All Content by BirthingBabies
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I need major assistance
I went to a 2 year program and there are no difference at the hospital I work at except like 60 extra cents an hour or so... and I have no desire to ever go into management... so it was the best option for me! Plus I graduated college when I was only 19 with my RN degree :)
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Questions about L&D staffing and scheduling
I totally agree with the above post, we work minimal staff at night almost always, now we only deliver about 1200 a year but if we ever have an extra person, the first time it calms down, they are sent home right away on low census call... dayshift the same way...
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Is this considered safe practice?
Where I work, one RN goes back to circulate, which we always have the foley and the shave already done in the room. When we go back there is always a CRNA and anesthesia doc at the pt's head giving meds, documenting times, etc. We (the circulator) listens for fht and then preps the abdomen, straps the legs down, connects suction, etc. The two LPN's we have on the floor go back to scrub and we ALWAYS have an RN and a Respitory Therapists go back for the baby in a C-Section.
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PKU testing
We do our Pku's at no less than 24 hours... we never have pt's go home prior to 24 hours... they have to stay according to policy at our hospital.
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Typical rate/dosage pitocin after C-Section
after cord clamp, the crna normall adds 20mu of pit to whatever is left in the LR (if it's 500cc or more) and they usually come back to the room with that bag still hanging... in recovery and for 12 hours post op they get D5LR with 20 pit at 125hr.
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Call Off's
i work at a level II hospital where we have pp, nursery, level II nursery, l & d and antes are mixed in on the floor. we did 70 deliveries this month and we had to take low census this month like crazy... usually we do 80-90 and it isn't as bad...
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Any chance of an ADN going straight into L&D upon graduation?
I did I did!! You can do it! :)
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How many times did you take the NCLEX before you passed?
once with the maximum number of questions (265 or so)
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Mag Sulfate policy
we keep all of our magnesium mommas here on the floor, before or after delivery. it's actually not uncommon at all for us to have a momma on magnesium after delivery. our policy states that all momma's have a foley and a maintence line besides the mag. we do q 1 hour vital signs and q 2 hour dtr, breath sounds, intake and output, and orientation. we do mag levels q 6 hours.
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Pitocin question
Yeah sixty... 40 really isn't a huge surprise here, we have one doc that will go to 50mu... but I had never heard of 60... of course I've only been doing this for 6 months... :)
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Pitocin question
Hey everyone, I am a fairly new nurse to the Labor and Delivery and I was just curious to the maximum amount of pitocin you all have seem used.... we had a 34.6 weeker with HELPP Syndrome we were inducing (who ended up being a C-Section) but we got orders to increase until 60mu due to inadequate labor... we only got to 56mu before we quit... but just curious to see what everyone had saw...
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I had my first delivery
Wow!! Amazing!! I am a new labor and delivery nurse and I have had 2 extremely close calls already but never delivered one yet... I look forward to the day I get too!!! :) Congrats!
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After circumcision--what analgesic is...
Our docs use a local and we give them SweetEase... they are usually pretty content afterwards.
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New Young nurse in OB??
I just graduated from school in May of this year. I was only 19 when I graduated and then I turned 20 in the process of my orientation to the unit. I worked Med-Surge for 2 years while I was in school as a bedside nurse and hated it with a passion. I started out as an RN in the Labor and Delivery at a hospital across town and I absolutly love it. I would never not recommend going into it straight out of school. It takes a special person to work L&D and if that is where your passion is, go for it!
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Male Rn New Grad Seeks OB
the manager on our unit is male and he is great! go for it!!!
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What Are Your Vital Sign Requirements For A Normal Newborn?
We do q15 after birth... then after an hour or so we will check again and then q shift....
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Cerclage at 19wks
We had a pt brought to our floor the other day... 14weeks who had just had a cerclage...
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msha or wellmont?
I worked for Wellmont for almost 2 years doing PCT work and various extern and internships where I did the work of an RN and just had a co-signer. I left Wellmont in June and it was the best thing I have ever did. I went to MSHA and I love it and am so much happier there. At Wellmont, none of the managers/staff get along there is so much drama that goes on between the different departments. I haven't saw that at MSHA. So I recommend MSHA!!!
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Newborn Nursery!
I am now orienting in the Newborn Nursery and I have to say, getting used to the whole bathing thing was a trip and a half, however, I feel very comfortable with it now. I bathe the baby under the warmer face first, then chest and arms, then back and legs, and then bottom. Then I swaddle them up good and use the football hold under the sink to wash their hair. It works for me wonderful! They all love the hair washing thing under the water... must feel like the womb! :)
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Vendoyne policy question
We don't use those on healthy mothers after delivery. We tend to ambulate early and keep them moving so there really is no need.
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Oldest and youngest mothers?
I was an Extern still in school but the youngest was a girl who had just turned 15 and the oldest was like 46 or so, she had like 28 year old kids... change of life baby. While I was in nursing school though, they delivered a barely 12 year old but they would allow no contact with her.
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What is your unit's Uniform Policy
We can wear anything except solid black and solid red (top and bottom) and we wear them into the facililty.
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Can't enroll because of tattoo (help)
My school only made you cover up tattoos... with an ace bandage or bandaid... just as long as no tattoos were showing they were fine with it.
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New Grad with an LD Job--any advice?
hey everyone! i am new to the site and just wanted to say hello. i am the fresh age of 19 (almost 20) and will be starting my ld job on june 5th. any advice from anyone?? :) bran
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Can you be an OB RN with an Assoc. Degree?
i just graduated an adn program and i am starting my labor and delivery job on june 5th. it's possible!! :)