Dayray

Dayray RN

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All Content by Dayray

  1. Scope of Practice for CNM's?

    Your just starting your carrer so why limit your self? Just go to Nursing school and work for a while and then decide. after school you can get a job in maternial child and then you'll get to see it...
  2. What do patients say that irks you?

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  3. Questions about moms in labor

    Well mabey it was the way it was said to you? Still as others have said this is a good rule of thumb. Especialy with someone not wanting pain meds. Just last night I told a natural child birth pateint...
  4. Percussing?

    We only breifly learned about it in school. I use it fairly offten too : figure out if abdominal swelling is due to gas or blood, to see if a liver is enlarged, lol more offten then not I end up...
  5. male labor and delivery nurses

    Interesting points made in the last few posts. I have some thoughts on them, that I'll share. Some patients do seem to want a nurse that has experienced childbirth. I know this to be true because...
  6. Client or patient?

    Patiens! I am a nurse trained to care for people, not a customer service rep. Yes makeing patients happy and makeing sure they are well informed is important. However makeing them happy is'nt becuse I...
  7. What do patients say that irks you?

    No she is'n sayign that there arent reasons for induction. However the vast majority of inductions are TOBP or dTOBC (doctor tired of being
  8. So many questions..

    I'll offer a possible explanation: PLEASE PLEASE realize that this is only an educated guess and only using the information you have given. First let me say that care varies widely from area to area,...
  9. need tips for fundal checks

    You cant be afraid to hurt them. I'm not saying that you nessasarily have to hurt them but if you cant feel it, push harder. Think of it this way, they came to your hospital because they want care,...
  10. I'll second what smileing said and add some thoughts of my own. Try not to become to medicalized. As I said in a previous post I work with allot of great midwives. They have good skills and make smart...
  11. Questions from an aspiring CNM

    I would strongly sugest that you work as a nurse before beocmeing a midwife. We work with several midwives at my hospital and for the most part they are good. All of them , save but one were L&D...
  12. What do patients say that irks you?

    Yeah, I worked at a hospital where the nursery nurses insisted on supplementing every baby. They actually got a policy written even though it was tottaly aginst all the current
  13. What do patients say that irks you?

    I work nights and I hear this one from time to time. Mostly from primips that are high society types after I explain a plan of care. "What does Doctor xx think of that?" I always want to say "Well...
  14. a rant (pts come to hospital for the littlest of things)

    I can jump on this band wagon. Sometimes it is frustrating. the other day 23 weeker comes in by ambulance complaining of leakeing fluid. Nitrozine negative so we do a spec exam when the doc puts in...
  15. male labor and delivery nurses

    great! Im glad to hear I did'nt scare you away. If you really want to do it and you love L&D as much as I do you will do
  16. Doulas?

    I have to agree with this. Doula's are great as support for the patient, which is just as important as the other things nurses do. However, I find that many times the information they provide to...
  17. male labor and delivery nurses

    Hey booluvstrains, I read your post a few days ago but decided to wait to respond. I've been a "Male L&D Nurse" for going on 3 years I did 1 year post partum before that. I love my job and that is...
  18. Doulas?

    Hi there, I can understand why you ask this. Without an epidural lithotomy is awful. The body was made to take advantage of gravity and the shape of the pelvis by squatting. Epidurals differ from...
  19. Serving the doctors?

    I put gel on the doctor's gloves. I guess I never thought of it as being subservient. I just want them to use gel, as some of them won't if you don't remind them. Ill also tie gowns without being...
  20. Stretching of Cervix

    We have a few docs' that will stretch an 8-centimeter cervix to complete. Besides the obvious risks of tearing or swelling a cervix I wonder if this can cause problems with incompetent cervix during...
  21. Positions of taking blood pressure in PIH patients

    If you are just trying to figure out if a person has PIH you should just make sure that they are all taken in the same position. If there is a rise in that position you can check postural changes to...
  22. Question about Bloody Amniotic Fluid?

    It's hard to tell if you had an abruption or if the blood was just from your cervix. A cerclage ripping threw your cervix could cause allot of blood and the abruption could have caused you to go into...
  23. Advice please! Beginning L&D internship next week

    The main thing I learned when I was orenting was to eliminate the phrase "I Know" from your vocabulary. Anytime you can get advise from someone listen to it, it doesnt mean you need to take it (unless...
  24. Who mixes pitocin and mag?

    Very true its hard to isolate the real cause. I've seen the same thing you describe without changing a bag of pit. Still the control freak in me offten wonders "how much pit am I really giveing when I...
  25. 16G or 18G for IV access?

    18's are standard sometimes ill do a 20 if the pateint has fragile veins. 16's if the patient is at high risk for bleeding and going to get C/S ie clotting disorder, PLT Really 18's and 16's are...