New nurse in Labor and Delivery - page 3

by KER5050 29,176 Views | 33 Comments

So I am a new nurse.. just took and passed my boards and I got hired in Labor and Delivery. I wanted to know if anyone has any advice to avoid pit falls or common mistakes. Im nervous and need some advice :uhoh3:... Read More


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    I remember those days! Well, when i first meet a patient I start a conversation about how they feel generally. I take a set of vitals to assess for HTN or hypotension if they have en epidural- with that i will assess for headache or blurry vision (think Pre-eclampsia and yoou will prob. alreadyy know if the patient has been Dx with that before you go into the room). Take a TEMP! very important. if her water is broken the risk of infection to baby increases the longer she is in labor. I monitor them for ctx in correspondence with the external (or internal) fetal monitor to make sure I am picking up her ctx. I monitor the fetal heart rate. If her membranes are ruptured I check the underpads for color, odor etc. I check for edema from head to toe. The assessment is different than a med/surg patient but I think I covered everything I do on my initial assessment. Just be sure to look over the chart for her history, diagnosis and current status as far as gestation, start of labor, induction, augmentation, risk factors, allergies, rupture of membranes, labwork etc.

    Good luck! I LOVED my L&D rotation hence why i went straight for it after I graduated =)
    NBSAlvarez and katm0 like this.
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    Quote from LaborNurse77
    I remember those days! Well, when i first meet a patient I start a conversation about how they feel generally. I take a set of vitals to assess for HTN or hypotension if they have en epidural- with that i will assess for headache or blurry vision (think Pre-eclampsia and yoou will prob. alreadyy know if the patient has been Dx with that before you go into the room). Take a TEMP! very important. if her water is broken the risk of infection to baby increases the longer she is in labor. I monitor them for ctx in correspondence with the external (or internal) fetal monitor to make sure I am picking up her ctx. I monitor the fetal heart rate. If her membranes are ruptured I check the underpads for color, odor etc. I check for edema from head to toe. The assessment is different than a med/surg patient but I think I covered everything I do on my initial assessment. Just be sure to look over the chart for her history, diagnosis and current status as far as gestation, start of labor, induction, augmentation, risk factors, allergies, rupture of membranes, labwork etc.

    Good luck! I LOVED my L&D rotation hence why i went straight for it after I graduated =)
    I co-sign with everything already mentioned and to add, when you walk into the room scan quickly with your eyes EVERYTHING before you even lay hands on the patient. Specifically the monitor, settings and IV fluid status. Make sure rate on IV fluids pump is correct. I make sure to scan the room to check that all equipment is in place in case of a stat delivery. As I'm doing this I talk to the patient and usually start out checking how alert they are and my very next question is their comfort level ie how much pain are they in.
    Little_Babycatcher likes this.
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    It is normal to be nervous! OB is it's own little world onto itself. If you wasn't nervous then I would be scared. You are going to makes mistakes...accept that...you are human. The key is to learn from those mistakes. Enjoy the easy deliveries...drink em up and learn from those deliveries that are not so perfect. Trust me, those will be the ones that you will not forget. The stakes are high everywhere in nursing when you consider that you have someone elses life/well being in your hands, however OB takes it to a whole new level. You are now dealing with 2 lives instead of one.

    I have been a nurse for almost 10 years and I have worked in med-surg, home health, LTC, ER, OB plus some administrative stuff thrown in here or there. Out of all of those different places, I love OB the most! Is it more stressful...yes, is it demanding.....yes. There is alot to learn and that learning is constant however it is the most rewarding job that I have ever had. I can't imagine ever doing anything else again. There is nothing like getting to see and participate in a family being created. It is priceless so hang in there and take it one day at a time and keep learning! You will do fine!
    NBSAlvarez likes this.
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    Be patient....OB nurse are not grown in a day
    NBSAlvarez likes this.
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    Hi all,

    I am a soon-to-be new graduate and currently am interviewing for jobs. I may have an opportunity to decide between Med-Surg or L&D at the same hospital.

    Everyone keeps saying "med-surg" for a basis to start....but what if I do med surg and want to change my mind to L&D? would it be better to just start with L&D first or Med-Surg.

    I'm so confused! Any help/advice/info would be greatly appreciated!
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    I graduated in Dec 2010 and went straight to ICU, even though I have been wanting to work in L&D. It is very hard to get into L&D and I am so excited to say that I was offered a position in L&D yesterday and at the hospital I really like. Starting orientation in Dec!!!
    ARTPOPIST likes this.
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    Jeanster, I had always wanted to work in L&D, even before starting nursing school. Then when I had my interviews for L&D it just didn't work, they didn't want me. I started in ICU and learned SO much, I am kinda glad I did. You could start Med/Surg and later cross-train in L&D!?
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    Quote from GivingLove
    I dont mean to sound immature or gross, but how does working in LD work when there is a woman that is stinky down there or has std's? Id love to bring a baby into the world but I dont know how id handle that stuff.
    A quick shower, if there is time...peri-care...STD/s you just deal with...
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    Hi Emily, I am a nurse with 2.5 years of experience on a tele floor and I have accepted a position in L&D. I also feel I got the job for several reasons like being bilingual, being involved and in school. I'll be transferring soon. Any suggestions for me?
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    Hello. Im also a recently new nurse to L&D. I too was a transfer from a telemetry floor. It was a hard the first 2 weeks. I felt so completely out of my comfort level. I worked on tele for 4 years and just then started to feel more confident in my work but when I transferred it was hard to let go of my autonomy and just take one day at a time. I had to put tele out of mind and focus 100% on learning OB. Once I finally succumb to bring a new student all over again it got easier. And now I've got to say Im enjoying my job that much more...I know I will always have my tele/medical knowledge which I know will be come in handy in the future with my OB patients. Don't know if this will help but I thought I would share:-)


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