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RNKitty's Latest Activity

  1. RNKitty

    New law for midwives

    Let the buyer beware.
  2. RNKitty

    Wireless Fetal Monitoring

    I've used and HP telemetry unit that worked pretty well on thinner ladies but it's a nightmare on obese women. It would go in the tub, but not pick up the FHR if the jets were on. On the whole, I liked it. One more option for maximizing upright positions.
  3. RNKitty

    Nurses to get 20 percent raise (California)

    In Eastern Washington, I make $30/hr and bought a 3000 square foot, 4 bed, 2 bath home in the best school district for $145,000 a year and a half ago. I am in a nice, safe, family neighborhood for my kids and any shopping I need to do is less than a 5 minute drive away. Can't convince me I'd do better in CA (unless it is working/commuting insanely for the next 10 years). Money isn't everything. I won't have equity to buy houses outright in other states as everyone is coming HERE to do the same and raising the cost of housing outside what locals can afford. However, I love the idea of living in one community and getting to know people. We watch each others children grow and build a history together. I wouldn't want to move in 20 years and give all that up just for the money. I'll pay off my house and be a 401k type of gal - not independantly wealthy, but rich in people.
  4. RNKitty

    Pearls for Transporting High Risk OB

    As a nurse who has been on the side deciding to transfer a patient from a level I to a level III, or deliver and then transfer, my concept of a "stable" patient is one who has a chance of making it to the receiving facility before delivery. I actually do realize that patients are transferred because they are high risk. I have also been in the ambulance praying for the patient not to deliver until we get there. Now I work "there" in a level III, and the only patient that gets transferred out is the baby who needs ECMO. Of COURSE we transport interfacility. However, some patients are coming from the field. Sheesh.
  5. RNKitty

    What computer charting system do you use?

    Okay, the administration at our hospital really have their heads stuck uta, because every floor uses Meditech (bought two years ago! It is DOS, and we actually live in the same state as Bill Gates. It is definitely not Windows friendly). Then, we have to print out all sorts of graphic for the paper charts which are now thicker than they were before the computor system. We also print out our nursing admission assessments and delivery summaries for the paper chart. For a paperless system, there is a heck of a lot of trees being killed. We use Medpoint for scanning and administering medications, but of course Medpoint will not read to Meditech. We then have to print out our MARs for the paper chart. Also, in L&D, we add WatchChild, which of course will not read to Meditech. You wouldn't believe the number of passwords we have to access the charts and pyxis. We have to print out the annotations, labor flow, and FHR tracing from WatchChild. Even with all this paper around, they have taken away our labor flow and forbidden us to use it - even though we can chart quicker and the information is condensed and easier for the providers to read in a glance. Our director came up with the brilliant idea that we only need to chart our fetal assessment q2H since it is all "recorded" on WatchChild (She wants us taking care of 2-3 patients and thinks this will save us time). We are speaking to a wall when we try to explain that no matter what she thinks, we still have to conform to national and community standards of care regarding fetal assessment, not to mention cya for legal issues. Besides, not all patients are on continuous monitoring. Some get up and walk around, jacoussi, sit on the ball and get doppler or intermittent monitoring per standard. The doctors get to write their H&P, progress notes, and orders on paper. The orders have to be "scanned" down to pharmacy or input in the computor for labs, etc, by the HUC or nurse. I would run from Meditech. Hospitals buy it because it is a cheaper system, but cheap junk is what it is.
  6. RNKitty

    Best Job/Best Money

    Not hardly. To even become a CRNA, most nurses have @5-10 years of CC/ICU experience, then 2 years of INTENSE school. I have heard there is a tremendous divorce rate among CRNA students. Then, when you are on the job you are dealing with very serious, lethal medications in critical situations. IMO, the best job is the one that fires your heart.
  7. RNKitty

    Sterile gloves for sterile spec???

    Cool idea! Do they ever get to hot and burn the patient?
  8. RNKitty

    Sterile gloves for sterile spec???

