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Reflection on Assistant Experience

Taylor Rackey

CLNC 2030

Instructor: Lynette Elizalde-Robinson, BS, LM, CPM, CCEd

May 30th, 2020


Reflection on Assistant Experience

The winter 2020 semester was by far one of the most challenging of clinicals that I have

ever had, for an abundance of different reasons. While the beginning of the term started “nomal,”

with extended classes and overwhelming feelings, no one knew that a global pandemic was just

around the corner. From lifestyle changes to clinical changes, is it quite possible that every

aspect of normal that we knew was somehow impacted or changed. I choose to continue my

placement at a high-volume birth center and be a frontline healthcare worker for the families we

serve throughout Southern Oregon.

I have seen a significant change in how I have improved as a midwife over this most

recent term, juggling more roles and responsibility before moving into the final skills of phase

two. Starting in March, I began preparing each chart for the clients that would be seen in clinic,

which took a level of diligence and time management to ensure that each chart was thorough,

correct, and on-time ready for the appointment. This process includes entering the clients

allergies, significant events of their pregnancy, previous medical history that may impact their

care or pregnancy, what the client stated at the last appointment, while ensuring terms are

changed to past-tense. During a clinical appointment, I am in-charge of dipping urine, obtaining

vitals, asking all questions that are prompted by EMR, charting the client’s answers, following

our practice’s individualized check-list dependent on gestational week, obtaining and blood

draws and performing physical exams as necessary, palpating, measuring, and listening to fetal

heart tones. Outside of appointments, I am required to send faxes for ultrasound requests, fill out

requisition sheets for lab draws or ultrasounds, communicate with other providers for test results,

and enter MANA statistics.


Challenges that I have encountered within my clinical placement have only been limited

to not advancing in skills as fast as I likey should have intended to be. I have maintained a sweet

and comfortable spot where I wait to be invited to perform new skills, instead of asking to

perform new skills and further my hands-on learning within the clinical setting. Recently, I have

acknowledged the amount of time that I have available until I take my phase 2 assessment and

have been asking to perform new skills. Vaginal exams are something that sit at the epitome of

my unknowing, with only 2 attempts that ended in not understanding what I was feeling or where

to advance. I hope to ask for more opportunities to practice this skill, knowing that it will unlock

more doors for me to obtain more advanced phase 2 skills that will be required for assessment.

Though I do not have a particular set in stone clinical learning strategy, I try to focus on

sharing the things that I am learning and focusing on in clinic with my preceptors. This works to

help develop a goal that I may have to learn new skills and further my education during clinical

time. I have a tendency to give it my best shot without much hand-holding before asking for help

with prompting or instruction. It has helped tremendously to not have nervous or anxious fears

that may result in hestitaton, but rather “fake it till you make it” and go in knowing my

preceptors trust me because I am competent and educated.

My patterns throughout clinical practice have remained consistent, bringing 100% of my

effort to the table, remaining present and being available where needed. I take pride in paying

attention to detail and focusing on the little things, knowing that my effort is appreciated and

acknowledged. I strive to remain in consistent communication with my preceptors as well,

checking in on clients, following up from appointments that aren’t on my clinical day, and

wanting to be involved in the clients care as I would as the primary provider.