beachyfe

beachyfe

L&D; Case Management; Nursing Education

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About beachyfe

beachyfe has 20 years experience and specializes in L&D; Case Management; Nursing Education.


Latest Activity

  1. how long did it take for you to get into L&D nursing?

    I got my first L&D job as a new grad! I was blessed to know someone who recommended me to the manager since I had worked at a different hospital during nursing school as an OB scrub tech. Have been in OB for 23 years now (have done everything b...
  2. Does the thought of going to your job make you sick?

    I've loved all my nursing jobs except for the last one. It was at a hospice agency and was truly a miserable job. I worked 8:30-5 M-F, then was on call every night and weekend, had to go out to do admissions or dealth visits at any time of day or n...
  3. c/s with ONLY local

    I work at a hospital that has in-house anesthesia, but one night we couldn't find him when we needed to do a stat section. We paged, called, went to call room, etc. but no luck. Doc had to start using a local and it was terrifying for everyone. Th...
  4. male ob nurses

    I worked with a male L&D nurse who was a traveler. He stayed on our unit for 6 months and was a fabulous nurse. The patients loved him. He taught me alot and was really fun to work with. Haven't seen any others since, though.
  5. Australian Home Birth Advocate Dies After Childbirth

    I totally agree. Each place has it's benefits and risks. Every case is different and should be evaluated for where is the safest place to deliver. Some midwives (lay or CNM) are better than others. I had 3 fantastic home births with lay midwives ...
  6. Straight cath or foley cath for labor patients??

    That's my experience too. If a mom has an epidural for a long time, then repeated straight caths can introduce as much or more infection than just one insertion of a Foley.
  7. Inpatient OB RNC exam - am I qualified?

    I thought the OB Inpatient certification exam was harder than the boards! I did very well and passed, but I had worked for 3 yrs in L&D in a high risk unit and still found it to be tough. I suggest waiting until you have worked in L&D for a...
  8. Rupture of an unscarred uterus?

    I hated using Cytotec. It usually caused ctx to be too strong and, unlike Pit, you couldn't decrease it. I found it to be very unpredictable - worked fine for some, but slammed others. Plus, it's so hard to insert. It always wanted to stick to the gl...
  9. Rupture of an unscarred uterus?

    I saw it twice in 16 years of doing L&D. Very scary.
  10. Would you even consider a candidate who was terminated?

    Would you hiring managers consider the "terminated" situation different if you saw that the applicant had worked several jobs since their termination? Personally, I would think that if other employers hired the applicant since the termination and ev...
  11. what should i do?????????

    I've been where you are (many years ago) and reacted the same way. Be very careful - you may end up making enemies who will come back to haunt you down the road. Never burn your bridges; nursing can be very political and it's best to stay out of it...
  12. i did 2 months of training and it took between 1-2 yrs before i really felt like an "expert" at the job. it was a big learning curve because this is all about business and insurance. a totally different ballgame from nursing. but i learned it and ...
  13. Who does the cord blood gases

    The RN's always drew cord blood where I worked.
  14. Doulas: love them or hate them.

    As a mother, I had both home and hospital births. I also worked for many years with a home birth service. As a nurse, I worked in an L&D where we had every type of birth - from "home-like" to very high risk. I supported whatever the mother wanted...
  15. Do Medical Directors really review clinicals?

    If I find that the clinical I receive from the facility doesn't meet criteria for the guidelines we use (Milliman and Interqual), then I first call the facility CM back and ask if they have anymore clinical or anything more pertinent that I can use t...