Need help w/L&D mother/baby preceptor objectives

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I'm in the last semester of my RN-ADN program and I don't have a clue as to what my objectives should be for when I meet with my preceptor to do my preceptorship in the L&D, mother/baby unit and my school hasn't provided any helpful guidance. Can someone get me started. I'm usually pretty creative but today I've drawn a "BIG BLANK".

Any help is greatly appreciated.

Thanks.:icon_roll

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Specializes in OB - RN, nursing instructor.

I would focus on a head to toe assessment on moms and babies and look at common procedures and complications. Get to know the charting and how to read a pre-natal record (each doctor seems to have a different form). Get to know common labs and their values. Practice drawing blood and starting IV's. Learn the setup of the rooms and circulate through c-sections. Everyone wants to see a baby be born, so get that over with and watch what the nurses do (we usually have a mom nurse and a baby nurse, a respiratory therapist and a SCN nurse if needed). Ask to follow the tech if they have one. They will help set up and stock rooms and set up sterile tables ( a great thing to learn).Get into the triage area and see what type of patient comes and goes. You will see a lot there, how we deal with preterm labor, UTI's, URI's, dehydration... Does this help?

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Specializes in Nursing Home Care.

I agreed with IMAFOSTERMOM.... I would go about it the same way

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thanks for your help. here's what i'm turing in thanks to your input.

preceptorship objectives l&d - m&b

  • learn the admission procedures for the laboring client.
  • learn to systematically assess and provide developmentally supportive and individualized care by observation of mother during labor, delivery, and postpartum by mother and infant stress and regulating cues.
  • learn lactation physiology and discuss breastfeeding of the hospitalized and premature infants.
  • learn what features are needed for an effective care plan. learn how to assess and plan family and infants for dischargelearn post discharge considerations.
  • concurrently complete a journal to assess the achievement of my goals.
  • solicit feedback from preceptor for further evaluation.
  • evaluate my goals and critique my performance.

assessment

- assess a woman in labor and efficiently evaluate her stage and progression.

- identify and prevent risk factors that can lead to complications.

- recognize patients with medical or ob complications.

- gain more proficiency in identifying fetal presentation and position.

- observe the leopold’s maneuver if possible.

- understand the dynamics of labor induction or augmentation of labor.

- assess all equipment, monitors, and devices attached to patient and take actions as necessary.

diagnosis

- formulate nursing diagnosis related to the physiologic and psychological aspects of labor.

time management

- identify skills and techniques used by experienced nurses to improve time management skills.

- perform nursing functions (assessment, medication administration, charting, etc.) in a timely manner without compromising patient care.

interventions & implementation

  • comfort measures and pain management

effectively use non pharmacological and pharmacological measures.

use critical thinking to analyze the effectiveness of nursing care measures to meet the needs of the woman and their families so that labor is family centered.

  • management of monitors

initiate and monitor non invasive and invasive fetal monitor, internal fetal electrode and internal uterine pressure catheter after rupture of membranes, when necessary.

efficiently interpret and monitor mother & fetal monitors.

- insert indwelling urinary catheter using sterile technique.

medication

- identifying the purpose and potential side effect of medications commonly used l&d (varicella vaccines, rh factor, mag. sulf., morphine, oxygen, iv fluids, etc.).

- administer medications in a safe and timely manner and follow-up with an evaluation of the quality and effectiveness of each medication.

evaluation[

- establish expected outcomes to meet the needs of a woman throughout the labor process

- effectively implement nursing care for the family during labor.

- evaluate expected outcomes for achievement and effectiveness of nursing care.

discharge planning & teaching

- learn effective discharge planning that provides consistency of care from. hospital to home and meets the needs of family and infants (hep-b vac &1 month follow-up, car seat testing).

  • individualized to meet infant and family needs and resources.
  • include clear and identified goals.

- develop a follow-up schedule.

start education early

  • breast feeding/bottle feeding, how many wet diapers to expect.
  • cord care/bathing.
  • signs and symptoms of illness.
  • when to call the doctor.
  • protecting infant from ill family/visitors.

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Specializes in OB - RN, nursing instructor.

You might want to add: c-section recovery, PCA pump medications, incision site care, dangling & ambulating post c-section, pain R/T gas after surgery, post partum depression, care of stitches from episiotomy or staples from c-section, hemorrhoids, circumcision care, post delivery medications and vaccines, hearing test on infant, jaundice, breast vs bottle, cord care, baby bath, bulb suctioning, IUFD and how to handle that... (sorry rambling...just idea)

What you have so far is great!!

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