flytern

flytern

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All Content by flytern

  1. HELP!! Becoming discouraged....

    Most positions in OB become available because of retirement or death! Once you become OB, you never leave (or at least it seems like it) You'll probably have a better chance sneaking in through...
  2. When a pt begs you not to go

    If by the last hour of my shift it doesn't look like my patient isn't going to deliver, I start commenting about the next RN coming in soon. I always introduce the next RN and say that I'm leaving...
  3. Doula services for Fetal Demise, Miscarriage, Stillbirth

    I don't know if there is such a thing. Most labor doula's build up a relationship throughout the pregnancy. Unfortunately, with a loss there isn't much time before they come to the hospital and...
  4. boundary violation?

    I can't believe your hospital isn't non-smoking. Mine is. In fact as of the first of the year, if an employee even smells like smoke they will be reprimanded. There is no place on hospital grounds...
  5. On-Line Nursing Programs

    Doing a fast track RN to BSN nursing online. School also has accredited 4 year traditional program in place, so I feel pretty safe. Does feel weird to not be sitting in a classroom
  6. What's a "typical" day like in L&D?

    Typical what's that? Depending on staffing, you could be doing 1:1 labor nursing, 3:1 antepartum nursing, of 2:1 labor. At any given moment, your perfectly "normal" laboring mom can crash, which...
  7. Moms who want to feel absolutely NO pain

    Some patients don't get what childbirth is all about. They want it to be like on TV, takes 23 minutes, 1 push, 50 people in attendance. They don't take the time or effort to discuss their concerns...
  8. Moms who want to feel absolutely NO pain

    There are side efffects from having an epidural too soon/too long. Ask any lactation consultant (not me!) Ours says if the patient has had an epidural for more than 3 hours, it really screws up the...
  9. Working on a post partum floor

    I've worked at both LDRP and L/D, mother baby hospitals. Every hospital is different. Most LDRP's require you to know labor and post partum because you usually keep your patient after delivery....
  10. Should I give L & D 1 year?

    It sure looks different when you're responsible for the patient doesn't it? Do you feel that your hospital has given you the proper training to do your job with confidence? Not that you're going to...
  11. What would you do?

    It's your body. As long as your fiance and you are in agreement about this, who else has any say so? I have 4 siblings, all of us married. I'm the only one with children. None of my...
  12. Organising shifts - please help me graduate! (long)

    First, prioritize! I work midnight shift. Usual load is 5moms/5 babies. Fresh c/sections, those with IV's, foleys... should be seen first (nothing worse than going into a room w/a dry IV, after being...
  13. inexperienced, question about dilation

    Unless that baby has decided to be driving a John Deere tractor through her cervix, I can't imagine a 20cm dilitation! That poor man. This is where that "extra love stitch" for the husband would...
  14. EFM Certification Exam

    I just took the NCC exam this past summer. I think there were about 110 questions on the test, with only about 20-30 actual strips. You definitely need to know the new terminology and...
  15. Determining station....

    Yes, where I work we have a "crotch box". It's pretty useless if you ask me. I've been doing OB for almost 20 years now and when I took a new job 8 years ago, during orientation they brought this...
  16. preventing abduction

    Mid-size hospital, we have the HUGS tags on the babies, works fine some days, when they aren't buzzing "Low battery" or "Supervision timeout" or haven't been applied tightly enough and fall...
  17. Oh wise nurses of the world.....

    Do you belong to any nursing organizations? AWHONN sends out tons of brochures to hospitals and to me personally (sometimes too much)! Also, does your unit manager post seminars?
  18. Stadol Screamers

    Why are they getting Stadol that close to delivery? We don't give after about 5-6cm, figuring it's going to be at least another 4-5hours before delivery. Should be out of mom/babies system by then....
  19. I didn't know this actually happened

    Have worked OB for almost 20 years, nothing surprises me. We have them come in by ambulance for a back ache, then 3 family members appears 5 minutes after the ambulance arrives. Then the patient...
  20. why was Dr. so upset? (long)

    Unfortunately, you have to "prove" yourself to every MD on your floor. They have to feel that they can trust you with their patients (so that they can sleep soundly at home!). I agree with everyone...
  21. Who draws up medication during C-section?

    What medications are being drawn up during a C/S? I've been doing OB for 20 years, and about the only med during C/S that I've drawn up was Methergine (to stop bleeding) Any anesthesia drugs are drawn...
  22. Mag Sulfate policy

    Are you talking before or after delivery? Before delivery, pt should be on continuous fetal monitoring. After delivery, we have had pt's transferred to ICU, (reluctantly on our part and theirs!)...
  23. C-Section incisional pain

    Even though it seems logical to give pain meds, they slow the bowels down, cause gas/constipation, increasing abd pains. Wearing abdominal binder while up and moving, k-pad to abd, getting them up...
  24. The time is drawing near...Help

    Don't make your self sick over this. Just remember, everybody you're working with was once new too! You'll be able to figure out who are the good resource people, who you're comfortable going to with...
  25. Nursing Student

    A long time ago (when dinosaurs roamed the earth) shaving pubic hair was one of the first things done when coming in for a delivery, right up there with getting an enema, and only doing rectal exams!...