L&D.RN

L&D.RN

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All Content by L&D.RN

  1. Sexual Assault Nurse Examiners

    Who else out there is a Sexual Assault Nurse Examiner? I have been doing this for about 6-8 months and just went through the week long core SANE training that was put on by a major hospital and several SANE programs in our area. We heard from the c...
  2. RNC program for OB

    Anyone and OB RNC? Did you take a prep course? Was it as difficult as I'm hearing? I'm thinking of taking a prep course in May, and then taking the exam after that (and after lots of studying!). I'd like to hear from others that have gone through...
  3. Cytotec for Inductions

    We give Cytotec orally for induction purposes, never vaginally. We give 100mcg q 4-6 hours. Contraindications are grandmultip, prior uterine surgery, concomitant use of pit, non-vertex (duh), non-reassuring fetal status, presence of regular painful...
  4. Cytotec for Inductions

    We use it, and it works well. Sometimes it really moves things along quicker than we're used to with our good ol' cervidil. It's great with a cervix that isn't ready for pit. We give 100mcg q 4-6 hours, but there are stipulations such as if they'r...
  5. How realistic is this?

    LOL, that reminds me of a determined student in my class when I went to school. She was cutting it close, and was contracting like mad during her finals, but she finished her finals, delivered that night, and was back for the following semester. I ...
  6. The Circumcision Discussion

    I'm of the opinion that it is a good thing, both medically and socially. I also don't want to debate personal opinions, but after lots of research, I had both of my boys circumsized and watched the procedures. They hated being held down and screame...
  7. Advice please, another vbac question

    They wouldn't let you at my hospital either...the other successful VBACs you had weren't with an overstretched uterus full of 2 babies either, that definitely increases the risk. I guess IMO, it wouldn't be worth the risk to me, but good luck making...
  8. How do you NOT become cynical?

    It sure helps if you can switch to another hospital with different people, maybe that would breath fresh life into you! I agree, some days are tough, and sometimes when a coworker makes a crack about a not-so-upstanding patient of mine, it makes it ...
  9. protocol for illegal drugs

    We notify CPS and they are placed in foster care, but that's usually very temporary...sort of depressing. On a side note, we have had babies that test positive when the mom has tested negative on a UDS. Not sure of the reasoning or who peed in the ...
  10. Oh my god! I passed!!!

    Congrats!! And they will not put you out on your own just yet. You'll still work with an experienced RN until you feel comfortable to be set out on your own. Even then, you can always get opinions from experienced RNs that you work with. Welcome ...
  11. At what gestation do you stop treating PTL?

    None of the docs at my hosp will do anything if the pt is 36 weeks, but some will let 35 point somethings go without stopping labor.
  12. Doulas

    I have worked with good ones and bad ones, but I have found a good close friend is sometimes just as good, if not better, and they don't charge and they're happy to be there. My issues are when the doulas try to hand out medical advice, speak to me...
  13. velamentous insertion ??

    Question here: Can you "feel" a velamentous insertion when you do a SVE? Reason I'm asking is this, last night at work I had a pt from he**, and it finally got so bad that another nurse came in to help me. The pt was more anxious than I have ever...
  14. Best compliment ever!!

    Today I ran to the Verizon store really quickly to grab a phone...didn't take time to shower and had greasy hair pulled into a ponytail. As I was dickering with the store employee, a couple came up to me and asked if my name was XXXX, I said yes, (...
  15. velamentous insertion ??

    I would think it would also depend on where the insertion was if we could feel it or not. The OB was positive from the moment she felt it that it wasn't, but when she asked for the amni-hook, neither of us really wanted to hand it to her just in cas...
  16. Birth Ball question?

    Some people love them and say they are so helpful in labor, but others hate 'em. We can't use them once the patient has an epidural, so for the most part they are helpful with NCB patients.
  17. labor/delivery "routines"

    Our hospital sounds about the same as Deb's reply. I think I've seen 2 episiotomies in the last 2 years, and they were for fetal distress and they needed to get the baby out fast. Sometimes the FPs reach for the scissors and we give them "the look"...
  18. Doctor Orders:)

    ...and if something went wrong, he'd deny he ever said it to you, and in a court of law you would be the bad guy for making those decisions and "practicing medicine" without getting his orders and approval first. I know sometimes we all have to do ...
  19. Help! OB Supplies Expensive!

    1. The good ol' glove with ice in it! 2. It isn't much...tiny box of kleenex, IV set-up, granny panties, 1 pkg of pads, 10 blue chux, water pitcher and a small package of baby supplies (20 diapers, baby shampoo, thermometer) 3. Instruments, laps, c...
  20. Girl gives birth in chatroom,talking to me!

    I think I would be more worried about what she would do with my phone number...yikes. It doesn't sound quite right.
  21. Do you stick around?

    Good response Deb! I also stay over in certain circumstances, such as delivery within the 1/2 hour. I also have kiddies at home that need help getting ready for school etc. I would love to stay lots of times, and the hospital has never said a word...
  22. Yes I would, but I would pick and choose my nurses! There are certain personalities and styles that would drive me up a wall and others that would be perfect for me. I feel that they are all, well 98% of them, very competent, so that isn't an issue...
  23. No, just the opposite. I'm wondering if the docs aren't talking nutrition at all. I just had a lady this week with a 90+lb weight gain...that's awful, and lots of ladies with at least a 50lb weight gain. Maybe that's just here, but that's scarey t...
  24. Online forensic nursing program

    Tell us more...I wanna hear about it.
  25. Please Help I am REALLY worried.

    If you really want NICU/Peds, why don't you do the entire internship in the nursery. There you will get experience with newborns, it just won't be the worst of the worst babies. You'll get some experience with bad babies because they will stabiliz...