experience Record

Technology Observed

• I did not observe any new technology. The only close technological thing I came close to was the computers

Diagnostic Observed

• I did not observe anything like that. All the babies were healthy and they were in the nursery because their mothers are taking a nap.

Therapeutic Observed

• Like I said, all the babies are healthy and they were just sleeping in the nursery

Nursery Learning Report

• My responsibilities at this unit were to observe the nursery unit and learn something from it
• I did not learn anything new because they did not want me to "follow" anyone
• Literally nothing. Except seeing the cute babies and that was the only exciting thing I saw.
• I did not learn anything and I felt like they did not want me there.
• Since all they wanted me to do was to sit down and look at them chart, I decided to just walk around and look at the babies and try to learn something new, which I did not
• This week was bad because like I said before, I did not learn anything new and I felt like they did not want me there

MDS 6 Experience Record

Technology Observed

• The IV pump was new to me because I never knew what it looked like or what it was called or what it was used for. A mongol is a machine attached to the IV pump depending on how many bags or pumps are connected to the patient. First, pull the pump open and connect it to the tube, also hang it on the IV pump and then put how many mL the patient is going to use and how fact the pump is going to go (ex. 100 mL/hr) then open the tube so the liquid can start running into the patient.

Diagnostic Procedures Observed

• This patient was really dehydrated. She was checked in because she fell and got dehydrated

Therapeutic Procedures Observed

• The nurse gave the patient .45% sodium chloride to hydrate her again and she was planned to go into surgery

Medical terminology/abbreviations encounters

• TKO: to keep open
• KVO: keep vein open
• NPO: nothing by mouth