flytern

flytern

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All Content by flytern

  1. CNA's in OB

    flytern replied to mistiffy's topic in Ob/Gyn

    We usually hire CNA's and train them to become scrub techs. When not doing C/S's they function on the floor as a CNA, stocking, pericare, foleys, vitals, ambulating post op patients. They used to...

  2. Does your facility do VBAC's?

    flytern replied to HappyNurse2005's topic in Ob/Gyn

    Hospital outside Chicago: Hospital itself allows VBACs with MD and anesthesia in house. However, most of our OB's don't because of insurance problems. Have been told that they aren't covered...

  3. Pregnant but Negative Urine Preg?

    flytern replied to RunnerRN's topic in Ob/Gyn

    I'm with you Mercyteapot. Have had 3 kids, absolutely no morning sickness with any. Very screwed up periods since being a teenager. Never regular. With all 3 kids didn't know I was pregnant until...

  4. Elective Primary C/S

    flytern replied to Gem97's topic in Ob/Gyn

    More MD's are doing elective C/s due to insurance. If a patient utters the phrase "I want a C/S" and there's a difficult vag delivery, the MD is wide open for litigation. Fair? No. Especially, if...

  5. Do you ever wish people didn't know you were a nurse?

    flytern replied to Jo Dirt's topic in General Nursing

    I've been an OB RN for almost 20 years. To say the least, my medical knowledge is a small drop of water in a very large ocean! I don't expect patients who are RN's/MD's/health care workers to know...

  6. What doctors do that bugs you...

    flytern replied to 33-weeker's topic in Ob/Gyn

    We have a doc in house between 8pm-6am (I work nites). The whole point of the in house guy is for discharging walkins, making precip deliveries, assist w/csections... Never happens, walkin's who...

  7. Nursing without license

    flytern replied to TouchstoneRN's topic in General Nursing

    How does this happen? In Illinois, every Rn's license expires at the same time (May) every 2 years. I've worked too hard/long to become a nurse, I'm responsible to make sure I send that check in...

  8. Scary new OB manager

    flytern replied to Mrs.S's topic in Ob/Gyn

    Is there a director of nursing above this manager that you and others can go to? Have you documented some of her comments/threats? Hopefully, there are others that feel the say you do, so that you...

  9. What do nurses really think of CNAs?

    flytern replied to ccyrrus's topic in General Nursing

    I'm going to be the spoil sport here. I work in a hospital, on an OB unit. Our techs (most of them have been there for over 10 years) are a little on the spoiled side. They get to pick the nurses...

  10. POLL: How many births/yr and do you have in-house anesthesia / OB providers?

    flytern replied to mitchsmom's topic in Ob/Gyn

    We do about 1800 births/year Anesthesia is in house 24/7 OB doctor in house (our doc in the box) from 8PM/6AM, with all MD's required to live within 30 minutes of hospital

  11. Refresher Course? HELP!

    flytern replied to shouldbedancin's topic in Illinois Nursing

    Have you tried looking ad College of DuPage or Morraine Valley Community College? I know Morraine has had classes at night, took some in the late 90's.

  12. Night Shift meals

    flytern replied to meownsmile's topic in Illinois Nursing

    Work the night shift. No cafeteria available. However, we have a "Cup of Joe's" area in the main lobby of the hospital. Provides ready made sandwiches, usually 2 kinds of soups, fruit smoothies,...

  13. L&D vs NICU-any nurses that have done both?

    flytern replied to babbsrn's topic in Ob/Gyn

    babbsrn: actually started out in an OB doctors office. Moved to post partum in a hospital. They needed someone to be a second pair of hands in the NICU (to help w/growers& feeders, bili...

  14. I made my patient cry (long)

    flytern replied to ragingmomster's topic in Ob/Gyn

    Gut reaction - you did the right thing. It's not always pretty to be the bad guy. But how would you feel if you see her/baby obituary in the paper next week and didn't feel you did something? Maybe...

  15. Question on when infants die

    flytern replied to BSNtobe2009's topic in Ob/Gyn

    The rules change occasionally. In northern Illinois (now) under 20 weeks parents have option of hospital cremating or parents having funeral. There is a paper they must sign withing 24hrs of...

  16. my first time seeing a dad almost pass out

    flytern replied to HappyNurse2005's topic in Ob/Gyn

    Usually about 1 out of 10 days pass out during epidural. They all seem to have this macho thing going on, that they can handle everything. I just tell them (me being 5ft 2in). That if they pass out...

  17. L&D vs NICU-any nurses that have done both?

    flytern replied to babbsrn's topic in Ob/Gyn

    Been there done that! L&D is definitely more demanding physically (most RN's have bad backs by the time they hit 40). Also, you have to cater to the whims of not only the patient but every...

  18. Triage

    flytern replied to mitchsmom's topic in Ob/Gyn

    We have 2 exam rooms that we use for triage. During orientation, RN's take their turn at triaging patients. Orientation last anywhere from 6weeks to 4 months depending on prior experience. If the...

  19. patient ratios?

    flytern replied to MIA-RN1's topic in Ob/Gyn

    You're stuck between a rock and a hard place! There are patient ratio standards that are set from ACOG and AWHONN. However, try to get a hospital to abide by them is another thing. Management (and I...

  20. Cesearean Section Prep

    flytern replied to nurse79's topic in Ob/Gyn

    You're right, I've seen it done several different ways. At the hospital I currently work at we do the following: Start at the incision line (usually lower transverse, right above pubic hair line) then...

  21. Balancing 2 active pts!!

    flytern replied to nurse79's topic in Ob/Gyn

    What's your institutional policy? What do they consider an "active" labor patient? Do you do electronic charting? If you're in one room can you see the strip of your other paient? How often do you...

  22. Have started nights on my L&D...

    flytern replied to HappyNurse2005's topic in Ob/Gyn

    It definitely takes a certain kind of person to fit into nights. Been doing it for almost 20 years. Wouldn't do any other shift. Like the fact that you have more autonomy. It's much more calm (not...

  23. What doctors do that bugs you...

    flytern replied to 33-weeker's topic in Ob/Gyn

    Not so much what they say, but what they do.... 1. Have a MD who insists anyone under 5ft 3 can't deliver lady partslly. must be a c/s, without the benefit of a trial of labor (needless to say, his...

  24. To paint or not to paint... cords

    flytern replied to 33-weeker's topic in Ob/Gyn

    We've been doing evidence-based studies. No more triple dye or alcohol for us. Supposedly alcohol slows down drying process. Also if you keep applying it to the skin around the cord (most parents...

  25. Those Baby Shows

    flytern replied to LiveZen's topic in Ob/Gyn

    HATE HATE HATE THEM!! ON admission, we ask patients if they went to prenatal/birthing/lamaze classes. They sa no, but we've seen the TLC's shows on birth. I say great, but don't get disappointed...