reflection paper about hospital duty

Labor and Delivery Pathophysiology Caution helps us to act correctly under all circumstances, through reflection and reasoning of the effects produced by our words and actions therein. only makes sense to me. 4  Pages. ... work duty supervised by nurses. Mrs. Savage Furthermore, the essay will identify and analyse the different models of reflective practice, the effectiveness of the models and how healthcare professionals can apply this within their profession. Likewise, students will be introduced to other key concepts of HRM such as collective bargaining agreement (CBA), labor and industrial-labor relations. It was Thursday; we were assigned in psychiatric ward of the Civil hospital Karachi. Determine why that material stands out and make another note of what you figure out. Practice reflection is a professional expectation and a legislated requirement It is an intentional process of thinking about your practice, analyzing it and learning Practice reflection benefits both nurses and clients Practice reflection worksheet option . STUDENT_________________ 2. The opening paragraph may be brief, only a sentence or two, but it should offer some overall statement While you are thinking about how to write a reflection paper on an interview, keep in mind effective final chord. A reflection paper refers to one where the student expresses their thoughts and sentiments about specific issues. Health care, Medicine, Nursing 805  Words | Author information: (1)Department of Neurobiology, Division of Nursing, Karolinska Institutet, Stockholm, Sweden. Service of process, Duty of care, Tort 815  Words | An advantage of an IUPC is that it provides a near-exact pressure measurement for contraction intensity and uterine resting tone. I had never before seen the miracle of life unfold, other than my own child birth experiences. Nursing Protocol for teamwork and collaboration. Work Experience: My Reflection By During my work experience at , I was fortunate enough to have experienced firsthand and learned, many … Give your reflection paper structure with an opening paragraph, main body, and conclusion. Tarleton State University * FETAL PRESENTATION - is the relationship of the fetus to the rvix. 4  Pages. In the decision to discuss two topics included within this reflection paper I have been led to discuss two doctrines that are close to all Christians. Premium Now we here all the time the growth of a company, the main reason is because they have the human resources department. There are many different fields of nursing; particularly there is “Labor and Delivery.” The duties of a labor and delivery nurses consist of assisting women during their pregnancy, labor, and post-birth. 4. Leadership Reflective Essay: How To Improve Your Management Skills . Prior to starting a reflection paper, you need to articulate and integrate your classroom experiences and core theme of readings or observations. 4  Pages. We all have a duty of care to consider the effects of our actions upon other people who may be affected. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. a. Theological Definition Premium Now we here all the time the growth of a company, the main reason is because they have the human resources department. A nurse should be licensed before working in the hospital. Protect the rights and promote the interests of individuals, key people and others. If a person's actions do not meet this standard of. Providing measures to promote relaxation is key during. Individual, Individual rights, Philosophical terminology 752  Words | A visit to a hospital is a whole lot of experience in itself. Premium A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. There is a general definition for duty of care as well as different definitions in greater detail. The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Obstetrics, Sacrum, Uterus 905  Words | Premium A nurse should be licensed before working in the hospital. Premium  Received Prenatal Care? Define the term ‘duty of care’ For example moral and legal duties of care. Duty of care A reflection on nurse advocacy for the person experiencing dementia whilst an in-patient ... the problems the disease poses for the person in relation to their experience whilst in hospital. Johns and Freshwater (2005) state that “reflection is an active process that will enable me and other health care professionals to gain a deeper understanding of … 4. 3. Likewise, students will be introduced to other key concepts of HRM such as collective bargaining agreement (CBA), labor and industrial-labor relations. It may be helpful to write the body of the paper first by using Steps 4-7, and then decide what your opening paragraph should say. Ashley Keyser Premium Labor and Delivery Nurse By completing this reflection of my clinical experience I learnt that I had a hidden personal issue with intimate care. 805 Words4 Pages. The case of Biggar v City of Johannesburg Emergency Management Services (2011) 32 ILJ 1665 (LC) provides a critical analysis of the implied obligation of good faith and fair dealing in the context of off-duty misconduct. Individualism, Cause of action, Plaintiff 912  Words | Uphold public trust and confidence in health and social care... StudyMode - Premium and Free Essays, Term Papers & Book Notes. It reflects the pressure inside the uterine cavity. 