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Search Results Type: Posts; User: NurseNora

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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. Opening new unit
    And peanut balls and rocking chairs.
    Jun 18
    Forum: Ob/Gyn Nursing
  9. Opening new unit
    If they're still building, ask for them to put in more electric outlets. I don't care how many they've planned, put in more. And put them in the middle of the wall, not just at floor level.
    Jun 18
    Forum: Ob/Gyn Nursing
  10. Admitting newborn at the bedside
    We have two L&D nurses at each delivery. We only call a nursery nurse if problems are anticipated. Because I like keeping mom and babe skin to skin, I'll usually send the second nurse away once we...
    May 13
    Forum: Ob/Gyn Nursing
  11. Pre-eclampsia & Eclampsia Detection & Treatment 1950's
    In the 60s we were giving IV MgSO4 for pre eclampsia and felt we were really on the cutting edge since many other hospitals were still giving it IM. Five grams in each buttock. A kind doctor would...
    May 13
    Forum: Ob/Gyn Nursing
  12. "true knot"
    I've seen many in my 45 years in OB. They rarely cause a problem. Picture a fire hose: it's limp and floppy until they run water thru it. Then the pressure of the water makes it stiff and difficult...
    Apr 25
    Forum: Ob/Gyn Nursing
  13. L&D not for me?
    Nearing the end of orientation is a scary time for everyone. You will not suddenly be entirely on your own as you are probably imagining. Your coworkers will have your back. It's OK to ask for help,...
    Apr 23
    Forum: Ob/Gyn Nursing
  14. I need confidence!!
    A baby's heart doesn't just stop without giving you warning. Remember that when the rate drops and you start doing what you need to do to get it back up (change position, fluid bolus, stop Pit, give...
    Apr 20
    Forum: Ob/Gyn Nursing
  15. L&D Textbook
    Anything by Polly Perez or Penny Simpkon is really good for labor support. I also like Ina Mae Gaskon, author of Spiritual Midwifery among other things. She's a well known lay midwife and I think...
    Apr 20
    Forum: Ob/Gyn Nursing
  16. The most ridiculous birth plans you've had the pleasure of reading
    When someone comes in with a birth plan, I usually get her. The odder the plan, the more likely I'll get the patient. "Nora, do we have a patient for you!" First, I go over it with the couple. The...
    Apr 20
    Forum: Ob/Gyn Nursing
  17. L&D Textbook
    Go to the AWHONN website. First, you should join because it's always a good idea to belong to your professional organization. Also, you get discounts on books, webinars, classes, etc if you're a...
    Apr 20
    Forum: Ob/Gyn Nursing
  18. Ob/gyn reading
    Read all the patient handouts in the office and any books recommended by your docs for their patients. As you continue in this job, you will find that there are certain questions that come up...
    Apr 19
    Forum: Ob/Gyn Nursing
  19. Internal/External Os
    Rarely you will encounter a situation where the cervix seems to be dilated to 6 cm, but on further investigation, you find a 2cm opening posterior to what you first felt. That 2cm opening is usually...
    Apr 2
    Forum: Ob/Gyn Nursing
  20. Postpartum Hemorrhage tool kit
    The address for California's PPH Tool Kit is: cmqcc.org that site is a wonderful resource for many things maternal
    Apr 1
    Forum: Ob/Gyn Nursing
  21. B/P and Seizures
    A woman with pre eclampsia can seize at any blood pressure. With the kind of pressures your patient was running, I'd be worried about a stroke or an abruption. Labetolal drips usually require...
    Mar 31
    Forum: Ob/Gyn Nursing
  22. Gestational Age vs. Age by Exam
    Gestational age figured by EDC is accurate to plus or minus two weeks. That assumes the woman has regular cycles, keeps track of her periods and remembers the date of her last period, and didn't miss...
    Mar 21
    Forum: Ob/Gyn Nursing
  23. New grad in L&D with severe anxiety and stress
    So happy to hear the good news. You'll do well.
    Mar 19
    Forum: Ob/Gyn Nursing
  24. Postpartum Hemorrhage tool kit
    Google PPH toolkit. California has developed something that you could use as a starting point.
    Mar 19
    Forum: Ob/Gyn Nursing
  25. Please tell me they are not all like this...
    When I worked in a Big City teaching hospital, one of my goals was to remind the interns and residents that birth is not an illness, but a normal part of a healthy woman's life. That's one way of...
    Mar 18
    Forum: Ob/Gyn Nursing


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