Latest Comments by pebbles1977

pebbles1977 1,953 Views

Joined: Jun 23, '04; Posts: 85 (0% Liked)

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    I'm sending in my materials tomorrow (online app and MAT already in!). I had a bit of a wait with my last reference letter. So I was just wondering if anyone else out there was applying to ECU MSN programs. I'm hoping to get into the midwifery program. Let me know how it's going!

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    Thank you. Yes, I was looking for which resources are helpful in making these decisions. I know it would be nice if I could just ask you guys to tell me what to do! But I'm a little smarter than that. Sorry if it came off that way.
    The reason I decided to go for my master's is I really miss learning in a "school" environment. You know, you learn a lot on the job, but there's something a little more in depth when you're in class. And I also want to broaden my knowledge and the way I look at things in my career. As a staff nurse, you're pretty "task oriented" most of the time, and I like the thought of the whole picture.
    Now that being said, it would be hard to beat my hours (2 12s) and the compensation is pretty good for those hours I do work. I'm a bit spoiled. I suppose that is my hesitation with the midwifery program. It would be hard to go from 24 to 60 hour weeks. I think about that, then realize school and clinicals will take up a lot more of my time!
    So *sigh* I will figure it out. Thanks for being so helpful! I will definitely take your advice!

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    I need some direction. I graduated with my BSN in 2000 and have been very happy as a staff nurse since then (currently in L&D). I have always worked in Women's Health and would like to maintain my focus in that area. I am giving some consideration to the midwifery program, but hesitate because of the hours (once working).
    I know that there are CNS and Women's Health NP programs out there. I'd probably need to do the online route, and the WHNP is not offered by my in-state online university. I don't know a whole lot about what a CNS with WH concentration would actually do.
    I guess I need to know where I'd find some of these answers. The information on the schools' webpages I've visited are very, um, clinical. I'm looking for real life answers!
    This is a big decision of course, and I don't want to waste my time and money on something I'm not 100% sure I'll love once I've graduated and am working!
    So anything you guys can give me would be greatly appreciated!

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    Did she have prenatal care? Why did the OB stop her labor, and how? These are questions that are important to know. There are many. We can't offer legal or medical advice here, only support. But it would help to know more of your story.

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    On the floor where I used to work we did TAs (therapeutic abortions). At one time we did them up to 24 weeks, but by the time I left anything over 20 weeks was subject to a board review.
    That being said, our protocol was as follows:
    240 units of pitocin in 1000 cc fluid. Start at 50 cc/hr, then up by 25 cc/hr every 8 hrs. If you had to go over 100 cc/hr you called the doc. Granted, at that time they injected urea or saline into the amniotic fluid beforehand to ensure fetocide, but the last time I checked they were no longer doing that. The standing orders read something like, call for hyperstim (we were never trained on how to recognize this, but I guess it was not an issue bc in my 4 years there we never saw it) or fluid intox (same deal there). Now that I'm on L&D I realize how much risk Pit carries, and it amazes me we never killed a pt doing those TAs. But we had a very prominent AB doc (nationally renowned) with all his research to back us up.
    But now that I know what I know, I don't really even follow the OB docs orders to increase pit 2 q 15. Which is against our protocol.

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    You can have her look up Dr. Anthony Johnson in NC. He is one of the foremost practitioners in this field.
    That said, I do agree with another poster that ultrasound weights can be off. She needs to seriously consider all her options and her and the father's thoughts on this issue and the ramifications before making any decision.
    Dr. Johnson gets a lot of referrals and does a lot of good work with TTTS, cord coags, etc. From what I've seen he does put a lot of the decision on the parents after presenting the facts, but like any MD, he's also making money off procedures.
    The internet is a good resource, but not a end all and be all in facts.

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    I went from a gyn/gyn onc floor to L&D. It was a great transistion. I knew some of the nurses from transfers to the floor and from being a charge nurse. The others I met along the way. I always knew I wanted L&D, but ended up loving gyn for longer than I expected. It worked out really well bc I got a lot of women's health/med surg skills that have actually come in handy on L&D.
    I think your experience will only benefit you, and any L&D unit would be crazy not to hire you at this point.
    Not to mention you have some confidence, probably more than most, coming from ICU. You will rock their world! Go for it!