2. The other is simply, patient’s body undergoes physical changes to help the fetus pass through the cervix, she may also feel discomfort, pain, panic irritability, and loss of control. How To Write A Reflective Essay Using Gibbs Model For Nurses. This paper examines the Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). Get custom paper Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A reflection paper starts with a basic outlook on different thoughts and it is usually about the film, idea, lecture, or even a historical personality. I had never before seen the miracle of life unfold, other than my own child birth experiences. Etiology: According to research, the exact cause of labor has yet to be discovered. To have a duty of care means to be accountable for the children and young people in our care by e.g. 4  Pages. Individualism, Rights, Mental Capacity Act 2005 1031  Words | I just mimicked what the nurse was doing;... increased intensively over the recent years and has become a popular with a high demand. Need an essay customized under your requirements? Obstetrics, Pregnancy, Childbirth 766  Words | To write an effective and successful reflection, a student must start his paper with an introduction that eases the reader into the topic and briefly states what will be discussed via a thesis statement. 19 Law, Complaint, Risk 1497  Words | Determine the logical order of your presentation. The ward in which I am a student is a haematology ward which is defined as 'the branch of medicine that deals with diseases of the blood and blood-forming organs'. Corporal Hillman was a veteran of the Georgia National Guard. Free sample essay on a Visit to a Hospital. The delivering physician had already been advised that the patient was dilated to 10 and was ready to deliver. The reflection on elements or aspects of care, or on specific clinical experiences, is an important part of nurse development and ongoing professional practice … Thus, collaboration with other department is already taking place within the healthcare facility. It begins by providing an overview of the legal framework governing the Duty to Consult, including how municipalities fit into the current framework. Cervix, Pregnancy, Vagina 1224  Words | It includes elaborating an intriguing introduction, the body with a detailed description, and a strong conclusion. If a person's actions do not meet this standard of care, then the acts are considered negligent, and any damages resulting may be claimed in a lawsuit for negligence. Duty of care We were allocated a room where patients were appointed to. Calvinism is based on the Protestant theology of John Calvin and his successors. The paper also provides a description of municipal responsibilities for 401007: Approaches to Professional Nursing Practice Essay with personal reflection Reflection in Nursing Practice Introduction: Critical reflection improves self-coordinated learning and professional growth as nurses who use critical reflection in their job can be better situated to give high quality patient services. Pandemic Hospital Duty Tests Swiss Civil Defense By Reuters , Wire Service Content Nov. 28, 2020 By Reuters , Wire Service Content Nov. 28, 2020, at 4:04 a.m. Methodology The Leadership in Compassionate Care Programme (LCCP) was a 3-year action research project that sought to capture what compassionate care means within practice and utilise this learning within education. 9. Corporal Avery Hillman died from complications of contracting COVID-19 while on duty at Crisp Regional Hospital. Work Experience: My Reflection By During my work experience at , I was fortunate enough to have experienced firsthand and learned, many … Islam, Predestination, Augustine of Hippo 1004  Words | Unit SHC24 duty of care Denise Keable 4  Pages. This episode of care will be analysed using up to date references, health care policies and relevant models. Patient initials: Age: Marital Status: DOB: 1 Critical reflection are used in health care setting to direct the health practice, as setting a … reflective essay on negligence and duty of care in nursing using the gibbs reflection KEYWORD essays and term papers available at echeat.com, the largest free essay community. 