Allison Tannery

• Served at each birth under the direct supervision of the Midwife
• Provided intrapartum support including but not limited to:

Labor support (i.e., fluids, positioning, tub bath, sibling support).

Preparing supplies and/or equipment as needed to complete the set-up of the room for birth.

Monitoring of vital signs and fetal heart tones.

Delivery assistance as needed

Assist with resuscitation if needed.

Assist with third stage or other maternal emergency as needed (fundal massage, administration of oxytocic, prepare IV therapy, call nearest hospital or ambulance).

• Cared for clients in early labor at the Center under the direction of the midwife.
• Provided postpartum support including but not limited to:

Immediate postpartum care

Assessing Vital signs.

Ongoing assessment of fundus and bleeding.

Assisting with comfort measures.

Assisting postpartum parent and newborn with establishing breastfeeding, if desired by client.

Coordinating cord blood to lab if indicated.

Managing the Postpartum period until discharge

Continuing the ongoing assessment of postpartum status regarding bleeding, voiding, fluids and eating, mental adjustment, physical needs.

Continuing the ongoing assessment of newborn: respiratory status, color, temperature, neurological status, feeding, activity.

• Teaching Discharge instruction
• Reviewing home care instructions.
• Assisting the family in preparations for going home or departure of clinical team in the event of home birth
• Verifying the family has scheduled home visit within 48 hours.
• Accompanying the family to car (if applicable)
• Performing the Terminal cleaning and restocking of birth room/birth supplies. This must be done before birth assistant completes shift.
• Assuring that all records are completely and accurately recorded in the EHR, and the appropriate copies are sent to the appropriate places/caregivers.

• Provided emotional support and guidance to new mothers and families during labor, delivery and postpartum.
• Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
• Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient, and attending to baby after birth.
• Supported physicians in both planned and emergency Cesarean section procedures.
• Learned all these skills on the job, without completion of Orientation, beginning the first week of th Global Pandemic, under extreme staffing, preceptor, and PPE shortages.