TESTING Process recording

3). Verbatim Dialogue/Content

4). Assessment of Patient/Client

5). Student Impressions/Feelings/Thoughts/Reactions

6). Identify Practice Skills/Theory/Conceptual Framework Used and/or thinking about using

Supervisor: Comments/Feedback

Since MOB/FOB were not in the room at the time of assessment, assessment was conducted in the NICU. CC intern: I introduced myself as the CC representative.

Patient was identified by CC intern using two patient identifier.

Also, present at the NICU bedside was FOB. FOB introduced himself as Sean

I explained my role and the purpose of the engagement.

Congratulations were extended on the birth of the baby

I proceeded to ask MOB if it was ok to conduct assessment/ask question

MOB nodded, and smiled

MOB appeared tired, but still receptive.

Although assessment was not conducted in the privacy of a room, I am still conscious of maintaining patient’s privacy as much as possible given the location of the assessment. I decided to sit closer to the patient in order to keep the conversation tone lower, also this is NICU with very vulnerable babies. Therefore, maintaining a low voice is crucial, I am also mindful that we are in the middle of Covid!, I am grateful that everyone involved is wearing a mask.

Since both MOB/FOB appeared receptive, and willing to engage, I think it will be beneficial to address them both. Educating both parents is crucial to the baby’s overall outcome. It is reassuring that the baby has a good family support, and knowing MOB is not alone is fantastic

I started with getting a quick background information on FOB. All required questions such as date of birth, employment status, residential address/contact information was answered by FOB

MOB was not looking at me, all her attention rightful so was on the baby. I can see the worry look on her face

I decided to pause on asking questions, and reassure them that their baby boy is in good hands.

I smiled, and I asked MOB how she is doing. MOB stated that she is stressed about the baby born early and needing NICU. I stated that I understand the feeling of uncertainty associated with an unexpected pre-term of a baby,

Eye contact, actively listen

Validating her feeling is important. Any parent would have this feeling too, especially with a lot of medical words been used by the doctors/nurses which also adds to parents confusion. I hope that one of my goal of reassuring them will help calm down some nerves.

Demonstrating empathy and understanding

Exploring feels

Normalizing her anxiety about having a baby in NICU is important. We should be worried if they are not anxious especially since this is their first encounter in NICU.

I discussed the NICU rollercoaster with them and went on to reassure them that their baby is in good hands. I educated them on asking as many questions as possible that they need to understand the medical care been administered to their son.

Eye contact, patient engaged

I went through the new NICU package that the care coordination department offers. I encouraged the parent to read the package.

I further told them that I had gone through the packet myself a couple of times, and every time I learn something new.

CC intern also encouraged parents to actively sit at baby’s bedside and implement skin to skin when able.

Care coordination card was given to MOB, and I further explained that CC would be their point of contact in case baby received any HH order.

No change in demeanor

I am very impressed by this package. It is very informative, equips the parent on how to advocate on the behalf of their baby, explains some NICU medical terms, and potentially what to expect. I wonder how long it took to put together this much information

This is the first contact with the parent, I am grateful for their willingness to engage. It is expected from the inter-disciplinary rounds that the baby will be in the NICU for a while. Thus, needing further care coordination engagement. I want this initial assessment to be as short as possible. I have established that with 2 working parents, baby should have all needed necessities at time of discharge Any additional resources needed will be discussed as needed.

Self-disclosure.

Ms. Andrea has worked in the women center for more than 15 years. She stated that she is proud of all the packets According to her “it is a labor of love’’. She hopes that new NICU parents take time to read it. “ it will sure help calm some nerves”.

Columns/tables expand outside the table, put your cursor outside this box and hit enter to add hit enter if you need more rows; include multiple pages for session write-up