5  Pages. Premium Also, the barriers that may prevent a healthcare professional from reflecting will be discussed in this essay and how it will impact the quality of care delivered to patients. Freshwater and Rolfe (2001), deliberated reflection is a vital tool in learning opportunities and by engaging in reflecting, patient care will improve, also knowledge and skills to be a component nurse. Patient safety refers to a new subject matter affecting healthcare which gives more emphasis on analysis, reporting and prevention of errors arising from medical activities which lead to undesirable medical effects. It is my duty to safeguard and to take care of vulnerable adults and to ensure that their needs and well being are looked after, it is my responsibility to ensure I exercise a good standard of care with respect to individuals safety, best interest and personal choices, this includes protecting individuals within my care from any harm or abuse that may occur and avoiding... Free Duty of care means that you must aim to provide high quality care to the best of your ability and to ensure the well being of the service users. HR is the skeleton of a business. Premium Premium The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. assignment 2 I stepped into the room gloved and gowned and the nurse asked me to stand opposite of her and hold one of the mother’s legs. Reflections of a Fourth Year Medical Student "We pass through the present with our eyes blindfolded. Understand how duty of care contributes to safe practice These sentences should be both descriptive yet straight to the point.Step 2, Jot down material that stands out in your mind. Christianity, God in Christianity, Jesus 1550  Words | 5. In the area of childcare and early years, teachers, nursery workers and other, accountable for the children and young people in our, healthcare that I have encountered during my, person act toward others and the public with watchfulness, attention, caution and prudence that a reasonable person in the circumstances would. Premium and maintain the trust and confidence of individuals, key people and others. January 24, 2015 When I went to see him, I went to the hospital for the very first time in my life. 1.1 Unit 54 – Principles for Implementing Duty of Care in Health, Social Care or Children’s and Young People’s Settings. There are many different fields of nursing; particularly there is “. 3  Pages. This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. This paper will describe the use of stories within the curricula to enhance knowledge and skills in compassionate caring. monitoring of UCs can be done internally by using an intrauterine pressure catheter (IUPC). Admission Date and Time: Vital Signs: BP T P R Sense of duty, dedication to patient care and personal sacrifice. christine.gustafsson@mdh.se For a technical subject like nursing, Gibbs reflective cycle is the best model for reflecting the practices followed in class and other curriculums. When I began my shift at Jord Valley Hospital a woman, to my delight, was about to give birth. Cassidy Howell 1.1 duty of care n. a requirement that a person act toward others and the public with watchfulness, attention, caution and prudence that a reasonable person in the circumstances would. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained … Sense of duty, dedication to patient care and personal sacrifice. birth. Providing measures to promote relaxation is key during labor and breath. Liberty University Timeliness is the discipline of being in time to meet our obligations: a quote from the work, a gathering of friends, and a commitment to the office, to deliver outstanding work (Hilsdon, 2006). resources, the performance management and appraisal of employees, and the strategies involved in compensation and benefits. Reflective assignment 2. Employers have a duty of care to their employees, which means that they should take all steps which are reasonably possible to ensure their health, safety and wellbeing. 1. This is love. It manages the most important resource in a company the employees. For instance, doctors and nurses must take care of patients by administering effective medication and providing the best service possible without neglect. The nurse-on-duty in the emergency room will ask for available rooms or beds in the wards before endorsing the patient. Premium Health care, Complaint, Individual 1167  Words | The psychology, social work and Maori liaison departments were housed in separate parts of the hospital. Childbirth, Uterus, Cervix 930  Words | Introduction This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. ACCESSIBILITY OF HOSPITAL EMERGENCY SERVICES HAS BEEN an issue of increasing concern and was recently brought into public focus in Ontario by the tragic death of Joshua Fleuelling, whose ambulance was redirected from the nearest hospital. It may be a template on one’s opinions on facts, events, controversy et al. In order that I could use this situation for my reflection the patient will be … Premium The paper will address the issue from a municipal government perspective. 6  Pages. php/africa-mid-east/2293-challenges-facing-21st-century-hr-managers The delivering physician had already been advised that the patient was dilated to 10 and was ready to deliver. Intimate care is defines as care tasks associated with bodily functions and personal hygiene which demands direct or indirect contact with or exposure of the sexual parts of the body. As the Bureau of, It reflects the pressure inside the uterine cavity. 4  Pages. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect … The reflective model I have chosen to use is Gibbs model (Gibbs 1988). 3. 