LandDRN

LandDRN

CCU stepdown, PACU, labor and delivery

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  1. Not sure what new grads make here but I'm at 23.80/hr on nights in Florida. This is with 6yrs RN experience including 1yr critical care + our required certifications. Median home price for avg 1600sq...
  2. What gestational age comes to your unit?

    We accept 20weeks and greater from our ER. They do not treat anyone over 20weeks even for non pregnancy related things ( colds, coughs, asthma attacks, ect.)All others go to ER. Part of the rational...
  3. leaving with iv lock in

    You legally can't physically force a pt to do anything. I'd write an incident report describing pt refusal/ sudden sneak out/ AMA /whatever, report it to your charge nurse and supervisor and document,...
  4. Pt refused to leave!

    Wow! Congrats on such an accomplishment. I can't imagine going through nursing school and raising 2 kids on my own. My MIL (whose is an RN and is single) is disabled and unable to work due to a pt...
  5. Pt refused to leave!

    I think you're still missing my point. The person who posted that is just that... a person. We all ( some of us are just more forth coming in admitting it) say things when we are frustrated,...
  6. Pt refused to leave!

    I don't resent medicaid, my point is just that we nurses are also human and I can completely understand the frustrations alot of people do have with "the system." We have nurses who come back in from...
  7. TAB's?

    It IS a grey area. I had, what I prefer to call a pregnancy termination, at 22 weeks gestation. This was a baby we had tried to conceive, planned for and even bought and did the nursey after I passed...
  8. Pt refused to leave!

    While I agree to an extent on being judgemental ( and what I'm about to say comes from the "human me" not the "nurse me" ) , medicaid comes from the 1/4 chunk that's missing out of my paycheck every...
  9. Pt refused to leave!

    LOL, what is sad is this pt and mom are probably thinking "see she was in labor." Seems every time I encounter this scenario I end up having to explain that we had to "put" her in
  10. Getting hit!

    Been there. However the pt did not have dementia. he was an 80yr old ex-serviceman, who said he wasn't going to take "crap from a bunch of women." His nurse was in trying to get a blood pressure cuff...
  11. I have carpal tunnel :(

    Had the release procedure on my left hand ( the severe side, the other is managed with anti-inflammatories). What
  12. Just a story. They put one of our BSN nurses (we're a pretty even mix here) as charge the other night ( as we were told because of her BSN , mind you she had never even been to/ worked a code.) In a...
  13. "personal delivery experience" when being a L&D nurse

    I think it is helpful as a nurse. I find it can be very calming in a circumstance when you have a hysterical laboring mom you are trying to give emotional support to when she screams "you have no idea...
  14. Don't Rough My Newborn Up!!!!!!!

    Great
  15. Don't Rough My Newborn Up!!!!!!!

    Forgot my other fav thing. Someone had mentioned acro earlier. Get accused alot of not bundling baby in enough covers " she's so cold her hands are blue!" I usually have mom/dad touch the baby, see...
  16. Don't Rough My Newborn Up!!!!!!!

    This kinda makes me chuckle. We get this alot, especially on the slow starters who need some vigourous stimulation to get their breathing on track. I myself just had our second baby in September and...
  17. Mother/ Baby Unit or L&D

    Also forgot to mention in previous post, in addition to Labor and fetal monitoring, if you choose to do L&D you also have to learn to circulate and (in our facility) scruband assist operative...
  18. L&D or Mother&Baby???

    BTW, *SMP* Future RN, I don't think that was a "stupid" question at all. One thing nursing has taught me is that we never know it all. There are, and I happen to personally know a few, new nurses and...
  19. L&D or Mother&Baby???

    We as L&D nurses at our facility are required to be able to float to M/B but M/B does not float to us unless it is to temporarily work up a baby if the baby nurse has to many deliveries to close...
  20. Staffing & Pt Assignments

    wow, no wonder our facility is running us ragged. We have "numbers" but they are only a guideline. most typically we have 2-3 patients. These include pitocin induction, mag gtts, insulin gtts with...
  21. phone protocols

    I've gotten the weirdest phone triage calls. Quite literally... " I just peed in the toilet and there was bubbles. Did my water break?":lol2: "I think I may be in labor but I don't know how to...
  22. What do patients say that irks you?

    Anyopne's SO/FOB ask for a "love stitch?" I was in the middle of a delivery with shoulder dystocia and the FOB kept bugging the MD not to forget his "love stitch"! ICK I also had a FOB ask if I had...