Delivery of Twin birth

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Train with some of the region’s very best pediatric general surgeons — in a two-year, pediatric surgical fellowship training program at Nemours/Alfred I. duPont Hospital for Children. Our hospital’s Division of Pediatric Surgery is offering this program in affiliation with Sidney Kimmel Medical College at Thomas Jefferson University .

The goal of the fellowship is to give individuals who have completed an accredited general surgery residency advanced knowledge and training in the management and surgical treatment of newborns, infants and children.

Our Fellowship Program
This fellowship will help you prepare for certification by the American Board of Surgery, and is accredited by the Accreditation Council for Graduate Medical Education (ACGME).

The Pediatric Surgery Fellowship aims to:

train a well-rounded, empathetic, safe pediatric surgeon who is confident managing all aspects of the surgical care of children.
steward our fellow in quality improvement projects and methodology, and provide research opportunities.
provide a rigorous didactic curriculum for our fellow utilizing 360 degree feedback.
cultivate opportunities for our fellow to educate residents and students.
encourage our fellow to collaborate across specialties.
develop our fellow’s presentation skills during M&M conferences and multi-disciplinary educational meetings.
The program features the full participation of all nine of the pediatric surgical division’s full-time faculty members. Each of these physicians will contribute greatly to your education. Your training will include operating room and outpatient clinic experience, as well as bedside evaluation of children. You’ll also play a role in the organization of formal teaching conferences, held weekly. Formal rotations will be spent on Pediatric Urology, PICU and Neonatology during the first 12 months. The last year will be spent entirely on the Pediatric Surgical Service.
The majority of your inpatient consultative time will take place at Nemours/Alfred I. duPont Hospital for Children, a freestanding children’s hospital in Wilmington, Del. The hospital:

is nationally ranked by U.S. News & World Report in eight pediatric specialties
recently opened expansion with 260 beds
performs more than 2,800 inpatient and 9,300 outpatient surgical procedures each year in our operating rooms
has an on-site delivery center for newborns with complex congenital anomalies
receives more than 50,000 annual visits in our Emergency Department (ED)
is accredited by The American College of Surgeons as a Level One Pediatric Trauma Center
is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)


Visit https://www.nemours.org/educat....ion/gme/fellowships/ to learn more.

Dr. Erik Beyer, Florida Medical Center's chief of cardiac surgery, discusses performed a procedure called a micro-thoracotomy.

If you need heart bypass surgery, the procedure is pretty similar. A surgeon takes blood vessels from another part of your body to go around, or bypass, a blocked artery. The result is that more blood and oxygen can flow to your heart again. ... Bypass surgery is also known as coronary artery bypass grafting (CABG).Dec 12, 2015

Ellis demonstrates how to administer an intradermal, subcutaneous, and intramuscular injection.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

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00:00 What to expect
00:20 Intradermal injections
00:35 Cleaning site
00:54 Explaining bevel up
1:40 Inserting needle
2:00 Injecting medication
2:16 Withdrawing needle
2:29 Subcutaneous Injections
2:39 Selecting site for subcutaneous injections
3:08 Cleaning subcutaneous injections site
3:18 Pinching subcutaneous injections site
3:30 Inserting needle subcutaneous injections
4:13 Injecting medication subcutaneous injections
4:23 Post injection
4:36 Intramuscular injection
4:54 Locating intramuscular injection site
5:18 Cleaning intramuscular injection site
5:38 Inserting needle intramuscular injection
6:28 Anchoring needle intramuscular injection
6:44 Injecting medication intramuscular injection
6:55 Withdrawing needle intramuscular injection
7:05 Disposing of needle
7:43 Cleaning site
8:00 Displacing with Z-track
8:10 Inserting needle
8:23 Releasing tissue