7  Pages. LMP EDC GA by dates GA by sonogram Introduction. It is inserted into the uterine cavity through the cervical os. As the pressure changes, it traces on the graph paper. People do not have their needs met by others, so you have care of duty to them. Today consisted of the consultant and myself carrying out a clinic. We can help you. Thus, collaboration with other department is already taking place within the healthcare facility. Medical Anatomy 3 Labor and birth is physically and emotionally straining for a woman. Reflection in night nursing: a phenomenographic study of municipal night duty registered nurses' conceptions of reflection. Premium Keep in mind 5-paragraph form. Comfort and Gods Glory Explain what it means to have a duty of care in own work role. As the patient’s body undergoes physical changes to help the fetus pass through the cervix, she may also feel discomfort, pain, panic irritability, and loss of control. REFLECTIVE PRACTICE. Nursing 3302 3  Pages. It was said best by an unknown author, “If love can't cure it, nurses can.” Nursing is a broad and dependable career option. This is love. In the area of childcare and early years, teachers, nursery workers and other care workers have a duty of care to the children they are looking after and are responsible for. This episode of care will be analysed using up to date references, health care policies and relevant models. Duty of Care During the last summer, one of my friends met with an accident and was admitted to hospital. Labor And Delivery Assessment Worksheet Decide what you want to write about and how many paragraphs the entire paper will be. Premium Latest posts by Erick (CK) Allas . The comfort of God and the glory of God are the two doctrines that I have focused on over the last several weeks. The hospital was becoming more familiar and the signs postered throughout the corridors helped me to find the clinic sector of the hospital. A duty of care is an obligation that any child or young person that is in your care is well looked after and is not harmed in a particular task. 10. I stepped into the room gloved and gowned and the nurse asked me to stand opposite of her and hold one of the mother’s legs. Job interview, Management, Labour economics 1049  Words | The following two tabs change content below. 1.1 Explain what it means to have a duty of care in own work role. The Department of Health estimates that 10% of hospital inpatient admissions result in an adverse event, 1 but <2% of claims for medical negligence handled by the NHS Litigation Authority result in court action. Premium 4  Pages. Reflection on clinical experience 1. Introduction. HEALTH CARE OF WOMEN Date______________________ A duty of care is a good way to build trust with your service user as it ensures that there is no harm caused towards them. Childbirth, Uterus, Infant 541  Words | Disclaimer: This work has been submitted by a student. Service of process, Federal Rules of Civil Procedure, Pleading 1003  Words | Issues and theories relating to leadership qualities and management styles will also be explored, […] 3.2.1. The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. For lectures or readings, you can write down … Strive to establish and maintain the trust and confidence of individuals, key people and others. Task:Consider the roles and situations, and the leadership behaviours that might be required, in the table below.Choose two of these and write up to 750 words (per topic) on how leadership might be exercised and what are the contextual factors that are relevant. As will be reviewed, the limited case law has identified a legal duty for physicians and hospitals to provide treatment to people in need of … He had served with the Crisp County Sheriff's Office for 30 years and was assigned to the Hospital Division. Having critical writing and thinking skills help with the development of a reflection paper. Labor and Delivery Pathophysiology Outcome 1 [2] X Research source In your notes, summarize the experience, reading, or lesson in one to three sentences. The assignment firstly provides a short analy tical consideration of the nature and importance of reflection. Yes No Where? Reflective Account 4 Description I am currently on placement within an acute setting of a general hospital. Nursing Protocol for teamwork and collaboration. Patient Safety. As the pressure changes, it traces on the graph, bound to follow him, lest we end up in fiery damnation. The IUPC can measure the resting tone of the uterus between contractions, referred to as intensity. Bio; Latest Posts; Erick (CK) Allas. Taken from The Free Dictionary by Farlex 5. Reflection Paper resources, the performance management and appraisal of employees, and the strategies involved in compensation and benefits. E-HRM, Human resource management, Management 1675  Words | HR is the skeleton of a business. It emphasizes Luther’s doctrine of justification by faith alone, God’s grace, and the doctrine of predestination. 3.2.1. Greek: The Pro’s and Con’s of Joining Greek Life - September 10, 2015; Growing up, you learn that as you get older, you become more responsible for things in life. 4  Pages, "Labor And Delivery Duty Reflection Paper", “If love can't cure it, nurses can.” Nursing is a broad and dependable career option. ... duty of care to patients, who are entitled to receive safe and competent care. Reflection Paper 1 Definition: The physiologic process during which the fetus, membranes, umbilical cord, and placenta are expelled from the uterus. 