Student ___________________ Date of Rotation_____________ Labor and Delivery (LD) OBJECTIVES After participation in this rotation, the Health Science student will gain knowledge of various procedures that are performed on the Labor and Delivery Unit, will be able to identify what types of staff members are employed on the units and their roles, and will be able to identify the important aspects of care on the medical floor. PRE-ROTATION ASSIGNMENT Instructor__________ Define the following terms: 1. gravid 2. effacement 3. crowning 4. group B strep 5. Braxton hicks 6. eclampsia 7. VBAC 8. cesearean 9. primigravida 10. episiotomy 11. multipara 12. nulligravida 13. amniotomy 14. Describe the difference in a vaginal delivery and a cesarean delivery. 15. Explain why it is so important that a patient is NPO after midnight the night before a c section. 16. Describe the various stages of labor 17. What are two medications that can be used to augment or start labor? List possible complications of each. 18. Describe the risk of maternal infection of Group B Strep to the newborn. What medications are given prior to delivery to decrease these risks? 19. What patient preparation is required prior to a vaginal delivery? 20. What patient preparation is required prior to a c section delivery? 21. Describe at least three reasons for a c section delivery to be indicated. 22. Define BOW and ROM. 23. What is an APGAR score? Who is responsible for assigning this score? 24. What are the indications for NICU staff attendance at the delivery of the newborn? Labor and Delivery (LD) Thank you for mentoring the Denton ISD Health Science student on your unit. Your time and leadership is greatly valued and I appreciate your feedback on student performance while on your unit. OBSERVED/ASSISTED 1. Maternal a. Stages of Labor __________/_________ b. fetal monitoring __________/_________ c. amniotomy __________/_________ d. complications during labor __________/_________ e. vaginal delivery __________/_________ f. cesarean delivery __________/_________ g. IV start/lab draw __________/_________ h. patient assessment __________/_________ i. anesthesia methods __________/_________ 2. Neonatal a. Apgar scoring __________/_________ b. newborn assessment __________/_________ c. Vitamin K/Erythromycin administration __________/_________ d. security bands __________/_________ e. skin to skin care __________/________ f. breastfeeding __________/________ 2. Post-delivery care a. fundal assessment __________/_________ b. breast care __________/_________ c. patient education __________/_________ d. bladder assessment __________/_________ e. pain management __________/_________ f. post delivery/ ambulation following anesthesia __________/_________ ___________________________ __________________________ Mentor Signature Date Evaluation Sheet for Clinical Rotation Student name: _______________________________________________________________________ Rotation site: ___________________________________ Date: ____________________ Please evaluate the student for each category and mark the appropriate box. The scale proceeds from a high of 5 to a low of 0. Area of Evaluation Presents proper appearance: Professional grooming. Neat and clean. Meets professional standards. Attitude toward learning: Takes initiative and seeks opportunities to learn. Asks pertinent questions. Demonstrates enthusiasm. Exhibits emotional maturity. Observes rules: Observes safety factors. Demonstrates understanding of Medical Ethics and Confidentiality. Quality of work: Uses proper techniques. Takes pride in work. Exhibits ability to follow directions. Quantity of work: Follows directions. Completes tasks on time. Productive use of time. Cooperates with others: Works well with others. Readily assists others. Displays good human relations: Shows tact and understanding. Respectful of others. Exhibits a positive attitude. Comments: 5 4 3 2 1 0 Mentor:_____________________________________________ Date:___________________________________ Labor and Delivery (LD) Post Rotation Reflection (due on Friday or Monday after Rotation on Unit) Answer the following questions using complete sentences and correct grammar/punctuation. Answer ALL questions. 1. The mentor(s) that I was assigned to was_____________________________________. Their title(s) are_______________________________. 2. What did you like best about your rotation day in the department? Why? 3. What did you like least about your rotation day in this department? Why? 4. What skills did you perform while on this unit? 5. List five pieces of medical equipment that you observed on the unit this week. 6. What patient diagnosis and procedures did you learn about? 7. What medical terminology or abbreviations did you encounter? Name at least three and provide definition or meaning. 8. Interview your mentor. List their educational background, job description, years of experience, and level of job satisfaction. Using the following space, write an essay describing your overall experience on the unit. When reflecting on your day in the unit, think about your responsibility in your learning. What could you have done differently to ensure that you have the optimal experience? ___________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Student Signature___________________________________ Date____________________