mommybess BSN, RN

Latest Activity

1. Is management for me?

   mommybess replied to ANurseDivided's topic in Management

   I am a site manager for a family medicine clinic which is part of a larger FQHC group of clinics providing pediatric, family, senior, adolescent, psychiatry, OB/GYN, dental, and vision care. I have been in this position for just over a year. I have...

2. Msn education classes and working?

   mommybess replied to nursingisok's topic in Educators

   I'm currently working full time as the site manager/RN for a family medicine clinic and taking classes. I've applied to the Fall 2012 RN-MSN nurse educator program at Angelo State. I am hoping I can continue working full time while completing my ed...

3. Average pay for office RN

   mommybess replied to WSUnurse's topic in Ambulatory

   It really depends on what state you are in and what your experience is. Nurses working in the hospital setting for a long time may be making a lot more than a new grad in the hospital setting. I made the change from hospital to clinic nursing and i...

4. Anyone here an RNC?

   mommybess replied to klone's topic in Ob/Gyn

   Has anyone taken the Maternal Newborn RNC exam? I just ordered the study guide and the 2 recommended books to prepare for the exam. I am trying to figure out how much time I will need to prepare for the exam. I am looking at taking the computer ex...

5. May be silly questions...

   mommybess posted a topic in Ob/Gyn

   I work in a very busy 61 bed postpartum unit that does about 500 births a month. We expanded last year from approx. 200 - 250 a month. We doubled our postpartum rooms and we have slowly added the RNs to the unit. Recently our patient satisfaction...

6. Care Plan Help

   mommybess replied to rescue14's topic in Student Assist

   You're on the right track. I have one comment regarding your first dx's goal of GOAL: client’s skin will remain intact. It is more realistic for the goal to be: no further breakdown of client's skin Others that you could use: Risk of imbalanced nutr...

7. Nursing DX for postpartum couplet

   mommybess replied to haileyq's topic in Student Assist

   For mom: Since she is a first time mom you could go a psychosocial route such as: Caregiver Role Strain r/t care of newborn Social Isolation r/t care of newborn or Sleep Deprivation r/t breastfeeding newborn Fatigue r/t care of newborn Risk of consti...

8. Recent Nursing Test Question

   mommybess replied to Murgy's topic in General Nursing

   As for ther abx... The reason that I would not answer this as the 1st thing you will do as abx generally do not stop an infection with a dose, it takes several doses generally. But in the "real world" you would give tylenol and hang IV abx at the sa...

9. IV push hydralazine or labetalol - tele?

   mommybess replied to klone's topic in Ob/Gyn

   referring to our postpartum pts with BP issues. We can do one dose of IVP Labetalol and Hydrazaline, if this does not reduce BP, they go back to L&D where they can be more closely monitored (still no tele).

10. edema in the postpartum period

    mommybess replied to yellowbox's topic in Ob/Gyn

    There are a few reasons for it. Increased maternal blood volume during pgy = body shifts extra volume to tissues where they are safe, pt diuresis and or sweats extra volume out over a few days. IV fluids increase vascular volume... which increases t...

11. Recent Nursing Test Question

    mommybess replied to Murgy's topic in General Nursing

    If answering this for a nursing exam here is how I'd place these in order. Remember with nursing exams you always have an order for the options given and remember Maslow's Heirarchy. Tylenol - fever needs to be treated asap. An increased temp and dra...

12. Post c/section diet

    mommybess replied to Elvish's topic in Ob/Gyn

    Orders for us are NPO until tolerating clears, and then advanced to full liquids, and then advanced to regular once passing gas, and no N/V. I usually do chips and sips for several hours first, then if all goes well, offer apple juice and encourage ...

13. Pain medication in Postpartum

    mommybess replied to LuvofNursing's topic in Ob/Gyn

    Most of our c/s get Duramorph. Depending on doc c/s pts either get Toradol 30mg q 6 X4 doses or 800mg Motrin q 8 for 1st 24 hrs. Then they switch to 400mg Motrin q 4 PRN and/or Norco 5, or 10 q 4 PRN. Vaginal pts get ice packs, Tucks, Dermaplast for ...

14. Couplet Care/Postpartum

    mommybess replied to guiltysins's topic in Ob/Gyn

    i am a staff rn/charge nurse unit the postpartum unit in a hospital that recently went from delivering approximately 3000 babies a year to 6000 babies a year! we have 61 postpartum beds, 8 antepartum beds, and about 30 ldr beds. we do couplet care ...

15. IBCLCers? Started down the road, anyone else?

    mommybess replied to lovingit's topic in Ob/Gyn

    me me me... I am working on getting mine and will hopefully sit for the exam in 2010.