layna

layna

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About layna

Nurse since 1989, oldest of 11 children, married with 4 children, have done OB, ICU, and now a Nurse Manager of OB/NSY unit

Latest Activity

  1. FIA and Meconium Testing

    Wow, BBnurse...what a very tragic case. :-( I would really like to see your protocol. It sounds pretty comprehensive. We don't do the neonatal urine screens here. The MDS is ordered by the...
  2. FIA and Meconium Testing

    Meconium is the first stool that a newborn baby passes. If the mother has taken drugs during her pregnancy, it may show up in the meconium and be used as evidence in a protective services
  3. FIA and Meconium Testing

    When and FIA caseworker requests a meconium collection on newborn of a mother with a drug history, do your docs order this? What do you tell the mother? Just curious. We are working on a protocol...
  4. triage

    We triage our own labor patients as well. The only problem we have is with patients walking directly up to OB needing an evaluation. There are times when the two RN's on are in the delivery room...
  5. Is a pacifier a chargeable item in your facility?

    Very nicely said, Mother/baby
  6. Is a pacifier a chargeable item in your facility?

    Sorry if there are some who perceived that this was heating up into a big debate. This was not the intention of my post, however, I do frequently encounter moms who need to know that it is ok for...
  7. Is a pacifier a chargeable item in your facility?

    "Browneyedgirl, you sound like a very caring and conscientious mommy. Your children are very, very, VERY lucky to have had such a nurturing person to take care of them." You are absolutely right. In...
  8. Is a pacifier a chargeable item in your facility?

    A very valid point and observation made by imenid37! I still have fond memories of watching my son on ultrasound at 26 weeks sucking his thumb.
  9. Is a pacifier a chargeable item in your facility?

    Thank-you, Jolie. I will have my assistant contact the formula company about
  10. To try to cut costs, one of my staff members suggested making pacifiers a chargeable item. They are about 1-2$ a piece and sometimes patients end up with 3 or 4 of them. Some other people I work...
  11. Floating nurses

    Thanks to everyone for input on this subject! I am currently involved in the development of a float policy for our OB nurses. I do believe that floating guidelines need to be in place for the...
  12. Odd, unusual, or silly events during exams..

    At my last place of employment, I was doing pericare on an 18 year old girl who had just had a precipitous delivery 10 minutes after her admission. While I was cleaning her up, I found a wad of blue...
  13. Should I take a supervisor position?

    Chris B gives good advice. I have been a manager for 9 months now. I love the challenges. There are more "peaks and valleys" in management though. You have to make decisions that are not going to...
  14. Lunch breaks

    I think that moonshadeau says it all. It took me 10 years to finally convince myself that I deserved a break and to quit working through lunches and suppers. With the exception of an emergency...
  15. Help! The "Life" of a Nursing Manager?

    HI BadBird, Thank-you for your reply. I appreciate it. I have considered agency nurses, but the staff feel that this may create more problems such as resentment over wage disparity, and having to...