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Search Results Type: Posts; User: NurseNora

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  1. unit "culture"
    I spent a couple years refusing to take baby fron Mom to do measurments and weights. I really pushed for others to do skin to skin (just demonstrate a few times how much better the baby goes to...
    Dec 16
    Forum: Ob/Gyn Nursing
  2. Newborn Baths
    We bathe between two and twelve hours, depending on temp stability, breastfeeding, and parental choice.
    Dec 16
    Forum: Nursing Student Assistance
  3. unit "culture"
    Currently I work in a small, 80 deliveries per month, rural hospital. We're not Baby Friendly, but are very supportive of breast feeding. We have 3 OBs, 1 Family Practice, and 1 CNM who deliver here....
    Dec 11
    Forum: Ob/Gyn Nursing
  4. L&D/ NICU prep
    I'd recommend joining AWHONN (Association of Women's Health, Obstetric, and Neonatal Nursing). As a member, you will be eligible for some free materials and discounts on things from their bookstore...
    Dec 8
    Forum: Ob/Gyn Nursing
  5. Anyone switch from L&D to MB?
    L&D isn't for everyone. You'll be able to use some of what you learned there in MB. L&D is stressful for everyone at times, but it should be better for you by now. There is no shame in changing your...
    Dec 5
    Forum: Ob/Gyn Nursing
  6. Designated delivery team
    My hospital does about 80 deliveries a month. For low risk deliveries, whoever is least busy with her patients is catcher (we all have NRP). Usually baby goes skin to skin right away and stays there...
    Dec 2
    Forum: Ob/Gyn Nursing
  7. Do you mix your own pit?
    Yes, 1ml/hr=1mU/min. That's why I like that concentration. No math to do at 3am.
    Nov 24
    Forum: Ob/Gyn Nursing
  8. Attachment issues
    In OB, your job is to promote maternal/infant attachment. If you're doing that, you getting too attached won't be a problem. Possibly I Peds Or NICU.
    Nov 6
    Forum: Ob/Gyn Nursing
  9. GN on postpartum unit! Advice
    Read all the information you will be sending home with your patients. Watch all the videos required for them. In general, post Partum is about teaching: self care and infant care. So brush up on all...
    Nov 6
    Forum: Ob/Gyn Nursing
  10. Labor and Delivery nurses: can you scrub?
    The first time I scrubbed, a patient came in with a prolapsed cord, we couldn't wait for the OR team to get there and my charge nurse pointed at me and said,"you, go scrub! Now!" It wasn't pretty,...
    Nov 6
    Forum: Ob/Gyn Nursing
  11. Tips for surviving working nights as an L&D nurse
    There are more nurses working night shift against their preference than nurses working days who would rather stay up all night. Some places pay a night shift differential, I've never heard of one...
    Nov 6
    Forum: Ob/Gyn Nursing
  12. variable decels...Thoughts?
    Especially with ruptured membranes. Decreased amniotic fluid volume makes it easier to compress the cord. Variable decelerations in this patient are not a surprise, but pre term babies will go...
    Sep 20
    Forum: Ob/Gyn Nursing
  13. Fetal Monitor Risks
    Once electronic monitoring is started, most patients are tied to the bed. Less now than in the past, but many younger nurses are not comfortable letting the patient up to walk, or even putting a...
    Sep 15
    Forum: Ob/Gyn Nursing
  14. Want to be L&D rn but hate the OR?
    I happened to be part of a study to see if there was a statistically significant difference in the section rates between different nurses. There was and I was in the low section group. The researcher...
    Sep 15
    Forum: Ob/Gyn Nursing
  15. New Grad scared to be in L&D
    If you weren't feeling nervous, you'd be way overconfident. Remember that as a newby to L&D as well as a new grad, no one will expect you to know it all at first. Place yourself in as many learning...
    Sep 4
    Forum: Ob/Gyn Nursing
  16. How to become a Lactation Consultant?
    Even though you have to wait for someone to retire to get into OB in your hospital (I worked at one like that), there will still be new Moms who need more help than the staff can give. Enroll in the...
    Sep 4
    Forum: Ob/Gyn Nursing
  17. Assigning Apgars....
    Since the L&D nurse was close enough to be stimulating him, I would have asked her for the Apgar. If you can't get to the baby, it's helpful to call out one and five min so the nurse who is with the...
    Aug 31
    Forum: Ob/Gyn Nursing
  18. Newly published protocol on hypoglycemia in neonates
    If it's been a long time and you're really concerned, do a blood sugar. Usually it tells you the baby just isn't hungry yet. If it is low, then you can start doing the other stuff.
    Aug 24
    Forum: Ob/Gyn Nursing
  19. I need confidence....
    Confidence comes with experience. Experience comes with time. One day you won't be the new kid on the block and people will be asking you how you became so calm and confident. Until then, be gentle...
    Jul 17
    Forum: Ob/Gyn Nursing
  20. Let me pick your brains
    Pit in the lowest port. We don't use Y tubing, so the Mag goes in the next one up.
    Jul 10
    Forum: Ob/Gyn Nursing
  21. Anxious l&d
    In my experience, anxiety is normal for L&D newbies. Don't compare your insides to you coworkers outsides. Bet they're not as confident as you think. Remember that having a baby is a normal healthy...
    Jul 4
    Forum: Ob/Gyn Nursing
  22. How do people interact on an LD unit
    Our CNAs, in addition to the above tasks, take VS on PP moms, help moms up to the BR for the first time, and some double as Unit Secretaries. Most are currently in nursing school.
    Jun 30
    Forum: Ob/Gyn Nursing
  23. OR Call Advice
    When my unit started doing our own sections a few years ago, we started out with OR call, one 12 hour shift every 4 week schedule. Gradually the call became for all OB, not just for OR. My hospital...
    Jun 21
    Forum: Ob/Gyn Nursing
  24. New Grad going to L&D. Advice?
    I've been a labor nurse for over 40 years, track Intermediate and Advanced Fetal Monitoring and I still ask others to look at my strips. Don't be afraid to ask questions--ever. Have daily or at least...
    Jun 21
    Forum: Ob/Gyn Nursing
  25. Labor Support
    The Labor Support Handbook by Penny Simpkin and the Nurturing Touch at Birth by Polly Perez are both very helpful. For breastfeeding, I agree with the recommendation for Jack Newman's book and also...
    Jun 21
    Forum: Ob/Gyn Nursing


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