    Hmm. Never really though of it, but yes - you could maintain sterile technique if the blades of the speculum are never touched by the gloves. My left hand always separates the labia, so it becomes contaminated. I just want to introduce the fewest microbes possible into the vaginal canal. It would be cheaper for the doctors and the hospitals to use clean gloves instead of sterile. Hmmm. Oh wait, I do try to warm the speculum up in my sterile gloved hands so it isn't so dang cold for the patient. Skip that idea.
  9. RNKitty

    School RN salary

    Working as an RN in a school. In this district, you would be responsible for about 900 students. There are other nurses responsible for the rest.
  10. RNKitty

    2005: The State of Nursing Salaries

    I think wages vs cost of living is an important deciding factor. Where we last lived I made about $55,000/year, but the cheapest house on the market to buy was $280,000 and the taxes between federal, state, and local took 30% of my wages. Now where I live, I earn $52,000/yr but the cheapest house on the market is $40,000 and the taxes only take %20 of my wages. So, our standard of living is MUCH higher.
  11. RNKitty

    Pearls for Transporting High Risk OB

    Due to COBRA laws, you can't transport unstable patients BETWEEN facilities. However, flight nurses often will transport from the field, and that is where I've seen the most complications enroute.
  12. RNKitty

    What are the top paid nurses?!

    Working in a union hospital, our wages are negotiated, and we are paid by years of experience, regardless of our level of education (ADN or PhD) or area of expertise. The Health Clinic nurses love it - hospital wages for an 8-4 doctor's office job.
  13. RNKitty

    Am I alone in liking being a nurse?

    I only work for the money. I chose my field of work because I love L&D. I like what I do, but if I didn't need the money........ the world is an exciting place. So far, nursing has been great for the family. I've gotten a job within 1-2 weeks of walking into a hospital and talking with the nurse manager of the OB unit (on my 7th hospital thanks to dh moving us around with the military and school). I've always gotten the schedule and amount of hours I need for the family schedule. Someday, when it is all about me, I'll get a day job with no weekends or holidays....
  14. RNKitty

    School RN salary

    As a substitute school nurse this year for a local public school, I was informed I would get the wages of a substitute teacher, namely $80/day. I was shocked, since I've never as an RN - even as a new grad - worked for $10/hr. No wonder they can't keep subs. They never called, and I never worked it. The hospital pays me 3 times as much, and I told them so. They did say that salaried School Nurse positions pay more but I'm not sure how much more.
  15. RNKitty

    NRP Question

    The hospital will require you to have NRP, so they will pay for you to be trained if they hire you. However, knowledge is power! Before I got my first L&D paid position I spent $2000 in continuing education classes related to OB, Lactation, Mother-Baby, etc. I also volunteered 4 months full-time in L&D at the local military hospital (the American Red Cross will sponsor you to volunteer as an RN if you have your license). I considered it an extension of my education since internships and preceptorships in L&D were unavailable while I was in school, and when I graduated the hospitals had been laying off nurses for 2-3 years so they had no residencies for new grads. Showing initiative looks great to an employer.
  16. RNKitty

    Pearls for Transporting High Risk OB

    Lay the patient on her side, not her back. Have doc's preferred antiseizure med immediately available 18 gauge IV Get standing orders for antibiotics for preterm labor - it's given to the mom, but studies have shown babies with abx on board fair better in the NICU If the baby delivers itself, put it skin to skin with mom as she is the best radiant warmer. You can administer blow by and do vitals on mom's chest. If the baby is crying, you have time. If the baby is flaccid and not breathing, then pull the baby for bagging and chest compressions if appropriate. Most docs will say not to touch the cord or cut it. People have even waited a week or more for the placenta and cord to gently pull off the baby, so waiting 30 minutes won't hurt. Have pitocin, methergine, and hemabate ready for post partum hemmorhage. The hemmorhage will occur after the placenta delivers. After the placenta delivers is when the most hemodynamic changes occur for mom. Forgive yourself if a baby delivers or dies enroute. You really can't stop nature from occuring.