Pre Assessment BBN Mentorship
This form will help us assess how mentorship helped you!
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First and Last name
Email
What is your instagram handle?
How many years have you been a Labor & Delivery (L&D) nurse? *
How long was your preceptorship/residency? *
How many preceptors did you have? *
How confident are you in your skills about ability to take care of your patients? *
Not confident at all
Super confident
If I have a question, I feel completely comfortable asking anyone available *
There is at least 1 person on the unit I feel I can be 100% myself with and ask "dumb" questions to without any judgement *
I am scared that if I do something wrong I will get fired. *
On a scale of 0-5, how comfortable do you feel talking to any MD to advocate for your patient *
Please check the patient education topics you feel comfortable and confident teaching to your patient(s) *
Required
How comfortable are you in assessing the station of the baby? *
Not confident at all
Super confident
How comfortable are you in assessing the position of the baby based on suture lines? *
Not confident at all
Super confident
I feel I make a positive difference at the bedside with my patients. *
not really
100% of the time
I have no problem calling a doctor to advocate for my patients *
not at all
completely
I feel confident taking care of a fetal demise and providing therapeutic communication with the parent(s). *
not at all - eeek!
completely
I feel completely comfortable and confident supporting a woman without an epidural to achieve her goal(s) of an unmedicated birth *
not at all
completely
I know exactly what rights the patient has while giving birth/hospitalized *
no idea
got 'em memorized!
If I had a concern on the floor, I feel comfortable speaking to upper management about it and know that my voice will be heard and there will be an appropriate response *
I know how to use the HR department at my hospital to my advantage *
I frequently see things happen on the floor that I am concerned are not ethically responsible or "right" *
I have compromised my own beliefs on the job (done something that I feel uncomfortable with morally or don't agree is the best thing for the patient - no judgement ps) *
I feel comfortable responding to OB emergencies *
no SIREE!
completely
I understand exactly what informed consent vs shared decision making means *
I know what my role is in the shared decision making process and I feel confident assuring that full informed consent is given *
not at all
completely
I can recognize signs of a patient with a history of trauma and know how to respond and change the care that I provide to accommodate her. *
I have received training on trauma-informed care *
I have subjectively witnessed what I would observe as "abuse" to a patient at the bedside by a provider *
I feel comfortable reframing a difficult situation to help the patient understand and have a more positive birth memory *
Thank you for your time!!!
I am so thankful for you and excited to start this journey!!!
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