In NY state, it is a state reportable event if a physician isn't present at a delivery, so most times can be avoided. Of course there are those events that can't be avoided and we are "off the hook"...
I have worked OB for 18 years. My feelings are well known on the unit with the nurses and physicians about circumcision. I mainly work L & D and sometimes postpartum. The nursery nurses obtain...
Our ER brings any OB patient up to us.........no matter WHAT reason they present to the ER..... so fast they get whiplash in the wheelchair. I once had a patient with a broken ankle !!! Oh but she...
Oh My ! I agree that sounds terrible and so unsafe. I think bottom line with us is that most of us are women, no union.......thus no say with the "bigwigs". We are constantly reminded that we are...
JCAHO was at our facility recently and we got good reviews in regard to our pain documentation. The patients consistently write in their evaluations of their care that they love the SAM packets....
Sounds like you had no choice but to cut the cord. In a precipitous delivery situation, we are supposed to get the ER doc up to our floor. ( Small hospital, 1 ER doc. What does that tell you ?? )...
I LOVE the SAM packets. Why should a nurse waste her time answering a light then fetching over the counter medications and charting them ?? It takes a couple of minutes to give the packet and the...
The AWHONN ratios look ok to me except the 2:1 pitocin patients. You know if they don't have an epidural, they are going to get one with pit. They agree that is 1:1 for epidural...
Re: AWHONN web site, I couldn't find guidelines for nurse-patient ratio either. I think if I reported everything up the chain that I probably would be fired somewhere along the line. Two years ago...
Thanks for everyone's input. We have recently hired a tech/aide who hopefully will be doing many of the non-nursing duties which we now do. Until recently, we also did all of our own cleaning !...
The programs are not user friendly. Hard to remember all the prompts, but shouldn't a computer be programed to accept the entire word, e.g. wheelchair or the common abreviation of w/c instead of...
Yes, you did the right thing to ask the patient the questions we also have on our admission forms. Ours says something like ......free from apparent abuse.....now that leaves a big window. Are they...
The list would be long.........but just a few things. Scheduling inductions because the mom is tired, can't sleep, uncomfortable, etc. etc. even tho she is only 37 weeks. Caving in to C-section...
I see this as a safe place to vent in the arms of people who understand. We work hard for managers who have no clue what we do. We are frustrated beyond belief by a system that lets a fifth baby who...
PLEASE, PLEASE do not stop venting. I was so excited to find this site, I went to work and told everyone about it. As other posters have said, our spouses really do not understand. My husband...
magz53 replied to tryingtomakeit's topic in Ob/Gyn
Dear Tryingtomakeit...........What a nightmare !! I am sorry to say I work in a similar place, but I am near the end of my career. So many people are in management who have no business being...
Laboring an epidural mom becomes somewhat like working in an ICU, we end up tending equipment.....IV's, pumps, monitors etc. and the patient as a person gets lost. In one sense, our life is easier if...
magz53 replied to NurseforPreggers's topic in Ob/Gyn
I walked into a patient's room tonight after dinner to retrieve her tray to find her plate cover inverted and full of soapy water. She was shaving her legs and armpits using it as a basin !!!!!!!!!...
Yes, I too am tired of so many interventions, one leading to another. Birth has turned into a medical circus because of the litigious society we live in. I never would have dreamed that we would be...
RE: CLEANING LDR ETC. About 18 months ago our little hospital hired a new DON ( or whatever the current buzzword title is ) and I carefully and thoughtfully wrote a letter to her approaching the...
Our small hospital has gone overboard and has thrown any sense of control right out the window to please patients........no limit on # of people in LDR, no limit to visiting hours. Unlimited snacks...
Nurse to patient ratio cannot tell the whole tale. In our small community hospital on the off shifts, we are the secretary, ( answering the phone can drive one nuts !!!!!! ), we are the runners, we...
One of my favorite managers tells the story of when she was a new L&D nurse learning VE's.......she told her preceptor that the patient was either a fingertip or fully, she couldn't tell. The...
No, she didn't get disciplined but management remained upset that the patient was not happy. Once while admitting an adolescent who responded that she smoked in answer to an question on the Hollister...