rbytsdy

rbytsdy

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All Content by rbytsdy

  1. Counting Respirations.

    Ohh... bowel sounds is a good time. In my current hospital, we have disposable thermometers which need to stay in for 1 fill minute. Patient can't talk so I count resps
  2. OB nursing diagnosis help needed

    Isn't she in pain and taking any meds for a 2nd degree
  3. personally I think we need more nurses who think like you. There are people out there that WANT to take a more holistic approach but it's hard to fine doctors, nurses, etc that feel that way. I'm in...
  4. Wet to Dry Dressing Steps

    I just watched my patient's surgeon do this the other day. The surgeon didn't even put on gloves! She just pulled the dressing off and then pulled the packing out. She then looked at the gauze...
  5. I don't have personal experience but one of my instructors has worn a hearing aid for most of his life. He mentioned that he uses a cardiac stethoscope. He said it's expensive but worth it for him....
  6. Scrubs. :) I'd love to be as versatile as Carla who can float from med-surge to pediatrics, to OB, to ICU, to CCU to admissions, etc.
  7. Increasing maternal death rates - news story

    If that's not shocking enough, her friend (and fellow teacher at a local elementary school) had a c-section 15 days later at the SAME hospital and died after bleeding out. NJ is a horrible place to...
  8. Nurses with Vasovagal response problems?

    I think you just need to figure out whether this happens only when blood is being drawn on you or whether it happens when blood is drawn on others. I've come close to passing out several times when...
  9. OR rotation

    I just did my OR rotation today and thought the same thing. While the surgeries are really cool, the actual nursing is really boring. I stood for 2.5 hours watching a hernia repair. Again - it was...
  10. Good for you!!! :) :) You are the one that decided to quote me and explain how you know what it's like to breastfeed after a csection (even though you haven't actually done that). I tried to...
  11. Not getting defensive. Just giving my experience and my suggestions. I don't think a surgery 4 months post partum is equivalent to having a surgical birth. I don't think it's irrelevant; I just...
  12. I'm pleased to hear that you breastfed and I'm really glad that your abd surgery 4 months post birth didn't affect that. However, I am a been-there-done-that mom. I had a c-section with my first baby...
  13. So you are saying that you had a csection and within a couple hours you were breastfeeding your baby? Or you had some other type of abd surgery and breastfed a baby that was already established in...
  14. If it's a primary NANDA, I'd go with the ABCs. Airway should be fine assuming she suffers no immediate effects of the surgery. A woman who just had major abd surgery has a respiratory/breathing risk...
  15. Sounds like they had plenty of time to get back if it was 3.5 hours later. I can't help thinking that if you had kept her, she'd still be sitting around 3.5 hours later waiting to dilate. She went...
  16. Research Project - Non-Traditional Students

    I'm 2nd degree/2nd career trying to balance a family and nursing school. Feel free to pm me your questions. I don't mind just answering questions but I've always found places like survey monkey to...
  17. Ethical Dilemmas in L&D Nursing

    Oh, sorry - let me be more specific. The law in my state prohibits a midwife from legally attending a HBAC. I could have a UBAC or even as a midwife who is unlicensed or licensed in another state....
  18. One thing to add.... most US CNMs go into midwifery as a calling. It's not just a nurse
  19. Are you in the US? I think things can vary with country. In the US, CNMs actually attend births as the primary attendant. L&D nurses do not. The midwifery model of care sees birth as a normal...
  20. Ethical Dilemmas in L&D Nursing

    I'm pretty active in the local childbirth community and I can assure you that no midwife (at least not one that I have met) would encourage a high risk mom to homebirth. They wouldn't risk the mom or...
  21. Ethical Dilemmas in L&D Nursing

    Oh, you are right! There is no risk free birth which means there are certainly issues that can come up in homebirth. But moms know that. No woman is forced to chose a homebirth because a hospital...
  22. Ethical Dilemmas in L&D Nursing

    That makes a VBAC a good ethical dilemma then because if you refuse a VBAC by saying you can't handle it then you are not equipped to handle ANY birth. There is not such thing as a risk free birth....
  23. An OB's Birth Plan

    Did you ever send a letter Poppy? I'd send that OB a letter and thank him for honesty which allowed you to plan a positive birth experience. Or send him a birth announcement or Christmas card. On...
  24. Men in L&D

    Around here it's nearly impossible to get an L&D job right out of school. Most hospitals want you to have a year of experience but it varies around the country. Quite frankly, I live in a state...
  25. Should I become an LPN or stay CNA?

    I'm not positive but I think most LPNs work in LTC facilities. I just did my 1st semester of clinicals at a local hospital and didn't run into any LPNs. However, there were plenty of CNAs and many...