NurseFromTexas

My post was intended to be interpreted as: why does a parent request nursing if the nurse is unable to see (b/c the lights are out and not allowed to be on requiring a flashlight to be used or the nurse being requested to stay outside of the room the client is sleeping in b/c it disturbs their sleep). I feel the nurse should have the ability to perform her job duties which includes the ability to see her client for monitoring and knowing they have the ability to breath with unobstructed airways and mechanically, sound equipment in place.

Completely feel as though your employer should find this an unsafe condition for you to provide the skilled interventions allowing them to acquire hours for PDN for this client. If the care isn't truly needed (what's the need if your watching the client sleep) then why is it provided? Personally I would request my supervisor speak with the caregiver's about allowing other sleeping arrangements for the child or they should remove themselves from the room and sleep elsewhere. How are you able to observe and monitor your client's safety if your sitting in a dark room?

Well I took my test today and had 90 questions..... how do ya'll feel about the last question being awnsered right.... surely if it were wrong it wouldn't have shut off it would have continued giving me questions. I'm sure it was right.... it was a math question and I had a friend work it out also. Just kinda put out that I didnt end at 75. Had I of ended at 75 I would have the confidence of passing.... Never known anyone to fail at 75.

I take the NCLEX thursday....and feel I can't get anymore info. into my brain....so I'm taking it one step at a time. I take time to read and practice questions daily and as far as information I've learned enough I just have to apply it to the questions.... You'll do fine..... good luck!!!

During our C-sections we always have the OB, physician to assist him, CRNA, Circulator, Scrub tech, RN for baby and nurse from SCN. We never have a pedi on-call for deliveries unless for some reason the baby is known to be high risk. I have always thought prior to working in the area a pediatrician would attend all deliveries and C-sections but that isn't the case and they rarely even come to see the baby till the next day if we have no problems with them. I think to be reimbursed they have to see the patient within a certain amount of time after delivery.

I've heard of using a pencil and attatching a sewing needle to the eraser and having thread tied through the eye. Holding it above the palm of your hand and the direction of the sway would determine the sex of the baby. It has worked on me three times and it also is suppose to not only tell the sex of a baby if your pregnant but it tells your total kids starting with number 1 and doesnt finish till it tells you all your children even unborn. This has worked in our family except with one sister-in-law.

I work postpartum and nursery and approximately 90% of the babies we take care of are circumcized. The only true trend I have noticed is the majority that I see not having the procedure done are hispanic. My husband is hispanic and I have not noticed within his own family that there is a true opposition to it....(but maybe I just have no idea who is or isn't circumcized). Our pedicatrician's do perform the procedure although we have only one I wish wouldn't do it cause it looks horrible after he completes it. As far as the others yes it looks raw and reddened but I think it is all the parents choice on whether or not to circ. The majority of our pedis use a plasti-bel and these are the ones that look the best in my eyes. As far as breastfeeding I will agree it does tend to make these babies the day it is done and they don't feed as well and are just difficult to wake or keep awake but because the stay is normally so short I couldn't verify this makes a difference for weeks. I usually feel they still recieve adequate nutrition just by looking at sugars or weight that can be determined.

Anytime we have had someone arrive on the other floor and refuse the assignment there is always a supervisor telling them they could be charged with patient abandonment.... so my curiosity is when are you actually abandoning the patient. If you refuse the assignment you never actually recieved report or maybe it is in the middle of report that you feel this patient is someone you can't care for due to your decreased knowledge of their situation. I would not refuse to go to a floor as a aide cause I do agree we should all know how to do vitals and baths on every patient but as far as treatments and meds if you don't use them often you loose your knowledge of them and can cause someone alot of harm.

I personally feel floating those out of their familiar spectrum is dangerous to the patient. If you feel comfortable going to other areas outside of your unit that's great but it shouldn't be expected. We float on our floor which contains OB, GYN, L&D, WBN and SCN. These are areas in which I have knowledge to work and care for patients. Other than these areas I would refuse to go and hope I still have a job in the future. The problems I have had with floating is you get to other floors and I feel as though they dump the patients they know they do not want.