Obstetrics Clinicals SCARE me so much im considering dropping out :( - page 3
by canadiandude 10,978 Views | 40 Comments
I find myself at very stressful point in my life as Ill be starting my LD/OB clinical rotation next semester. The prospect of what ill be asked to do there terrifies me and I wish I could just pass with the theory part. Ive... Read More
- 0Apr 25, '12 by Floridatrail2006I agree with all the previous comments. I liked the post about the various "hats" we wear. Basically, all the different roles we have in life. Husband hat, boyfriend hat, friend hat, work hat, in-public hat, etc.
I'd like to elaborate on the post that discussed, "learning more about the female anatomy." Of course, there are females in your class. Maybe some mothers? Try to share your concerns and fears with them. They may be able to reassure you and give you their experiences about being in labor with male staff. You could discuss your concerns with your instructors. Maybe there is a select few of students that you feel you can trust and confide in. Yes, OB and L&D are dramatically different settings than other floors. But, aside from the baby, you're going to touch, clean, palpate, and inspect vaginas and breasts throughout your nursing careers. We have female patients on every floor. I can't think of a floor that wouldn't. It sounds like you've got a bit of anxiety around the ladies. Brings me to my next point.
This post also addresses sexuality. Are you comfortable with your physical self? Are you comfortable with the physical parts of females? Being both comfortable with one's self and comfortable with a female's body is part of the issue. As I don't know your age, which really doesn't matter, it sounds like you've been having trouble with the ladies. Believe me, I've been there. You're concerned about the white elephant. Maybe it's already there, but the pressures of the OB and L&D unit intensify it. Personally, I still am not 100% comfortable touching anyone's genitals. I think I'll get over it with time. But, may I make some suggestions.
In your personal life, you have had difficulties with the ladies. Understandable. It's a tough scene and while there is "many fish in the sea" that doesn't mean one has good luck fishing. There is sexuality pressures all around us. It's particularly stressful when one hasn't had a physical relationship with a female when the world around us is constantly encouraging us too. And, there is constant reminders in movies, magazines, or advertisements. It's everywhere! So, now does that make you weird or different that you haven't? Absolutely not! It will come in good time. In fact, waiting, in my opinion, is a wise decision. But, it appears you may have some built up anxiety about the female issue which is transferring into anxiety about female patients. Plus, being in OB makes it 10X worse. If you can't actually become physical with a female in your personal life, give yourself a break. Hard to do though, giving yourself a break I mean. But, I think with a enough mental preparation, you can take off the "personal hat" and put on the "work hat." Positive thinking. Think to yourself, "I know that have had female issues in my past but I know that I can take care of a female in a hospital. Why? Because I care and I want to be a nurse." Considering the different roles may help you separate yourself from your personal life from your nursing life.
I think what you'll find is once you get in the OB setting then you may get acclimated. You'll get a feel for your surroundings which should help. You've got a lot of thoughts racing through your head. What if this? What if that? Do I have to do this? The truth is that our mind creates these assumptions based on nothing. We have garbage thoughts all the time. Once you're aware that a lot of those thoughts your having are not necessarily accurate and are based on assumptions, you can try to let it go. Identification of the thoughts are key. Then, you can let em' float away like a duck on a river.
I may be wayyyy off base about your thought process. I'm by no means a psych doc nor have any special training in mental health. But, I feel like I can relate to your situation. Hence, what I said. I hope this helps. And, good luck!
- 0Apr 25, '12 by Staragatetoday was a really slow day on the labor and delivery floor. only 3 moms in labor and two deliveries. i got to be there for the big moment for one of them. amazing. i had tears and was glad i was allowed to share the experience. mom and baby are healthy. it's amazing to see the efficiency of a birthing room. well.... no wonder us moms are so worn out afterward.
this was my experience today. there was a man who was a flight nurse that was cross training there along with l&d rns . this mom and baby need competent help, and most don't care about gender when the time comes. they just want someone who can give respectful and competent care. my role today was pretty much an observer. all i could really do today is take a temp and that's it. i wish i could have done more, but i saw how the procedures were done and that's important. i was with the transition nurse (baby assessment).
you sound fine on the respect part and the competency will come with time. i agree with wearing your "nurse hat" or "game face" or whatever you want to call it. it isn't about you. it's about the job that needs to get done.
i'm a 3rd semester adn student and i love it!
