I brought up the subject of starting pitocin on a scheduled section soley so the patient can feel contractions at our staff meeting. Turns out the manager of our floor sees nothing wrong with this...
I plan on bringing the subject up with our manager at a staff meeting. Our risk manager is on vacation this week. The doc is pals with the chief of OB ( they assist one another's C-sections and...
Anyone have any thoughts on the use of the Hovermatt transferring a patient to the OR table ?? Our facility has recently seen a surge.....literally in post-op infections. I just had occasion to see...
I was an OB nurse long before epidurals were common. My favorite patients are the Moms who chose no meds, I love helping Moms labor. That being said, it does not mean I "enjoy" seeing women in pain...
I too once had the dream of being a CNM and went through many sacrifices just attaining a BSN with that goal in mind. ( Now a BSN can basically be purchased by attending class one evening a week for...
This topic has been discussed in many forms in this forum. Turns out, it is not simply the fact that a teen is giving birth. It is the overwhelming acceptance of the situation as the "norm" now....
We are required to chart at minimum q 5 min during second stage......usually done after the fact with the strip in hand. We are all refusing to hold legs now ( utilizing the equipment that is there...
Yes, there are those who claim that everyone has MRSA, which I don't agree with !! I have read that C-diff is the new superbug that even 3 or 4 rounds of Vanco might not eliminate. I come from the...
How do most facilities handle phone calls to the maternity floor ?? We have had incidents where patients present problems to the nurse answering expecting advice. There have been adverse outcomes...
We do not have an official policy on phone calls. Most of us say that we are not allowed to give advice, call your provider or come to the ER. Now we are being asked to keep a log......oh my, one...
Did everyone hear of the abduction yesterday in a Florida hospital of a one day old infant ?? I think the babe was recovered quickly. I work in a place that has NO security whatever.....has 3...
Since my back surgery, I avoid holding legs at all costs. Sorry......the birthing beds have foot holders, stirrups, pushing bars to plant feet on plus as someone else said.......put one of the 14...
I forgot.....we do have a video camera by ONE elevator. There are 3 elevators and one stairwell ( the other two stairwells are exits only and locked from one side ) that are open at all times. We...
I have used the suggestion from NITEOBRN since I read it........while pulling the curtain, shutting the door, using a drape etc. etc. I always say now " Let me protect your privacy" It is kind of a...
L & D is physically demanding as in never getting a break of any kind to eat or go to the bathroom. The ENTIRE shift on your feet, be it an 8 or 12 hour shift. I ruptured my L5 S1 disk with a...
At least teachers are awarded ( or may-be not ) tenure after a three year probation. This is somewhat of a job guarantee.........that they can not be fired for no reason or a dumb reason like the...
Those of you who are young enough to seek another career should seriously do so. Many of us are near retirement and that is not an option for us at this point in our lives. You need to look at what...
We are preaching to the choir as they say. How can we as professionals at the bedside get the messages out to educate the public ????? I can imagine a panel of nurses on Oprah having an intelligent...
NY BON specifically states nurses may not bolus, may not re-start an epidural which has been turned off. We have differing care providers using several different combos and dosages of continuous...
I have issues with epidurals as well. I did contact the NYS BON and received some answers that fall into a very gray area and that is taken advantage of by our hospital. An epidural in a pregnant...
Recently had a staff meeting in which the main purpose was to slap our hands over the Press Ganey scores. The countless thank yous, cards, flowers, candy etc. count for nothing and those people...
I recently had a delivery that should have been filmed. A primip,no drugs, no epidural, a husband to die for as a coach. I felt like an intruder in their experience. During transition, she whimpered...
As discussed on previous threads..........numbers do not tell the tale. I work in a small rural hospital that does 50 or so deliveries a month. There is one L & D nurse per shift.....many times...
I work in a small rural hospital....probably 65 % medicaid population, mostly high-school or less educated, few hispanic, and the circ rate is probably 98 per cent. Few attend classes or are...