woodhill30 1,051 Views
Joined: Oct 4, '06;
Posts: 22 (0% Liked)
Hi I too am a midwife / nurse from the uk , just about to start in labour and delivery as an RN, I wrote the thread about the entanox . I thought I was prepared for the more interventionist style of working, I am beginning to wonder how I am going to cope in a USA labour ward. I knew it was higher c/s rates and epidural rates but I have just found out most women at the hospital I was shown around are induced, all get a venflon on admission,women with epidurals are often left alone and fetal monitering is used at all times thus no moving about. Mothers and babies are separated too. I also heard of an ill mother who was kept in hospital but the insurance ran out for her baby to stay ,so a family friend had to take the baby home to look after.This shocked me , what about bonding in the early days that is so crucial?
Anyway I am going to try my best to do what I can within the protocols and if it becomes too hard, I may switch to sugical or school nursing .
Hi just about to start my first job in Labour and delivery in the USA, am a Midwife from the U.K. One of the first things I have noticed when shown around hospitals in the USA is that there is no entanox for pain relief. It is a staple pain relief in all hospitals in the uk . It is 50% oxygen and 50% nitrous oxide and is inhaled via a mouthpiece or face mask. No side effects helps the women breathe slow deep breathes and helps pain contraction by contraction also good for oxgenation of baby too. It is a great help to use it if an epidural is not 100% effective or if painkillers are wearing off. It is great for difficult Vag exams or for having an epidural sited. I have helped women to use it in the hundreds of births I have attended.
I personally used it as my only form of painrelief while in labour for both my kids. i had short sharp labours, of course I would have had more painrelief if i had had longer labours but entanox helped me focus and took away the out of control feelings of severe pain. I look back on labour experience as a wonderful thing I dont remember the pain at all .
Are there any hospitals at all that use Entanox? I looked that up on the internet and some people say that Entanox is not used in the USA because anaesthatists would not earn as much if they gave fewer epidurals. What do people think, is entanox being withheld here?
I just don't know, I haven't worked here yet but this subject intrigues me!!
Hi i sat the nclex last week. I used Kaplan study book with C.D. I found the first chapters about how to pass the exam very useful (more than one way to skin the cat!!) In retrospect that is what helped me i.e using elimination and raising your chances of getting more questions right,knowing lab values and common drugs was also helpful. Suzanne on this site has a tried and tested study programme , i ended up rushing to do my nclex at the end and didnt have enough time to follow it. I also took books out the library, Saunders and princeton the C.Ds were lost but i just used the practise questions, both of them were helpful too. Thats my tuppence worth!
ISM, very very sorry to hear that, I just want you to know I am thinking of you and that there will be a way for you soon.
Whats NLN accredited? If you go to Dundee my parents would put you up , my mums a retired nurse and they always have heeps of people stay with them, big house no kids at home now!!I'm serious!
Okay! That did sound stupid, I kinda wondered if you were going to say it was Dundee U.S.A if there is such a place, there are 3 Aberdeens in America!!!!!
is it a long distance course to dundee scotland you are doing? I am originally from dundee , did my nurse and midwife training in aberdeen then did my bsc midwifery in dundee.
I dont know how ill cope in l&d either but would like the experience. The good thing here is there are so many hospitals in Scotland there isnt much choice.
Hi, have just found out I passed ! via pearson vue less than 48 hrs after I sat the exam.
Im holding out for you ISM , take care and im thinking about you.
Hi just got my results via pearson vue, so happy, job here I come!
Hi I am RN, worked mainly as a midwife in Aberdeen, Scotland. Qualified in general nursing in1987 and Midwifery in 1989. I moved to Texas U.SA one year ago exactly with DH and kids. Have spent the last year getting employment authorisation etc and just sat my Nclex yesterday. I cant keep away from the computer just now because I keep checking for results! Even though I know its too early to check.
I really want the experience of working here so much. The hospitals nearest me just do 12 hour shifts and it looks like I will have to nightshift, which would be okay I think. I also reckon I wont have much choice it will have to be labour and delivery. Which I love but it will be very very different.
Any U.K nurses that plan on working in Texas , I have found out a lot in the last year give me a shout i am happy to help!
Hi My husband and myself and our 2 kids moved to Houston Texas one year ago exactly. I gave up my nursing job and we came with his job. I have had a whole year of getting employment authorisation then s.s number then applying to the Texas Nursing board. Infact I just sat my exam RN nclex today!! It has been hard doing it this way round from my point of view but my husband has been earning and his job was all sorted out prior to coming here. I am sure you would need to come with a job for it to be easier. We sold a house in Scotland then bought here, we have a much bigger nicer house here ( which we need for all our quests!!) but we have found things much more expensive than we imagined Utility bills are more expensive than the u.k for example. Plus the fact that you have no credit at all is a bit scary when hit with big ()car bills unexpectantly.
Hopefully I will get a job very soon like this month and that will make things much easier for us. Ihave always worked. School wise our 2 kids 9 and 7 didnt settle well in public school and we ended up putting them in a small private school which they love. It is much much less expensive than a private school in the U.K
We are in Houston Texas are delighted we have talken the opportunity to get some life experience. If sounds lke ive been moaning im not Im just trying to let yu have a true idea of what its like. We love it here, the kids love school and all the opporttunies they get. We are going to move back to the U.K in 2 years thouigh!
Well I sat it today, 2hrs 10 mins and 75 questions. I echo what I have heard on this site, questions are very vague and the studying I did I am not sure if it helped. There were not that many questions that I did and the answer jumped out at me. I did the process of elimination as recommended by Kaplan.
All the best ISM ,I am waiting with you!
Hi Thanks for the tips, tomorrow is the big day, I just want to get it over with get my licence and get a job!!
I am pretty nervous its beena while since Ive sat any exams . In the u.K it is mainly essay questions and not any multiple choice so this is new.
Im just going to read over some meds and some lab numbers have a bath and an early night. I need to get up at 5am . Congrats on passing and all the best with the job. Thanks again
I will let you know the outcome good or bad.
Just read that the foreign educated pass rate is 45% thats a nightmare. I sit Nclex on Thursday and am now truly scared. Anyone got any tips for a British educated nurse, meds are my low point . I have followed advice on this website and have studied pretty hard too.
I am reading your post with butterflies in my tummy . I sit the exam on Thursday , am a U.K trained nurse and moved to Texas with my husband and kids a year ago. Its taken me this long to get to the point of taking the Nclex. I qualified as Nurse in 1987 and then did Midwifery following that. I practised Midwifery until last year before moving here. I have not done much general nursing at all. I have studied off and on since being here and have studied hard for the last month. I tend to get between 60 and 70 % for the practise questions I do but cant seem to improve beyond that. Even the practise questions I often think they are so abstract and don't know what is being asked.
All the best for your results and for a really great job too. I will post again after Thursdayoh noooooooo!!
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