I searched a bit for this answer but could not find anything too specific so forgive me for asking again....
I am a new grad starting a new RN job next week that I interviewed for quite a while ago. I found out last week that I am pregnant. I am very happy about this but very nervous. Back in May I became pregnant and then miscarried at 13 weeks and ended up leaving my very first RN job due to stress related to this incident and the pregnancy in general. In hindsight, I see that may have not been the best choice but it is what it is. Back then, part of me thought it was the stress of being a new RN that caused it. Now, ironically, I find history repeating itself but after my miscarriage I felt a strong pull to be pregnant again. I just did not think it would happen so soon at my age.:uhoh21: I figured I'd have a few months at least to adjust to the new job, but that was not to be. That said, I think I want to make the best of it. I am praying that this baby is healthy and that in 9 mos I will get the opportunity to meet him/her.
That said, I am asking: Should I tell my manager I just found out I am pregnant? I don't want major exceptions made for me but I am concerned that there are at least some patients you need to avoid while pregnant. If this manager is unwilling to bend at all I would like to know this earlier rather than later so I could back out now and not start the job at all, before they even start paying me. I don't want to waste her time or mine since having a health baby right now must be my priority.
Or I could wait a while to tell....feel out the job first.....but aren't there diseases i absolutely have to avoid, not just practice "universal precautions" with? I thought about waiting until after the first trimester but I don't know. Last job I had it was all I could do to eat and pee and they KNEW. I hope I don't live that nightmare over again.
If you are a manager, would you like to know beforehand? Do you think that would work for me or against me?
Can't you still deal with MRSA and C-diff safely, if you are careful. What are the "absolute not-even-in-the-same-room-with" contraindications for pregnancy? You can understand my anxiety over this considering my last pregnancy outcome.
Thank you for taking the time to reply!
Nov 21, '07
Congrats on your new baby!
I would be up front with my manager once you have the pregnancy confirmed by your doc or midwife. The you can tell others on a need to know basis early on.
Are you in an environment where pt's are receiving chemo or have radiation implants? Those are two big no-no's. Keep in mind that chemo pt's body fluids are considered contaminated for 7 days post infusion. Most are actually only contaminated for4-5, but there a few that are seven. It's just an easier rule of thumb to remember. It's not to say you can't take care of these patients, but if one is grossly incontinent, you may end up swapping clean-up duty with a co-worker who has a non-chemo patient.
VRE, shingles, chicken pox, ruebella, TB come immediately to mind that you should not be taking care of. Something makes me think there are extra precautions you have to take with bone scan dye too, but don't quote me on that. MRSA and c-diff are okay as long as standard precautions are followed. Actually most things are. The ones I mentioned up above don't come up too often except VRE.
Your manager may feel a little inconvenienced, but reasonable accomadations should be made for you. If you have already started one new nursing job and backed out, it's really important that you follow through with this one.
Obviously not at the expense of your baby, but you get what I'm driving at. It would be very easy at this stage of the game to talk yourself out of this new job and I think that it would be a bad idea. Work full time as long as you can and develop your education that you worked hard for. That way you have something to come back to. If your manager is worth his/her salt, he will value your work ethic and be more willing to work with you after the baby is born than with someone new off the street; which is what you would be if you quit and started somewhere else again.
Last edit by NurseyBaby'05 on Nov 22, '07