JoyfulRN14 BSN, RN

JoyfulRN14 is a BSN, RN and specializes in ICU.

Latest Activity

1. 

   Sterile water injections - back labor

   JoyfulRN14 replied to queenanneslace's topic in Ob/Gyn

   Anyone have a policy they would be able to share? Would like to bring this up to our educator and they sure love policies on my unit. Sent from my iPhone using allnurses
2. 

   Bedadine for vaginal birth

   JoyfulRN14 replied to twahls65's topic in Ob/Gyn

   We don't do a vaginal prep (as in anything internal) but most of our MD's do a sponge wiping of outer areas with betadine mixed with warm water. Our midwives do not. Sent from my iPhone using allnurses
3. 

   Prolonged second stage and arrest of descent

   JoyfulRN14 posted a topic in Ob/Gyn

   Newer L+D nurse here... Had an experience yesterday and looking for tips. Primip, young teen, term, Cytotec induction with early on epidural, Pitocin, AROM, etc. I come in to her being complete for 3 hours and laboring down. She's 0 station, we lab...
4. 

   Noc nurses, how do you organize your life?

   JoyfulRN14 replied to noelly10's topic in General Nursing

   I found it difficult after a time. I did night for three years, first two were great and by the third it was wearing on me. Would work three to six in a row from 6pm to 630 am. Sleep all day, be up in the evenings with my husband, and try to go to be...
5. 

   Reading Recommendations for a future CNM student?

   JoyfulRN14 replied to triciahoard's topic in CNM

   A couple fun books- Baby Catcher by Peggy Vincent, a memoir set in Berkeley, fascinating to see the way midwifery and childbirth practices have changed. Also follow her page on fb, great inspiring stuff. And she's just coming out with her next book M...
6. 

   Labor and delivery-hypothermia

   JoyfulRN14 replied to Sammythecat's topic in Ob/Gyn

   Did mom have an epidural with narcotics? There's been research done about use of morphine in an epidural (or spinal during Csection) causing hypothermia. The opioids affect the hypothalamus, which normally does temperature regulation. My educator jus...
7. 

   leaving step down icu to go to ob

   JoyfulRN14 replied to bluetiful4u's topic in Ob/Gyn

   I left a MSICU job recently and just finished my 5th week on a busy L+D floor. My orientation is 12 weeks total, working one on one with a preceptor. Then a couple weeks working the same shifts as her but we'll each take our own assignments and she'l...
8. 

   Learning FHR interpretation

   JoyfulRN14 posted a topic in Ob/Gyn

   I just got a job transfer to L+D from working 5 years in a busy med-surg ICU. I'm doing some self study before starting, and currently working on a FHR monitoring module. My question is about determining baseline. For example, in this strip, I feel l...
9. 

   Pain assessment tool for sedated/ intubated patients?

   JoyfulRN14 replied to alenor's topic in Critical

   We use CPOT: Critical Care Pain Observation Tool. It looks at facial expression, body movements, compliance with ventilator (if intubated), and muscle tension. 0-2 points for each category with a result out of 8. It basically puts into words the ...
10. 

    Had two bad nights in a row, new RN feeling defeated and discouraged...

    JoyfulRN14 replied to nurseclairebear's topic in New Nurse

    The whole point of a sitter is so that you don't have to chemically or physically restrain a patient to maintain their safety. If you're being "advised" by her to throw a patient in a Posey and knock him out with meds, that completely eliminates the ...
11. 

    Any ICUs or critical care settings where the standard ratio is 1:1?

    JoyfulRN14 replied to edogs334's topic in MICU

    As far as in California, the main thing I've really noticed is that ratios are strictly enforced. I've been there in a MSICU here for 1.5 years and have never seen anyone in a more than 1:2 ratio. Our 1:1's are CRRT, rotoprone, induced hypothermia s/...
12. 

    MICU vs SICU

    JoyfulRN14 replied to NCRNMDM's topic in MICU

    My hospital is a little smaller that a big city hospital, we're a Level III trauma center (not higher mainly due to not being a teaching hospital, and not having 24 hour neuro coverage). We have a 21 bed M/S ICU and a separate CVICU (post CABG and va...
13. 

    What do you want from your Unit Secretary?

    JoyfulRN14 replied to wantccu's topic in CCU

    Wow I'm feeling lucky that my unit has some GREAT secretaries, along with great coworkers... I think the majority of us view the secretary as just another part of the team, another coworker in the battle to keep our patients alive. :) For example, if...
14. 

    Disposable Bedpans?

    JoyfulRN14 replied to scarlet87's topic in General Nursing

    Oh, the post above mine, posted one minute before mine, answered my question :) So you put them in a cover and the whole thing goes in the waste disposal unit, yes?
15. 

    Disposable Bedpans?

    JoyfulRN14 replied to scarlet87's topic in General Nursing

    I have a few questions for those out there using this system. So the used bedpans and other products go in a waste disposal thing (evidently called a "macerator" on the website). Are these small where there's one in each patient room, or is there one...