Some of you may remember my post from back in november. Well i made the plunge after being a med/surg/tele/icu nurse for approx. 9 years. I'm currently working post partum and just about loving most of the nights that I'm working. After just a very short orientation, I was thrust into my night/CHARGE position. But a few hemorrhages and PIH's later I'm still alive and so are my patients!!! Of course all my days/nights on orientation we had very slow days and not very much going on but it has been absolutely CRAZY ever since. sometimes getting 4-5 new moms during a 12 hour shift and along with those of course a few bleeders etc etc. Our unit is a 15 bed unit with gyn surgeries as well. Anyone else out there get a lot of problems wtih their gyn surgeries post op? I've taken care of a few now (remember i started working in november) that have low bp/s (70-90's systolic)and low uop that the docs just give iv boluses (ns/LR) or "just watch". which makes me nervous of course as a previous ICU nurse. And a few that have developed MI's and Pulmonary edema post op. Seems to me they would correct some of these womens low h/h's preoperatively? What sorts of advice do y'all give your new moms with babies that seem unsatisfied with just colostrum and are keeping mom awake all night? The nursery nurses here have been telling me to cup the baby wtih sugar water - but as of my first breastfeeding class last night they are looking to get more strict with their policy re: sugar water. Also- how soon do y'all get your moms out of bed after sections? I'm a bit more liery of getting them up at night after having a 250lb+ woman almost go out on me in the bathroom. Also I've been trying to find literature regarding epidurals- particularly having a few moms with numbness/tingling several hours post epidural. Should i be concerned or is it related to the amount of epidural they used during labor/delivery?
thanks again for any/all information y'all can offer
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