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Perinatal, Education
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JaneyW has 9 years experience and specializes in Perinatal, Education.

Mom of 3 boys

JaneyW's Latest Activity

  1. JaneyW

    how much do you pay for your health ins.

    Thanks Ashkins--I am doing well. I have had outstanding medical care and was lucky to find it early. Get your mammos ladies!
  2. JaneyW

    how much do you pay for your health ins.

    I am faculty at a public ADN program in CA. It's a unionized position. I pay nothing for my medical, but pay 100% of the premium for my family (about $800 a month!) for an HMO. That does not include vision and dental. That is another $200 a month or so. Unionized public employee unions really vary and mine is expensive. Last year my son was hospitalized for a spontaneous pneumo. That was about $60,000 in bills 100% covered. This year I found out in my yearly mammo that I had breast cancer. I am 44, healthy with no family history. The bills for that have already topped $100,000 almost fully covered except for a few $15 co-pays. It seems so expensive when you are paying the premiums, but when things come up unexpectedly it seems like a bargain! My husband is self-employed. If we went through him it would be about $1,000 a month just for our medical and that would be a PPO with a $2500 deductible and 80/20 coverage.
  3. JaneyW

    Could it be positioning?

    I am not an OR nurse other than circulating through c-sections as an L&D nurse. I have no experience as an RN with long surgeries and positioning. I'm not looking for medical advice, I am just curious. I had a bilateral mastectomy with tissue expander placement last week. I am relatively young and in good shape with no prior foot problems. I think the surgery was about 4-5 hours. As soon as I was awake, I had very painful heels where they rest on the bed if I am flat on my back. They are resolving slowly, but still a little painful/numb/funky feeling. My thought is that it was positioning in the OR. Do you think I might be correct? I was at a great hospital and had very good care overall. Not planning to complain, but curious. Thanks.
  4. JaneyW

    New Nursing Student with Loads of Questions!

    If you are looking at perinatal nursing as you say, the LVN is not a good option because few, if any, LVNs are used in that area (speaking of my experience here in California). If it's been a while since you have been in school, start with your GE English class and a math before getting into the sciences. It will help you a lot. I teach in an ADN program and I feel it is a good way to become an RN. It really depends on where you live. RN to BSN programs are plentiful and a good way to get you to the BSN from the ADN. Good luck with the adventure!
  5. JaneyW

    why did you choose L&D.....

    I really didn't want to care for 6-7 patients each going through something different. I liked L&D because it was 1-2 patients going through roughly the same thing. I had enough chaos at home with three kids. Little did I know how chaotic and overwhelming it can be with 2 patients! I enjoy being with families as they start their adventure together. I love giving them information to help them get a good start. It is magical to watch births. It is difficult for many reasons. Patients are in a very vulnerable state and things can change rapidly. Probably the most difficult thing is dealing with the docs. It is sad that a respectful doctor who has the patient's best interests at heart is a pleasant surprise.
  6. If you like extensive teaching, you will love postpartum. Your med/surg experience will only help you. Good assessment skills are very important. People think it is easy or boring, but I find it a lot of fun and not at all easy. Yes, your pt population will be healthier in general, but the complications are horribly tragic (hemorrhage, PE). Luckily, they are few and far between depending on your hospital. In CA, our ratio is 1 nurse to 4 couplets (baby and mom together). If the pts are high acuity (mag drip), you will have less. Some moms have babies in the NICU so are singles. Also, there are admits all times of day--even at 2am. In my experience working and now teaching, you may have 4 couplets at the beginning of the shift and discharge most of them before 3pm. You are crazy busy at times and slow at others. You will need to become familiar with newborns, but that can be done. They are so wonderful and helping a new family get to know each other is very rewarding over all. There are down sides, but I think you sounded like a good candidate. Good luck--don't be afraid to change!
  7. Maybe, maybe not. Maybe the charge nurse had regular staff on that day that she knows are not good with IUFDs and you were the best choice. When I was working registry, I found that I often got the toughest assignment. I wonder if they think that since we do registry we are better/more experienced? I don't know. Maybe it is just giving us what no one else wants to do. Was it a place that has a lot of IUFDs? Maybe the other nurses had had their share recently. I have worked in high risk where that was the case. As long as the paperwork was done, I didn't mind taking care of IUFDs. It is very difficult, though, and I still am haunted by some that I didn't handle as well as I could have.
  8. JaneyW

    Epidural management in RN scope of practice?

