haunani, ADN, RN 4,689 Views
Joined: Oct 23, '08;
Posts: 121 (22% Liked)
; Likes: 46
Really... it depends.
Some facilities are super strict about NO visible tattoos, some are more lenient as long as they aren't offensive. Sometimes it's left up to the individual unit managers to decide if they'll allow it. I've heard of some psych units being more flexible with them as they provide a conversation point with the patients and can give the nurse a less authoritarian look to them, making the patients more comfortable with them.
This is the combo I used to study and easily pass my exam:
Maternal Newborn and Low Risk Neonatal Nursing with Core Text (CCPR Study Workbook for Certification Review): The Center for Certification Preparation & Review: Amazon.com: Books
I can share how we do it here. When I first transferred in, we did it that same way you used to. Baby to nursery, admit done there, then returned to mom.
Then we started down the baby-friendly path, and all care is done in-room. We had a rough start, but finally have it to a routine now.
We have a patient-free charge RN (who can take up to 2 couplets if needed), floor RNs have 3-4 couplets each, and we have a 'procedure RN' (just a new name for Nursery RN) who handles the baby admits, circs, boarder babies, etc. While couplet RN is admitting mom, procedure RN admits baby. It rarely takes longer than 30 minutes max, and that was when we were still doing footprints (we do digital footprints now, which the birth registrars take care of).
On days where we're either short staffed or just not busy, the charge RN will take on the procedure RN role. This happens most often on nights, which is my shift.
I know this one's probably been mentioned, but I'm just now starting Sons of Anarchy with my husband, and noticed how the premature baby went from a tiny, scrawny little thing to a nice, pink, plump newborn in just a few days, lol.
I'd be interested to hear how you two are liking St Peter. I'm looking into moving to the area in a couple years (gotta finish that BSN first!) and would like to know how other RNs like the hospital.
If i did the math right the drip will be done at 12:11.
It's been a while though...
First off, I know the best way to get an answer to this is to contact the hospital directly, but I'm impatient and want answers while I work on a list of questions to ask them.
I'm looking to relocate in a few years and am in touch with a few of the hospitals out in the area we plan to move to. One of them stated that they don't do self-scheduling. I've only ever worked in a hospital that does, so I'm curious how schedules are done if it isn't self-scheduling.
So, if your hospital doesn't do self-scheduling, how is it done?
We've done that at my hospital for a few years now (at least 4). While, like most things, they can refuse it, usually telling them the safety risks gets them to keep it on.
I have had it work for a patient, who was awake and talking to me one minute, then after a single dose from the PCA, began to lose consciousness (vision dimmed, hearing dimmed, vision lost, blacked out). He must have been teetering on the edge of overdose and that one dose sent him over. Luckily I was right there in the room with him when it happened, but even if I hadn't been, the capnography would have gotten our attention quickly..
Another Seattle(ish) transplant here, too! We're hoping to make the move in a few years, after I finish my BSN here in IL. I just seem to keep moving west as my ADN is from NY, now in IL, then on to WA.
We are a locked unit and use SafePlace tags for infant security. Visitors have to buzz at the door, provide the patient's name, and sign in to receive a wristband (and sign out when they leave). FOBs get a wristband that they wear for the duration of the newborn's stay, other visitors get a wristband based on the day they visit.
If a patient wants to limit visitors, they can become confidential, in which they receive a 4-digit code that visitors must supply when they buzz. If they don't give the number, we don't even acknowledge that the mother/baby are patients in the hospital.
We drill twice a year.
I personally find the cardiologies too cumbersome when working with the newborns, so I did what klone mentioned above, and got a pediatric that I can use on both moms and babies.
We had 5 days, with each day being approximately 5 hours, so 25 hours. This was in a smaller community hospital, where we were lucky to see one delivery each.
Honestly? I average maybe 3-5 hrs/wk. Most of that is finding the resources I need for the discussion posts/papers, the rest is writing.
They'll allow us to stay over (or come in early) to work an extra 4 hours, but not attend a class.
Tylenol #3 q3-4h OR Norco 5/325 q3-4h
First 24h is IV meds only.
Duramorph in the spinal (lasts 24h) They will often have a slow drip of Nubain hung to help with the itching.
PCA Dilaudid (0.2 q10min) for those who were under General Anesthesia
After 24h, same as vaginal.
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