Midwife's Assistant Orientation Journal
May 7 - 13, 2018
This week my family and I finished out our vacation on Maui and returned home. Before beginning this class, I didn't really feel like I needed it. Being a birth assistant for the last two years, I feel as though I have a lot of lived experience. However, I am learning that it will also help me outside of births, while I am in clinic as well. While I haven't done much in the way of completing work for this class, I am getting things organized and prepared for next week when I can kick my butt into gear.The importance of confidentiality, what it means to you and the women you will care for. 2. Your role and relationship with preceptors. 3. Possible biases you feel you may have regarding certain issues and how you may deal with such ethical issues. 4. How you see yourself achieving and completing your own goals and plans for clinical training/apprenticeships.
May 14 - 20, 2018
This week I frantically tried to figure out how I was going to do all my assignments because my Heart & Hands book had not yet arrived, then it showed up and I was able to get them done quickly. This was also the first week that we had a live conference, I missed it because, babies. I have assisted at 5 births since I got home from Hawaii. All the babies waited for me! I also got to create my Pinterest board. I am looking forward to adding things to it as the trimester progresses.
May 21 - 27, 2018
I made it to this weeks live conference. We talked about Neonatal Resuscitation Program Certification (NRP), Cardio Pulmonary Resuscitation (CPR)/Basic Life Support (BLS), and other requirements for starting an apprenticeship. I just renewed both my NRP and my CPR/BLS. We also discussed skill sets to be learned, like various sterile techniques and how to set up IV's. The assignment and reading this week covered instrument sterilization. In Heart & Hands Davis covers how to sterilize instruments by boiling and baking, but I am a little sad that she didn't cover the option of an autoclave. I use one for both midwifery practices I currently assist for and it makes life SO MUCH EASIER. Until I have to clean the autoclave, then I kind of hate it. But I do really like that I only have to scrub instruments, and put them in a pouch that is also to be sterilized. I think that baking and boiling instruments is a valid skill as well, especially if the autoclave breaks, or I am ever stuck going from one birth to another with no extra instruments.
May 28 - June 3, 2018
My brain is starting to mold this class together with Anatomy and Physiology of Obstetrics because they are taught by the same teacher. Here I am thinking that I need to get my hands on a placenta (shouldn't be hard) so I can make a video about placentas. But really, I need to make a video of me sterilizing instruments. Someone go into labor. Seriously, I am on call as I type this. Anybody? I'm going to have to sterilize instruments at home in a pot of water huh? This week, I took an venipuncture training. I drew blood twice, practiced changing out vials and I placed an IV for the first time. Huge thanks to my stellar wife for letting me poke her twice. In our live conference we went over setting up for a birth and suturing. It is interesting to see the variations in how people set up their birth/suture trays, the tools they use and the what they call their tools.
June 4- 10, 2018
This is my first week at clinic working with my awesome preceptor. I was supposed to begin on Monday, but then I had a doula client go into labor and I needed to be with her. It is really great to observe my preceptor and her other student who is phasing out, interact with clients. The connections that she works to build and the trust she builds is so incredible to see. I really value how she maintains a good working relationship with her clients, while still maintaining confidentiality. Right now I am mostly observing during clinic and assisting at births. Although this week she did talk me through a cervical exam, and teach me how to palpate the uterus to feel fetal positions. I have been birth assisting with her for 2 years, as a birth assistant, I just show up during labor, usually having never met that person, and it's a little weird. Now I am getting to meet people who are very close to having their babies and it is great to connect with them before showing up in their space.