Has anyone here had to do clinicals in OB - page 3
Im a nursing student and I am starting clinical with postpartum patients. I really dont know what to expect becuase OB is completely new to me, especially being a guy. What has your experiences been... Read More
Apr 12, '07Just got done with OB clinicals, I saw a few c sections, and one vaginal delivery, a few ladies didn't want males in for them, I don't want to see another anyways, one was enough. Staff was cool though, didn't have any problems.
Apr 13, '07i went into my OB clinicals not knowing what to expect.. i was of course scared, being a male, but after the first day and massaging my first fundus, i had a good time and it ended up being one of my favorite rotations.. the staff was great, the pts were great, the babies were great.. all in all, i had a good time, then again, my clinical instructor was awesome!
beware of the student nurse and the first lochia check!!
hahahah.. have fun.. and enjoy witnissing a very special moment in a mothers life.. bonding w/her newborn.. it is a beautiful thing..~
Apr 14, '07Here, in the philippines you as a student nurse gets alot of OB rotations specially in the Delivery Room because weve got cases to complete before we can take our NLEX here in the country.Then you get assigned to OB Wards where alot of moms delivered or some whom they missed their babies.Its agreat rotation coz moms that have been assigned to me listen's to all the important health teachings bein in the stage of post-partum etc.
Apr 14, '07Hey all, I agree that it can be VERY uncomfortable but it all depends on the staff at the facility that you are at. I was bored just reading the Fetal/Maternal Monitors and noticed that the fetal HR was tachy...well next thing you know, the docs are doing a CrashC and I'm caught right in the middle! Was fun and it seems that I earned the respect of the facility for my class. So far I've only done 2 days in OB and have already been invited in to witness 3 Vaginals and that last C. All of this and I still have another 5 weeks to go!
Apr 27, '07I hate to say it bro, but I just finished my OB clinical, I have never been so dispassionate about a learning experience in my life. My first experience was helping deliver a 22 week still birth fetus, nothing like setting a good tone for a 6 week clinical eh? Then I was refused to go into 5 (no exaggeration) rooms because I was a male. I even tried to play the "What about male doctors?" card but to no avail.
In fairness, 3 out of the 5 were devout muslim couples and I had no problem at all with honoring their wishes, I mean in good times and in bad sometimes you only get joy or relief from pain when you pray, so who am I to tell them they have to set aside their religion for 6 hours out of their life just so I can get my time in.
I assisted with a live vaginal birth and I felt no "Magic" about it, it was another surgical procedeure to me, just like the C-Section to follow.
Get through it, move on, get your degree!
Apr 27, '07I went through L&D & postpartum in the 80's
No problem, no attitudes. My instructers' attitudes were "they probably have all had male doctors examine them at one time or another, so it shouldn't be an issue with the nurse."
I know I irritated one instructor when I respectfully declined to go in and observe the wonder of birth. I'd already seen several in that rotation & I thought it better if I covered for another student who had gone allday w/o a lunch break.
Plus, I'd already seen my 2 sons born. Nothing could top that.
May 5, '07I just finished my second day of L & D rotation and am sorry to say that I have to go back. I had a C section yesterday and it went well, great parents and motivated to give to the teaching enviroment, this is when it started to go bad.
My CI shows up while I am in recovery with this patient and tells me that a patient is about to deliver, and that I should poke my head in and ask the nurse if I can observe. Unfortunately, the Doctor is one of the those control nuts that had a fit about me "coming in the room" with delivery in progress. Mind you that I opened the door about 8inches to ask and did not put any part of my body in the room. The nurse came out and proceded to jump all over me for it with my instructor standing right there taking the blame for it (great CI). The nurse never even looked at her but continued to tear into me about it.
