NJNursing ASN, RN

The whole tri-state area is a hot mess for new grads despite their degrees. I have heard a lot of people who settled for nursing home jobs and doctors offices. I know with Virtua, the squeaky wheel gets the grease and their HR peeps are notoriousl...

That is a pretty complicated case. I have seen the stringy discharge with some pts with std's. She may have a small bit of retained placenta but she would normally just have a steady, continual bleed, not the heavy/light cycle. If the cervix is ...

I had a pt like this recently. Iupc put in, pit turned off O2 applied, pt turned in L lateral position with a knee up to try to help the baby descend. Mom was very slow to go from 2-4 cm dil. This went on for hours, at least 5-6. Iv fluid bolus. ...

Lab gas never been able to access any central line for draws thus needing a Dr order to be able to get labs out. At the beginning of the year we stopped this practice at all from evidence based practice on infections. All labs must be drawn periphe...

We currently use Hugs tags on the ankle right now. Where I used to work had the clamps on the cord. They stayed on until right at discharge. No problems.

We keep babies in L&D for 1-2 hours before going to the newborn nursery. They are bathed within an hour of getting there and gets the full head to toe assessment.

I work in a community hoapital. We only 6 labor rooms, 2 antenatal / mag recovery rooms, but in a squeeze, we can deliver in them. 2 or's/pacu beds, 5 triage beds. We can have 1 patient all night, we can have 13. There is usually at least one...

When I graduated in '06 we had to have our fingerprints done prior to the ATT. Good luck!

We are ortho-neuro and it can be 1:4-6 on days, 1:5-7 on nights. Aides depends on staffing and 1:1s throughout the house. We always have 1-3 aides for a 35 bed unit. We nearly always have a secretary and have mobile phones. However the acuity is...

I agree, avoid all isolation patients. We just do it as a courtesy to the preggos on our floor anyway.

Sx = surgery

It all depends. If they are a multip, I may have them push at 10 cm. It also depends on the station. I like to wait until they are +2 to push. If they have no epidural or not a well functioning one, I will push at 10/100/+1. If they are a prim...

We are an all female unit with the female to male doctor ratio being 3:1. There are cultures that insist on being female only and I know when I was in nursing school there were 2 male students and during ob rotation, patients would refuse them. I ...

I agree, there can be genes on either side that can show up at delivery. I had 2 brunettes have a baby with shocking red hair, but apparently there was a great aunt with red hair and she was the only one in the family who had it. Both lineages we...

We don't routinely do Leopold's other than to try to figure out if the baby is vertex and where we think FHT's will be. We have several rolling ultrasounds for the doctors to get a quick eye on the baby when they first get to the unit.

We have continuous monitoring with several centralized monitors at the nurses stations, break room, Dr on-call rooms, etc so if a baby looks to have an issue, there are many eyes on it. However if someone is in early labor with no issues then we wil...

No, there's no state law other than California. Other than that it is based on the policies/union contract of each institution. I know at my first job, it was non-union and we sometimes had anywhere from 6-10 patients each. It was not consistant a...

No, staffing practices put the almighty dollar as #1, not patient safety. Our hospital is having this problem right now. Lets see how many pts we can pile on the nurses without killing people, causing a mass exodus of nurses and before the nurses b...

I work on an ortho/neuro floor and we have a dedicated stroke unit, but we also get the MS patients, seizures, syncope, change of mental status, etc. Not as intense as above, but we're not like a huge metro hospital either. It's neuro checks q 2-4 d...

I didn't really choose it, I kind of got plunked into it, but I've stuck with it for over 2 years. It's busy with high turnover. People seldom stay more than 3-4 days for elective hips and knees. Hips are generally over 73 and knees are generally ...

Baylor programs are people who work only weekends. I know at Robert Wood Johnson Hamilton, they worked at least Saturday/Sunday if not Friday/Saturday/Sunday or Saturday/Sunday/Monday. They got paid about time and a half for doing these hours, but ...

Look up your local community college. Get your ADN and then go on for your BSN if you want to. I don't know anywhere that you can get your RN strictly online.

I would go for the ADN, personally. I got Pell grants that paid for the whole thing. I did have to pay for books out of pocket, but when my tuition was paid, whatever was left of my Pell grant got refunded back to me and it was often enough if not...

Stop beating yourself up over it. It was your FIRST night off orientation. You're still getting the time mgmt thing handled. I, personally, think what you did was appropriate. I probably would of had someone retake that blood pressure - manually ...

I agree, I would of notified the doctor. Apresoline or Vasotec would of been good alternatives that don't decrease the HR. Perhaps a one time dose of IV for the instant lowering and then po for slower release.