- 0May 2, '12 by ImThatGuyI was the same way and not too interested in learning about obstetrical care, but I got through it. They turned out to be perhaps the easiest clinicals. The teacher knew I wasn't into it and never forced the issue. I stood in on some deliveries, and yeah it's gross, but I'd actually delivered a baby on my own years before so it wasn't new. I will say that in the nursery rotation I never touched a baby, lol.
- 1May 6, '12 by bunchlox76Like a few other male students have already posted, I actually found the OB rotation to be enjoyable (my last day is next week). I'm under 25yo, and am by no means an "expert" when it comes to the physical intimacy aspect that you are worried about lacking experience in, so I can identify with some of the concerns you have.
Knowing your way around the female anatomy will be very helpful for performing appropriate nursing skills and doing assessments, so do what you can with your A&P and nursing textbooks to become acquainted. Know what changes her body will have undergone since becoming pregnant or since delivering, so you can best be prepared for what you'll be seeing in front of you. Also, once you're on the OB floor, don't be afraid to let the RN you are working with know that you don't have much experience doing a postpartum assessment- they will more than likely help guide you through it.
When it comes time to care for your patient, take a moment to collect yourself before entering the room. Take a long, deep breath, and remind yourself that you are a professional, there to provide safe and competent care. If you can introduce yourself courteously and can exude a little confidence (look/act like you know what you're doing!), it may help your patient to feel more comfortable. Taking a minute to chit chat with the husband or to coo at their newborn can help you to gain their trust and establish comfort as well.
When performing assessments (L&D and Postpartum), there are a couple ways to minimize possible "awkwardness" and increase patient comfort: 1.) Do the least invasive stuff first! Obtaining VS usually requires close contact and touch, so it's an easy way to jump those initial hurdles. Auscultate over your pt's gown to give them a feel (no pun intended) for your intentions- that you're not diving straight in to examine their breasts or to "check their bleeding". 2.) Involve your patient in the assessment! Ask her to unclip her gown so you can examine the breasts, so it's not you revealing her unwillingly. Explaining what you're doing to your pt while you assess her can relieve tension, just keep it simple and informative.
I would take the "dw, you're not going to be doing anything in OB" advice with a grain of salt, since many nursing programs and hospitals operate differently. I was fortunate to get a lot of hands-on (and some hands-in...) experience. Lastly, don't forget to thank you patient and their family for letting you work with them!! If you can pull everything off without too much nervousness or awkwardness for your patient, they'll probably be more inclined to let another male student work with them in the future.
Hope this is helpful for you in your upcoming rotation and for any other male students that happen to read it!
- 0May 8, '12 by northWell, this thread may have started out as a joke or not but I'll just say this..
Vaginas are just another part of anatomy. You have to look at it that way. It's like an eyeball or a foot or a blood vessel. Just a part of the anatomy. If you look at it like that, you'll find it easier to act like a pro. When you act like a pro, your patient won't find it awkward.
So do your best not to giggle when you see a hooha and act like a pro.
- 0May 12, '12 by MarkGThe first time I went through L&D was actually pretty fun for me. It was many years ago for my training as a Paramedic. The nurses were kind of standoffish and didn't like men around, but the doctor was great. I got to deliver two babies during my rotation and witness some more thanks to the doctor.
With one of the mom's, I went and talked to her for awhile before the delivery. Getting to know the patient made things a lot more comfortable for me. I got to know her, the husband, several other family members, and her other children.
With the other, she was an illegal and I had to learn a few spanish phrases to help with the delivery.
I get to do L&D again in the spring for my nursing degree. I am sure I will still be a little nervous this time around as well.Last edit by MarkG on May 12, '12
- 0May 13, '12 by grownuprosieI guess i am not sure what being a virgin has to do with anything. There is nothing sexual at all about anything you will do with a clients genitals. After you clean up a few loose BMs from a 90 year olds labial folds or scrotum, you get pretty desensitized. Trust me, there is nothing sexual about it!
- 2May 24, '12 by RShieldsSN14To make things simple, discontinue Nursing school. If you don't have the confidence to perform proficiently and effectively while in Nursing school your wasting your time and your instructors time as well because the "real world" of Nursing is going to eat you alive!
I'm not trying to come off as a jerk, but it's true! You being a virgin has NOTHING to do with your performance during clinicals. I'm really not sure as to why you brought that up.
It kinda frightens me to know that there are INDEED people out there entering the world of Nursing simply for a way out or for financial reasons. That simply means TO ME that there are a lot of joe-blows out there treating people whom for (1) doesn't have any passion for the profession and (2) doesn't have a CLUE as to what their doing or what they got themselves into.