This isn't so much about hospital protocols as standard of practice. It is your standard of practice as an OB nurse per AWHONN standards to administer oxygen in that situation based on EBP. If the...
This mistake could have been avoided by using the basic med rights. You always have to check the MAR first. We all make mistakes no matter how good of nurses we are. You cannot just take report and...
Are you a surgery candidate because of the pain? I was diagnosed with degenerative disc disease at 35 and I thought that was young! I had a discectomy and fusion in my cervical spine right after...
I am entering my last year of an on-line program for an MSN from Cal State Dominguez Hills. I have had a few classes where I needed preceptors I had to find for myself. I was intimidated at first,...
Before I get flamed too badly, I do need to say that the majority of "experienced" nurses I work with have kept up and do keep up and are also very open to hearing about new evidence-based findings....
First off, I can see how this would upset you. Blanket statements aren't the most accurate, and he can't assume that all "experienced" nurses have not kept current within their specialty. I am in my...
I'll take a stab at it: public health nurses work for the government--usually county thought can be state or federal. Community nurses work in the community. This can be for a public entity such as...
Methylene is exactly right. It may mean you will have to scramble for a clinical site. Vaccine laws are per state--not federal. You can find your state's law on the CDC website or your state...
Lily- You need to go to the schools' websites and do this research yourself. It isn't hard to find all this information out. Just go to the school's nursing page and have a look. There will be a...
Squatting is also good, but this is not squatting. Sit them upright and have them lift their knees up so that their feet are flat on the bed. You can lower the foot of the bed if you like. They had...
AWHONN will be publishing their 2nd stage guideline update soon--watch the website for it and order it. I saw a lot of the content at the convention in June and stirrups are definitely on the outs....
Read your policy and procedure regarding EFM during epidural placement. It probably addresses this for your facility. Usually, the policy states that EFM be maintained. If so, unplugging the...
I tend to volunteer that I am a nurse when things are being explained too simplistically or not at all--like it would be to difficult to explain in layman's terms. It bothers me that I have to do...
No. We need to reconfigure our coverage for those that cannot do it on their own and increase the wage threshholds for Medicaid, but to hand over the whole system would just be folly at this
I am also from soCal and 80 is nothing! I do 80 and am regularly passed--that is when we are not sitting still in traffic. It is really one or the other. Right now I am slowing down to save gas $$....
Not keeping up with current practice. I am an OB nurse, and my own evidence-based practice is different now than the old hold your breath and count to ten and lay the patient flat on her back and...
I think we were posting at the same time! I live in California where we thankfully have ratio laws. At some hospitals when I work PP, I will have 4 couplets (our max) and you're right that it leaves...
DON'T give up yet! It sounds like you are working in a baby factory! Is it also a teaching facility? You are suffering from overload and also from moral distress. I was just at the AWHONN...
Anyone else at convention in LA this past week? That was my first time and it was amazing! It is in San Diego next year, June 28- July 1. I encourage you to attend if you can. It was inspiring,...
I have worked in L&D for 6 years now. I am currently attending the AWHONN convention in Los Angeles (one more day!!) so I am feeling very inspired at the moment. It is not a fantasy world, but I...
How? A single payer system will still see my taxes paying for those that do not. I often see you use the single-payer system as the answer, but where will the funding come from if not from...
My first thought is the Lake Tahoe area. It isn't "the beach", but it is "a beach" and also a beautiful area. One shore of the lake is in Nevada so you can gamble!. You may also look at other...
Those of us who see this on a daily basis and pay a premium in our taxes need to start being more politically incorrect, IMHO. We just sent off our quarterly taxes and it is just painful!! If we...
Hi Murray--welcome! I live in Orange County in Southern California. I would be glad to give you pointers. My biggest piece of advice would be to come out here and look around before you make any...