    The issue is not the pump--it is the route. In California, I am not allowed, as an RN, to administer medications via the epidural or intrathecal route--pump or not. That is reserved for MDs and CRNAs. I am in agreement that it is silly that there are epidurals with PCA function. Go figure--it was not my call. Like I said before, it would be fine with me if they changed the rules and let me do it--with some additional education regarding administering meds by that route. Until then--no go.
  9. JaneyW

    Fainting after High Carb Meal

    Maybe. I think it is because it generally happens within a few minutes or while the meal is still being eaten. We were thinking she wouldn"t be eating a high carb meal while driving. I know what you are saying about populations driving research. From what I understand, this is not a blood sugar issue. It is a blood flow issue. A large meal is consumed and the blood is rushed to the digestive system leaving the brain not adequately oxygenated and they faint. Again, this doesn't happen to young healthy people. If we live to see 87, I can guess our regulatory systems aren't what they usually are. I will also say that my MIL usually eats small meals at home and this happened in a restaurant. There really isn't anything to treat other than telling her to not eat large carb portions at one time. I just thought it was interesting and if any one else had come across it.
  10. JaneyW

    Fainting after High Carb Meal

    The way the cardiologist explained it, there is nothing about blood sugar. It is a BP issue. By research I just meant Googling and finding it explained by MDs on laypeople sites. I found one article in a gerontolgy journal about it (they called in postprandial hypotension). Common may be too strong. Maybe I should say known? I am just curious if anyone else has heard of it/seen it. The MD said it is most common in elderly women.
  11. JaneyW

    Epidural management in RN scope of practice?

    It's not a matter of wanting to expand my practice. I am stuck with the scope of practice the State of California gives me. This is dictated, to some extent, by what the MDs will give up to us. If they want to give us the right to change pump settings within our scope and train us in this, I will gladly do it. As of now, I agree with Smilin Blue Eyes and practice within my scope. Comparing this with delivering babies is apples and oranges. Babies will pretty much come on their own eventually whether I like it or not. Adjusting an epidural pump can only occur after it has been inserted by an advanced practitioner.
  12. JaneyW

    Fainting after High Carb Meal

    Hi all! I am not looking for medical advice. I am happy with the advice we received. I am just wondering if you guys have seen this and how often. I am a perinatal nurse so my experience in this area is limited! My MIL is 87 years old, still lives alone, active, driving, doing yoga, etc. No chronic issues other than long standing HTN controlled well by meds. She has a tendency to be a bit dehydrated because she won't drink enough water as she complains it makes her go to the BR too often. We struggle! Anyway, she passed out sitting down in a restaurant with no warning. She is admitted overnight with a cardiology consult. Consult MD was very thorough and took a half hour talking to her and us. One of the best history taking I have heard in a while. He gets out of her that she had had a lot of chips and was eating a big flour tortilla and rice when this happened. She has been on tele with no abnormal rhythms and echo showed no problems. Pretty good for 87. He tells her that this is a "thing" that happens to women of a certain age: their BPs will bottom out when eating a high-carb meal--the glass of wine and slight dehydration were also contributing factors. They pass out under these circumstances, but there is nothing wrong with them to treat. Just avoid this. I did some of my own research and can see that this is definitely a common thing. Basically, the MD told her that once you live this long weird things will happen and you need to go with the flow at times. Has anyone seen this? I am not questioning it--I believe this is what probably happened. Just wondering if you have seen/heard of it??? Thanks!!
  13. JaneyW

    Epidural management in RN scope of practice?

    Thank you Jolie! That is exactly true. I would also like to add a thanks for the confidence to JP MD, but please know that this is not under our control. As Jolie has presented, this is mandated practice through our state law and boards. A lot of these restrictions are physician driven. They don't want us taking over their practice. If this is to change, it needs to come from the physician side and extra training of RNs needs to be in place. I am tired of being the object of some MDs misplaced anger that I won't adjust an epidural for them, and I agree that the only other option is to watch the patient be in pain which is not a good option either. JP MD, bring it up with your specialty organization, but don't expect an RN to risk their license over this as simple as it may seem to you.
  14. JaneyW

    I think I made A Med Error

    Always look up meds you are unsure of--ALWAYS. Period. End of lecture...
  15. JaneyW

    Oxygen administration during labor

    I also went into L&D right after school and have not regretted it. Most L&D nurses that I have worked with that worked med-surg first have admitted that they have forgotten most of it after a few years of L&D. Also, things change and you can't hope to keep up your medical surgical stuff when you no longer practice it even if you started there. I now teach OB and nursing fundamentals (brand new nursing students) and I LOVE it!
  16. JaneyW

    Thank you!!!

    I am a full time nursing school instructor and former L&D/PP nurse. Now I teach OB. I am writing to say a big that you to all of you OB nurses who take the time to take the student nurses "under your wing" and give them a great OB experience. I love OB and try to send my passion their way during lecture, but I have 10 students at clinical and am stretched pretty thin. I rely on you to help me shape these students and help them get the experiences they need. I have just finished a great rotation and the nurses just really came through and provided such wonderful teaching and mentoring to my students. I cannot tell you how priceless this is. THANK YOU!!! :redbeathe:nurse::redbeathe