The next morning (today) during report it was brought up again by the day shift charge about the so called "incident" the previous day and that we should not let that happen again. I spoke up and apologized again and stated that I had only done what I was told and was not familiar with this particular doctors issues with observers. Thats when another nurse pipes in with that no one should enter the room with labor in progress and that its to late to request a observe. Another nurse jumped to our defense saying that Resp therapy, ACLS, and Lab just to name a few enter during that period so why should the students be different. The main insulting nurse goes "Well those individuals have a purpose" Mind you my tongue is bleeding I'm biting it so hard! Third nurse jumps in with fact that nursing students have a purpose too! I later thanked the 2 nurses for defending us(me) and that I really appreciated it. This all went down with about 10 nurses in the report room. I was so embarrassed and angry to say the least. I then spent the next 8 hours standing around waiting for a delivery...I finally thought that I had one but the nurse "forgot" to ask before if I could view the delivery so with legs in stirrups of course said no...especially since I am not a nursing student I am a "MALE" nursing student...I wanted to thank her for the great sell on that one (bite tongue again).
I hope this group of nurses think back on this moment the next time they get called in to work on their day off because of staff shortages and know that a potentially great nurse (me hopefully) will never take up that specialty! To my CI's defense, she felt so bad for me and just kept telling me that all I have is a few days left, I have High risk maternity next week but I have to get pulled for another day to LD for that observation. I must admit that I did enjoy Post Part, the nurses there really made an effort to make us feel comfortable. One Nurse on post part even went so far to tell my CI what a good job I was doing and to compliment my bedside manner.
I feel at this point that Nurses forever will be divided by a male or female indentifier before the word nurse as long as we allow/encourage it to happen. Professionalism, expertise, and espirit de corp are our only chances to raise ourselves above this petty issue. What I would have given just to have been considered just a "Nurse" even by my so called peers!
May 5, '07Psqrd, I'm sorry that you had a hard day. Sounds like you were in the wrong place at the wrong time. It also sounds like the staff is a bit divided on the student's role. I would not get too overly analytical about nursing as a profession and take it for what it was: a unit that's unorganized and divided. Hopefully, it was a learning experience for the CI and they can talk to management to avoid future embarrassment.
Your clinicals sound a bit disorgnized as well. In our clinicals we followed a patient, rather than hang around waiting for a delivery to happen. We had a laboring patient assigned at the begining of the day, if she delivered, we went with her, if not, we were out of luck and didn't get to see a delivery. The first day my patient didn't deliver, and the 2nd day she did. I was lucky though one student had a nurse midwife for a patient who asked if a couple of other students wanted to observe her delivery for the learning experience and I got to observe that one even though she wasn't my patient.
May 5, '07How are system is supposed to work is that we get assigned to a nurse and we shadow her but for some reason that has fallen through the cracks for this time. We have 2 nursing care plan reports to do, one on a newborn assessment and the other on a vag delivery. We observe and then get all of our information afterwards for our report which I believe is about 15 to 20 pages afterward-3nandas with each one getting 3 diagnostic interventions 3 therapeutic 3 educational with rationals and evals on all of it. I'm sure its fairly standard stuff. I know your right about the wrong place wrong time...its just that I was filled with anxiety about having to do this and for it to come to realization was a bit much. It was just very frustrating for me to just stand around and wait, and with the first error by my CI i'm not sure how hard she wanted to push it. I did'nt want to wait to the last minute to do this rotation and also the last week has the other male on his LD rotation so its going to be hard to find 2 moms that will allow us to watch. I just wish they would let me go talk to the moms a bit to build that relationship then let the nurse go ask when we are not in the room if it is ok. I know our odds of a yes would improve, and that way I don't feel like I am at the mercy of a nurse that may not support men in that role as I believe that its partly in the way you ask whether you get a yes or no.
Thanks for your support, we need more positive male role models out there. P2
May 5, '07Quote from battposDon't make the mistake I made: instructor set me up like a bowling pin when she asked me: "You're not enjoying yourself here, are you?" Naturally, my knee jerk response was: "No!"
Ahhh...thats something I would accidentally doLast edit by Alternator81 on May 5, '07
May 5, '07I actually told her that "I hated it!" there. She told me that she did not blame me, that I was doing a good job and to think about the fact that I only have a couple of days left. I have the best CI a student could ask for, I feel bad for her because she knows that it wasn't my fault and as a OB nurse for years prior to teaching, I think she is a little embarrassed by how the nurses were treating us. I told her that I enjoyed my Special care nursery time and my post partum time...so it's not a complete loss, I am trying not to let it change how I look on those dept and nurses that did treat me well. P2