1st day Male in L&D - page 2

by Dayray 1,442 Views | 18 Comments

I just graduated from an LPN program. I really liked my L&D rotation so I put in an application. The Director is great and she offered me a job working as an LPN in OBGYN/PP and too cross train me as an OB tech. She even offered... Read More


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    Oh, Yeah ! Your preceptor should not ask the patient if you should leave or not... She should introduce you as both nurses for the day or whatever... If a patient is really uncomfortable than you have no choice but to leave. But don't worryif you have 10 patients for the day and 2 kick you out (lol) I consider that very good...
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    I wonder if presenting yourself as more of an authority figure in this situation, rather than just a newbie, would help. I am thinking that if YOU are the first one in, and YOU, the guy, are the one to say, Hi, I'm Bill and this is so and so, and we'll be your nurses today, if that might make a difference. By having you walk in second, and HER introducing YOU, it can (I'm trying to put myself in pt's shoes here) possibly appear to someone as kind of strange, or uncomfortable...like, you're there to peep or whatever. Now you and I know you're not, but Sally Sue from the street might not understand. In a way, you're already at somewhat of a disadvantage, being new, because most people don't like or want 'new' people in charge of their health. If you look like you're confident and authoritative, it may leave them feeling more confident. If you can't do this (though I don't see what it wold hurt, really...) then I agree that the patient shouldn't be given an option. You are a nurse (almost), you are there to learn, and shutting you out of opportunities will get you nowhere. If the patient is uncomfortable, most of the time they will voice it and say, I don't want another guy in here, or whatever, and in that case you should respect their wishes. Most of them, though, probably would only make a deal out of it if you or your preceptor did. The best track here is probably the one in which you say the least. If she asks why you're there, tell her. Make a joke, break the ice, tell her she gets two for the price of one, and wink at her. Nine times out of ten you'll come out ahead. Good luck!!
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    Some female patient might feel inconfortable with having a cath inserted by a man... Thought, from experience, it doesn't happen very often that someone actually refuse (can't remember any event). But we try anyway to have those procedures (cath, pre-op shaving, etc) done by a same sex nurse. I agree with all the posts here, why male obstetrician and no nurse? why the sex of a nurse changes anything in his/her competencies?

    Students are another matter thought. Some really don't want any. I think it's the patient choice, even if they refuse for not very good reasons. Everybody has to start somewhere, right?

    I'm sure you'll be a great nurse, doing what you like. Keep us posted.

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    Hey, I say stick to your guns I don't understand the double standard that some women have with the male gynie & oppose a male nurse. Someone else posted that they didn't care who was in the room, as long as they were compassionate care givers. . .AMEN!!!!!! I also think you should try walking in first & being the one to intro the "2 nurses." It certainly couldn't hurt.
    Good luck
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    I just became a new grad & am struggling with what area to go into. I really enjoyed my mat/child rotations (alot) & communty helath with new mom/babes. I was thinking of starting in pp & then maybe moving around to antepartum & l/d & other ob/gyn areas. I truly detest med/surg (not that i can't do it but just really don't like it). Im 29yrs & have a previous degree in psych & also worked as an undergrad nurse in pediatric psych. Everybody tells me that pp is boring & i'm going to lose all my skills as a nurse & that i should force myself to do at least a year of med/surg. I see it that i'm not exactly a spring chcken anymore & want to do something that at least i like & would enjoy rather than come home to my fiance every night being a grumpy, crying B****!! I feel really lost!! Please any suggestions or comments would be appreciated!! thanks
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    oops sorry i posted wrong
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    Dayray, the only person I kicked out with either of my deliveries was the labor nurse with garlic breath! LOL!
    Working in ICU, our male nurses do all of the cares of their female pts. and vice-versa; straight caths and all. If you approach the pt. in a courteous, caring and competent manner, we rarely have a problem with the male-female procedures.
    When we have new nurses, we tell our pts. that this nurse is new to our area so an "old nurse" had to show the new one the ropes (if the pt. and family have any problems with a preceptor and orientee). Sometimes it's necessary to praise the pt. for allowing an orientee to do a procedure; as the preceptor, I will thank the pt. and let them know that they have helped me teach an excellent nurse a new skill (especially if things went well). I've even had to assist an MD putting in a different type of central line and instructed him on how to do it; then thanked the pt. afterwards.

    Your primary concern is always the pt's. comfort level; you will run into female pts. anywhere that may be nervous about a male nurse doing personal cares. Respect the pt. as an individual and always listen to them with your ears, heart, and eyes (if they verbally say "yes", but their body language and demeanor say "no"); then decide what is best for the pt. Sometimes it's necessary to step out, even if you miss the chance to learn a new procedure.

    Good Luck!
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    Thank you all for your responses and kind words. I will be more assertive in the future and plan to talk to my preceptor next time I work. I think I may have gotten a little bit of studentitis and forgot that I was there as care provider rather then just being there to learn.
  9. 0
    This wont help much but I must relate my experience as a male student nurse during my L/D rotation: BAD VIBES.
    Good luck brother.


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