JaneyW

JaneyW

Perinatal, Education

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All Content by JaneyW

  1. Why do we need the docs for delivery?

    JaneyW replied to ER1010's topic in Ob/Gyn

    I think that was part of why there used to be such mortality in medical care in general--not just in OB. However, a lot of the deaths were from the baby being too big to push out (or the mom too...

  2. Why do we need the docs for delivery?

    JaneyW replied to ER1010's topic in Ob/Gyn

    I'm with you, Steph. I have delivered some and will I know do so again as I work in the middle of the night and some babies just don't wait. I have seen too many things go wrong at the last minute...

  3. Getting pulled to other areas

    JaneyW replied to tryingtomakeit's topic in Ob/Gyn

    We ALWAYS have two nurses on in L&D even if there are no patients. I have had nights where we have NOTHING until 4am and then in walks a 29 weeker with twins ruptured with one a footling breech....

  4. Ampicillin for GBS patient with imminent delivery???

    JaneyW replied to ShannonC's topic in Ob/Gyn

    Because they can become positive during the last few weeks of pregnancy, our docs don't swab them until about the 36th or 37th week. Because of this, we do sometimes get patients who don't have...

  5. How long do you push?

    JaneyW replied to cabbage patch rn's topic in Ob/Gyn

    I work the night shift, so I think this kind of thing is more under my control as a nurse than it might be during the day. We are definitely in the 'labor down' club at my hospital. If the patient...

  6. Compensation Policies

    JaneyW posted a topic in Ob/Gyn

    Any of you out there per diems?? I am a per diem and the first to be put 'on call' for low census. My hospital has always had a policy of paying $5/hr for being put on call and then time and a half...

  7. Ampicillin for GBS patient with imminent delivery???

    JaneyW replied to ShannonC's topic in Ob/Gyn

    Don't you have a half hour either way?? so 3 1/2 hours isn't really fudging. I've been known to stretch the envelope a bit. Better than no coverage or too late to

  8. Compensation Policies

    JaneyW replied to JaneyW's topic in Ob/Gyn

    California is an at-will state so they could terminate me at any time for any reason. I'm not worried about not getting enough hours--just about them changing the rules on us all of a sudden with NO...

  9. Ampicillin for GBS patient with imminent delivery???

    JaneyW replied to ShannonC's topic in Ob/Gyn

    I agree with this answer--this is what happens at my facility except that r/o sepsis is usually initiated on all babies without 2 doses of pcn during labor regardless of s/s. However, isn't it better...

  10. Feeling anxious about my future in L&D ...

    JaneyW replied to SC RN's topic in Ob/Gyn

    I second this! I was in your position three years ago and opted to go right into L&D. I LOVE it and haven't looked back. It is stressful to be graduating regardless of after-school plans. Like...

  11. Friedman's Curve...do you use it?

    JaneyW replied to jennobrn01's topic in Ob/Gyn

    I haven't seen the curve on the charts of the three hospitals I have been at. We don't use it, although the MDs will sometimes refer to it when they want to section someone who has been stalled for a...

  12. OB Policy and Procedures " HELP PLEASE"

    JaneyW replied to Caseyrnbsn's topic in Ob/Gyn

    Cytotec is placed by RNs in California: 25mcg in the vag fornix. It is difficult to do. I have found it easier when using surgical gloves that are tight as opposed to exam gloves. I attended a...

  13. International Traveling

    JaneyW posted a topic in Ob/Gyn

    Does anyone know much about travel nursing in OB internationally?? I have seen ads for positions in Australia, New Zealand and the UK. Does anyone know anyone that has done this? Do any of you UK...

  14. Where are the docs??

    JaneyW replied to jrring1019's topic in Ob/Gyn

    I work in a smaller community hospital. We do 150-175 births a month--occasionally a 200+ month. We normally staff 2-3 RNs with a charge in L&D. We have no in house docs and that is pretty much...

  15. Stuck at 9cm

    JaneyW replied to JenTheRN's topic in Ob/Gyn

    You know, I think it's because most of my patients have epidurals and they can't walk. I do manage to get them to move all over the bed although they often dislike me for that. We had one lady that...

  16. Stuck at 9cm

    JaneyW replied to JenTheRN's topic in Ob/Gyn

    Am I misreading or do you let people walk at 9cm?!!?? I am a big fan of the straight up position if the baby can tolerate it. We are such slaves to our stupid fetal monitors and they don't always...

  17. Shift v. Shift

    JaneyW posted a topic in Ob/Gyn

    Do any of you have this problem? It seems at our facility we have some real second guessing problems between the shifts (we are 12 hours). Dayshift can't understand why we do things as we do and...

  18. Shift v. Shift

    JaneyW replied to JaneyW's topic in Ob/Gyn

  19. Okay OB nurses All about a cesearean?

    JaneyW replied to xmaxiex's topic in Ob/Gyn

    You will get there about two hours early. They will ask you a million questions, start your IV and shave you (usually a closed leg shave), and probably get a dose of Bicitra to neutralize your...

  20. Shift v. Shift

    JaneyW replied to JaneyW's topic in Ob/Gyn

    Thanks for the replies. I guess I just needed to vent. We had one of those crazy nights where it feels like patients just keep coming in and there is always something to do and help with and I don't...

  21. Shift v. Shift

    JaneyW replied to JaneyW's topic in Ob/Gyn

    EXACTLY! The tiredness factor is definitely at play, but our patients are also tired. I don't get the point of pushing a woman through labor all night so that they are too tired to push the next...

  22. Frustrations about L&D nursing

    JaneyW replied to RNLaborNurse4U's topic in Ob/Gyn

    Biggest frustration? Knowing when to call the doc--especially on multips at 2am. How fast will they go? will they deliver right after they SROM at 5cm? I know you said you love the pushing part,...

  23. Favorite part of L&D Nursing

    JaneyW replied to RNLaborNurse4U's topic in Ob/Gyn

    Although I am not fond of the paperwork, I like the admission process. Especially for primips. I enjoy the teaching and explaining the process and equipment and what may happen--or not. I like to...

  24. Cord Blood Collection

    JaneyW posted a topic in Ob/Gyn

    Do many of your patients bring in those cord blood collection kits?? The hospital where I've been for the past couple of years doesn't get them too often. The MDs aren't too used to them. We had...

  25. Epidurals: to Dose, or Not to Dose?

    JaneyW replied to 4Blessings's topic in Ob/Gyn