eden

eden

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About eden

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  1. IV fluids after C/S, am I wrong???

    I would d/c IV fluids if they are tolerating things well and put the IV to a lok. You can flush Q4H to keep access for 24 hours per the orders.
  2. Sterile water injections - back labor

    My large teaching hospital uses them. I love them and as much as they burn I'd say they work well for 8/10 women who try them. I've given them at all stages of labour and even during pushing. I've had one pt who loved them so much we probably did the...
  3. Overcrowding in L&D

    If it is insane we manage the best we can and do those who require our most immediate attention first. That is we discharge early and do priority PHN visits if baby/mom meet the criteria and if we are back logged on labouring beds we have shut off Pi...
  4. Baby Friendly- getting a tad over the top

    I have no problems with most of your initiatives. I think it's silly to have to sign a consent form for formula, so long as you are talking to mom about her choice it's fine. We do give out a pamphlet on formula feeding to moms who choose to do so. ...
  5. First Code Pink

    I'm in Canada too but code pink is infant abduction here as well. Glad you survived your first code.
  6. Do you turn off Pit when adequate labor is established??

    Sometimes we turn it off but more often then not we either keep it at a steady rate without increasing it once good labour patterns are established or we half it to see if labour keeps going on it's own.
  7. What did you do to land a job in L&D?

    I am a Canadian L&D nurse. I started in medicine and cardiology to get skills experience then applied for anything related to L&D, postpartum, gyne or NICU. It took a year and a half of applying but I did eventually get a call back ( I swear ...
  8. Triaging pregnant women in the ED?

    Under 20 weeks ER, over 20 weeks if it is pregnancy related to OBS and over 20 weeks but an MVA or something of that nature mom must first be cleared in the ER then come up to us as happened to me when I was 35 weeks. I was in an MVA and wanted them ...
  9. What are the priorities? Please help

    Thanks for the links, that is really most helpful. It was a hep B clinic in this scenario, as it is given in the 4th grade here not at birth. I didn't realize that it would be an issue since it was a routine vaccine but I definitely see your point an...
  10. I am an OB nurse but am looking to get out of the hospital and into public health. I had an interview and it went well except I feel like I bombed one question. Please help me figure out where I went wrong in my answer. In the scenario I was supposed...
  11. Nurses Managing Epidural Pumps?

    I am also in Canada. At my facility we can prime, program, start and adjust the rates. It is a 2 nurse check to adjust and start the pumps. We can also do top ups but if we have given 2 and they are still uncomfortable then we call back anesthesia. B...
  12. Labour and delivery practices from around the world

    I don't know how hard it is to get a visa, it didn't seem too bad for my american friends. You don't need to be a midwife to work in L&D here though the experience will certainly help you get a job in the area. Good luck figuring out where you w...
  13. Labour and delivery practices from around the world

    I am in Canada 1. Midwives deliver babies unless its a forceps or csection - Here it is up to women whether they want a midwife, GP or OB 2. Most women never even see a doctor- See above 3. We don't induce mothers unless its medically necessary or th...
  14. Pregnancy and OB Nursing

    I would say if it's your dream job do it. I had already been working on my unit for several years before I had my first and the only thing that was dfferent was that once I was visibly pregnant, they stopped having me work with the IUFD's as they do ...
  15. Well there was no mention of that in her story but that could be a possible explanation.