jennifers

no. I would say at least 12

What is the worst thing you see on your floor? I always hate when people think OB nurses don't see bad stuff. For me the things that freak me out the most are HELLP, DIC x1, and shoulder distocias. We had one patient with a liver rupture which i guess if very rare! If I remember right she didn't have any prenatal care. She actually lived.

Do you seem to get HELLP patients in spurts? Seems like we have had a few lately. They freak me out.

Does albumin get diluted with iv fluids?

Didn't think DKA cause glucose was wnl. Didn't want to think hellp cause liver enzymes were ok even though platlets were lot. She got a diuretic today and started having good output. Still a 1:1 care. got more blood. I didn't care for her today but had to check up and make sure she was still ok.

renal is my concern but I don't know if it would be from a hemorrhage. Really concerned for her healing post a surgery. also pre eclampsia

what would cause such a low albumin level? I dont want to give much info about the patient but they had severe edema, creatinine of 1.1. very little urine output. alt 300 ast 25. bun 11 I left work today and am still worried about the labs. Dr. not so much.

I agree that certain certificates like NRP, BLS are to be expected. I wouldn't expect anything for that. But how does it benefit me to get the BSN or RNC-ob or NCC efm?

I'm having days during orientation where I feel like I've got it. Other days I feel like its my first day ever as a nurse and I feel lost.

$22 and that is with 2 years exp and on night shift!

In this economy I'd be happy getting any position. I wouldn't worry if it was nights or days. i would just try to get the experience

I've only been doing L&D a few months. I'm so anxious I'm going to mess something up. Not call the dr soon enough/call them to early. How long did you do L&D before you felt like you knew what you were doing? I heard it takes 5 years for them to consider you experienced. I'm hoping I feel a lot better after the first year!

They want us to have all these certifications but dont want to pay us for having them. We will soon be required to have NCC for fetal monitoring. They are strongly encouraging RNC. Just wondering if you get paid more at your facility for having certifications.

I'm not sure what a SNF is...But only one and a half weeks of orientation is not very nice! That is not good especially for a new grad. I got 12 weeks orientation as a new grad.

I've been a L&D nurse for a whole two months now..lol I think the thing that helped me the most is reading up on Fetal monitoring before I started my orientation. I read the entire AWHONN intermediate fetal monitoring book before I started. I think that really helped. I have 4 weeks left of orientation. Its a crazy time but so worth it. I really love doing labor! If you've worked on another floor for a while that will help a lot. We had a completely different charting system that I had to learn.

my guess would be texas

I would not quit. I'd go to school very part time. Where are you going to want to work when you graduate with the RN? At this same hospital on mother baby or Labor? It wont look good that you quit before without even finishing orientation. Plus if you keep the job you have your foot in the door. look at how many people are posting that they want to go into OB? Its their dream but they can't even get an interview? It is hard to get into this specialty. Thats just my two cents though.

Ok, how many cervical exams did you do before you knew what you were doing? I just started labor and everything just feels like mush. I've got Complete down. lol I have checked a few and so far I'm still clueless.

Do your parents send their newborns to the nursery for the entire night? Is this allowed by your facility? We understand if the mom had a c/s and has no one to stay and help her. but what about those intact svd's on their second night? What about those boarding with their infnat on bili lights? Do they stay to board to spend time with the infant and come night want it to go to the nursery? what is your nursery nurse to patient ratio?

are you kidding me? not everyone is young, healthy and happy to say the least.

This is what I was afraid of. But I too see it as a hoop to get to the msn.

Going back to school in the Fall (Lord willing). I already have a BS in another field and my ADN. My question is for those of you that have went this route. What did you take away from the BSN program? Did you feel your knowledge greatly changed? Your attitude toward the profession? What was the one greatest thing you learned from your program? Are you glad you did it? Thanks for the answers.

Hospital gowns. :) Another pt told me they were allergic to "dust"...yeah who isnt?

So, I am switching from a postpartum unit to a different hospital with couplet care. At the hospital i'm at now you care for the mom only or the baby only. I have not been crosstrained to care for the babies. Any advice on how to organize myself with the switch to couplet care? Any suggestions on books to read? I really don't know a lot about caring for newborns. I have had children myself and I have picked up a lot from being around them but i'm still green on newborn assessments, labs, etc. I do have a lot of experience helping moms breastfeed/swaddle etc but thats about it. I know most of my orientation is going to focus on baby care but i'm still nervous about this new chapter.

The use of TORADOL in labor and delivery is contraindicated because it may adversely affect fetal circulation and inhibit uterine contractions. The use of TORADOL is contraindicated in nursing mothers because of the potential adverse effects of prostaglandin-inhibiting drugs on neonates. Toradol (Ketorolac Tromethamine) Drug Information: Uses, Side Effects, Drug Interactions and Warnings at RxList