New OB Nurses, Grads and Students, Please Feel Free to post your questions here: - page 28

Mugwump had a great idea offering services to new grads as a mentor (thank you for that!) So, I thought having a "sticky" for new grads, OB nurses, students, and others with questions who want... Read More

  1. by   m_blume_rn
    I've been an ER nurse for 3 years and now have switched to MB, newborn nursery, and float to L&D. Any suggestions/tips?
  2. by   SmilingBluEyes
    Well you will have a lot to bring w/your experience.....we will be glad to have you.

    Just like anyplace else, make your orientation work for you and be sure to ask questions as they come up....then just DIVE IN. Hands on is the way to learn in Mother/Baby just a like anyplace else.

    Also may I suggest you get some classes on breastfeeding issues ASAP. A lot of your time will be spent helping new moms to breastfeed and as natural and healthy as this choice is, it does NOT come easily for probably 50% of the new moms I encounter. You need to learn how to help moms and babies overcome various BF issues to success, make sure you have the right training and attitude.

    GOOD LUCK.
  3. by   m_blume_rn
    Thanks for the advice and encouragement! As with BF, I have and BF 3 beautiful children, so hopefully I'll be able to use my experiences (good & bad) to help.

    This is where I've always wanted to work, even before I started nursing school. My mother was a L&D nurse for 20 years. I'm just now "getting my foot in the door" at the hospital where I work. I am so burned out after working in the ER, and for once in the past year I am actually excited about going to work!!:roll
  4. by   kimrncnm
    Hi everyone....this is actually my first post to allnurses.com. I have kind of an unusual background. I was a 'lay' midwife, then became a Certified Professional Midwife through NARM www.narm.org , then because of legal/political issues with direct entry midwives in my state (IL) I made the choice to become an RN. I went through Excelsior College for my ASN. It was tough to go through the clinical performance exam, but the rest of it was a piece of cake. IL does not accept this college so I got my licensure in a neighboring state. Started working right away on my BSN...finished in 12 months (an online program). Moved up to the IL/IA border, and started nurse midwifery school through SUNY Stony Brook www.usb.edu
    Graduated after 4 semesters (fall, spring, summer, fall) and passed the ACNM cert exam. Then decided to try being an L and D nurse, got a job in a very low volume Level one hospital that was getting ready to open a beautiful new campus. We have LDRP care...I have been there 3 and 1/2 years. Recently cut back to part time there and started teaching OB nursing clinicals for one of the local ASN programs. I love it. Also recently started accepting home birth clients again. All along I have been occasionally assisting another CNM with her home birth practice, as an RN birth assistant. Am happy to have found this forum and enjoyed reading all the posts on this thread. I definitely could relate to lots of them.

    Hope to be hanging around for a good while, this is a very interesting site!

    Kim RN CNM
  5. by   SmilingBluEyes
    Kim, the experience you bring to your practice is invaluable. I am so glad you joined us and welcome aboard! Looking forward to hearing and learning more from you.
  6. by   Lilnurse0803
    Hello All,

    I am 6 months away from finishing my AD in Nursing and I am ecstatic beyond words.

    Sadly, I have not gone through this entire forum, so forgive me if this has already been asked. I would appreciate being pointed in the right direction and I will be on my merry way. I will eventually sit down and go through all the wonderful questions and comments that have been posted here.

    What I would like to know, as a future OB Nurse/Midwife, is which hospitals in New York City accept newly graduated nurses directly into L&D? I know that Bellevue Hospital does, but I am not sure where else they would take a GN. Any kind advice is greatly appreciated.

    Best regards,
    Melody
  7. by   SmilingBluEyes
    The only way you can know is to call around and ask their HR or OB departments. Also look for hospitals that have "OB residency" programs---specially designed for new graduates to ease their transition to their specialty. This is a good place to start.

    GOOD LUCK TO YOU and congrats on your upcoming graduation.
  8. by   mitchsmom
    Quote from 2006RN2b
    Hi everyone. I am starting my senior practicum in Labor and Delivery. I need to write a learning plan for myself. I need suggestions of realistic goals I can accomplish in the next six weeks. My goal is to be a L&D nurse after graduation. Thanks.

    *bump*

    I have this same exact question... does anyone have any thoughts?
  9. by   shar08
    I'm thinking about becoming an OB nurse when I finish nursing school I just started nursing school this past January. I have a lot to look forward to and I can't wait until this is all over with.:spin:
  10. by   hildegard
    "I am also worried about getting an L&D job out of school. I plan on going to grad school either right away or shortly after I graduate, but I plan on working as an L&D nurse if I don't go right away. I'm in Boston and I'm pretty sure it's really challenging to get L&D jobs as a new grad here. I don't know of any hospitals that offer new grad entry programs in L&D, which seems weird because so many of our hospitals deliver and are some of the best hospitals in the country.

    Also, as a random out-of-curiosity question, does anyone have ballparks on what new L&D's make for salary? I know it varies greatly by area and the Northeast tends to be higher than many other parts...but I'm just wondering. I know a new grad who went to NYC to work in L&D and she's making money I thought only nurses who'd been in it 20 years made...but that's NYC.

