mctina_20

i have been L&D nurse for 3 yrs (1 yr on maternity leave). Everytime i sent a pt home because they are still in early labor or cervix is closed i always check when did they came back or when they delivered and so far it has been good until now. this happened just recently. Pt G3 walked in at 2230 appearing to be in labor, put on EFM contraction every 4 mins apart, (which has been the same since 1400 that PM based on previous NST). Cervix was still close but midline. Told pt she can go home since she only lives few mins from the hosp. come back once pain becomes uncomfortable or once water breaks. dad asked how many mins of contraction it should be, since its been 4 mins apart for few hours already i told them, 3 min then they come back on top of the above reason. pt left at 2310 to be exact aand delivered at the hotel 3.5 hrs later at 0230. (she said because she wanted the jacuzzi there)pt came back with a baby delivered by dad. placenta has not delivered yet. Altho they did not made a complain the incident was in the paper. During the NST i kinda pick up that the dad wasnt too pleased of coming back n forth if its still early in labour which was why i told them "oh she is in labor already and she should know its the real thing since last delivery was only a year ago (that lasted 6 hrs of labor based on hx.). and when they came back with the baby and mom n stretcher with the paramedics. one of the nurses from another floor overheared that dad saying - " i am so sorry, i am so sorry" which gives her the idea that she probably told him to go back to the hosp but he waited. too long until delivered. now - i felt so terrible. the paper and her interview made me look like a stupid nurse. she did not mention that her cervix was still closed when she was sent home. it did give me huge lesson on this. not just to look at the cervix but other things as well be considered. my co-worker assures me not to sweat about it and parents should take responsibility too. but its different when it is you involved. hayyy... felt soo terrible now.

Sad but true.

LIBIE - you better start preparing for the IELTS because without it they are NOT going to assess your credentials... it is as simple as that. what makes you think they will tell you FIRST wether you will be required to undergo a bridging program or not?.. that is part of the assessment/evaluation already.

why?.. do you feel hurt of something you are not guilty of?... because i dont. we are quite happy and contented of where we are and the people we are working with - and so are hundreds of other Filipino nurses here in Canada. in my opinion this is the main reason why people stay or go. anyway - best regard to ur wife.

well - just because you have seen 1 or 2 or 3 or ten Filipino nurses who's aiming to transfer to US thru Canada does not mean you have seen and talk to everyone. my husband and i are working as nurses here in BC for almost 2 yrs already and we have no plan in going to the US. and same is true with the rest of the Filipino nurses who works in this hospital. Now - for Filipino nurses who used to work in UK - they moved here in Canada or in US because the cost of living is way cheaper / better compared to that in the UK. and i absolutely disagree that US is a goldmine for Filipino nurses. Any country is a goldmine for every hard working people.

did anyone have the result yet?

In the hospital i work at - the OBs have a preordered IV already. 20units oxytocin at 1000ml NS@125ml/hr x 6 hours after surgery. then plain RL after that. Then if there is any variance - then changes are made like cont NS with oxy.

please dont take offense what am about to say. If you indeed have a "good memory" as youve said - then you would have recognize the difference in the Prep guide questions compared to that of the actual exam. There are LOTS of us who took the same exam and used the same prep guide - but i / we never encountered the same question in the actual exam. And think about it - why would the CNA write exactly the same questions and put the same in the CRNE? And i definitely agree that the exam will not define on how you work/perform as a nurse. My best advice is to move on from that failed exam and change your strategy or enroll yourself in a group study. Stop dwelling on that one failure. Prepare for your next exam very early on and we are hoping/wishing for ur success. Much luck to you.

Prep guide will only help you see what kind of questions there will be in the exam.. but definitely NOT the same question. In fact the exam itself is far more difficult than the prep guide. Just based on my experience.

they did blood culture right after and it turned out negative.. thanks heaven! and yes - Demerol is very much in constant use for pain management. I see this more often than fentanyl actually. they did ABG on the cord blood which turned out 7.12 - but i think the cord blood was drawn 25mins after delivery. Capillary ABG came out normal. I love working in OB now, but i miss the peace of mind of working in the Operating Room.

im very new in L&D and i would really appreciate your hindsights on these scenario. A G2P1(now P2) came in LnD for sched induction. While on EFM, pt was saying that she was not comfortable being induced and felt like it is being done for convenience and would rather wait for nature to take its course. But the only Obstetrician is going away for 4 days and so are the other doctors who do the C-section. That left no choice for the OB but to have her induced that day or the next day or take the risk of having a Fam Physician deliver the baby and drive/fly her on the next city which is an hour away (or 1.5-2 hrs depending on the road condition) if something bad occur. Her hesitancy with the induction and the OB reason for inducing her lies with her previous L&D which was 2 yrs ago. She said she labor for almost 2 days, induced with gel 3x and with Oxytocin as well but the progress was poor. In the end the baby was delivered with shoulder dystocia. Now- after discussing her concern, the risk and everything she agreed to have the induction. Prior to this she was emotional about it but eventually able to accept why it is needed and she was cheerful and back to her normal self again. 1330= Prostaglndin 0.5 inserted 1700 = cervix 4-5cm, AROM done. 1930= change of shift 1945= 8cm; demerol + gravol given (in between mom walking the hallway, up to warm shower, FHR very reassuring the whole time, lots of accel & and with fetal movements, no decel) 2012= baby delivered. baby pink, good heart rate but no respi effort for 20 mins. baby was put in isolette and was on antibiotics for 3-4 days. APGAR 4-5-6/7 Later on GBS was found positive. Which i believe should have been handled on my shift. I told my senior nurse that GBS was done, pt does not know of the result and not written on the antepartum either. I felt responsible on this coz i should have been more aggressive on getting the GBS result thru my senior RN since i dont have the access with lab works/UTZ yet. but since she was not bothered by knowing the result, i did not bother with it too but i know that I really MUST HAVE! Baby was perfectly normal, no symptoms of anything is wrong. but we will never really know until few years later right? 1. Could it be the Demerol? which was given less than 30 mins before the babys delivery? 2. or the GBS? which i personally feel responsible for. I just feel so bad, i should always listen with my instinc. I havent been anywhere but OR for my entire nursing carrer until now. The doctors dont know the explaination for this either.

try other provinces and keep on searching on how to apply for registration. You can have your credentials assessed anytime you want to. You dont have to wait for 5 mos as what they have been telling you.

BAGWIS - something is fishy with your contract. Nurses from the Philippines can work as nurses here in Canada which include Alberta without taking the CRNE first under the Interim Permit. We came here all the way from the Philippines directly hired by NORTHERN HEALTH of BC and they shouldered all of our moving expenses including hotel and 1 month rent for the apartment. And we work as Nurses not anything else and the rate is based on BCNU agreement. If that is how they will treat you in ALBERTA then forget it - there are lots of opportunities awaiting here in British Columbia. Just google health authorities of BC and start posting your resume on every position you are interested in.

FELISA - where in Canada in particular?

to best answer you query il put it this way... i am not interested of working in the US anymore. We came here thru employer sponsorship.