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dream'n, BSN, RN 10,804 Views

Joined Aug 28, '06. Posts: 907 (57% Liked) Likes: 2,502

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  • 1:18 pm

    I agree. Bring back well baby nursery to all postpartum departments. Juggling 4 hig acuity couplets, moms who "hit the wall" at night, no family to help, or Dad is exhausted, they need a break. Being their nurse with 3 other couplets (One on Mag, SGA with unstable temps or one withdrawing) and no nursery nurse - we have to keep newborns at the nursing station and pray your peers will help watch while charting & holding baby, can get to be too much many nights! It is just not safe.

  • 1:17 pm

    Quote from AnnoyedNurse
    All nutrition whether for an adult or infant requires a doctor's order. So yes it is permissible granted there is a doctor's order. Most likely, this nurse did not call the doctor to get an order to feed the infant. You, however, are missing the entire point. The nurse has a role to keep her adult patient pain free and her newborn patient safe during the feeding. A patient on ambien should not be in the bed with an infant. End of story.
    No I am not missing the point. In many small to midsize hospitals there is no "well baby" nursery. The space exists but no staffing is allotted. A baby away from the mother is generally watched at the nurses station desk. Again, who do you think watches that child when her nurse is attending to her other patients? In many small to midsize OB depts. there either is no charge nurse or she has her own full patient load.
    In standard charting in a number of hospitals one must chart exactly when, for how long and for what purpose the child was removed from the room with the guideline that the total removal should be less than an hour.
    OB is a different kind of setting. I'm giving you this viewpoint as one who has worked in at least 30 different hospitals in 12 different states over the last 20 years as a contract nurse.
    Personally I think the best way to reduce these incidences is to mandate that hospitals bring back the well baby nursery nurse to help monitor and to give parents a good option if they choose to have respite.

  • 1:07 pm

    Quote from Nurse Shirl
    This is horrible and no amount of money will fix it. I do think the nurse and hospital should be accountable. Everyone knows you never are suppose to sleep with your newborn. Why didn't the nurse check on her.....how long until she woke up...all these questions would need answered it just seems what we tell our patients to do should not change while they are under our care. The baby should have been taken out of the bed after feeding...
    You don't think the mother holds any responsibility? Feedings with a new mom/baby pair can sometimes take 45+ minutes. How is the nurse supposed to know if the mother is done feeding unless she uses the call light. Our hospital is required to do hourly rounding on patients. Do you think that's unreasonable, and they should be done MORE frequently?

  • 1:07 pm

    I agree with Klone. Babies need to eat no matter what. So are we supposed to stay in the room the whole time? When my mom are groogy and can't safely care for their baby I will take the baby to the nursery. I also offer alternative non drowsy pain control options if they insist on rooming in and are alone. Sad Sad story. When I see a sleepy mama there is no way I'm handing her a baby. But we can't be in the room for every single second.

  • 1:06 pm

    Quote from klone
    I would LOVE to hear more about this. I am highly suspect of the veracity of any story about a hospital that has a mandate against formula. It just doesn't happen. Not in the US (and I would venture to guess, not anywhere). I call BS.

    How do the nurses/parents feed the baby in the case of a woman who has no breasts (I've seen it, they were burnt off in a housefire when she was a teen), or the woman who is on medication that's contraindicated, or adoptive parents, or delayed lactogenesis and the baby has lost 10% of their birthweight? Or...she JUST DOESN'T WANT TO BREASTFEED?
    Those are medical exceptions. In many hospitals, parents have to sign a form to say baby can have formula and doctor orders it. In some ways breastfeeding has gone way up. In other situations, baby is rehospitalized because of jaundice and dehydration. This is the US. and yes nurses have been written up for doing what is logical.

    My comment was a follow-up response to the "arrogant nurses" comment. Baby Friendly, couplet care, skin-to-skin are all good, but each comes with issues that need to be addressed thoughtfully.

