JaneyW

JaneyW

Perinatal, Education

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All Content by JaneyW

  1. CNM vs Womens health NP

    JaneyW replied to ymm123's topic in Certified Nurse-Midwives, CNM

    Well, you'll have to practice for a year or two to get into a good program for either and that should help you a bit. I've done L&D for two years and it will be another 2 before I finish the BSN...

  2. CNM vs Womens health NP

    JaneyW replied to ymm123's topic in Certified Nurse-Midwives, CNM

    I am in southern California and haven't worked with any CNMs yet. However, I have just interviewed (and hopefully will get!!!) for a job at Kaiser and they use CNMs from routine pregnancies and...

  3. severe varicosities

    JaneyW replied to Jayla's topic in Ob/Gyn

    OK, I'll open up a whole can of worms here. I think sometimes we forget that pregnancy is OPTIONAL. She is here where she has no insurance and then chooses to become pregnant. It very well could...

  4. pre eclampsia dx tools/guidelines?

    JaneyW posted a topic in Ob/Gyn

    OK, after 2 years I am finally thoroughly confused! It seems every different MD has their own way of deciding who is pre-eclamptic/PIH/HELLP and what they are/aren't going to do about it. It seems...

  5. Pros/Cons of working in a Teaching Hospital

    JaneyW posted a topic in Ob/Gyn

    I am considering branching out a bit and doing some per diem at a large teaching hospital. I am ready to see more and learn more. I am also ready to have a bit larger safety net for emergencies....

  6. Pros/Cons of working in a Teaching Hospital

    JaneyW replied to JaneyW's topic in Ob/Gyn

    That is really one of the only reasons I feel I might need to leave. I told my manager that I think the main reason we have trouble finding good staff that will stay is because of the anesthesia...

  7. M. Murray has scared the pants off me

    JaneyW replied to Bessie's topic in Ob/Gyn

    OK, I have now read the whole thread and realize it's old. I just worked three nights in an every other night pattern and my head isn't really there. They were also three very hard, busy nights that...

  8. M. Murray has scared the pants off me

    JaneyW replied to Bessie's topic in Ob/Gyn

    Mine isn't quite that bad, but I hear

  9. Pros/Cons of working in a Teaching Hospital

    JaneyW replied to JaneyW's topic in Ob/Gyn

    EXACTLY!! We don't even have 24 hour anaesthesia even though we do about 160-180 births a month. Boy it would be nice to pass the buck or call in a NICU nurse for a birth (we have no NICU!!!)....

  10. pre eclampsia dx tools/guidelines?

    JaneyW replied to JaneyW's topic in Ob/Gyn

    Thanks for the replies. I am just frustrated with one of our MDs that seems to treat pregnancy more like a disease that needs to be managed than a natural process. She seems to be looking for things...

  11. Do you have a stat section bag, box, board, etc? What's in it?

    JaneyW replied to mfshirk's topic in Ob/Gyn

    We have a tackle box with lidocaine/disposable blades/syringes. We always have at least two sets of instruments in our OR at all times and can pop them open if we have time. About 6 months ago, our...

  12. Hands-On L&D Nurses?

    JaneyW replied to healingheart's topic in Ob/Gyn

    I consider myself a pretty hands-on L&D nurse. I like to build a relationship with patients when I can and I think it helps their laboring experience. I have been known to rub backs and stay in...

  13. How many went from new grad to L&D?

    JaneyW replied to Foxfour's topic in Ob/Gyn

    I graduated in June 2002 and went right into L&D with a four month orientation including a classroom training program. I have never regretted it. Med/Surg was not for me. I am older (35 when I...

  14. What do you want your OB patients to get from childbirth class?

    JaneyW replied to Mahnikuh's topic in Ob/Gyn

    Yes, please take a shower if you can. Please educate them as to WHEN to come to the hospital. I send one or two patients home almost every shift I work because they don't understand that there is no...

  15. What is the L&D ratio?

    JaneyW replied to Foxfour's topic in Ob/Gyn

    Here in CA we have state-mandated ratios. We are 2:1 for laboring patients and 1:1 for 2nd stage and some other pts depending on acuity (loading dose of mag,etc). Things can get a little murky when...

  16. Routine Pit use in stage 4

    JaneyW replied to UTRN2005's topic in Ob/Gyn

    I've only worked in two hospitals and it was standard in both. If bleeding is heavy or if it is her third or higher birth, I will get two bags of pit in before DCing the

  17. Cervical exams

    JaneyW replied to ryleikat's topic in Ob/Gyn

    I agree! I am not even that experienced yet and I do the same. There is also some emotional benefit to not checking too often--more progress made with each check! I think as nurses we can see that...

  18. Staffing Issues

    JaneyW replied to JenTheRN's topic in Ob/Gyn

    Are you an L&D nurse? Our patients always come directly to our unit for admission. They have to walk through ER in the middle of the night, but they don't usually stop there unless they need a...

  19. Cervical exams

    JaneyW replied to ryleikat's topic in Ob/Gyn

    First of all, you need to do as many exams as you can--not just every now and then. I have been doing L&D for about 2 years and I can remember what it was like before it kind of clicked for me....

  20. Mag Sulfate for pre-eclamptics

    JaneyW replied to obnursesteff's topic in Ob/Gyn

    Our policy is 8 pages long. I think it is maybe too long as when you are starting Mag you are usually in a hurry. :stone In a nutshell, it gives guidelines for indications and contraindications,...

  21. CNA's in Labor & Delivery, Well baby

    JaneyW replied to ckkala's topic in Ob/Gyn

    To be a good CNA in L&D, you have to be a hard worker and have a good attitude. Our best ones know their job and do it without us having to ask a lot. They can turn around triage rooms without...

  22. What type of pain med in labor used?

    JaneyW replied to Daynamyte's topic in Ob/Gyn

    We have about a 90% epidural rate. Other than that, it's either 1-2mg Stadol (which I hate because it doesn't work well and the babies often crumple later) and Nubain 5-10mg depending on the doc....

  23. Frustrations about L&D nursing

    JaneyW replied to RNLaborNurse4U's topic in Ob/Gyn

    I hear you! You forgot the part where these people are on MediCal (or whatever your state's assistance is!) and they decide to come in for "pain" when their boyfriend gets home at 2am from the bar...

  24. "Pit to distress..." (Rant)

    JaneyW replied to camay1221_RN's topic in Ob/Gyn

    Another reason I'm kinda glad I don't work at a teaching hospital! You DID THE RIGHT THING! We have specific mention of hyperstim and not having UCs more than 5 in 10 minutes in our P&Ps re pit....

  25. Why do we need the docs for delivery?

    JaneyW replied to ER1010's topic in Ob/Gyn

    I practice at a community hospital within a large suburban area--not at all rural. Most of the hospitals around here are small community with a few big teaching ones here and there. None of the...