Pros: lots of nursing support, strong team work, close with dr's.
Cons: crisis oriented often with deliveries, ceasarian sections and triage.
Report in as team in team report room. Review patient assignment on board. Team leader chooses our assignment.
Some days patient load is 4 mothers and 4 newborns. Nursing care to mother, self care, teach baby care, teach breast feeding, teach baby bath classes.
In a combined care unit post partum and labor and delivery are on the same unit. There fore if my mothers were doing okay, I would go and help with the patient and nurse in a delivery. Emotional support to mother and father. When a baby is born I usually did the initial assessment of the newborn and helped put baby to breast. If the baby was doing poorly at that initial assessment then I transferred that baby to special care nursery and gave report.
Helping clean mother after birth, administering pain meds.
Our operating room was on the same floor so when a mother who is in labor has an issue or baby is doing poorly in utero, I was part of the team that prepared the OR for a Ceasarean Section and I scrubbed and circulated in the OR. Also dealt with father's emotions at that time. Responsibility to call the Dr. and assistant and
anethnetist together for the C-Section.
Taught pre and post natal classes in the Guelph community
Taught nursing students in their college and university obstetrical rotation.
Recorded charted in computer. Discussed issues with Dr.
Multidisciplinary team is unique on this unit.
Administration of medication for mothers and baby. Use of epidurals and pumps with oxytocin and IV administration.