valene

check online, they have acls cert online at certain companies, i'm suprised the travel company doesn't have a way to hook you up with nrp class:coollook:

SAH=subarachnoid hemorrhage SDH=subdural hemorrhage;)

The terminology goes like this (in this order of progression) confusion=> lethargy=> obtunded=> stupor=> coma

calling nursing instructors: they are starting a new hand held paperless medication scanner at a hospital that i teach in. any suggestions on how you have safely incorporated this into the medication administration of the curriculum. there is no paper med sheet and only a limited number of hand held scanners, all students in the clinical group are able to pass at the same time as each other and some of the staff. would appreciate if this hurdle has been accomplished by others and how you made it work.

you have an awesome background!! I worked a long time in ob before becoming an educator and i have a great interest in LNC. do you have any resources that may be helpful in developing a policy for this, or something that may drive that concept home?

Question for clinical faculty: do any of your nursing schools have a policy regarding student safety ie: safety on the clinical unit from patients who have already demonstrated violence towards nursing staff? it is one thing when the student graduates and is employed to care for a violent biting, kicking, spitting, patient but don't we have a duty to keep nursing students safe when the danger is KNOWN since they are paying us for an education? your thoughts and hightlights of any policies you have would be appreciated.

Deb, Good luck on your exam. It is indeed something to be proud of, to hold a specialty certification in your specialty area. Your credibility and confidence will be affected greatly. ?

I have been reading more articles about women who elect to have cesarean sections even when they are not medically or obstetrically necessary. I would love to hear from my OB peers as to their opinion on this. Does the patient have the right? Is it a safe practice? Are you working anywhere where the OB's are routinely offering C/S? Thanks for your input.

i just started, but i plan on getting one every 3 weeks, would get one every week if i could afford it. it is a matter of enhancing my health.

I support Bush-Cheney as do 73% of the members of our armed forces

inquiring as to whether you have a formal pharmacology course in your diploma program. if so, how is it formatted and how many lecture hours does it entail? where does it fall in the program? thank you :rotfl:

inquiring as to whether you have a formal pharmacology course in your diploma program. if so, how is it formatted and how many lecture hours does it entail? where does it fall in the program? thank you :rotfl:

what do you do in your hospital? how often do you document fetal heart rates during the second stage of labor? do you do them as frequently when the patient is 10 cm and is not pushing because she has no urge? We do them q5min second stage regardless of whether they are pushing. Would like to change policy to be q15 min during second stage until they are pushing. (many epidural patients do not have urge for 30-60 minutes after becoming fully dilated and it is not our practice to force them to push with no urge unless there is a reassuring pattern) thanks

amazing, i have been rn for 16 yrs, 14 in Ob and am certified in inpt ob. i also want to pursue education both at a school of nursing and perinatal ed in my department. I think you should pursue option #1, i am tempted to pursue that option as well if I knew what school offers perinatal online! please let me know. if you want to email me, [email protected]

are you talking about hypoglycemia with pitocin and d5lr? we have maxed out at 54 mu/min on a patient with only cramping for 6 hours, shut the pit off, and start over again the next day. 54 mu/min with mom smiling all day.

another aspect: when a woman has adequate uterine activity for an adequate amount of time and does not progress with cervical dilitation, be suspicious of cephalic pelvic disproportion, or higher risk of shoulder dystocia.

we run our pitocin on a sliding scale. we add 60 units to 1000 cc d5lr and run from 1 mu/min to 54 mu/min, until adequate uterine activity occurs. if hyperstimulation occurs we back it down or turn it off.

as a female ob nurse with 13 years of experience, i say go for it. i have seen many male student nurses rotate through our department which i would love to have work with us. many of the physicians are male. i think male nurses react great in emergency situations, they would be an asset in ob. when i researched midwifery, i found a male midwife online. seek him out, i think he has a web page. he would be great for you to talk to. incidentally, many male nurses work in the er where many "delicate" female situations occur.

Our OB department is now closed. I created a contingency staffing plan which I presented to administration. Now our nurses and nursing assistants do not get floated in times of low census. The nurses all agreed to sign up for a total of 12 hours every two week schedule for on call availability (no on call pay). Now if we get busy there is a nurse readily available to come in and help. ( the obligatory time to get to work is 40 min) When the census is low those nurses who have worked overtime are offered to be called off first, thus getting their time back. Has worked well so far. The med surg floors now do not depend on us and are forced to do their staffing without us. It was quite unfair to the med/surg nurse who had ob help instead of what he or she really needed which was another assigned med/surg nurse with her. (ob nurse called back as soon as pt comes in labor)