CMCRN

CMCRN

L&D,Lactation

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  1. Would you ever be a scab?

    I would never ever cross a picket line. And especially for $46 per hour that would be a huge pay cut for me. Thanks to my union here in California I make a fair
  2. You've probably allready done your presentation but I'll chime in anyway. I live and work in California and am a member of a union, The California Nurses Association. I have been a nurse and a member...
  3. L&D and ED attract similar personalities, type A, that like the drama. I think it might be easier to go from the ED with the skill set learned there, to OB, than the other way around. If you knew...
  4. D&C in OB triage

    Oh and we have 24 hour in house anesthesia
  5. D&C in OB triage

    I work in a level III hospital, about 6,000 births a year. We have a separate OB triage unit 2 floors away from L&D. We are trying to develop a protocol for doing D&C s in the triage unit....
  6. D&C in OB triage

    Our conscious sedation protocol does not call for EKG monitoring. We do q 5 min vs, bp,pulse and O2 sat. Usually it is just fentanyl which we also give to our labor patients. Primarily it is for...
  7. D&C in OB triage

    Conscious sedation, usually fentanyl and maybe versed. I think all of us would prefer they be done in the OR also. It requires one of the triage nurses be one to one with that pt and is quite often is...
  8. How much do you get paid?

    Better RN salaries on the west coast are a direct effect of Union
  9. Anyone here an RNC?

    My employer, too, offers a financial incentive of $100 per month. I think they do this if they are going for magnet status, which means they are giving a ton of money to
  10. PO Vitamin K?

    IV? that must be a typo We do have a protocol for po Vitamin K. Double the IM dose orally but it does require 2 follow up doses and is somewhat hard to find outside the hospital setting apparently....
  11. Frustrated new L&D nurse

    I think you did fine. I agree with the other posters, I do not necessarily turn the Pitocin off first, the goal is to get delivered, I acess the whole situation and try the interventions you did. I...
  12. Taking RNC Inpatient Obstetrical EXAM HELP ME

    I think you sound prepared. I took it 6 years ago and realized afterwards I had overprepared. If you have a number of years experience then you allready know this stuff. Many people I work with have...
  13. feisty is exactly
  14. Prioritizing Patients - Please Help!

    I think this is an impossible assignment. In California it is definately out of ratios! What position is the ruptured 28 weeker? If baby is any position but vertex, in my facility, she requires...
  15. constipation and contractions

    Yes, constipation can cause uterine contractions and exacerbate preterm
  16. Labor Murse Circulating for C-sections

    We are 500-600 deliveries and if your pt goes to c section you become the circulator. Nicu comes for the baby though. We recover. Try to get baby back with mom in recovery. Most of us also can be the...
  17. I prefer the Symposia Medicus courses myself. They are more expensive but I learned alot each time. Thinking about their Fetal Monitoring one in Las Vegas next
  18. Hey there! Wait just a darn minute. Now you are talking about me! During the last 2 strike votes at my facility I was asked by my union rep to do the counting. I am just a regular RN. I happened to be...
  19. Your income vs price of homes

    I too, work in California. These salary postings don't say whether they are 1.0 and/or if they include a differential. I have 25 years seniority so should be at the top of the scale and I don't make...
  20. Recovery for vaginal delivery

    We do 2 1/2 hour recoveries. We are a level 3 facility doing 500+ deliveries. We have 18 labor rooms and 6 antepartum rooms. Our Csections recover until they can lift their hips. But we do baby vs,...
  21. Bicitra

    We do not dilute, although I sometimes pour it over ice, I think it is more palatable cold. I tell people to be prepared for the taste, like liquid sweet
  22. Sometimes you actually have to push pretty hard to break the suction if she has been pushing a long while and the head is really wedged
  23. "Eyes & Thighs"

    American Acadaemy of Pediatrics guidelines actually are for eyes and thighs in first 6 hours following birth. I think erythromycin is a state law in California. Studies are showing that exclusively...
  24. Ultrasound in L&D

    We always have an in house OB and if we have a question about presentation, or can't find a heart rate we just call the OB to run an
  25. Question for a Nurse from a nursing student

    I graduated from San Francisco State University in 1978. It was the year of the assignation of Mayor Moscone and supervisor Harvey Milk, the massacre of Jim Jones and his followers in Guyana, and...