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Search Results Type: Posts; User: Elvish

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  1. If you accept a job, stay at least a year
    I went to work med-surg directly out of school. I worked full-time for nine months, at which point I went PRN to go work my 'dream job'. I didn't want to ditch my first employer totally, but I'd have...
    Sep 16
    Forum: Nursing and Professionalism
  2. The best excuses for positive drug screens
    I have never had a parent refuse infant testing when I explain exactly what can happen during withdrawal from certain types of drugs. I don't hide things from parents or lie to them about it. Many of...
    Sep 3
    Forum: Ob/Gyn Nursing
  3. Lynda Van Devanter - A True Hero
    Also read this book one summer between years of college. Its honesty and raw portrayal really moved me.
    Sep 2
    Forum: General Nursing Discussion
  4. Things you'd LOVE to tell coworkers...and get away with it!
    Agreed. I'm in the South. Everybody uses it and nobody bats an eyelash. Now, for what to say to my coworkers? They are called Big Girl Panties. Put them on.
    Jul 21
    Forum: Nurse Colleague / Patient Relations
  5. Rhogam eval draw time
    We have to administer Rhogam within 72hrs after delivery. We have Rhogam studies drawn at whatever time is reasonable for the patient that will also allow us to get her Rhogam in her within that time...
    Jul 15
    Forum: Ob/Gyn Nursing
  6. The best excuses for positive drug screens
    I've always wondered exactly how many poppy seeds/muffins one would have to eat to pop a + opiates; knowing my rotten luck I'd be one of those slow metabolizers that would be + on Saturday for a...
    Jul 3
    Forum: Ob/Gyn Nursing
  7. The best excuses for positive drug screens
    We test when there is PTL or an abruption. We aren't required to get a consent before testing, but in practice I tell the patient what I need the urine for and why. I've never had anyone refuse, but...
    Jul 3
    Forum: Ob/Gyn Nursing
  8. Certification
    I would probably do either low-risk neonatal or maternal-newborn.
    Jun 29
    Forum: Ob/Gyn Nursing
  9. Mom jailed for refusing to feed her infant proper formula
    Do you mean soy milk or soy formula such as Prosobee? (asking for the sake of clarity.)
    Jun 29
    Forum: Ob/Gyn Nursing
  10. Inducing vs. Waiting
    Unless there is a medical reason to do it - pre-E, chorio (in our PPROMers), cholestasis, etc. - then no, I wouldn't recommend an induction. Even the post-dates ones seem silly at just a hair past 40...
    Jun 29
    Forum: Ob/Gyn Nursing
  11. Mom jailed for refusing to feed her infant proper formula
    I read the statement you quoted to mean that a baby eating a vegan diet is not appropriate, not a breastfeeding mother eating vegan. Veganism and breastfeeding are (as you stated) very much...
    Jun 29
    Forum: Ob/Gyn Nursing
  12. NRP?
    Where I am they give you a certain amount of time in which to get your NRP cert. They don't expect you to have it when you're interviewing unless you've already worked in the specialty (which you...
    Jun 22
    Forum: Ob/Gyn Nursing
  13. Infant Thermoregulation
    Assuming the infant is term, healthy, dry, and properly covered away from drafts, they should be able to thermoregulate pretty much from birth. If they're cold it indicates that something is off....
    Jun 5
    Forum: Ob/Gyn Nursing
  14. A nurse who doesn't breastfeed
    I have several nurse coworkers who either had to supplement (diagnosed insufficient glandular tissue) or who never put baby to breast at all. Personally I loved breastfeeding (and hated pumping) and...
    Jun 1
    Forum: Ob/Gyn Nursing
  15. Opening new unit
    Tubs? If the unit has already been constructed (or if you already have them) it may be a moot point, but if you don't have them and they are willing to redo a couple bathrooms that could make labor a...
    May 29
    Forum: Ob/Gyn Nursing
  16. Short Circuit: Supraventricular Tachycardia for the Novice PICU Nurse
    One of the scariest NICU transfers I was ever a part of was an 18hr old newborn in SVT. Two doses of adenosine later he was back in NSR and obviously cards followed him after d/c.
    May 28
    Forum: PICU Nursing / Pediatric
  17. Couplet care/ discharge nurse/ baby friendly
    We routinely do 4 couplets. As with anything there are days when its all hunky dory and days when you can't pee, eat, or sit down all day. What I would love is someone to just go around and make sure...
    May 26
    Forum: Ob/Gyn Nursing
  18. What do NICU nurses consider "viability"?
    I know NRP says 23 weeks, but after seeing a 23-weeker be coded, I think my personal cutoff would be more like 26. Obviously a lot would depend on what happens at delivery, but if I'm honest I'd much...
    May 22
    Forum: NICU Nursing / Neonatal
  19. The face of a medical error...
    Honey, I agree with the others. I know what it's like to be 'that' nurse that makes a big mistake. Been there. It's hard to forgive yourself, and the self-punishment is way worse than just about any...
    May 21
    Forum: Nursing Issues On Patient Safety
  20. Why I think L&D nursing really is best and hardest
    If you as an L&D nurse are competent in other areas of the hospital, it is not (with the possible exception of the OR/PACU) going to be because you're an L&D nurse. You admit to having done...
    May 16
    Forum: Ob/Gyn Nursing
  21. The most ridiculous birth plans you've had the pleasure of reading
    Which some might actually prefer. I wish it were that simple, but there are still states out there in which it is ridiculously difficult for a woman to birth at home. My state is one of those. There...
    May 15
    Forum: Ob/Gyn Nursing
  22. All the Things We Carry
    Every so often, a thread pops up around here: "What's in your pockets?" In other words, what do you carry that you know you'll need before your shift is up? Most of us carry alcohol swabs (never...
    May 12
    Forum: General Nursing Discussion
  23. Why Can't Spouses and Families Understand The NOC Schedule?
    It can be quite the challenge to get this through to family. My dad worked nights for a long time and so gets it. He never ever calls between Friday and Sunday (I'm a weekend option girl) unless...
    May 9
    Forum: General Nursing Discussion
  24. Quantifying blood loss (grrr...)
    Do you guys not have the disposable plastic pouchy thing that slides under mom that catches blood etc. as she's delivering? It has markers that will give you a rough EBL. That makes everybody's life...
    May 9
    Forum: Ob/Gyn Nursing
  25. Admitting newborn at the bedside
    Depends on how grunty they are. If they're a little pale and a little grunty, we usually just watch in L&D (the ones doing the watching are nursery nurses so we know our own threshold, know what I...
    May 9
    Forum: Ob/Gyn Nursing