somedayCNM

somedayCNM CNM

Labor and Delivery, Medical, Oncology

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About somedayCNM

somedayCNM is a CNM and specializes in Labor and Delivery, Medical, Oncology.


Latest Activity

  1. New Nurse IV Struggles

    As a L&D nurse I start IVs all day long. After my hospital downsized the IV therapy team we are the ones who get called for difficult starts on the med-surg floors. Here's some tips: -Pick the smallest cath you can get away with. You only need...
  2. Nursing is the Biggest Mistake of My Life

    My first job was at a nursing home and I hated it, but it paid the bills. It was two weeks before my wedding and I needed a job, so I printed out 10 resumes and went to the 10 nearest nursing homes. They practically hired me on the spot (not many B...
  3. So I thought I would ask if you guys can share...

    In 2010 I took a full-time job in my hospital's oncology/medical unit, but I always knew L&D is where I wanted to be. I kept my eyes open for a position and a supplemental one opened up in 2011, but taking it meant I would lose my benefits inclu...
  4. OB Electronic Charting Systems

    We use a combination of WatchChild by Hill-Rom and Meditech. A few months ago we made a switch to a more comprehensive form of the Hill-Rom software so we can now do most of our admits and charting in that system (previously we had the strip and pap...
  5. Oncology nurse turned L&D nurse!

    Congrats! Your story is nearly almost the same as mine. I really wanted to go straight in to L&D from school, but had to settle for a medical-oncology position. I've been in L&D full time for a couple months now. Prior to getting the j...
  6. Do you check DTR when pt has epidural?

    I always do, but only because I maintain an uptight and anxiety ridden attention to detail (not recommended). I expect 0 reflexes. However, the other day I had a patient who had had perfect BP's her whole pregnancy, but was in labor with an epidura...
  7. Nursing Student aspiring to be a CNM

    Also an aspiring CNM over here. I did an independent study in nursing school specifically on midwifery. This allowed me to shadow a midwife, mostly in the office, and get an idea of what she does and ask her lots of questions on how to get there. ...
  8. Newbie advice- Ob 1st job not going so well

    I know what you mean about being bounced around to different preceptors. I kept my scheduled position on a med-surg unit and reduced my hours to take a supplemental position in LD. 24hrs/wk on my home unit, 16hrs/wk orienting in LD. Initially my L...
  9. Straight cath or foley cath for labor patients??

    I would also love to find research on intermittent straight cath vs foley. Someone at my childbirth educator's workshop mentioned research that straight cathing causes fewer UTIs and the older nurses in our group were in total disbelief.
  10. Straight cath or foley cath for labor patients??

    It depends on how far along the mom is and how fast we expect her to dilate. If she's a prime, 3cm, and just got an epidural, she gets a foley. If she's a multip, approaching transition when she gets her epidural and we can guess that she only has ...
  11. Uncomfortable feeling during dilitation check?

    THANK YOU! This is a revelation. I'm still orienting in labor and delivery and have been trying to figure out how to explain to my patients that certain procedures are unpleasant, but have to be done. Thanks for the tip!
  12. I'm just starting out in L&D after two years in Med-surg and one of the books I read advises keeping your own birth book mostly to keep track of statistics and trends, but also as a memory keeper. This sounds very appealing to me, especially sin...
  13. Patient teaching speeches

    OP: I get where you're coming from. I'm in the middle of orientation to Labor and Delivery after two years in Med-Surg and half the battle here seems to be how do I ask (in a polite and PC way) all these weird questions and what teaching goes along ...
  14. Drugs To Give/Not Give Before Dialysis

    Thank you both! Very helpful. I'll ask what kind of filters they use the next time I talk to the dialysis RNs.
  15. Drugs To Give/Not Give Before Dialysis

    I work nights on a medical unit, and we have several hemodialysis patients at any given tits; I'm charged with getting this patient set up for breakfast and ready to go to HD between 0600 and 0700. My unit has an ongoing debate/confusion about which ...