MamaMadge ADN, BSN

MamaMadge has 14 years experience as a ADN, BSN and specializes in L & D and Mother-Baby.

Latest Activity

1. For anyone who went straight into Mother-Baby/L&D as a new grad, do you have any regrets?

   MamaMadge replied to lexxa25's topic in Ob/Gyn

   Nope! Started in Mother Baby, then within a few months cross trained to L & D. Almost 14 years later and no regrets! If L & D is your goal, full speed ahead!!

2. Too old for OB?

   MamaMadge replied to TinyDancer01's topic in Ob/Gyn

   I am 56 and have been a L&D nurse for almost 14 years. I am considering a change as well but I'm still hanging in there. I work part time in a busy L&D and have at least 9 years until retirement!!

3. Orientation time to L &D

   MamaMadge posted a topic in Ob/Gyn

   Just collecting info. How much time did you have to orient to L & D? Does it vary if you are a new RN or experienced but new to L & D? Did you have classroom time and floor orientation? Thanks for any input!!

4. Longing and Wanting

   MamaMadge replied to vanesp's topic in Ob/Gyn

   When I sat on an interview panel for new candidates for our department, I really wanted to hear that someone was passionate about Labor and Delivery. It is a tough job, it can be like an ER sometimes, you can get yelled at, pinched and scratched. Y...

5. Plausible situation or not? Have you ever seen this

   MamaMadge replied to eden's topic in Ob/Gyn

   If she was having serial ultrasounds for multiple gestation, and the provider was aware of such a big discrepancy in size, they should have induced her before the discrepancy became that dramatic. Sounds a little fishy to me too!

6. Checking your patient's dilation.

   MamaMadge replied to NOLAgirl2's topic in Ob/Gyn

   If you can find the head (or presenting part) slide your fingers around until you find a circular ridge. If you can't get your finger inside at all, she is closed. If you can't find it, slide it behind the baby's head where you will find a posterio...

7. Checking your patient's dilation.

   MamaMadge replied to NOLAgirl2's topic in Ob/Gyn

   If you can find the head (or presenting part) slide your fingers around until you find a circular ridge. If you can't get your finger inside at all, she is closed. If you can't find it, slide it behind the baby's head where you will find a posterio...

8. Trick and tips

   MamaMadge replied to lovemyjoblandd's topic in Ob/Gyn

   I agree 100% with the side lying, head flat, top leg up for turning an OP/OT baby. As far as laboring down, FANTASTIC! The only thing I see occasionally is, if in high fowlers sometimes the cervix can become edematous. I like side-lying for labori...

9. What..work with NO residents??

   MamaMadge replied to jodyangel's topic in Ob/Gyn

   I work for a small hospital and we do not have docs or anesthesia in-house. Yes, it can be challenging, but all of our docs live close by and in an emergency, we can have a doc and CRNA there within a few minutes. Conversely, we have had nurses who...

10. How much do you make as an RN in Labor and Delivery where you work?

    MamaMadge replied to Janinern84's topic in Ob/Gyn

    I have 6 years experience and started at $40.00/hr night shift. I now make $52.00/hr base plus night shift diff. of $6.00/hr. I work in a small town one hour north of San Francisco. The cost of living is very high. Median home prices are around $...

11. pain med...

    MamaMadge replied to stephera's topic in Ob/Gyn

    Fentanyl IV push, 100 mcg. q 1 hour up to a max. of 6 doses in 24 hours. We push is very slowly, like over 3-5 min. Some RN push it over 3 contractions but I think that could take too long. I agree that it doesn't work all that well if they are re...

12. L&D ladies who work nights...

    MamaMadge replied to allthingsbright's topic in Ob/Gyn

    Alianeco, I completely agree with you! The atmosphere at night is wonderful! No managers, no doctors hanging around, no meal trays! Heaven! I had a really tough time adjusting to nights at first. I could not sleep during the day! I finally have ...

13. Healthy women schedule C-sections to prevent vaginal stretching

    MamaMadge replied to rph3664's topic in Ob/Gyn

    I have also experienced vaginal birth (twins born vaginally) and a c-section. I would take that vaginal birth over and over rather than try to recover from major abdominal surgery while caring for a newborn! OUCH! Having your belly cut is never mo...

14. Managing Pitocin Augmentation, again...

    MamaMadge replied to californianclextaker's topic in Ob/Gyn

    Hi everyone, I just got back from a 2 day Conference on EFM by Lisa Miller, CNM, JD. She had lot's of info. on Pitocin management. She said everyone who is administering Pitocin should thoroughly read the ACOG Practice Bulletin called "Dystocia an...

15. twin delivery...vaginal or c-section???

    MamaMadge replied to samsmom95's topic in Ob/Gyn

    I delivered my twins vaginally 18 years ago, Twin A Vertex and Twin B frank breech. It was successful and my beautiful girls are now beautiful young women.