ashleyisawesome BSN, RN

ashleyisawesome is a BSN, RN and specializes in LDRP.

Latest Activity

1. 

   St. Luke's School of Nursing

   ashleyisawesome replied to ashleyisawesome's topic in Pennsylvania Nursing

   Haha WOW!, I graduated 8 years ago, but I do vaguely remember the critical thinking test. It wasn't knowledge based or really something you could study for. It was literally just critical thinking...
2. 

   39 IOL

   ashleyisawesome replied to Surfandnurse's topic in Ob/Gyn

   Have you read the ARRIVE study? 39 week eIOLs are becoming more common due to the study saying it actually reduces the risk of c-section and still birth in primips, regardless of bishop score. I am...
3. 

   Insulin drips patients on L&D

   ashleyisawesome replied to Upgrading_Status's topic in Ob/Gyn

   My unit's protocol is that anyone (with diabetes) in active labor who has 2 blood sugars in a row that are over 100 gets put on an insulin gtt, and yes we titrate them on our unit. The patient is...
4. 

   Baby Nurse Responsibilities

   ashleyisawesome replied to Grayson18's topic in Ob/Gyn

   Our charge nurse is usually the designated baby nurse (though if multiple deliveries are going on at once or charge is busy, she can call another nurse to go be baby nurse). In a lady partsl delivery...
5. 

   On-call requirements

   ashleyisawesome replied to kaprielipp's topic in Ob/Gyn

   We used to take 16 hours of call per 6 week schedule in 4 hour increments, they have recently changed it to 8 hours. Only part time nurses have to do it (.9 or less), and if you do charge you don't...
6. 

   Labor nurses - what's your policy/procedure on post-epidural vitals?

   ashleyisawesome replied to klone's topic in Ob/Gyn

   We throw a pulse ox on them and assess the pulse continuously through the test dose and until they lay down. I cycle B/Ps q3m starting when the test dose is given and switch it to q15 when I think...
7. 

   What to expect during L&D???

   ashleyisawesome replied to Destin293's topic in Ob/Gyn

   A lot of it will vary based on provider/facility. You will likely be admitted through OB triage either because your water broke or you have been having contractions and your cervix has dilated enough...
8. 

   Any nurses that have started and transferred out of L&D?

   ashleyisawesome replied to allysg08's topic in Ob/Gyn

   I have coworkers that have gone on to work in the OR, PACU, NICU, ED, Dr Offices, ICU, med/surg, peds, psych, home health, and probably some other areas I'm not thinking of. L&D is a varied...
9. 

   Labor and Delivery Staffing Question

   ashleyisawesome replied to alaboroflove's topic in Ob/Gyn

   Where I work, we are 1:1 in labor most of the time, 1:2 is an exception only when we are slammed and there is no other option. We are usually 1:3-4 in antepartum and we do continuous monitoring in...
10. 

    Current Labor and Delivery Nurses: How did you get your job?

    ashleyisawesome replied to jalilly's topic in Ob/Gyn

    I applied for L&D right out of nursing school and didn't get any call backs. I ended up working in med/surg for 3 years and applying for OB/NICU/Peds jobs sporadically during that time with no...
11. 

    PPROM In preterm patient

    ashleyisawesome replied to Altalorraine's topic in Ob/Gyn

    If I worked at a place where there wasn't a physician on the floor at all times (ie, had to call them from home or another floor in the hospital), I might consider a sterile lady partsl exam to make...
12. 

    What does your assessment look like?

    ashleyisawesome replied to AZBlueBell's topic in Ob/Gyn

    When I admit a new patient or get them for the first time, I usually listen to heart/lungs/bowel sounds. Check for edema, feel pedal pulses, check for clonus, do a homans test, ask about pain, ask if...
13. 

    Postpartum Nurses being the Baby Nurse?

    ashleyisawesome replied to holmesln's topic in Ob/Gyn

    Yeah, this is one of the changes I don't really mind at all. We get a lot less babies with low temps/sugars now that we do this, and breastfeeding retention is better (I am sure this also has to do...
14. 

    Postpartum Nurses being the Baby Nurse?

    ashleyisawesome replied to holmesln's topic in Ob/Gyn

    When I first started, we did it like you currently do it. Labor nurse (usually the charge nurse, the moms primary nurse concentrated on mom) did resus/apgars (always straight to the warmer after cord...
15. 

    What's more desirable: Fresh New Grad vs. Experienced LD nurse from another hospital

    ashleyisawesome replied to honestogoodness_RN's topic in Ob/Gyn

    As someone who precepts, I prefer a nurse with experience, even in a different specialty. They already know how to start and IV, put in a foley, prioritize care, talk to doctors, etc. I can start just...