Anyone start out med/surg?

  1. 0 I have seen a few openings in the past year for Labor/Delivery nurses in my area. I have always loved helping new moms with breastfeeding and women's health in general. I feel I have a good understanding of women's health (generally speaking). I have been working a very busy Med/Surg/Ortho unit since Sept '09. I am still really interested in working anywhere regarding women's health/Labor/Delivery/Contraception/Breastfeeding but I am really nervous about doing it now because I feel like I am so used to Med/Surg now that I have forgotten most of the Mother/Baby stuff we learned in nursing school. I know when I started as a nurse everyone said to get Med/Surg experience but I do feel like I have forgotten the details of dealing with the labor/delivery/post-partum care of a patient now. Should I just apply and realize that if I am hired I will have a lot to learn and is that okay? Or do they expect someone with no labor/delivery experience to know everything about what to do in each situation? The drugs ect are all totally different. Thanks so much!
  2. Visit  sameasalways profile page

    About sameasalways, RN

    sameasalways has '5' year(s) of experience and specializes in 'Med/Surg'. From 'North Carolina'; 40 Years Old; Joined Sep '06; Posts: 108; Likes: 13.

    14 Comments so far...

  3. Visit  Ashley, PICU RN profile page
    3
    Not me, but a friend of mine working in Med/Surg for 6 years after becoming a nurse. When she decided she needed a change, she had no problem transferring into the NICU at her hospital.

    L&D won't expect you to know everything about labor situations if you only have med/surg experience. Just be prepared to do a lot of learning on your own time, because you might not be given as long an orientation as a new grad. Good luck!!
    SHGR, Esme12, and vanburbian like this.
  4. Visit  sameasalways profile page
    0
    Thanks! I am hoping it is normal to feel almost like a new grad with the thought of working in a specialty area.
  5. Visit  Munch profile page
    0
    If you transfer to mother/baby they aren't just going to throw you out in uncharted waters. They will probably pair you up with someone you can shadow. That's what happened to me. I worked med-surg at one hospital for a couple of years in the suburbs of Manhattan but then I quit after a little over two years an applied to work in the neurology/neurosurgery dept of a hospital in Manhattan. I told them I had no neurology/neurosurgery experience(except for the basics and what I learned when I had my OWN brain surgery). So they paired me up with a nurse who was an amazing teacher/trainer and I learned a lot and I have been on my own for a few years now.
  6. Visit  Esme12 profile page
    0
    Quote from sameasalways
    Thanks! I am hoping it is normal to feel almost like a new grad with the thought of working in a specialty area.
    It's a whole new ball game when you specialize in such a specific area......and it is normal to feel like a new grad all over again. GO FOR IT!!! and follow your dream!.

    I didn't know how to read a monitor when I went to ICU....
  7. Visit  cdavis profile page
    0
    I have been trying to get a job in L and D.... noone will hire me because I don't have ob experience...I'm very discouraged, hopefully you will have better luck. I have experience in pacu, icu, and endo and I've been an rn for 6 years but it still isn't good enough
  8. Visit  AJPV profile page
    1
    If you want a cliff-notes, bare-bones summary of OB nursing, this is great:
    http://www.amazon.com/MATERNAL-NEWBO...3115108&sr=8-7

    We used ATI throughout our nursing program. You can get through the book in a weekend and it will really refresh your memory.
    heartNICU likes this.
  9. Visit  fltnrse2 profile page
    0
    I can share with you what a wise older nurse told me many years ago, and personally it was some of the best advice I have been given. "Start on a med/surg unit, get your feet wet, 6mos-1year, then you can go anywhere."
    Specializing too early I think can be great if that is all your ever going to do, however I can also see it as a trap that may be difficult to get out of. In the end it's up to you, and this is just my experience. Good Luck! FLTNRSE2
  10. Visit  windsurfer8 profile page
    0
    I did two years med/surg before switching to psych permanently. I think having that med /surg experience helped me greatly. First I feel like a "real" nurse. I feel more confident by just having a broader set of skills. I also have found it of assistance when a patient begins having medical problems. I am calm and have the skills necessary to begin basic treatment and get patient where they need to go. I wish everyone would get a year or two of med/surg before venturing off. I work with nurses who went straight into psych and I am telling you...they would literally be like a brand new nurse if they had to do anything "medical". So instead of fear...feel confident! You will learn, but you already have great skills!
  11. Visit  AJPV profile page
    0
    Anyone do telemetry as a new grad? Is it a more difficult first nursing experience, or about the same as med-surg?
  12. Visit  strn96 profile page
    2
    I worked Med/surg for about 1 1/2 years before transferring to OB (where I've been working for almost 8 yrs). OB is sometimes a tough field to break into, because directors typically give preference to applicants who have OB experience. Usually it is easier to get hired to an antepartum or mom/baby unit then L&D, so if you're ultimately wanting to work L&D you may need to apply for a position in a mom/baby or antepartum unit & then bridge to L&D.
    It will feel a little like you're starting over when you start a new specialty. I remember that my first few weeks I felt like I was "all thumbs" (partially because I was working at a new hospital with very different equipment). But typically you will regain confidence more quickly because you have experienced "settling in" before. And there are a few skill that do transfer.
    I agree that med/surg is a great starter experience. I will occasionally run into situations in OB (like giving heparin or blood, etc) where the nurses that have only worked OB are very uncomfortable, but I know what to do because of my old med/surg experience.
    Last edit by strn96 on Dec 6, '11
    del2009 and AJPV like this.
  13. Visit  del2009 profile page
    0
    i did home health my first 6 mo out of nursing school (hated it), i then did med/surg with telemetry for the last 18 months. just transferred to L&D on 11/7/11 and I feel like a complete idiot nurse with no experience most of my days. Everything is so different and some of the nurses are just plain evil!!! In our L&D we do our own triage, and we also rotate to operating room and post-op for our c-section patients. have have our own 2 operating rooms and post op rooms on our locked unit. it is very overwhelming and i am starting to wonder if i made the right choice. This is what i wanted to do since i was a child, but boy is it hard and the other nurses with their sarcasm and pure evilness sure doesnt help.
  14. Visit  del2009 profile page
    0
    Quote from del2009
    i did home health my first 6 mo out of nursing school (hated it), i then did med/surg with telemetry for the last 18 months. just transferred to L&D on 11/7/11 and I feel like a complete idiot nurse with no experience most of my days. Everything is so different and some of the nurses are just plain evil!!! In our L&D we do our own triage, and we also rotate to operating room and post-op for our c-section patients. have have our own 2 operating rooms and post op rooms on our locked unit. it is very overwhelming and i am starting to wonder if i made the right choice. This is what i wanted to do since i was a child, but boy is it hard and the other nurses with their sarcasm and pure evilness sure doesnt help.
    thanks for your comment. i feel like an idiot almost everyday. very discouraging


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