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    A couple of years ago we had a grand new Women's Hospital built onto our hospital. They took away PP beds and added them to L&D. At the time I was working on GYN and there was a lot more PP overflow to that unit.
    Well fast forward to my experience on L&D. The MDs keep adding pts, but we don't have the room. It is a daily occurance that we are keeping pts PP until the 4 hr checks for lack of rooms, which would be ok but we've had pts deliver in triage when the triage RN was tied up with another pt (like severe preeclampsia, etc).
    We've had several seasoned RN's quit saying they will not be in charge of situations where pts are unsafe. i don't blame them. And now, I've had less than 1 yr of experience here and they're asking me to do charge and precept. I have no real problem w/charge (I did it for 4 yrs on GYN) except that I know the promises of excellent orientation for it will not come to fruition.
    So do you guys see similar things on your units? I know L&D is a primo place that usually has few vacancies, but we've been short staffed since I started there (and we're on our 3rd manager!).
    BTW, DH and I are moving soon to another part of the state, so I'm hoping to hear better things.

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    Well Texas, I have to respectfully disagree. I fully realize that SN's have some degree of responsibility, but they are unlicensed; therefore their instructors have their licenses on the line. So in my opinion and knowledge, if it went to court, it would fall on the instructor's shoulders if it even got that far. The SN told the instructor what she observed. Any nurse with a license has a responsibility to report such things. And also in my experience with students, they are not hands on in the ORs, just observing. So although the student does have a moral (and potentially professional) responsiblity to report it, as she did, the ultimate liability is with the licensed persons involved in the case, as well as the instructor who knew about it.

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    Currently DH and I are in the Raleigh/Durham area, and we've decided (due to his job situation) that a move back to my hometown is in order. This is Shelby (which is between Charlotte and Asheville).
    So I'm thinking of applying to Gaston Memorial. Regardless of the facility, I definitely want to stay in L&D. Do any of you have any experience w/the L&D units in the Charlotte to Shelby area? Or just the hospitals in general? I haven't lived there in about 10 years, and wasn't in nursing when I left, so I feel a little "out of the loop" as far as the hospitals go.
    And I can't believe we're going to be moving back there! Exciting and scary at the same time!

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    They are hurting bad enough! So if I can just make a call to the Dr's office for a referral, I'll definitely do that. If not, I'll maybe just go in and see her for what I was going to anyway and then have her make my referral.
    On the bright side, I was out at the pool today and did a lot of the stretching you guys recommended (in the water, on the steps), and the pain is gone for now! Yay! (although I know it will be back tomorrow, as I have to work a 12)

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    Thnaks guys! That does sound like what I have. That pain esp first thing in the am is so bad. And although it feels good to sit down for a few minutes at work, it hurts to stand up again.
    I'm planning on seeing my MD in a couple of months anyways, so I'll have her make a referral for me. In the meantime, thanks for the tips; I'll definitely try them out!

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    Here's my story: DH and I are at a crossroad. I have a profession where I could get a job in about any city. I do love L&D and the hospital I'm at. However, I'm young and can move. DH is having a hard time finding a job in the area we're in now, so we're considering a move to another big city in our state.
    My problem is I know nothing about the hospitals in this other city. I also don't know anyone who works in my profession there. So are there any websites where L&D (or other) nurses discuss openly the pros and cons of working there? If not, do you have any other ideas for me to find out what may be a good match?
    Thanks!

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    I think I may have this. I know as nurses, we aren't licensed to give diagnoses. But I was just wondering if anybody out there had experience with this, and if so, what as a nurse who works on her feet all day, what I may do about it?
    I've heard it's really hard to cure.
    Basically for about a year have had progressively worsening heel pain. I'm ok off my feet, but getting up from sitting on lying can be really tough. Now I find the pain radiating up my calves.
    So that's my story. Any advice or stories??

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    Quote from ShayRN
    One of my nurses asked me to talk to a doc about her patient. B/P was 98/58 and pt was on Lopressor 25mg, Amiodarone 200mg and Benicar 20mg. She asked me if I would ask doc if she should hold the pills for a bp that low. OMG, you would have thought I asked if we should give water to a thirsty man. SHE WENT OFF ON ME. She said, You nurses, where is the critical thinking skills here? Everyone just wants their paycheck, nobody wants to do any work. Ok, Huh? Where did that come from? We have 3 isolation patients on my floor and one patient that is over 495 pounds, yet we are being lazy? I told the doc, listen, these nurses have been working their butts off around here, so don't even say that to me. I don't care what you want to do, just give me an answer....Where do these people get off acting this way?:angryfire
    Does sound like the MD might have been having a bad day. Well who knows? But I know that I ask questions and always double check call orders that are close (and this one, depending on your unit, could have been close). We don't help each other by demeaning. And to say "you nurses..." that right there is derogatory. Maybe you could have said, well Dr, it's not just "us nurses" but this pt that needs direction from you, since you are the all knowing one here!
    J/k, but wouldn't you like to say that? Then again, isn't it funny that we don't feel ok to say these things bc we're trying to be professional, and others can just say whatever without consequence??
    Btw I'd also like to know if there were call orders and if the bps were just outside the range or what. Just out of curiosity.


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