magz53

Can anyone give me guidelines and/or references regarding nurse to patient ratio on labor and delivery?? I work in a small hospital with no ancillary staff such as aides, techs, runners or even a secretary on 3-11. I am not comfortable taking care ...

Oh yes, the latest buzzword is "horizontal violence". We are inserviced on it and instructed as to the liablity of commiting it but in a small community hospital nothing is done when it is reported. I recently called a physician to tell him that if...

I can't understand why no one is concerned with floating OB nurses to infectious floors. Of course, standard precautions etc. are implemented by all nurses but it seems to me the protection of the neonates has been lost somewhere. When I was a stud...

I will spend as much time as I can helping a Mom BF.....IF SHE really wants to as some desperately do. So sad when she has flat or inverted nipples ( why wasn't this addressed before delivery ? ) and a puckering, non-sucking baby. The Moms who are ...

I lost years off my life recently with a prolapsed cord. I am so angry that the medwife ruptured a G7 just to "get her delivered". Actually the term I received on report from the L + D nurse was "finish her off". The patient was getting uncomfo...

I did have a teenage mom who was doing her birth certificate worksheet "waiting for her mother to fill out her part". I had to break it to her " YOU are the mother". Heaven help these babies.

I came on duty 2 hours after AROM. Given the fact she was gravida 7 and ruptured for 2 hours and at the commencement of my shift now complaining of more discomfort, I thought it wise to check her. At our hospital the policy is a care provider must ...

It may not be anything at all.....your name may just be on a plaintiff's chart somewhere. Just tell the truth. If you don't recall, be honest. They will let you look at any notes you may have written. This may or may not refresh your memory. Mos...

Unnecessary interventions are why I am counting the days til I leave and I won't look back !!! I just hope to get out of there before I see another inverted uterus resulting in a hysterectomy on a 22 year old woman ( cord traction ) or another woman...

Thank you SmilingBlueyes !!!!!! You said it better than I could. Our current practice is epidural at FT or 1 cm. BEFORE labor even begins !!!!!!!!! So they are "comfortable" for the induction and ultimate "stretching" during vag exams. Forget tole...

I agree with everyone regarding OBs philosophy of birthing ( our MEDwives are right next to them in that regard ) However, I left work this evening with two patients being induced pre due date as they want to be home before Christmas. I am fairly c...

Wow, mom2michael.....it does sound like a dream job. I have read and re-=read these posts and I don't see anyone with a "bad attitude". The nurses who speak out are just telling it like it is. I seriously haven't taken care of a patient in MONTHS...

A few thoughts........I agree that MDs push inductions. They want total control. They want 9-5 obstetrics. They will jump into a section quickly as that is their defense in a lawsuit......that they "did everything they could" in a timely manner. ...

Where ARE these women not wanting intervention ?? I must be living in the wrong part of the country ?? My advice to women with a birth plan.....based on over 20 years of experience in L & D during which time I have seen many changes.....some g...

L&Dwannabe, I agree with you that women are the ones who demand change and right now the pendulum is not swinging toward anything natural. Women are demanding ( and getting ) just what they want which right now is early induction of labor and el...

I can't remember what generated the new "rule" but about 2 years ago, it was mandated that the care provider come in and check the patient prior to discharge. Probably about the time they took our litmus paper and our amni check sticks away.......as...

In my browsing the net to find policies and protocols for pitocin, I have come across studies and articles that reveal a potential connection to the increase in the use of pitocin and the increase in autism !!! Oh my God, wouldn't that be something !...

Don't blame you for not wanting that long commute which translates into many unpaid hours of travel, not to mention the cost of fuel. You might be disappointed in what I find to be a lack of professionalism in some ways in a small hospital. Of cou...

I too had a horrible pit night last night. My G 2 pt. being induced because of hx of macrosomia and this baby was in my estimate 10 lbs or greater. I come on and she is 5 cm. and contracting q 1 and a half to 2 minutes, palpating strong and lasting ...

I followed the link and watched the movie. Many good parts and made me somewhat sad as I don't feel things will change ever due to the liability that exists today. It is clear that most changes have been driven by women and this is no different. T...

I spent a great deal of time and $ earning my BSN with the eventual goal of becoming a CNM. I changed my mind when I discovered what many others have said.....time away from family, lack of support and most of all liability issues. I recently heard...

We often have to float to med surg floors and among the many complaints and arguments we have against it is the fact we are told we can go in rooms and care for patients on contact isolation and then return to our floor and work with Moms and Babes !...

I do not spread my fingers......I keep the index and middle fingers together and sweep. If I spread my fingers......no one would ever be more than 6 cm. You should know while you are in there what your measurement is. It does help to actually visu...

One of our docs that we frequently want to strangle is pulling a new one, even for him. One of his patients, having her final repeat C-section wants to know what labor feels like. So he is having her come in several hours early and will order pitoc...

Well, our little doc and his whacky patient ( 24 years old and uneducated about any possiblity of potential problems ) got their way. She was a scheduled section who wanted to know what labor felt like. Ended up with a spineless night nurse who got...