Obstetric

Nursing
Kailyn Larson
Overview ● Introduction of Project
● Overview of Shadowing Experience
● Research
● Presentation of Product
● Closing
● Opening for Questions
 Why I chose this Area of Expertise
Introduction ● Have always been interested in nursing
My shadowing experience in Health

Of project
●
Science
Choosing a research topic
● Previous shadowing experience
● Wanted more knowledge on how
phototherapy treats jaundice
Shadowing
experience
 Who
Who, where, why ● Shadowed three different days, different
nurses each day

Where
● Prairie Lakes Hospital (OB),
Watertown SD
WhY
● Always had a passion for nursing
● Perfect fit for my needs/wants
Observations ● Tour of the OB department

day 1
● Nursery → two babies being treated for
jaundice
● Bringing babies back and forth to their
moms and back to the nursery
● Watched blood patch
● Watched circumcision
Observations ● Watched the doctors assess the babies in

day 2
the nursery before sending them home
● Sat in patient's room while nurse went
over newborn tips
● Walked a family down to ensure car safety
before sending them home
● Learned about the tocodynamometer
Observations ● Had a mom in labor

day 3
● Doctor broke her water with an amnihook
● Watched/helped the anesthesiologist give
her the epidural
● Emptied her catheter
Reflection ●
●
Learned lots of information
Thought it was cool how I got to be in

All 3 days the patient’s room

○ Got to be engaged and retain
information about what was
happening
● Liked how it’s active, you’re always
doing something
● Sterilization
● Glad I got the opportunity & enjoyed
my time
Research
Research
● “Phototherapy: The Most Effective
Way to Treat Jaundice in Infants”

paper
 Research REsearch question
● What is the most effective way to

Paper cont. treat jaundice in infants?

Thesis
● Overall, the most effective way to
treat jaundice in infants is by the
use of bilirubin lights, also known
as phototherapy.
 Research
● Major claims:

○ Doctor’s recommend phototherapy to reduce jaundice

by revealing the baby's skin to direct UV light.

Paper Cont. ○ Prolonged experience with phototherapy shows safe,

intended results.
○ Phototherapy is the safest, most effective approach for
lowering/clearing out bilirubin levels from a baby’s
system.

● Major piece of Evidence:

○ National Library of Medicine states that,

“Phototherapy is now the preferred method of
treatment for neonatal hyperbilirubinemia by
virtue of its noninvasive nature and its
relative freedom from major complications.”
 Research
● Call to Action:

○ By choosing phototherapy as your source of

Paper Cont.
treatment for your newborn who was
diagnosed with treatment, you're ultimately
picking the best option for your infant for
many reasons.
Presentation
Of product
Presentation Purpose
● Asked my mentor what the
purpose of charting and
Of product filling out patient care forms
was
○ Organization
○ Communication
■ Allows all healthcare
“IF YOU DIDN’T providers assisting this
patient up to date with how
CHART IT, YOU the patient is doing, when
DIDN’T DO IT.” he/she last took medication,
etc.
Presentation PRocess
Choose diagnosis

Of product Research symptoms &

cont. medications that would be

taken

Create a template (patient

care form)

Fill out the care form

accordingly
Presentation Presentation
● Demonstration

Of product
cont.
Presentation Background of patient #1

Of product
Melissa Hanson is a 31-year-old who was admitted to the
hospital and ended up delivering a 9 lb 10 oz female via
forceps. Melissa had a 20-hour-long labor augmented

cont. with Pitocin as well as epidural anesthesia. After Melissa

gave birth, she experienced postpartum hemorrhaging.
She was administered the following medications to help
with several issues; ibuprofen, acetaminophen, pitocin,
cytotec, and methergine. The only diagnostic study
Melissa will need to have performed is to have a CBC 24
hours postpartum. Reading further into Melissa’s patient
care plan on the following pages will explain more of
what she is experiencing and what outcome we expect to
see.
Patient #1:
Melissa Hanson
Patient #1:
Melissa Hanson cont.
Presentation Background of patient #2

Of product
Beth Simmons is a 24-year-old who was admitted in active labor
with a spontaneous rupture of membranes reported by the patient
for clear, odorless fluid. Beth got the epidural which provided

cont.
excellent pain relief as well as a catheter. As time went on, SVE
(sterile cervical exam) remained unchanged and the decision to
deliver by cesarean was discussed related to the failure of
progress. Beth consented to a c-section and then delivered a 10
lb 2 oz male. Beth was administered hemabate, morphine
sulfate, Tylenol, and Toradol to help with any pain. Beth will
have two diagnostic tests done: CBC (to check for blood loss
and infection) and Electrolytes (to check for imbalance).
Reading further into Beth’s patient care plan on the following
pages will explain more of what she is experiencing.
Patient #2:
Beth Simmons
Patient #2:
Beth Simmons cont.
Abbreviations
Closing
 What i ● Extremely important to chart/fill out
patient care plan directly after performing

learned ●
something
Educate your patient before performing
● TEAMWORK - be willing to help other
health professionals if needed
Future Plans ● Undecided on where I’m attending college
○ SDSU or LATC
■ Nursing
Special thanks ●
●
The nurses that I shadowed
Mr. Rudebusch

to… ●
●
Shannon Buelow
Panel members
Any QUEstions?