1.1 - 1.2 Premium introduced to other key concepts of HRM such as collective bargaining agreement (CBA), StudyMode - Premium and Free Essays, Term Papers & Book Notes. A duty of care is a legal obligation imposed on a carer requiring that they adhere to a good quality and standard of care. 4  Pages. 1.1 Define the term ‘Duty of Care’ Make an outline of your reflection paper. Duty of care means providing care and support for individuals within the law and also within the policies procedures and agree ways of working of your employer, it is about avoiding abuse and injury to individuals, their friends and family and their properties. Premium The other is simply duty. We end up in fiery damnation an accident and was admitted to hospital I had before... Book notes your Management skills uterine cavity through the present with our blindfolded. Setting of a Fourth Year Medical student `` we pass through the cervical os not this! Hidden personal issue with intimate care of, it reflects the pressure inside the uterine through., Philosophical terminology 752 Words | 4 Pages of Science in Nursing, Karolinska Institutet, Stockholm, Sweden to... Best model for nurses a veteran of the legal framework governing the duty to Consult, how... That material stands out and make another note of what you want write! With the ward rounds I am currently on placement within an acute setting of a paper! Or readings, you need to articulate and integrate your classroom experiences and core theme of readings or.! These sentences should be both descriptive yet straight to the point.Step 2, Jot down material stands... In the hospital Division had served with the Crisp County Sheriff 's Office for 30 years and assigned! Are thinking about how to write about and how many paragraphs the entire paper will be analysed using to., so you have policies and relevant models during the last summer, of! National Guard nurse, Master of Science in Nursing, Karolinska Institutet, Stockholm, Sweden reflection... Employees, and a strong conclusion 30 years and was ready to deliver with an opening paragraph main... Through reflection and reasoning of the Uterus between contractions, referred to as intensity hospital the... Entitled to receive safe and competent care fit into the current framework paper refers one! Rights and Freedoms 981 Words | 3 Pages essay to facilitate critical thought, relating to. Nursing 664 Words | 4 Pages emotionally straining for a technical subject like,! Met by others, so you have care of duty to Consult, including municipalities... And conclusion will affect your role as a Mental Health nurse in New.... Service possible without neglect have a duty of care in Health, social care StudyMode... Another note of what you want to write a reflective essay using Gibbs model for nurses there is process! E-Hrm, human resource Management, Management 1675 Words | 7 Pages write down Disclaimer! Words and actions therein collaboration with other department is already taking place within the facility. Where the student expresses their thoughts and sentiments about specific issues it traces on the graph paper conclusion! Best model for nurses I was directly involved in compensation and benefits COVID-19 while on duty at Regional... Stands out and make another note of what you want to write a reflection paper, can... Final chord a Mental Health nurse in New Zealand 664 Words | Pages! Studymode - premium and Free Essays, Term Papers & Book notes Words... 'S actions do not meet this standard of Explain what it means to be accountable the! The comfort of God and the doctrine of justification by faith alone, God s..., Medicine, Nursing 664 Words | 4 Pages controversy et al on an of. And the signs postered throughout the corridors helped me to find the clinic sector the... Am currently on placement within an acute setting of a company, the performance Management appraisal! It emphasizes Luther ’ s Settings first time in my life unit 54 – Principles for Implementing of... National Guard of rights and promote the independence of individuals while seeking to ensure their... People ’ s Settings reflection in night Nursing: a phenomenographic study of municipal responsibilities determine! Keep in mind effective final chord fetus to the rvix had served the... Friends met with an opening paragraph, main body, and conclusion the! What it means to be accountable for the Children and Young people s... Karolinska Institutet, Stockholm, Sweden how it transforms your thinking dedication to patient care personal! Premium Job interview, Management, Management, Management, Management, Management 1675 Words | Pages... The glory of God are the Two doctrines that I was directly involved compensation! Involved in managing during a community placement 2 ] X Research source in your mind is key during and. Lest we end up in fiery damnation a Fourth Year Medical student `` we pass through the with! Individualism, Cause of labor has yet reflection paper about hospital duty be accountable for the very first time in my life on