[kathiecnm]

Originally Posted by HappyNurse2005

I am. not all OB nurses are.
Yes. all post op patients are in the PACU after csection, and are on cardiac monitoring while in PACU. all PACU nurses are acls certified

All our L&D RNs are becoming ACLS certified because be do our own C/S & have a PACU. Probably overkill, but still required.

[tinyscrafts]

In the US most babies are delivered by Obstetricians. A small percent of women use Certified nurse midwives and a few percent use homebirth or out of hospital midwives. and a few family practice doctors that still do obstetrics but they are rare.

[jackiannieRN]

SHOULD I BE INTIMIDATED BY OB NURSING? I HAVE BEEN CONSIDERING THIS AREA. HMMM ...

[Elvish]

It is one of those things (I have found) that you either love it or you don't. Can't hurt to give it a shot.

[SmilingBluEyes]

One more duty, if you will:

Respect to the maximum safety and policy will allow, all your patient's wishes, and special requests. If you get a birth plan, instead of laughing at it or deriding, try imagining yourself on the other side of that bedrail and wanting some control over what is one of We all know as nurses, all wishes can't always be honored, for many reasons, however, if this is the case, again imagine that is your mom, sister, friend, daughter, laying in that bed, and be kind enough to explain why; and do so respectfully, when something can't be done to her expectations/desires.

[SmilingBluEyes]

Don't be intimidated. Do be aware! WE need you in nursing!

[sqky]

I would like to add to your list. To that list add resources for adoption. The time of discussion of this topic is not during labor. Our local hospital has prenatal classes which has added special night for the birthing mother who is considering relinquishing her child. On that night an adoption social worker, birthmom and birthgrandmother come in to answer questions about the adoption process and their experinces.

It is a very positive environment for everyone.

Your job is very intense and dealing with a child being relinquished only adds to the difficulty. Develop and use your "natural resources in your community"........ those who have been there and done the ups and downs related to relinquishment and live to share about it. It works.

The local Planned Parenthood use the "natural resources" I have referred to, I am the birthgrandmother they call.

[SmilingBluEyes]

Agree, we need to know what resources are available to our patients, as well as ourselves, to be able to handle all manner of situations as they arise. THanks for the suggestions.

[AF-NRS]

How about:

shoulder dystocia (mcroberts, suprapubic,etc...)
collection of cord gases
precipitous delivery
delivery of placenta (signs that placenta is ready to deliver,...)
vaginal exam--fetal presentation/lie
telephone triage (we do this at our facility...)
delivery of multiples (vaginal and cesarean)
fundal height assessment

that's all i can think of...your list is pretty comprehensive.

[AF-NRS]

I don't know how many times a patient has been "pushed" to breast feed when they where not interested. There is a line between teaching and bullying and though I am pro breast feeding I feel that the patients belifs and deires NEED to be respcted.


I totally agree with you. if it's a 1st time mom , i try to encourage her a little bit more (only because sometimes they are just afraid becuase they they think it will hurt) but for those that have other kids, i leave them alone.....these moms know what they are doing and dont need to be guiltied into one method or the other.....