MamaMadge

MamaMadge ADN, BSN

L & D and Mother-Baby

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All Content by MamaMadge

  1. For anyone who went straight into Mother-Baby/L&D as a new grad, do you have any regrets?

    MamaMadge replied to lexxa25's topic in Ob/Gyn

    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?

    MamaMadge replied to TinyDancer01's topic in Ob/Gyn

    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

    MamaMadge posted a topic in Ob/Gyn

    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

    MamaMadge replied to vanesp's topic in Ob/Gyn

    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

    MamaMadge replied to eden's topic in Ob/Gyn

    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.

    MamaMadge replied to NOLAgirl2's topic in Ob/Gyn

    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.

    MamaMadge replied to NOLAgirl2's topic in Ob/Gyn

    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

    MamaMadge replied to lovemyjoblandd's topic in Ob/Gyn

    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??

    MamaMadge replied to jodyangel's topic in Ob/Gyn

    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. How much do you make as an RN in Labor and Delivery where you work?

    MamaMadge replied to Janinern84's topic in Ob/Gyn

    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...

    MamaMadge replied to stephera's topic in Ob/Gyn

    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...

    MamaMadge replied to allthingsbright's topic in Ob/Gyn

    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. Healthy women schedule C-sections to prevent vaginal stretching

    MamaMadge replied to rph3664's topic in Ob/Gyn

    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...

    MamaMadge replied to californianclextaker's topic in Ob/Gyn

    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???

    MamaMadge replied to samsmom95's topic in Ob/Gyn

    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

  16. Precipitous Second Stage Question

    MamaMadge replied to TarheelRN's topic in Ob/Gyn

    I had a multip the other night that went from 6 to complete in about 15 minutes and pushed once. Thank goodness the CNM was in house!! It happens and you shouldn't feel bad about it....what a nice...

  17. Managing Pitocin Augmentation, again...

    MamaMadge replied to californianclextaker's topic in Ob/Gyn

    Presla, great idea on the internals...sometimes the patient is having lot's of contractions with insufficient montevideo

  18. Cervical prolapse

    MamaMadge replied to eden's topic in Ob/Gyn

    I just had one....the MD had us keep the patient flat on her back with an ice pack on. It went back up inside by the time her recovery was finished (2 hours). When she got up to the bathroom it was...

  19. Managing Pitocin Augmentation, again...

    MamaMadge replied to californianclextaker's topic in Ob/Gyn

    The very tricky thing about a seemingly "dysfunctional" pattern with u/cs every 1-3 minutes is that sometimes there is coupling or trebling and increasing the pitocin will break that pattern. Once...

  20. Is PP Hemorrhage usually pretty obvious???

    MamaMadge replied to azzurra29's topic in Ob/Gyn

    TXMama, Thanks for sharing your stories! Your personal experiences will serve you well when you become an L & D nurse! I think once you have been doing this for a while, if you have to ask...

  21. stillborn births

    MamaMadge replied to shearernurse's topic in Ob/Gyn

    Starsgirl78, THank you so much for your story. I know it takes alot of courage to share such painful

  22. What can I do to be more appealing to recruiters?

    MamaMadge replied to aspiringcnm's topic in Ob/Gyn

    Definitely OB tech or OB intern is a great way to get your foot in the door. Also, do you speak any second languages? In No. California, we have a very diverse population, so being bilingual has...

  23. sterile gloves

    MamaMadge replied to crissrn27's topic in Ob/Gyn

    Clean gloves where I work too. During C-sec, surgeon places baby onto warmer on sterile crib blankets. We pass the wrapped baby to the nursery

  24. New OB Nurses, Grads and Students, Please Feel Free to post your questions here:

    MamaMadge replied to SmilingBluEyes's topic in Ob/Gyn

    rxbunnie, congrats on graduating and taking the NCLEX! Yes, I have heard people say that L & D isn't "real" nursing....they have obviously never been near a Maternal-Child unit! We deal with...

  25. When to Call Doc for Delivery

    MamaMadge replied to rnWinn's topic in Ob/Gyn

    I am so lucky where I work. Our docs and midwives are great about coming in. I wouldn't wait to call when a multip is 8cm. They just seem to go so fast at that point. Most of our providers like to...