layna

layna

Member

  • Content

    124

  • Visitors

    2,870

  • Followers

    0

  • Likes

    0

All Content by layna

  1. FIA and Meconium Testing

    layna posted a topic in Ob/Gyn

    When and FIA caseworker requests a meconium collection on newborn of a mother with a drug history, do your docs order this? What do you tell the mother? Just curious. We are working on a protocol...

  2. FIA and Meconium Testing

    layna replied to layna's topic in Ob/Gyn

    Wow, BBnurse...what a very tragic case. :-( I would really like to see your protocol. It sounds pretty comprehensive. We don't do the neonatal urine screens here. The MDS is ordered by the...

  3. FIA and Meconium Testing

    layna replied to layna's topic in Ob/Gyn

    Meconium is the first stool that a newborn baby passes. If the mother has taken drugs during her pregnancy, it may show up in the meconium and be used as evidence in a protective services

  4. triage

    layna replied to acuteobrn's topic in Ob/Gyn

    We triage our own labor patients as well. The only problem we have is with patients walking directly up to OB needing an evaluation. There are times when the two RN's on are in the delivery room...

  5. Is a pacifier a chargeable item in your facility?

    layna posted a topic in Ob/Gyn

    To try to cut costs, one of my staff members suggested making pacifiers a chargeable item. They are about 1-2$ a piece and sometimes patients end up with 3 or 4 of them. Some other people I work...

  6. Is a pacifier a chargeable item in your facility?

    layna replied to layna's topic in Ob/Gyn

    Very nicely said, Mother/baby

  7. Is a pacifier a chargeable item in your facility?

    layna replied to layna's topic in Ob/Gyn

    Sorry if there are some who perceived that this was heating up into a big debate. This was not the intention of my post, however, I do frequently encounter moms who need to know that it is ok for...

  8. Is a pacifier a chargeable item in your facility?

    layna replied to layna's topic in Ob/Gyn

    "Browneyedgirl, you sound like a very caring and conscientious mommy. Your children are very, very, VERY lucky to have had such a nurturing person to take care of them." You are absolutely right. In...

  9. Is a pacifier a chargeable item in your facility?

    layna replied to layna's topic in Ob/Gyn

    A very valid point and observation made by imenid37! I still have fond memories of watching my son on ultrasound at 26 weeks sucking his thumb.

  10. Is a pacifier a chargeable item in your facility?

    layna replied to layna's topic in Ob/Gyn

    Thank-you, Jolie. I will have my assistant contact the formula company about

  11. Floating nurses

    layna replied to babsRN's topic in Nurse Management

    Thanks to everyone for input on this subject! I am currently involved in the development of a float policy for our OB nurses. I do believe that floating guidelines need to be in place for the...

  12. Odd, unusual, or silly events during exams..

    layna replied to Texagain's topic in Ob/Gyn

    At my last place of employment, I was doing pericare on an 18 year old girl who had just had a precipitous delivery 10 minutes after her admission. While I was cleaning her up, I found a wad of blue...

  13. Help! The "Life" of a Nursing Manager?

    layna posted a topic in Nurse Management

    Hello Everyone, I work about 50-55 hours a week (not incuding work related reading done at home). I have been in this job 6 months- was a staff nurse on the unit prior to this. My staff are...

  14. Should I take a supervisor position?

    layna replied to RNinICU's topic in Nurse Management

    Chris B gives good advice. I have been a manager for 9 months now. I love the challenges. There are more "peaks and valleys" in management though. You have to make decisions that are not going to...

  15. Lunch breaks

    layna replied to moonshadeau's topic in Patient Safety Issues

    I think that moonshadeau says it all. It took me 10 years to finally convince myself that I deserved a break and to quit working through lunches and suppers. With the exception of an emergency...

  16. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    HI BadBird, Thank-you for your reply. I appreciate it. I have considered agency nurses, but the staff feel that this may create more problems such as resentment over wage disparity, and having to...

  17. OB Physician Core Privileging: How many deliveries per year, per doctor??

    layna posted a topic in Ob/Gyn

    Hi Everyone, Is there a certain number of deliveries per year that each of your physicians has to do annually in order to maintain OB delivery privileges? I am curious. Thanks!

  18. OB Physician Core Privileging: How many deliveries per year, per doctor??

    layna replied to layna's topic in Ob/Gyn

    Thanks, Everyone. I would appreciate the information before our next OB Committee meeting. We are a small rural hospital and our OB/GYN is wondering if all of the docs should have a minimum number...

  19. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    Thanks, Stormy That is a great idea! I will talk to my staff about this study. It is the only way to increase staffing. Administration bases decisions on numbers and they are interested in...

  20. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    Thanks, Jill. I like your story of how an agency nurse stayed on as staff. I didn't think of that as a possible benefit of bringing agency nurses in. I was talking with one of the union reps last...

  21. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    Hi Jill, Thanks for your response. I do only have one prn staff member right now, with one in training. I am always working on hiring staff, but due to our location, experienced staff are few and...

  22. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    Thanks, Stormy and Canoehead. I appreciate the support and suggestions. My DON plans to address this issue as there is another manager in the hospital who has the same problem on her unit. We had a...

  23. Help! The "Life" of a Nursing Manager?

    layna replied to layna's topic in Nurse Management

    Yes, Patience 911...I agree with you. The problem is that we have used all of the resources that I have. We staff with 2 nurses per shift and when one of them calls in sick, that leaves only one...

  24. Male Nurses in Postpartum/Nursery

    layna posted a topic in Ob/Gyn

    HI Everyone, I am a nurse manager in a small OB unit. There is this male med/ surg night nurse who I think would do well to be trained as a postpartum/nursery nurse. He said that he would like to...

  25. Male Nurses in Postpartum/Nursery

    layna replied to layna's topic in Ob/Gyn

    Hi Everyone, Thanks so much for the replies. I appreciate it. Wish me luck! I am looking forward to having this nurse in our unit. His attitude and skills will make him an asset in our