This was my first week of practicum. I did three nights in a row and it was hard.
Night #1: Thursday night. The first night I was in the NICU, but I was tired all night. It was hard to be there because we had 3 progressive babies, and after the initial weighing, vitals, and bathing, the rest of the care just revolved around feeding them & documentation. This made for a painfully slow night. Not to mention I had to go to school after the shift to take a 125 question exam. Yikes. Good thing I'm a fast test taker.
Night #2: Friday night. I was with the transition nurse. The transition nurse goes to labor & delivery every time a baby is born; does a full head to toe assessment, vitals, accu check if indicated, initial bath, assistance with initial breastfeeding, and vitamin k shot. All of this constitutes the baby's admission, and transitioning the mother & baby to the mother baby floor. We had four babies that night. The first one was delivered around 10/11p, then three in a row from 1-5a. We were busy to the max and I loved it because I didn't get super super tired until around 5a. It was a good night.
Night #3: Saturday night. I was in Mother Baby. Sadly, I didn't get the RN that had any moms or babies we transitioned the night before, but it was still a good night. 2 antepartums, 1 c/section, 2 vag deliveries, 2 babies. I was able to follow along with the nurse and do the focused assessment at the beginning of the shift, checking the uterus, checking for DVTs, etc. For the two antepartum patients, I got to use the doppler machine to check for fetal heart tones. I loved this because I had never done it before and it was fun to listen to the baby's heart. One of the babies was breastfeeding, but the other was on formula, so I got to feed that one every 3 hours. This night was just fine and I didn't crash the whole night. Success!! Not to mention daylight savings working in my favor and allowing me an hour sooner to go home :D
I am learning a lot and loving life!

