Admission Essay

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Running Head: ADMISSION ESSAY Admission Essay Keuka College Maryann B Cogdill Practice Change Five years ago I decided to address a practice change that I felt desperately needed to be done to provide the best care for our patients on the obstetric unit in our small community hospital. We were safely delivering 500 babies on an annual base but had great hopes of expanding our practice. At the time, we did not provide couplet care but had one nurse for the mother and another nurse for the baby. My staff had become comfortable tending to the needs of either the postpartum mother or the newborn. Some of these nurses had worked for our organization for over 30 years and simply found their expertise in one of those two areas. I believed that the best care stemmed from knowing the mothers history and physical status as well as assessing the newborn. I realized that successful breastfeeding rates could be more easily obtained with the infant rooming with the mother, not returned to the nursery. I found increased conversation with the mother about her child by performing the newborn assessment in the patient’s room. As with any change, I knew I would be met with advisory. Change, though a part of our daily routine in nursing was difficult. My history with this organization was that often nurses found that practices that were adequate during their own experience as a patient and therefore should not be changed or improved on. More well seasoned nurses had told me during my initial fact finding phase that they prefer specializing in either mothers or newborns, but not both. All my nurses had certification in neonatal resuscitation and basic life support which was the basic structure of being competency in couplet care. After assuring the support of my clinical coordinator and my senior leader, I spoke at a staff meeting about

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