JaneyW

JaneyW

Perinatal, Education

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All Content by JaneyW

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

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

    This has been an issue at my facility as well. We are not allowed per protocol to 'dose' if what you are talking about is a bolus. We can, however, change the bags out. It became an issue after the...

  2. No/Late prenatal care? do you see it often? why do you think it happens?

    JaneyW replied to HappyNurse2005's topic in Ob/Gyn

    We have a lot of illegals in CA. The state guarantees them medical care when pregnant, but they are still scared to go to the doctor. They also often have drug problems and don't want anyone to take...

  3. Do you work with LPNs on your Couplet Care Unit?

    JaneyW replied to breastfeedingRN's topic in Ob/Gyn

    We have LPNs that work PP regularly. They are awesome nurses and I have learned a lot from them! I especially value them because I am an L&D nurse and only in PP sometimes and am not as...

  4. Have you guys had to do ABs?

    JaneyW replied to pebbles1977's topic in Ob/Gyn

    We don't do any TAbs on our floor. I am L&D in a smaller community hospital--about 140-170 births a month. I don't know if they do them down in the main OR. We are allowed to refuse to be...

  5. Working ALL the holidays!

    JaneyW replied to tryingtomakeit's topic in Ob/Gyn

    We have a hospital-wide policy about how many major and how many minor holidays you have to work each year. We do self-scheduling, and I think it works out pretty well. I am also nights--isn't...

  6. Narcan at Delivery

    JaneyW posted a topic in Ob/Gyn

    The recent post about delaying Narcan 2 hours post delivery got me thinking about my own hospital. We have recently trasitioned from having nursery do the newborns about 2 hours post delivery to...

  7. Narcan at Delivery

    JaneyW replied to JaneyW's topic in Ob/Gyn

    This is exactly what I was talking about!!! I am also in SoCal. In regards to "not all repiratory depression shows up right away", this is what I was getting at in the original post. If I have a...

  8. Narcan at Delivery

    JaneyW replied to JaneyW's topic in Ob/Gyn

    Do most of your patients have epidurals? Do they go without pain relief? Where do you practice? Where I am, we have a heavily Hispanic--Mexican--population. They are very wary of epidurals but all...

  9. Narcan at Delivery

    JaneyW replied to JaneyW's topic in Ob/Gyn

    Thanks for all of your replies. It has given me good food for thought. It is very rare that we use Narcan as well. I'm still wondering if anyone else has had trouble with post Nubain and Stadol...

  10. Narcan at Delivery

    JaneyW replied to JaneyW's topic in Ob/Gyn

    Aren't you NRP certified? I know Narcan is part of the code process--can you not run a code without the NICU? I would think you wouldn't want to waste the

  11. Narcan at Delivery

    JaneyW replied to JaneyW's topic in Ob/Gyn

    We have no NICU and are basically the nurse in charge of caring for the baby for the first hour or two after birth. There really isn't anyone to call except for respiratory. We're on our own. Small...

  12. Travel with L/D?

    JaneyW replied to IndyGypsyNurse's topic in Ob/Gyn

    I'm not a traveler, but since no one else is responding I thought I'd tell you what I've seen as a staff nurse. I have worked at two southern California hospitals in L&D. Both used travelers on...

  13. When are they in trouble? (Decels)

    JaneyW replied to pebbles1977's topic in Ob/Gyn

    Take as many strip classes as you can. You will find that they will all say basically the same thing, but there will be differences of opinion. You will also read research that says that EFM does...

  14. Night Shift Survival

    JaneyW replied to RNRose's topic in Ob/Gyn

    You need to make your sleep a priority and your family needs to understand this. Invest in some good earplugs and nap whenever possible. As moms and nurses, we tend to put ourselves last. It is...

  15. Pay/Bringing Own Kids

    JaneyW posted a topic in Camp

    I have three sons who are all camp appropriate ages. I found a great (and very expensive) camp not far away who wanted nurses for as little as a one week committment. In our initial e-mail exchange,...

  16. Portacath??

    JaneyW posted a topic in Oncology

    I am an L&D nurse and not more than basically familiar with oncology. A very good friend of mine was dx with carcenoid cancer in her colon that had gone to her liver. This was last Oct. She had...

  17. Portacath??

    JaneyW replied to JaneyW's topic in Oncology

    OP here! She ended up with a PICC line which I think is a good choice for her situation. She had her first round of chemo this week and I haven't had the chance to talk to her yet. Her husband sent...

  18. Working with Doulas

    JaneyW replied to BabyRN2Be's topic in Ob/Gyn

    Sepia- I love your Snoopy. I have it on my car. I also feel that the doula is often doing what the husband should be and either won't or can't. A lot of my patients are hispanic/Mexican and are...

  19. Working with Doulas

    JaneyW replied to BabyRN2Be's topic in Ob/Gyn

    Sepia- I love your Snoopy. I have it on my car. I also feel that the doula is often doing what the husband should be and either won't or can't. A lot of my patients are hispanic/Mexican and are...

  20. Working with Doulas

    JaneyW replied to BabyRN2Be's topic in Ob/Gyn

    I have only worked with a doula one time. She was very humble and helpful and it was fine. Just don't try to be the nurse--you aren't responsible for the patient, we are. We are required to chart...

  21. Portacath??

    JaneyW replied to JaneyW's topic in Oncology

    Thanks for all of the replies so far. I appreciate your help and will relay your comments to my

  22. Labor and Delivery staffing

    JaneyW replied to Darchild77's topic in Ob/Gyn

    I work in a small but busy hospital. I am in CA and we have had to have 2 RNs at all times in my area for a while now--not just with the new laws. If someone is pushing, they are a 1-1. It is way...

  23. Average pay salary for OB/GYN L&D nurse??

    JaneyW replied to GladysStiles's topic in Ob/Gyn

    I am in southern California. I make $34 plus NOC shift differential of a little over $4 more an hour as a per diem employee. I don't get called off too much because they don't have enough staff to...

  24. Spouses???

    JaneyW posted a topic in Camp

    I am starting to get pretty excited about camp nursing this summer. I have three sons ages 8-12 and I think it will be a good time. I am only doing a week in August (I only work per diem and I get a...

  25. New grad as OB nurse?

    JaneyW replied to Christean's topic in Ob/Gyn

    I graduated in June of 2002 and went straight into L&D through a great new grad program with a lot of classroom hours. It's a great fit for me. I was already 35 with three kids of my own when I...