MamaMadge

MamaMadge ADN, BSN

L & D and Mother-Baby

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About MamaMadge

MamaMadge has 14 years experience as a ADN, BSN and specializes in L & D and Mother-Baby.


Happily married for 34 years, mama to 4 adult kids, 14 years Labor and Delivery experience.

Latest Activity

  1. Nope! Started in Mother Baby, then within a few months cross trained to L & D. Almost 14 years later and no regrets! If L & D is your goal, full speed
  2. Too old for OB?

    I am 56 and have been a L&D nurse for almost 14 years. I am considering a change as well but I'm still hanging in there. I work part time in a busy L&D and have at least 9 years until...
  3. Orientation time to L &D

    Just collecting info. How much time did you have to orient to L & D? Does it vary if you are a new RN or experienced but new to L & D? Did you have classroom time and floor orientation?...
  4. Longing and Wanting

    When I sat on an interview panel for new candidates for our department, I really wanted to hear that someone was passionate about Labor and Delivery. It is a tough job, it can be like an ER...
  5. Plausible situation or not? Have you ever seen this

    If she was having serial ultrasounds for multiple gestation, and the provider was aware of such a big discrepancy in size, they should have induced her before the discrepancy became that dramatic....
  6. Checking your patient's dilation.

    If you can find the head (or presenting part) slide your fingers around until you find a circular ridge. If you can't get your finger inside at all, she is closed. If you can't find it, slide it...
  7. Checking your patient's dilation.

    If you can find the head (or presenting part) slide your fingers around until you find a circular ridge. If you can't get your finger inside at all, she is closed. If you can't find it, slide it...
  8. Trick and tips

    I agree 100% with the side lying, head flat, top leg up for turning an OP/OT baby. As far as laboring down, FANTASTIC! The only thing I see occasionally is, if in high fowlers sometimes the cervix...
  9. What..work with NO residents??

    I work for a small hospital and we do not have docs or anesthesia in-house. Yes, it can be challenging, but all of our docs live close by and in an emergency, we can have a doc and CRNA there within...
  10. I have 6 years experience and started at $40.00/hr night shift. I now make $52.00/hr base plus night shift diff. of $6.00/hr. I work in a small town one hour north of San Francisco. The cost of...
  11. pain med...

    Fentanyl IV push, 100 mcg. q 1 hour up to a max. of 6 doses in 24 hours. We push is very slowly, like over 3-5 min. Some RN push it over 3 contractions but I think that could take too long. I agree...
  12. L&D ladies who work nights...

    Alianeco, I completely agree with you! The atmosphere at night is wonderful! No managers, no doctors hanging around, no meal trays! Heaven! I had a really tough time adjusting to nights at first....
  13. I have also experienced lady partsl birth (twins born lady partslly) and a c-section. I would take that lady partsl birth over and over rather than try to recover from major abdominal surgery while...
  14. Managing Pitocin Augmentation, again...

    Hi everyone, I just got back from a 2 day Conference on EFM by Lisa Miller, CNM, JD. She had lot's of info. on Pitocin management. She said everyone who is administering Pitocin should thoroughly...
  15. twin delivery...vaginal or c-section???

    I delivered my twins lady partslly 18 years ago, Twin A Vertex and Twin B frank breech. It was successful and my beautiful girls are now beautiful young