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Elizabeth Stephens, MD joined the Department of Cardiovascular Surgery at Mayo Clinic Rochester, Minnesota in 2019. To learn more about Dr. Stephens’ practice: https://www.mayoclinic.org/bio....graphies/stephens-el
Elizabeth H. Stephens, M.D., Ph.D., is an Assistant Professor of Surgery in Cardiovascular Surgery specializing in congenital cardiac surgery. She received her medical degree from Baylor College of Medicine and Ph.D in Bioengineering from Rice University focusing on tissue engineering heart valves. Her adult cardiothoracic training was completed at Columbia University and congenital training at Lurie Children's Hospital in Chicago. Her clinical areas of expertise include the treatment of:

• Neonates, infants, and children with complex congenital heart disease
• Adult patients with congenital heart disease, including patients previously repaired
• Valve disease, including Ebstein's anomaly
• Pediatric patients with heart failure, including mechanical circulatory support and heart transplantation
• Patients with vascular rings and tracheal stenosis

In addition to her clinical areas of expertise, Dr. Stephens is active in outcomes research relative to congenital heart disease and is extensively published on various cardiac surgery conditions. She has a particular interest in education, including serving on national committees and mentoring trainees of all levels.

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Stoma Care- Changing a Colostomy Bag (Nursing Skills)

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05.01 Stoma Care (Colostomy bag) | NURSING.com

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Stoma Care- Changing a Colostomy Bag (Nursing Skills)

In this video, we’re going to talk about stoma care. Now, the wafer and bag for an ostomy only NEEDS to be changed every 3 days, or if it’s leaking. But, you still need to be able to assess the stoma itself. In this case we’re going to show you how to replace the bag and clean and assess the stoma. Start by putting a towel under the patient on the side of the stoma. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction to Stoma Care
0:20 Assessing the stoma
0:47 Cleaning the stoma
1:12 Inspecting the stoma
1:25 Measuring and cutting the stoma
2:00 Applying and sealing the bag
2:35 Documentation
2:41 Outro

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Myelomeningocele remains the most complex congenital malformation of the central nervous system that is compatible with life. This lesion results when the neural tube fails to fold normally during postovulatory Days 21 to 27.[6] The exact cause of disorders remains under some historical debate and is not within the scope of this paper. Myelomeningocele within the context of this discussion refers only to lesions that involve an open caudal neural tube defect on the surface of the skin

Homan's sign for deep vein thrombosis

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Get the full lesson here: https://nursing.com/lesson/ski....lls-03-04-trach-care

Welcome to the NURSING Family, we call it the most supportive nursing cohort on the planet.

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Trach Care Overview (Nursing Skills):
In this video we’re going to look at trach care. Remember you should always suction the patient before trach care, so if you haven’t watched that skill video yet, make sure you watch it!
Click here: https://nursing.com/lesson/ski....lls-03-03-trach-suct

And remember as you’re doing this, you want to be assessing the stoma for signs of infection or skin breakdown.

Bookmarks:
0:00 Introduction
0:30 Set up sterile field
1:00 Apply gloves
1:12 Remove inner canula and dressing
1:30 Apply sterile gloves
2:05 Clean secretions
2:56 Clean stoma
3:48 Replace inner canula
4:14 Change trach ties
5:50 Apply dressing



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NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

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An intrauterine device (IUD), also known as intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into a woman's uterus to prevent pregnancy. IUDs are one form of long-acting reversible birth control (LARC).

In breech position, the baby's bottom is down. There are a few types of breech: Complete breech means the baby is bottom-first, with knees bent. Frank breech means the baby's legs are stretched up, with feet near the head. Footling breech means one leg is lowered over the mother's cervix. You are more likely to have a breech baby if you: Go into early labor Have an abnormally shaped uterus, fibroids, or too much amniotic fluid Have more than one baby in your womb Have placenta previa (when the placenta is on the lower part of the uterine wall, blocking the cervix)

Intra-abdominal abscess continues to be an important and serious problem in surgical practice. Appropriate treatment is often delayed because of the obscure nature of many conditions resulting in abscess formation, which can make diagnosis and localization difficult. Associated pathophysiologic effects may become life threatening or lead to extended periods of morbidity with prolonged hospitalization. Delayed diagnosis and treatment can also lead to increased mortality; therefore, the economic impact of delaying treatment is significant.