Capstone Reflection

Today I will inform you about the everyday obligations of neonatal nurses, the explanations of deficiency of staff and the impacts a sufficient number of neonatal nurses can cause in a baby’s life.

Even when last Friday week three was, it was the second time that I have a patient assigned to my care and as expected I was still feeling nervous due to the age of my patient. However, at the same time I was looking forward to experiencing taking care for a little one and be able to applied new nursing skills due to mu first interaction with a patients his age. The experience was very gratify and enjoyable to be able to help a little one to feel more comfortable while performing nursing skills. The fact that the instructor was with me during the assessment help me to feel more confident as well as be able to ask questions and concerts that developed during the assessment. My assigned patient has a twin who was also staying at the same unit but on a different room so it was very interesting to be able to interact with both twins and observed the development differences even when they are identical twins. The nurse assigned to care for the patient was very helpful and approachable as well which make things a lot easier going in reference to taking care for a little one for the first time besides OB rotation which was more observable and not so much hands on. So far, I am looking forward to next week rotation and excited about learning new

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

Skin to skin contact in the delivery room and breastfeeding are best for mothers and infant. Skin to skin contact helps mothers become confident with their infants, decreases the mother’s anxiety toward motherhood, helps produce more breast milk, and helps them become aware of their infant’s cues, not to mention an incredible lifelong bonding experience. As for the infant’s benefits of skin to skin contact, it helps with temperature regulation, stabilization of the heart rate, control of the infant’s blood sugar, and helps with weight gain. When initiating immediate skin to skin contact, infants should be placed on their mother’s chest for instinctive skills. The infant begins to smell their mother’s breast and look at their mother, which

There will be a task force to put the new practice into place. The leaders of the task force will be the surgical director and the nursery director. The directors will plan the task force meetings. They will act as resources for the rest of the team. The directors will recruit nurse leaders to participate in facilitating the change to skin to skin. The directors will make sure the staff gets the appropriate training for the skin to skin conversion. There will be at least two registered nurses from the Labor and Delivery unit attending the task force. These nurses will already have experience with infants being skin to skin immediately after delivery. The nurses can help train the operating room staff and perform check-offs of staff for the conversion. The directors will consult with the employee educator for appropriate competency training. An anesthesiologist will also attend the task force meetings. The

During the past few shifts, I have been astonished, and thankful about how often the nurses, doctors, and respiratory therapists have been providing me with learning opportunities. I feel this is because they have observed my enthusiasm and willingness to learn. For example, I asked a nurse if I could observe her giving care to a 24-week old preemie with necrotizing entercolitis. This nurse explained, that because of this baby’s immature age, she had to cluster the baby’s cares, and monitor this baby’s oxygen saturation. If the baby was overly stimulated her oxygen saturation would decrease, and the nurse needed to stop working with the baby. This nurse also pulled up a PowerPoint about NEC, so I had a visual of this baby’s condition. She provided me with a NICU parent book, and I read the section about NEC. This nurse said that she gives NICU parents this book to read, so that they have a better understanding about their baby’s condition. This is an awesome education technique that I want to adopt. This is because the parents will hear the diagnosis explained from the doctor and nurse. They may or

Overall, I do not feel like a great deal of improvements needed to be made in my delivery of care. I felt comfortable communicating with my nurse and the health care team, assessing the patient, and educating family members. My nurse did not feel well, so she started off the day a little on edge and irritated, but through showing that I was willing to assist her in any way possible, she was more than willing to assist in my learning. I could improve my delivery of care by asking my nurse more questions and looking up more information in the patient’s chart. I noticed that the layout of the NICU was quite different than last week, so I did not have a computer to look up patient information, but rather, I looked alongside my nurse.

This paper is a personal reflection of Team Erie’s performance in Phase One of Capsim.

Patients that are hospitlizated need to receive appropriate and efficient care, it is critical not to add further complications. As a health care provider, it is critical to provide evidenced based practice on HAI. The purpose of this qualitative analysis is to evaluate current research and evidence based practice on central line acquired blood stream infections (CLABSI) in the neonatal intensive care unit (NICU). Further, this paper will examine evidence based practice how the closed medication line system can help decrease of a CLABSI event. This particular problem can reflect on the Quality and Safety Education for Nurses (QSEN) category of safety and evidenced based practice. Nurses need to have the knowledge, skills, and attitude (KSA) to identify best practices that promote patient, community and provider in a safe practice setting. HAI is on

In terms of sales and marketing, we adapted our strategy based on how the products played in each segment. Our strategy was to spend efficiently in marketing & sales to keep the customer awareness and accessibility high for the premium products, while maintaining a decent level of awareness and accessibility in other segments.

This capstone course has helped me to tie together all the classes I have taken thus far in the program as well as helped me to identify what skills and knowledge I need to continue working on. The capstone presentation, as well as class, helped me to practice strength-based language and be conscious of how I describe my client’s when presenting. It can be a habit to use negative language to describe a problem-saturated story and unintentionally describe a patient’s story in a way that comes off as stigmatizing. This class helped me become conscious and tactful of how I word sensitive circumstances. It was a great experience to present my patient’s case to the class and practice being thoughtful on how I portrayed my patient’s presenting

The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and

Infants within the neonatal intensive care unit (NICU) are one of the most vulnerable patient population in the hospital. The quality and safety of these patients are at top priority because of their immune systems have not fully developed yet causing them to be at the highest risk for infections. According to the Institute of Medicine (IOM, 2001), quality is defined as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Masters, 2005). The Quality and Safety Education for Nurses (QSEN) defines safety as, “the minimization of risk of harm to patients and

My capstone project has been on a journey that has been moving forward, but there are many more road blocks ahead before its completion. This has been an intensive and active learning project that has consumed my thoughts daily. My concern is that I may not have thoroughly presented my thoughts on paper in an organized, concise, logical and clear matter. My problem statement, I believe is too broad and needs to be narrow down to one focus. A narrow focused problem statement should not change what I have already submitted because my project has always been on focusing on cultural diversity. I am still waiting on the return of the papers I submitted for my capstone presentation and practicum. My plan is to make my presentation this week

My personal experience with the Capstone course taught me a lot of different subjects and how to use different tools from the computer. I didn't knew a “capstone class” actually existed and to know what one had to do seemed scary at first since my work experience was not that advanced. It was because of Research Techniques and the teachers help on teaching me how to make the capstone paper and capstone presentation. Because of my late transition from Puerto Rico after hurricane Maria to Hartford Connecticut, US I don't pass through 3rd grade and internship. With the little time I had before transitioning to the Capstone, I had to finish the Methods of Teaching assignments and there had different topics about