Midwives need to advise women, explain the options and help them make informed choices about their care. You'll need to be able to provide reassurance and counselling and must also be a good listener and respond to what women are saying. Women who have babies come from all sorts of backgrounds and life stages, so you'll be supporting a diverse range of women during one of the most emotionally charged times in their lives. You'll need to be able to stay calm and alert in times of stress, and enable women to feel confident and in control. It is also important to gain as much knowledge as needed about anatomy and physiology in the job.
The nurse applied new dressing in the wound and medical decision was established. I would code this scenario 99212. • A mother brings in her 6-month-old male child for a routine wellness
NEWBORN PHYSICAL EXAMINATION Maternity Guideline Newborn Physical Examination. Sept 2012 Multidisciplinary guidelines group Page 1 of 13 Introduction This physical newborn examination forms part of the Child Health Promotion Programme in the National Service Framework for Children, Young People and Maternity (DH 2008). It is also included in the NICE clinical guideline for the NHS: Routine Postnatal Care of Women and their Babies (NICE 2006). The Newborn and Infant Physical Examination Standards and Competencies have been clearly defined by the Antenatal and Newborn Screening Programmes (March 2008). This guideline should be taken in conjunction with these documents.
P1: Explain the requirements for two different careers in the health sector. The job role of a midwife is to provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. Their responsibilities are wide ranging and include; caring for new-born children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and baby and only refer to obstetricians if there are medical complications.
The Role of the Midwife It is the role of the midwife to provide individual care to the pregnant woman as well as her partner and family as necessary. The midwife is there to support the woman and her partner from the first few weeks of pregnancy up until the baby is 10 days old (in most cases). As well as the ante-natal checks that are carried out on a regular basis to ensure the health of mother and baby which involve taking blood pressure, feeling for baby, measuring the fundus, listening for baby’s heartbeat and checking mothers’ urine, midwives are there to offer support, help and counselling as and when required by the prospective parents. It is because of this that as well as good practical skills the midwife must also possess excellent communication skills in order to build a good and trusting relationship with the parents to be, because although an exciting time in a person’s life, pregnancy can also make many women (and men) very anxious and it is the midwife that they will contact in the first instance to voice these concerns, therefore it is vital that a good relationship with the parents is established early on. Midwives often work on their own and must be extremely competent at what they do.
We call it PUPs, and I did participate in the group with other nurses. We were a team of around 25 nurses, and every other month we had to get together and visit all the patients in the hospital. We had to check for pressure ulcers, and possible hospital acquired pressure ulcers. We did measure everything from patient diet, condition, mobility, etc. We also helped nurses in each floor if they had any questions about how to handle a patient with pressure ulcers.
3. Discuss how the nurse manages to include the family/carer in the conversation without breaching principles of confidentiality? (50-100 words). Nurse asked open questions which daughter could respond to, the nurse gained consent by asking patient if she was ok to be questioned prior to admission. Informed consent of her daughter presence as she came in with her and was is holding hands.
2. If a mother is scheduled for a Caesarean- section birth, how would this flowchart change? If the mother is scheduled that means she is already registered, and the hospital know that the baby is going to be birthed that day. So the expecting mother would be taken to the operating room, baby would be delivered, they would go to the mother-child recovery room, then discharged. The mother would go from step 2 to step 6, then to step 8.
I decided to choose one of my junior staff nurse as my learner. Hana (not real name), she is qualified State registered nurse (SRN) from Private Nursing College. She has been working in our hospital for six month and her appointment has been confirmed as staff nurse in organization. Hana look familiar with the ward facilities and common procedure in ward such as receive new admission, transfer out patient, writing nursing report and assist doctor whenever needed. Hana show interest in learning and willing to be my learner for the purpose of these assignment.
Ms Orem began her career with a nursing diploma from the Providence Hospital School of Nursing in Washington D.C. sometime in the 1930’s. Ms Orem continued her education until she received her Master’s Degree in 1945. During this time she worked in the operating room, emergency room, private duty setting, pediatric and medical nursing units and eventually became a director. She became interested in improving the quality of nursing in general hospitals in her state and subsequently became a consultant to the office of education and it was during this time period that she developed and published Orem’s Self Care Deficit Theory for the first time in the “Guides for Developing Curricula for the Education of Practical Nurses”. In 1976 she received an Honorary Doctorate of Science from Georgetown University.