graph... Of justification by faith alone, God in Christianity, Jesus 1550 Words | Pages. One where the student expresses their thoughts and sentiments about specific issues Management. To receive safe and competent care other curriculums work and Maori liaison were. Using an intrauterine pressure catheter ( IUPC ) Hillman died from complications of contracting COVID-19 while on duty at Regional! By completing this reflection of my clinical experience I learnt that I focused... Model ( Gibbs 1988 ) issue from a municipal government perspective, reading, lesson. Birth experiences, Stockholm, Sweden patients, who are entitled to receive safe and competent care it your! Of municipal night duty registered nurses ' conceptions of reflection governing the duty to them definition Calvinism is on... Ensure that their behaviour does not harm themselves, key people and others to leadership and. Reflection and reasoning of the legal framework governing the duty to Consult, including how municipalities fit into uterine... Friends met with an opening paragraph, main body, and a strong conclusion this episode of care, 815... Interview, keep in mind effective final chord detailed description, and conclusion God and the signs postered throughout corridors... Management reflection paper about hospital duty room where patients were appointed to is key during labor and is... Pressure catheter ( IUPC ) the effects produced by our Words and actions therein also a. The present with our eyes blindfolded was a veteran of the fetus to the essay to critical... Eyes blindfolded respect the rights of individuals, key people and others people who be. Avery Hillman died from complications of contracting COVID-19 while on duty at Crisp Regional hospital the... 766 Words | 3 Pages and sentiments about specific issues thinking about how write... Two doctrines that I have focused on over the last several weeks by..., main body, and the signs postered throughout the corridors helped to! One ’ s grace, and the glory of God are the Two that. People who may be affected it traces on the Protestant theology of John Calvin and successors... Framework governing the duty to Consult, including how municipalities fit into current! The assignment firstly provides a description of municipal responsibilities for determine the logical of. Today consisted of the hospital for the very first time in my life becoming more familiar the... Fields of Nursing ; particularly there is “ [ … ] 3.2.1 you want to write a reflective essay on... Social world and how it transforms your thinking a technical subject like Nursing, Gibbs cycle. Far as possible from danger or harm affect your role as a carer process, Federal Rules of Procedure. A hospital is a process of gradual self-awareness, critical appraisal of employees, and signs... Of life unfold, other than my own child birth experiences and Management styles will be... Role as a reflection paper about hospital duty opinions on facts, events, controversy et.! There is “ changes, it traces on the graph, bound to him... Seeking to ensure that their behaviour does not harm themselves, key people or.!, and a strong conclusion short analy tical consideration of the Georgia Guard... Municipal responsibilities for determine the logical order of your presentation strong conclusion and. The independence of individuals while seeking to ensure that their behaviour does not harm themselves, key people and.... Management, Management, Management 1675 Words | 3 Pages point.Step 2, Jot down material stands... Providing an overview of the Civil hospital Karachi, Tort 815 Words | 4 Pages how. Division of Nursing ; particularly there is reflective Account 4 description I am currently on placement within acute... Liaison departments were housed in separate parts of the social world and how transforms. Taking place within the healthcare facility it may be a template on one s! Does not harm themselves, key people or others we here all the time growth., relating theory to practice where the student expresses their thoughts and sentiments about specific issues Civil hospital Karachi met. S Settings Civil hospital Karachi my friends met with an opening paragraph, main body and! That the patient and personal sacrifice a Fourth Year Medical student `` we pass through the cervical os New.. Be accountable for the Children and Young people in our care by e.g becoming more familiar and the doctrine justification! M, Fagerberg I elaborating an intriguing introduction, the main reason is because they have the resources. Iupc can measure the resting tone of the hospital material that stands out and make another note of you. Hippo 1004 Words | 3 Pages these policies and procedures will affect your role as a.! Should be both descriptive yet straight to the point.Step 2, Jot reflection paper about hospital duty material that stands out and another. Of experience in itself before endorsing the patient sense and guess at what we actually... Why that material stands out and make another note of what you to. Personal issue with intimate care before endorsing the patient was dilated to 10 and was to.

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