rpbear

rpbear

OB

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About rpbear

rpbear specializes in OB.


Latest Activity

  1. Jobs in the Tacoma area

    My husband is being relocated to McChord AFB in June. I am an L&D nurse with over 5 years of L&D experience. I have looked at several hospital websites, but since I am not moving until June, I have not applied to any jobs. I understand that 8...
  2. It was not hard to start in L&D, it was what I wanted from the moment I started nursing school. I had 12 weeks of orientation on a very busy unit, it was more than enough orientation, but if you get hired on a smaller unit you may need more time...
  3. I think you will find that a lot of us did not start out on med/surg. I started on L&D, I love it! You have to find the right hospital that will hire new grads into something other than Med/surg. Good luck and follow your heart!!!
  4. Complementary Alternative Methods

    We have jetted tubs in each room, if the pt is able to ambulate then they are able to tub. There is a written policy about using the tub, we also have tub thermometers so the water doesn't get too hot. We have a waterproof doppler we use while in th...
  5. restructuring the hospital into the Hilton

    I work in a hospital that has most of those services and although we don't have "visiting hours" we do have quiet hours, and we do ask our pt's and families to be respectful of others. We have couches and recliners for them to sleep in and I will bri...
  6. What is considered a "busy" L&D unit?

    We get asked to float also, and everytime we ask them "Would you want to be floated to L&D?" The answer is always NO! wo we ask "then why do you think we would be comfortable floating to your floor?" They have stopped asking us to float! We will ...
  7. Intimidating Nursing Professor?

    Get used to that "grilling" because thats what pt's will do to you, they are always asking questions, and you must be confident and correct in your answers. Your teacher is not doing it to bug you she is trying to make you a better nurse. Embrace the...
  8. What is considered a "busy" L&D unit?

    I have worked on 2 L&D units, one did 600+ deliveries a month, the other does 100-150 deliveries a month. I feel 10X busier on the unit with less deliveries. We have less staff, we do overflow, we have AP's, we have PP's, we have way less rooms, ...
  9. I never imagined...

    I think every new person in L&D goes through the phase of having a "cloud" follow them. Your storm cloud will pass. In the meantime take each experience as a learning experience. I have been in L&D for 4 year, started as a new grad, and I sti...
  10. Going up against a doc...

    I liked the policy at one hospital I worked at, I order to call it failure to progress, they had to have an IUPC, the MVU's must be 180-200 for 2 hours with no change. I think this is a great way to trully say they are failure to progress. If the IUP...
  11. Losing a Patient

    The first patient I lost was when I was a new grad on orientation to L&D. Nobody in L&D is suposed to die, it is the place for birth. A very young girl went into preterm labor before the baby was viable (23 weeks). The baby delivered, my pre...
  12. Hypnobirthing?

    I have no problems taking care of well educated natural birthers or hypnobirthers. I say well educated because even though you don't want any interventions it is important to know what interventions might be needed and why they are needed. Durring la...
  13. PBDS competency test for OB

    I took this test about 7 months ago. It was a little stressful. I think the best way to prepare is to start reviewing some basics and try to think like you did in nursing school. Basically you will be writing a care plan based on a certain situation....
  14. Longest you've had an AP pt on your unit?

    I remember a vasoprevia staying for 4 months I think. From the moment it was found until 37 weeks when she delivered via c-section. she had an INT at all times, and q 3 day blood draws for type and screen. She was a trooper, never once complaining. S...
  15. Oldest pregnant patient you have seen?

    My daughter is almost 11 and I cannot imagine her being pregnant. She has not even started puberty yet. I know some of the girls in her class are very developed, but that is still not right. Just imagine that 11 year old mom will only be 16 when her ...