My Clinical Experience In Nursing

My clinical experience began at seven o’clock in the morning on Thursday September 8, 2016 in the nursery of Yale-New Haven Hospital. During my experience in the nursery my student nurse colleague, Melina, and I were able to perform a full newborn assessment and each administer a Hepatitis B intramuscular injection under the supervision of Professor Connery. Our experience began when Melina and I were introduced to the two nurses that we would be working with and our patient, M.B. M.B. had been born six hours prior to our introduction at 36 weeks. M.B. received an APGAR score of 9 one minute following her birth and a score of 9 five minutes after her birth. Although M.B.’s initial assessment was unremarkable, she was spending time in the nursery
She had received oxytocin to induce labor at 17:00, she also received magnesium, and cytotec. After Melina and I had received M.B.’s background information, we proceeded to perform a full newborn assessment. We began by assessing her vital signs starting with her pulse and respirations. While Melina assessed the rate and quality of M.B.’s respirations, I assessed her apical pulse. I first disinfected the bell of my stethoscope with an alcohol wipe and then gently placed it over her left nipple. As I listened I made sure to note the rate, rhythm and quality of M.B.’s heart rate. Melina and I concluded that M.B. had an apical pulse rate of 140 beats per minute and a respiratory rate of 40 breaths per minute. We then continued on in our assessment and palpated M.B.’s brachial and femoral pulses, which were equal and bilateral. I then proceeded to assess M.B.’s axillary temperature, I gently lifted M.B.’s arm, placed the tip of the probe into the center of the axilla, and then eased her arm against her arm and gently held it until her temperature was read. M.B.’s axillary temperature was 98.6 degrees Fahrenheit. Because