Oh my god! I passed!!!

  1. They actually let me graduate! I'm happy but at the same time now I'm starting to see how really unprepared I am to work as an RN.

    Some of you know me and my story but Ill recap.

    I have worked as an LPN for a year in postpartum before that I was a CNA in med surge and cardiac, and an EMT - I working in EMS, ER and cardiac.

    For the last 3 months I have been a Nurse Intern in L&D. I have been orienting to the RN role. I have a preceptor and we work together I perform RN tasks under her direction. Once I pass my boards ill be working as an RN on L&D.

    I fell like my skills are alright I can do vag checks, I'm starting to understand efm, I know how to do the task oriented things but the critical thinking and decision making things are worrying me. There is still so much I don't know about physiology and procedures. I find myself getting to wrapped up in comforting the patient and forgetting to chart.

    I really like L&D and want to make sure I provide quality care to my patients.

    Any advise?

    What are some good books or links for the Physiology of pregnancy and L&D procedures? Any good information on EFM?

    Thanks )
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  2. 13 Comments

  3. by   redshiloh
    I am not in L&D, but congratulations! You sound like you have had a really varied medical career so far and this will serve you very well. Good Luck!!!!
  4. by   SmilingBluEyes
    you are DOING IT dayray. CONGRATS TO YOU!!!!!!!! You are ON YOUR WAY!!!
  5. by   Katnip
    CONGRATULATIONS!!!!!!!
  6. by   jnette
    Yaaaaaaay for YOU ! Congratulations !

    Not L&D either, but understand your fears re critical thinking and decision making...still very scary to me. But everyone assures me it will come in due time.

    I think I worry more ABOUT it, than if I were actually in a position to HAVE to make a judgement call.. then I think it would just come, y'know? I tend to worry more about the "what-ifs", but in a true situation, I'm not the kind to panic.. actually, that's where I'm at my best. I zero in and focus.. shut down all else.

    I think you'll find the same will be true for you . Congrats again !
  7. by   L&D.RN
    Congrats!! And they will not put you out on your own just yet. You'll still work with an experienced RN until you feel comfortable to be set out on your own. Even then, you can always get opinions from experienced RNs that you work with. Welcome to L&D, I hope you'll love it as much as I do! Keep us posted.
  8. by   imenid37
    try l&d in my pocket. it's a little book the size of a notebook. i got mine from inmypocketbooks.com. also try the perinatal listserv. there's some great discussions on there. when i first worked in/ld, i would go home and look in my old textbooks to better understand what had happened w/ pt's that i had. ask 1000 questions. find a buddy or two that are good at answering your questions. befriend another new nurse so you can commisurate. you'll get it. it just takes time. lots of time (seems that way). congratulations and best of luck w/ boards and your career.
  9. by   sanakruz
    Congrats and believe in yourself.You will eventually hone your skills. I'm certain you can do this.
  10. by   mark_LD_RN
    congradulations dayray!!

    I knew you would do it! just hang in their and relax.learn as much as you can and remember the patient comes first. PM or email me if you ever have a question you think i can help with or if you just need to talk.good luck
  11. by   SmilingBluEyes
    I was going to say:

    Try to go thru PCEP (perinatal continuing education program) and Perifax education if possible. Both are great for learning more theory regarding L and D (perifax is more intense and PCEP is great for beginners). Also, make good use of whatever library your workplace provides. Mine has several good books on labor and delivery, Obstetric complications and fetal heart monitoring. Also, try to go through AWHONN's fetal heart monitoring series. Will be VERY helpful to you!!! Good luck!
  12. by   mother/babyRN
    Wonderful! Take your time and listen to the tips you get from the people who have been there awhile. I learned way back to always read an ultrasound if one was available, before doing a vag exam...That way you have a good idea if the placenta is low lying or otherwise compromised. And, I always check the info on the prenatal chart with special attention to blood type, hepatitis and gbs status, with what is actually in the computer, to make sure no error was made with transcription....Congrats! Welcome to the fold!
  13. by   katscan
    WONDERFUL!!!! Take it a day at a time. You are on your way!! Don't think if it as "all I don't know", but "look at all I know!". Keep goin' from there and you will be fine! Congrats
  14. by   RNIAM
    CONGRATS!!!
    Good for you. I wish you musch success!

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