PegRNBSN

Latest Activity

1. L&D nurse at my wit's end....

   PegRNBSN replied to clb6885's topic in Ob/Gyn

   What you are feeling is very typical of a new nurse. Labor and delivery is a very challenging place to work. Constant changes in patient status, healthy women usually but critical situations can happen on a moment's notice. I have a couple of sugge...

2. help me figure out what went wrong with this pt's labor!

   PegRNBSN replied to adpiRN's topic in Ob/Gyn

   I don't think you can say with certainty that mother and baby were fine. I would like to know if preeclamptic labs were done. While the epidural may have been the factor that precipitated the fetal distress, you don't know what would have happended...

3. Relationship between H1N1 vac and resp distress?

   PegRNBSN replied to TooterIA's topic in Ob/Gyn

   about 80% of our population has now recieved H1N1, ran stats from our log, no increase in respiratory distress in the last three months. We do 320 deliveries a month

4. She really said that? Yep, it's gonna be a LOOOONG residency

   PegRNBSN replied to nursejohio's topic in Ob/Gyn

   We had a very similar resident on our unit about 5 years ago. She pulled the same stuff but no one ever talked to her outside the heat of the moment. I along with another charge nurse had a meeting with her senior resident and her when she was not ...

5. how does your l&d unit run?

   PegRNBSN replied to Fairy5's topic in Ob/Gyn

   How do you self schedule. We tried a couple of years back but no one wanted to work the undesirable shifts and there were the same nurses changing their schedules to cover the holes. We have a large unit (50 nurses) so it is pretty complex. Mixtur...

6. Doula Etiquette

   PegRNBSN replied to suewolfie08's topic in Ob/Gyn

   Just had a very good experience with a new doula. She asked me after the delivery to evaluate her and we had a good discussion about why we worked well together. I treated her as part of the team from the beginning. I always gave reasons for interv...

7. Ugh! Delivered Baby On My Own The Other Day...

   PegRNBSN replied to jenrninmi's topic in Ob/Gyn

   I got to deliver my own nephew! It was my sister's fourth baby and she waited a little too long to come in. She was 6 cms on admit. Her doc was coming from across the street when her water broke and I got to say hello to my nephew first. They gave h...

8. L&D nurses? Are you all for natural births?

   PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

   Okchug Maybe you are a good doula :wink2:

9. L&D nurses? Are you all for natural births?

   PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

   I guess it is very easy to post things about labor nurses and make them sound horrible. The thing is they aren't here to defend themselves and I just know somewhere my actions are posted on a message board as being that of Nurse Kratchet. Perhaps th...

10. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    My point was that sometimes the mom doesn't see the urgency of the situation and could relay to friends and families that the nurse wasn't caring or didn't listen to her needs/requests. I also had to intervene as charge nurse where the patient wante...

11. L&D nurses? Are you all for natural births?

    PegRNBSN replied to MIcrunchyRN's topic in Ob/Gyn

    It is important to listen shortly after a contraction if not thru one to evaluate baby. If you wait until the mom is "ready" many times you are listening well after the contraction. I try to explain this when mom isn't contracting. The other thing...

12. Please help with MAJOR decision

    PegRNBSN replied to cinthern's topic in Ob/Gyn

    Can you shadow for a day or two at the new hospital. We are currently experiencing a HUGE shortage of RNs as our volumes are increasing at a rapid pace. We have lost three nurses during orientation because of the acuity and volumes. We do 300 deliv...

13. Going up against a doc...

    PegRNBSN replied to MalgaBSN's topic in Ob/Gyn

    I believe that stooping to subterfuge is just as bad for nursing as doctors. I always try to communicate as the professional I am and want to be treated like. If the patient hasn't changed and I am afraid the doctor will try to section, I would NEVE...

14. md-surge to L&D nursing, what was it like??

    PegRNBSN replied to Amorypaz22's topic in Ob/Gyn

    I worked for three years on a med surg floor. I was only going to work for one and then transfer, but got complacent and just stayed where I was. It was the hardest work I have ever done, but also, gave me experience I know I would not have gotten ...

15. LOW patient satisfaction scores...

    PegRNBSN replied to MalgaBSN's topic in Ob/Gyn

    My son had to read the Disney book for an internship and I started to read it with much skepticism. It is written by a hospital exec (and he might have been a nurse to start his career) who trained with Disney and adapted lessons learned for the hos...