Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. I think I crapped my pants just now. That is scary as
  2. Elvish

    How to stop crying at clinicals?

    My first semester of NS was on a tough med-surg floor. A few weeks into our rotation we had a young patient who'd been involved in a MVC, not her fault, that left her paralyzed and in a PVS. Early...
  3. Elvish

    IV insertion issues

    Our limit is 2 as well. This goes for everyone from regular newborn nursery RNs to RTs (art sticks occasionally) to
  4. Elvish

    NAS

    For a while we had (on loan from the peds ED, of course, not one of our own) a reclining swing, an uber-fancy-schmancy thing they could lie in as if they were in a bassinet with the head tilted up....
  5. Elvish

    NAS

    At my place we stop waking them for feeds once they've gained back to above their birth weight. Good results x 10 years with that. In theory, I suppose there would be a limit on how long we'd...
  6. Seen it a couple times at my place too. It is really
  7. Elvish

    Your opinion on degrees.

    I don't usually wade into the BSN-ADN debate, but personally I'm glad I just went ahead and got a BSN. It doesn't by default make you a better bedside nurse, but it does open doors that might not...
  8. Elvish

    Stories of the pre-vaccine days

    Actually, I don't know that the evidence bears this out. If left alone - which is best practice on any normal newborn cord - it will dry up and fall off in about a week or less. I've had babies whose...
  9. Elvish

    Stories of the pre-vaccine days

    Thanks. I've had a croupy baby too (kid #2 at 20mo) and know that's scary as well, esp once they get going and can't get settled (and it's inevitably oh-dark-thirty). My son's case was not as bad as...
  10. Elvish

    Stories of the pre-vaccine days

    My son had pertussis at 3mo. He'd had his first round of vaxes, but obviously not complete. Caught it from another kid in his daycare who hadn't yet completely finished his either. The sight of my...
  11. Elvish

    Cheating in an FNP program

    I'm in a FNP program and it's a mixed bag of proctored, unproctored, closed-book/open book. I'm a rule-follower when it comes to stuff like this and my conscience would eat me up a la Poe's 'The Tell...
  12. Elvish

    How should items be stocked in delivery rooms?

    We keep all the L&D warmers stocked - meaning 12 LDRs, 3 ORs, and 2 warmers in a resuscitation room - with the basic things. ET tubes sizes 2.5 - 4.0, laryngoscope & 0/1 blades, mec...
  13. Nope, nope, nope. And I even like my current manager. It's just asking for trouble IMO. Like other posters, I don't put my workplace nor my current city on FB. And I don't generally comment when...
  14. Elvish

    male nurse problems..

  15. Elvish

    Question about possible outcome for patient

    Yikes, that's a tough one. Gestational ages that are right on the line like that make everyone kind of grit their teeth and pray. I have had patients rupture earlier than this one but not admitted to...
  16. Elvish

    How many of you actually enjoy your job?!

    I'm the baby/recovery nurse at deliveries. 98% of the time it's a happy, joyous occasion and all is well. The other 2%, it makes my lips numb just to think about it. Can't see myself doing it for the...
  17. Elvish

    Estimating Lochia

    Do you have a textbook you can consult (say, maybe in the library on campus)? A lot of times they will have visual estimates (on a sanitary pad for reference) of each
  18. Elvish

    Baby Friendly

    I'm a baby-transition nurse at my facility. We do sugars on anyone Anyone who's pink and breathing goes straight on Mom's chest, not over to the warmer, after delivery. And they stay there for as...
  19. Elvish

    ? for L&D nurses from a preggo nurse

    Your mileage may vary, of course, but I took the childbirth class as a nurse when pregnant with Thing 1 and found it helpful. Other nurse friends have as well. The instructor may also have some tips...
  20. My nursing school OB professor (author of a widely-used textbook as well as clinical instructor at the time) never had children. She had all kinds of OB experience and was wonderful both at the...
  21. It helps this issue greatly that at baseline I just don't give a **** what other people think when I'm passionate about something. My dad and stepmother have no clue what I do for a living. They...
  22. Elvish

    do you wash your hair every day?

    I wash every day if I'm working.....all kinds of things fly around at a delivery. When not working I wash maybe q2-3 days; too dry
  23. Elvish

    Delayed newborn bath

    We delay our baths as well - not usually for 24 hours, though that's not a bad idea. We wear gloves when we handle unbathed infants and gowns if we're going to be holding them. No biggie. They have...
  24. Elvish

    Can LPNs work in the delivery room or maternity?

    We do not hire LPNs for patient care in L&D, although I suppose L&D tech might be possible with an LPN license. I say 'possible' because I don't know it for fact. We have an LPN that worked...
  25. Elvish

    EVANGELISM IN WARD

    OP - If you feel compelled to preach the Gospel, you might try out what I've heard attributed to St. Augustine and various other religious types (I am a Christian as well). "Preach the Gospel at all...