MamaCJRN

MamaCJRN has 16 years experience and specializes in OB-L&D, Post partum, Nursery.

Latest Activity

1. Pre-eclamplsia: BP on left side?

   MamaCJRN replied to obtech2nurse's topic in Ob/Gyn

   The recommendation for a true reading is for the patient to be in a semi-fowlers or sitting position. The most important thing is to never have the patient lay flat on her back, at the very least she needs a hip roll under her left or right hip. I'm...

2. Delivery Pitocin

   MamaCJRN replied to rntmo95's topic in Ob/Gyn

   We use the 30 units Oxytocin in 500 mls for induction, then run at 125 ml/hr after delivery. Where I used to work we ran it at 444 ml/hr after delivery, why that rate, I don't know :)

3. Well you're not an OR nurse

   MamaCJRN replied to Mrs. SnowStormRN's topic in General Nursing

   Last I heard, we were all on the same side, to do safe patient care. The nurse should have informed that tech she was out of line. I have a great deal of respect for the OR techs I work with, but they accord others respect also. She needs to remember...

4. nurses VS doctors

   MamaCJRN replied to iamann's topic in General Nursing

   Sorry this happened to you, I have had docs go over my head so much I have a permanent part in my hair :)

5. Certification Requirements for RN's

   MamaCJRN replied to wrst's topic in General Nursing

   AWHONN is Association of Women's Health, Obstetrics and Neonatal Nurses. When you say AWHONN Certification, are you referring to the Fetal Monitoring Course? If so, you can usually find a class for $150-$200. I teach this course but I'm in Oklahoma. ...

6. Med surg RN turns OB?

   MamaCJRN replied to Kauai RN's topic in Ob/Gyn

   Basic fetal monitoring class & NRP are a good start. The more advanced or specialty courses will require some experience in the field. Best wishes!

7. Central monitoring survey

   MamaCJRN replied to obnurse9398's topic in Ob/Gyn

   We have 4 LDRs, 2 docs deliver 450 babies a year. We are a Women's unit with L&D, PP (12 beds) and nursery. Our central monitor/EMR system is GE CPN, love it! I've worked with OB Tracevue and unless they've made changes it's not very user friend...

8. Labor and delivery safe staffing and assignments

   MamaCJRN replied to sunshine1216's topic in Ob/Gyn

   Does your facility use AWHONN Staffing Guidelines as a standard of care? I believe the standard is 3-4 stable mother/baby couplets and no more than 2 of these should be 1st day post op Cesareans. Standards and guidelines are for patient safety and if...

9. National Board of Nursing

   MamaCJRN replied to Retired RB's topic in General Nursing

   My guess it would make too much sense :) I agree, it would be much more efficient. I'm going to have to research that one to see if anyone has ever made a serious effort to create a national board.

10. New grad Suggestions on IV therapy class and ACLS

    MamaCJRN replied to mo2rn's topic in New Nurse

    If the area of nursing you are working in requires a certification (ACLS, PALS, NRP, etc) the hospital will normally send you to the class and pay for it. I never had to take an IV therapy course, just learned OTJ :) Hope this helps.

11. Too pushy to contact Nurse Managers directly?

    MamaCJRN replied to Jess84's topic in General Nursing

    I have had internal staff contact me regarding job openings. I am okay with email, although some managers are more traditional and would rather have you come see them in person to introduce yourself. Best wishes!

12. Funniest Patient Lie.....

    MamaCJRN replied to RNdiva505's topic in General Nursing

    A pregnant woman came in thought the ED in labor, dilated to 7cm. She told the doc she couldn't be more than 27 weeks because her husband had been gone on job related training for about 16 weeks prior to that. We were prepared for this sick preemie (...

13. Oh, I'm excited! I'm not leaving OB entirely, after all

    MamaCJRN replied to klone's topic in Ob/Gyn

    Thanks for proving once again that nurses are the most creative and adaptable people. Best wishes in your new job(s)!

14. Labor and Delivery ?

    MamaCJRN replied to sttinnaaa's topic in General Nursing

    The typical day (LOL does that exist for nurses :) ? ) depends on where you work. In a large facility L&D is caring for laboring patients, inductions, C/S all day, once delivered and recovered they will be transferred to the Post Partum floor. If...

15. In honor of 9/11.... what was it like as a nurse?

    MamaCJRN replied to A&OxNone's topic in General Nursing

    I was working in Bakersfield, CA at Mercy Southwest. I was ending my night shift and walked into the break room to see the 1st tower burning and then the 2nd plane hit, I couldn't believe what I was seeing. Some of the travel companies were asking fo...