 And you're literally right there, right in the abdominal cavity, looking at like the uterus and all of that stuff. What's up you guys, Madonna Welcome back to my channel. So I wanted to give you guys all of the juicy details of everything I did as a PA student on my women's health rotation. And you know that this is the area that I want to go into, so I really like Dovan and I really wanted to be a part of it and know exactly everything that I could possibly learn in the short period of time, which was four weeks that I had on this rotation in the hospital. So I tried to do a lot and I think I got to do a lot as well. So let's get into the video. I did a women's health rotation and I'm actually doing two, maybe three women's health rotations just because again it's the area that I want to get into. So I have electives that I can choose from and then I would just essentially add that on as my next elective. In my women's health rotation we had to get there pretty early, like around seven. I'd always get there like a little bit before seven just in case I wanted to go eat breakfast and kind of hydrate myself because you never know when a C-section is going to happen. You never know when someone is going to go into labor and you want to be ready because you might be in the operating room when it's time for lunch and you might miss lunch. So it's always good to have something already there and inside of your body so that you're a benefit to others and you're not passing out because you aren't hydrated. So I'd do that. I'd get there maybe like 6.30ish and then from that we have sign out. So the women's health, the OBGYNPA from the night shift because they work 24 hour shifts and they work 3-24 hours in their two weeks. So they only work six times in the month which is really, really cool. So with respect to that they would have came in on the 7 o'clock the morning before and then they go all the way to 7 o'clock of the next day. So that PA that was on that night will then give report to the new PA that's coming in and the physicians and NPs like the nurse midwives because we're all part of the care of the people on the L and D floor. So the certified nurse midwives they take care of all of your simple OB cases, people that are laboring just vaginal birthing coming to their clinic and then the PAs usually do all of the sincere cases with the physicians and also something that's kind of in the works is possibly allowing them to go to the clinic because the hospital does have a clinic that they allow some of their patients to come to and then they direct their care from the clinic to the hospital as well. For me we would run through the cases, we get presented on everyone that is either laboring or gave birth or is postpartum day one, two, one, two or three depending on if they had a cesarean or if they did a vaginal birth. We just talk about their numbers, how they're trending, how they're doing, if they were pre-eclantic or not. If there was bleeding postpartum hemorrhage and if so how much then what did we give them? And so we get all of that information because it's essential as you go throughout the rest of the day how you're going to direct their care. That sign out usually lasts maybe like 30 or so minutes, 30 to 40 minutes and then from that we are free-ish until about nine. What will happen is I will then get a list of patients. So in sign up we have a list of patients but then I personally get a list of my patients that I'm going to go and see and make sure that they're doing well. I would go and feel where the fundal height is, is it below the umbilicus or not? Are they bleeding? I would ask them questions like are you bleeding? If so, are there clots? Because you know we expect that clots would start to kind of decrease. So it's important that you ask these questions and then depending on if I have patients that are actually getting discharged I would give them the discharge instructions. So you know tell them about what to look for, if there's a serum patient let them know hey you can take a shower with no baths make sure that you're just kind of damping the area clean, don't scrub it because although we put sutures in there if you rub it really hard you can tear the sutures that kind of stuff. Signs of infection, signs of postpartum, hypertension, all of those things so we're giving them all of this stuff and it's so cool because like they're literally my patients that I'm talking to you know some of them I've seen in like actually get their C-section done and then I follow them throughout the course of the next three days so it's really cool I loved it and then from that I would go to the actual like labor and delivery so we have like Mother Baby but then we have to go over to labor and delivery to see about the patients that are still laboring and so we'll get another sign out at around like 8 39 o'clock on those patients and then there in the labor and delivery room we floor we also have a board that actually talks about like who is laboring we'll have the heart tracings of both the mother and the baby we'll have information on they've gotten Potosin are they scheduled for a C section those type of things so it's important to also have that information after we get all of that then it's again your free time to kind of go and see any of your other patients if we get calls for ed consult we have to go to those as well which is pretty cool because you get to see like some really interesting cases come into the emergency department but since they're pregnant or if they're a woman for the most part you were the ones that they call so after that depending on what is scheduled for the day C section or not then you'd go in to the C section I talked about my general surgery rotation where I would scrub first and then Pat dry I don't usually do that with my women's health I literally just go in and I scrub and I walk in wet and then they give me the towel and then I pat dry I don't know why I don't do the other way but that's just what I did so I would do that and then you walk in again hands in you get your gloves on help well first off I help the patient so like we'd move the patient to the bed help the patient on I'm always there like hugging the patient as they're getting their epidural and then I'm doing everything else with respect to making sure that they're strapped up and all of that is done also get my gloves introduce myself to everybody in the room make sure that they're aware of who I am introduce myself to the patient and the family prior to going into the OR with them that's always important because like well who are you I don't know you have never seen you before in my life so you want to make sure that you're able to actually introduce yourself to the patients and then we'll go through the whole like cesarean case where you're cutting like the physicians cutting and they're retracting and they're passing things and you're literally right there right in the abdominal cavity looking at like the uterus and all of that stuff and then you see them cut through the uterus and pull baby out baby goes to the nurse and then from that you will then start closing and well you like make sure that you have a placenta it's all in one piece like all intact because if there's any remnants of that then it can cause postpartum hemorrhage so we'll make sure that that's intact and then they'll start to close which is partly like where you come in you're retracting because they close like the inner layers first and then from that I can close like the more superficial layer with a subcuticular stitch and then we add stereostrips some people like staples but a lot of the physicians are using like stereostrips and like a well the PAs as well are using stereostrips and a subcuticular suture and then from that we just you know Pat like put the dressing on the wound and the patient wakes up and we bring them back to labor and delivery whatever room they were in with the baby and it's like such a cool thing you know because everybody's like oh thank you thank you you're like you're welcome like you didn't really you don't really think you did much but it's cool because you got to be a part of that moment with them so it's like really happy and I like these happy moments I mean I haven't been on in on any sad moments which is great for well some sad moments but not like sad moments while laboring so that's been great for me but you know I love experiencing the happy moments with them and I also kind of just did my own thing as well in asking some of the physicians hey can I go in on your self-inject me or you know for your removal of the fibroids or you know somebody may have had like an ectopic and removal of that so I would do that because I wanted to see those cases because technically the med students are the ones who have to see those cases like they get first preference with that because they have a certain amount of cases that they have to see with respect to just GYN cases but you know if the physician doesn't mind I go in and sometimes you have to do that guys you have to like fight for yourself direct your own learning experience because you know if you're just there and you're quiet no one's going to do it for you you have to do it for yourself so I guess like note for the day learn how to fight for yourself go for it direct your own learning and just be supplemental but be really like nice about it okay all right so that was it that was my women's health I love it you guys I absolutely love it um I'm so happy I really want to like do this in the future and so like pray for me y'all because you know towards the end of this year I'm going to be applying to some jobs and hopefully women's health is one of the jobs that I get hired on for all right if you have any other questions for me go ahead and leave it in comment section below thank you guys so much for watching please follow me on instagram at adanathepa and I will talk to you guys next time bye