  • Aug 15

    Well kids, finally time to say goodbye to the world of LTC/SNF nursing. I took a new job at a place I was told was non-profit. Great right? The management company is FOR profit. We're not allowed to cost out the meds before we admit someone but the next day I get 4 emails from corporate demanding the meds be changed. There is a weekly report to be sent to corporate that really has nothing to do with care and more to do with the cost of things...how many supplements, how many blood glucose checks, how many alarms. They don't want to know the number of med errors. They admit people without insurance, drunks, drug addicts, you name it.
    The staff....they've been allowed to act whatever way they've wanted for years and have no desire to change. They don't even want to get better at what they do. Get a pay check and that's it. One woman fell-broke her hip. The nurse on duty screamed at me and told me she knows she didn't fall because two other residents told her...um...yeah...the two residents with dementia. The nurse managers have started to try to tell me how to do my job, all the CNAs say the others don't change people and tell me the residents are afraid. Why is it when I ask them, the residents tell me they like 'the girls'? I'm done.
    TMI but I ended up in the hospital with chest pains. The cardiologist told me to decrease my stress...HA! The only way is to resign which I just did....effective immediately.
    It makes me sad but the business has finally worn me down and I don't even care any more. It's not getting any better. I'm hoping to find a job elsewhere, if not as an RN then at the local fabric store!
    I've enjoyed reading and participating in the posts here.
    Good luck to all you who decide to stay in the business.

  • Aug 13

    I think this comes down to hospitals not having nurseries anymore and not allowing the mom to properly recover. We put the baby in the room at all times.

    Back when I had my children, at night the baby went to the nursery and they fed them, unless I asked for them to stay with me. I was given ambien and pain meds and was told by the nurses, Oh honey, you need your rest. You will not be getting any sleep once you get home. Let us take the baby. And I did. Recovering from a csection is hard.

    Now, you don't get any choice. Moms are told the baby is with you at all times, you feed it and do all the care. Never mind they may have just been through 36 hours of a hard labor and are completely exhausted. They may not be mentally all there to care for that baby right then. I feel that we should let mom's recover. Hospital stays are much shorter now and they can be sleep deprived soon enough.

  • Aug 10

    NCLEX pass rates are a poor way to evaluate a school. The NCLEX pass rate only tells you what percentage of their graduates pass the NCLEX. What you really need to know is what percentage of the people who originally enroll pass the NCLEX. Attrition rates in for-profit schools are generally high. If 95% pass the NCLEX but only 75% of the students who start actually graduate, that's not very good. Many schools, both for-profit and taxpayer funded schools give exit exams to manipulate the pass rate percentages. If you don't do well on the exit exam, you aren't allowed to graduate. This prevents weaker students from taking the NCLEX.

    The other thing you want to know is how many students graduate on time, not just graduate. The accrediting agencies consider on-time graduation to be 150% of the scheduled program duration. If you take 6 semesters to complete a 4 semester program, technically you are considered an on time graduate.

  • Aug 10

    Quote from Bronxand
    We have 5150 her multiple times but police arrive she stops and police do nothing . We changed out facility to non smoking but then it was changed back. Apparently it was illegal to revoke that right? We tried to get her to leave but no facility will take care. I'm told we can't just boot her, she has to have a place to go. She's not demented total care with muscular dystrophy.
    Plenty of facilities are non-smoking -- mine is, and the hospital is well over 100 yrs old, so clearly at some point was MADE non-smoking. And the PP didn't suggest "just booting" her -- she said given a 30 day notice. The family can bring her lighters, but not research SNFs?

    Plus, plenty of apt complexes are non-smoking. Does anyone really have the right to smoke on property that isn't theirs? Just asking, I'm not an expert.

    What about family's bags being subject to search, since they have failed to comply with safety rules? And/or resident belongings searched immediately following visits?

    Lighters simply cannot be allowed to be unsecured. What if she decides to smoke in bed? She is putting everyone at risk.

    How about contacting the fire marshall?

    And DEFINITELY contact the state. I have a feeling admin will start to take the issue seriously, esp since they have already been cited.

    Police should be taking statements each and every time staff is assaulted and they are summoned. No reason a paper trail shouldn't exist. Personally if I were being assaulted by an a&o pt, I would inquire about it with the DA. I wouldn't want to rely on do-nothing police to act.

  • Aug 3

    I think you are making a bigger deal out if this than it is.

  • Aug 3

    I'm just wondering, dId you ever change your maiden name legally on other documents? Social security card etc? Youre not going to lose your license, it's all going to be ok. Good luck to you in nursing school.

  • Jul 28

    Quote from Veronicax
    How do you get the patients up and out of bed? Do you use lifts? This is something I was told but is this only for certain patients?
    In even the best run facilities that use lifts and mobility teams...you are always at risk for having to assist a patient in an unplanned transfer or turn. Also know that many facilities will require you to be able to lift 50 lbs as a qualification.

  • Jul 28

    In my opinion, it is a hard job and the pay is horrible. I wouldn't recommend it unless you are in nursing school and trying to get your "foot in the door".

  • Jul 28

    Only certain patients use lifts. The majority you transfer to the wheelchair, perhaps with the help of your partner CNA.

  • Jul 28

    Yes, being a CNA is hard physical work.


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