    Thoughts? Thank you!"



    You are right about it being challenging to get an L&D position as a new grad in the Boston area. Hospitals here are very strict about the 1yr med/surg policy. If you are willing to commute or move, you may want to try Salem Hospital. They sometimes hire new grads and they pay new grads the equivalent of Boston metro area hospitals, although there is a longer wait after hire for a pay increase.

    Several NYC/Brooklyn hospitals are open to new grads in L&D and the pay is MUCH better than Boston!!! In Boston, it seems the going rate is around $26/hr to start. I think it's almost $40 at some places in New York. So as far as cost of living goes, New York has a better ratio. It's expensive to live in Boston!!

    But SF is the place to be for good pay...I know a new grad who is making $49.

    Either way, I would recommend contacting the Nurse Managers in maternity at different hospitals. Sometimes a graceful passion for doing a certain kind of work comes across beyond what's on your resume.
  11. by   friendlymulan2004
    Hello! What are the duties and responsibilities / routine work during Days shift /Night shift in Postpartum Unit? What skills do I need to learn? Aside from PIH patient, what other patients do you have on the floor? What stress do you always encounter? I am a Med-Surg nurse and plans to work on Postpartum unit. I need your thoughts,my colleagues. Thank you and hope to hear from ALL of you.
  12. by   melanie1126
    I've been a RN for just at a year now and have been working nights on a VERY busy telemetry med/surge floor. My plan was to continue to work there a couple of years to get comfortable as a nurse (lots of anxiety at being new to nursing!). However, we found out last week that my husband who is in the Air Force reserves is being deployed to the Middle East (hopefully not Iraq!) for 6 months. I now have to find a day job. My hospital has a prn position on women's surgery for days and I was considering applying with hopes of working my way to Mom & Baby, then on to L&D (my goal - but I want years of experience before L&D). Today though I saw a new posting for a part time day position in Mom & Baby. I'm trying to decide if I should just go for the Mom & Baby position. Even though I'm used to caring for some very sick patients on my floor, my experience is with CHF, post Cardiac Cath, COPD exacerbation and End Stage Renal Patients (all who are monitored). I'm terrified at trying something so different so early in my career where I am just beginning to get comfortable where I'm at. Pre-Nursing I have an accounting background so being in this uncontrolled, ever changing environment has been quite a challenge for me. My question is given my background and above mentioned anxiety would women's surgery be a better stepping stone for me on my way to OB and later on L&D. I realize it's totally different field but I have NO experience whatsoever with gyn nursing, or would you adivise to go ahead and bite the bullet with Mom Baby. We have a high risk floor so I think our mom& baby is just routine Vag/C sect PP patients. Also, what is nurse/pt ratio. I'm assuming you take patients in pairs (mom & baby) so how many pairs assigned (so I can tell if the ratio at our hospital is safe - trust me it's not where I work now 6-8 monitored pts to 1 nurse.) Also is there usually any training provided on dealing with psychological issues ( bonding, loss of child, breastfeeding, etc.). I've read through this thread so I've seen some of the different types of assessments I'll learn. I'd appreciate any advice or info you can throw my way. Sorry, Long post!
  13. by   nursemelani
    Quote from melanie1126
    I've been a RN for just at a year now and have been working nights on a VERY busy telemetry med/surge floor. My plan was to continue to work there a couple of years to get comfortable as a nurse (lots of anxiety at being new to nursing!). However, we found out last week that my husband who is in the Air Force reserves is being deployed to the Middle East (hopefully not Iraq!) for 6 months. I now have to find a day job. My hospital has a prn position on women's surgery for days and I was considering applying with hopes of working my way to Mom & Baby, then on to L&D (my goal - but I want years of experience before L&D). Today though I saw a new posting for a part time day position in Mom & Baby. I'm trying to decide if I should just go for the Mom & Baby position. Even though I'm used to caring for some very sick patients on my floor, my experience is with CHF, post Cardiac Cath, COPD exacerbation and End Stage Renal Patients (all who are monitored). I'm terrified at trying something so different so early in my career where I am just beginning to get comfortable where I'm at. Pre-Nursing I have an accounting background so being in this uncontrolled, ever changing environment has been quite a challenge for me. My question is given my background and above mentioned anxiety would women's surgery be a better stepping stone for me on my way to OB and later on L&D. I realize it's totally different field but I have NO experience whatsoever with gyn nursing, or would you adivise to go ahead and bite the bullet with Mom Baby. We have a high risk floor so I think our mom& baby is just routine Vag/C sect PP patients. Also, what is nurse/pt ratio. I'm assuming you take patients in pairs (mom & baby) so how many pairs assigned (so I can tell if the ratio at our hospital is safe - trust me it's not where I work now 6-8 monitored pts to 1 nurse.) Also is there usually any training provided on dealing with psychological issues ( bonding, loss of child, breastfeeding, etc.). I've read through this thread so I've seen some of the different types of assessments I'll learn. I'd appreciate any advice or info you can throw my way. Sorry, Long post!

    From what I have heard from my friends who work in the hospital, nothing is harder than med-surg. Mother-baby sounds like a dream job to me. If you have personally given birth and breast fed, that is a big plus.

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