becoming rusty with vaginal exams

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    any ideas where I can enhance my knowledge with vaginal exams? training? continuing education? enroll in midwifery class?
  2. 11 Comments so far...

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    Enrolling in midwifery class would entail entrance into a master's degree program, so I can't imagine that's a very cost effective or efficient way to simply become better at vag exams. Do you not have the opportunity at your job?

    I've considered vag exams to be like riding a bike. Once you've figured it out, it's a skill you always have.
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    I currently have my Bachelor's so enrolling for master's won't be a problem since it's in my plan anyways in the future and my hospital reimburses for it as continuing education as long as I keep my full time status. However, I don't think it'll be happening anytime soon. I am able to know how dilated the patient is but don't have a clue regarding effacement as well as station. Any tips on what I should feel for? I don't know what it feels when a patient has an anterior lip or if the cervix is posterior. I feel useless at times during labor and I kinda noticed that our OB-GYNs prefer the older staff working instead of me which doesn't help boost my confidence with my chosen field.
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    The best way to learn is to practice, and have a good preceptor who can verbalize what you're feeling.
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    I work at a small community hospital that only averages less than 100 births per year, so practice with limited patients is really hard. I was looking for like dummies or study materials to know more about this but so far no luck.
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    I'm a student nurse and the hospital I did my Maternity clinical rotation at has these "vagina models" 10 different vags with different stages of dilation and effacement. I got pretty good after a while!
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    We had a "vag in a box" when I was training in OB I know you can get them somewhere!
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    Are you able to check your patients or do the doc's prefer to? I work at a teaching hospital where the nurse-midwives prefer to check their own pt unless they are busy and the residents check all OB so they can learn, so I guess you could say I am in a similar boat. I havent become very good at assessing AL either but all I can do is continue to check my patients when the providers are busy... Though midwifery school is a fine aspiration, being a labor nurse will help you build your sve skills rather than graduate school if that is your current goal
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    ColoradoBirthRN, what hospital do you work at?
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    I checked those vagina in a box and the cheapest I could find is $425!!! Maybe I could ask for it this coming Christmas. Lol