Latest Comments by knufflebunny

knufflebunny 6,092 Views

Joined: Jan 30, '10; Posts: 101 (15% Liked) ; Likes: 40

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  • 0

    What exactly does a perinatal nurse educator do in this role? I am a PP nurse and I also did L&D. I work per diem at a hospital and census has been very low for a very long time....which means a lot of cancellations. I've been looking for full time (DAY) work but haven't found anything. It's hard to find a day position! But then my manager told me that this position opened up. I've always been interested in education. I know very little about being a nurse educator in a hospital. (My last hopistal didn't have one and an educator and the educator for my hospital was promoted so this role has been empty for a while) Can someone enlighten me? I also love bedside nursing. Will I lose my skills if I become an educator. Will I be stuck in an office all day? I went into nursing so that I wouldn't be stuck in an office all day!
    Any and all info is appreciated!
    Thank you!!

  • 5

    Thanks everyone for the reply! I actually went to my managers with research because the best way to practice is through evidence base. They actually told me there were several other nurses who brought it to their attention. They put a reminder in our staff huddle to turn off IV infusions if patients are taking it PO.

    A few people have mentioned about asking the doctor who put in the order to clarify. I did talk to one of our Anasthesiologist and he agreed with me about stopping fluids when tolerating PO. The order is actually part of an order set. So after a patient delivers, they check boxes with whatever orders they want, so this order is standard for all patients after delivery.

  • 0

    I know this post is old but I got an interview for the RN transition program! I'm super nervous. What type of questions did they ask?

  • 0

    I wish we had male nurses on my postpartum floor! With our entire patient population being female and staff being female, there is way too much estrogen on the floor. Having a male nurse would be a nice change.

  • 6

    I actually did. My nurse friend (different hospital), her husband is the anesthesiologist at my hospital. I asked her the same question and she ran it by her husband. And they both agreed with me. I guess I needed more validation. LOL

  • 2
    brownbook and SoldierNurse22 like this.

    Yes, I did interpret the IV access as "keep the IV in and patent!" not "keep the fluids running"! I'm curious if other postpartum floors are running IV fluids as long as these nurses are. The night shift nurses give me such appalled looks when I tell them I saline locked them. It makes me feel like I'm doing something wrong!

  • 0

    I am new to the hospital I am working at and they seem to run IV fluids for 24 hrs regardless how the pt is tolerating fluids. When I get a fresh C/S, the pt is on slow pit and IV fluids. If the pt is tolerating fluids well, not nauseated or throwing up, great bowel sounds, doing exceptionally well, I cut off the fluids about mid-day and continue with liquids to full liquids...etc. When I give report to the night nurse, they seem absolutely appalled. I explain to them that they are taking fluids PO and tolerating very well ...give them the whole above scenario but I can tell they are not happy or don't agree with what I did.

    Finally I asked one day shift nurse and she said that it is anasthesia's order to continue IV fluids for 24 hours. We look at the orders and I point out the part that says "discontinue IV if tolerating PO". She then points to another section that says, "keep IV access for 24 hrs" and says, "see that means keep fluids for 24 hrs." I do not agree with her translation of that order.

    What is the rational for keeping fluids going for 24 hrs if they are drinking fluids fine and output if fine...perfect scenerio basically.

    The entire unit practices like this so it makes me second guess what I am doing. 20 nurses vs 1.

    Advice/opinions please! Thanks!

  • 0

    I am a postpartum/L&D nurse that is interested in becoming a certified diabetes educator (diabetes has always interested me when I was a nursing student!). I have been speaking with our diabetes educator at my hospital and she is going to try to get me in and she said she will train me personally.

    However,I am sure there is going to be some interview process with the manager and I rarely deal with diabetic patients on my floor. My only experience is with GDM's and they don't eat in labor and after they are delivered, they are virtually "cured"! I've never done med surg/ICU/telemetry/etc where nurses would see more diabetic patients than I do. And it's been a while since I've been in nursing school. I have been reading up on medications, type 1 vs 2, DKA, etc as a refresher.

    Any tips on what topics I should refresh my memory on.

    Thank you!!

  • 0

    Hi all,
    I am trying to find a job closer to home. I now have 2 years of L&D and postpartum experience. I get very nervous in interviews and want to be prepared. I'm trying to do a search on allnurses for L&D interview questions but most of the threads are interviews for new grads. Can anyone help me with possible interview questions that they will give for the experience OB nurse?


  • 0

    I am currently looking for full time work in either L&D or PP. I have 2years under my belt. So far, no one has called me for an interview. I'm considering signing up with a travel company to do per diem work (or maybe a 13 wk contract) in PP only. I don't feel comfortable doing L&D somewhere new unless I am a full time employee there! I need to feel comfortable in my environment and know the docs/policies/nurses etc in L&D but I think I can do PP anywhere. Any opinions on travel work in PP?

  • 1
    Pink Magnolia likes this.

    I agree with cayenne06, I would start in L&D. You will learn some baby stuff in L&D but won't learn any L&D skills in nursery.

  • 0

    Thank you!! Your response not only answered my question but was very educational! Are you a CRNA?

  • 0

    About a third of all my patients that get epidurals fail at the end. Why? In the beginning, the epidurals work beautifully, and then when it gets close to 8, 9, 10cm, it fails completely like they don't have an epidural at all. I call anasthesia back to try to fix it, but no matter how much they bolus, it doesn't work. Sometimes we try to replace the epidural but most of the time it's too late and they just deliver. Why does this happen?

  • 1
    Pangea Reunited likes this.

    I would recommend going straight into an RN program. Does she mean go from CNA, to LVN, then RN? In my opinion, it would be a waste of time to "go up the ladder". Especially in L&D, the majority of the job we do, only RN's can perform. I'm in a small rural hospital so we don't have LVN's or CNA's on our floor. I think in large hospitals, CNA's might be utilized, but I don't think LVN's. Either way, to learn L&D, you need to be an RN.

  • 3
    SE_BSN_RN, LadyFree28, and BSNbeauty like this.

    Hospice might be a good choice. I had a relative on hospice and I definitely appreciated the staff that helped our family through the difficult time.

    As for postpartum, I'm still considering it. I just don't feel the same connection I do with postpartum pt's than I do my labor pt's. But it's not totally off the table.