Archive for February 19th, 2010
Well, my L&D rotation is over.
I have to say, I really enjoyed it! Who knew?! I was not expecting that. It got slow at times, but once the pushing got started, it was a fast-paced environment, good turnaround of the patients, AND you got to build a rapport with them. Everything I love!
I hadn’t realized how much the bedside nurse does. The MD or midwife really only came in after the head was on its way out. They were there to pop the baby out, deliver the placenta, and repair the perineum. That’s it. All the baby care, the comfort, the assistance with labor, being a labor coach, doing the vaginal checks, being there for the pushing which ranges from 10 minutes to 3 hours (a patient yesterday pushed for 2.5 hours!)…that’s all done by the nurse.
I really liked the continuous monitoring (q30min for baby, q1h vitals for mom) and the fact that there is so much to keep track of. Plus, there is a mini-OR on the unit for the C-sections. How cool is that! One of the nurses today was bedside all morning and then went and was the scrub nurse for the C-section. Very cool.
And it’s exciting. Everyone has a different story and a different history. Bringing new life into the world is always exciting. It’s an infectiously happy environment. AND I liked the nurses there. They are good at what they do and they were willing to teach, which is important. It was so awesome!
Granted, I had an intimidating instructor, but it was still a great experience overall.
Maybe I’ll be in purple scrubs after this??
It’s that time again. Evaluations at work AND at school.
I’m not against evaluations…they lead to my pay raise. It’s just that there is such a long process before I get to my evaluations. In the hospital setting, you have to do all of the annual modules on the computer for compliance showing that you’ve read the policy for things like proper hand washing, or Accucheck policies. I was talking with some nurses at work and it seems as though the self-evaluation; thing never ends! You’ve gotta do annual ones and sometimes there are more as a new grad depending on your facility (i.e.- 30, 60, 90 days). So draining!
At school, it’s a little different. My clinical instructor from Postpartum is big on evaluations though- she used to be a nurse manager. Every week after clinical, we have to do a self-evaluation in clinical to talk about our strengths and weaknesses. I guess they’re trying to prep us now. But, I’m starting to find this semester while doing my own weekly evaluations the growth that is really taking place. I found this nifty article on why self-evaluations are so important, something I hadn’t really considered before this semester. When I compared them with my evaluations from first and second semester…it’s amazing to see how much I’ve crammed into my head in the last year and a half.
Examples:
First semester:
Strengths- Good communication, improved basic assessment
Weaknesses/Improvements- Will work on doing quicker, focused assessments.
Second semester:
Strengths- Medication administration, quick and focused assessments, tying in the Pathophysiology with the care, dosage calculations
Weakness/Improvements- Will work on time management and handling multiple patient load (two patients max), keep learning pathophysiology
Third semester:
Strengths- Improved patient education, handling more patients, more pathophysiology
Weakness/Improvements- Quicker analysis, build more confidence b/c we’re doing different aspects of patient care now (i.e- patient education and discharge) and are responsible for just about everything, and of course- more pathophysiology
What about you guys? Do you have to do self-evaluations for your clinical or for each instructor?
Sidenote: I hate doing evaluations at my work. It’s this long laundry list of the same questions that are worded differently and it kills a bunch of trees. After reading the other article I mentioned earlier, there was a link talking about this nifty online evaluations program. If you’re reading this nurse-manager-at-the-hospital-I-work-at, I wish you would get with the program because this would make my life a lot easier every year. Thanks.
Love,
Laney