leannek90

Our docs will wait 30 minutes. Some of them are impatient, and pull and tug on the cord, but for the most part, it either comes on it's own, or at the 30 minute mark, they will start to think about taking the patient to the OR for curettage or manual extraction.

I agree with you. The private information that is included in a patient chart should only be seen by the people who are responsible for their care. I am dealing with this issue with one of our unit secretaries. I work on a labor and delivery floor, and often I see her looking through the chart that she just pulled for the next patient that is coming in, and on her way to the nurses desk, she is reading all kinds of private information that is in the chart. How many pregnancies, her age, drug use, abuse. Then she wants to chat about it! Like, " oh my gosh, this girl has been pregnant 6 times, had 4 abortions, and she's only 23!" Guess what? As a secretary, it's none of your business!! I have spoken to her a couple of times by saying, "you know, it's really not appropriate for you to be reading the patient's charts. It's confidential information." Once she replied, "oh but I was just seeing if you needed an update from the clinic on this patient." Well, again, I, as the NURSE will ask you to call the office for an update if it is necessary. Ok, I'll get off my high horse now. I just know that I wouldn't want just anyone to get ahold of my medical records and feel at will to read them!

Hang in there, I know that the waiting game can be really tough. One trick that you can try, is to go to your BON's website and search to see if you have been issued a license yet. Supposedly, once the computer shuts off, the BON already knows if you are going to get a license or not. This way will save you a few bucks, rather than paying to find out your results earlier. I hope this works for you! Good luck!! Leanne

One of the Midwives where I work had a mug that said "Midwives help people out". I thought that was really cute. I realize that you are not a group of midwives looking for a slogan, but I wanted to share it!

We do the same for our pitocin inductions. I try to keep it as low dose as possible, making sure I bolus her first with LR to get rid of any contractions due to dehydration. I also let more than 15 minutes go by before I increase it quite often. I attended the AWHONN conference in Maryland last summer and they said that low dose is the way to go, and you need to let that first dose sit in her system for about an hour before you even think of increasing it. And on top of that, you should wait 30 minutes between increases, not 15. We also had a doctor that wanted us to start at 6mu and increase by 6 and we all looked at her like she was crazy. It made it a little difficult because she was also our chief! Needless to say, when none of the nurses would increase the pitocin like that, she went back to starting at 1-2mu and increasing by 1-2 q 15-20 minutes.

i work on a busy l+d floor and occasionally we do get mom's who have a fetal demise. i've only been a l+d nurse for 1.5 years, and don't have a ton of experience working with these patients and their families. i was talking to my manager about becoming a certified greif counselor and she thought it was a great idea, since we only have one other nurse with this certification. i really want to become more educated on how to appropriately interact with this population, however, i am having a hard time finding places i can take the classes. the only place i have found online is canyon college, and it seems like an absolute crock. anyone have any ideas for me? thanks!!