Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Are nurses "above" menial pt tasks?

    Most of the times nights on my unit has no tech - so the nurses are it. It's not that big a deal, honestly. Obviously, some things take priority - a patient emergency or a need for pain meds, for...
  2. Elvish

    Inpt OB vs Maternal/Low Risk Newborn RNC

    What do you primarily do at work, L&D, or mother/baby? Or are you crosstrained for all (in which case you'd likely be as well off with one as the other)? Where I am, the L&D nurses typically...
  3. Elvish

    How do you "bond" with your patients?

    I don't bond with everyone. Everybody is not going to get along with everybody else, and I get that. I do try to be friendly - smile, make eye contact, crack a joke if it's appropriate, and let them...
  4. Elvish

    Do I ask people to be references for me?

    It is courtesy to ask someone before you put them as a reference. Anytime I've applied for a job, I've gone to the people I wanted to put as references and said, "I'm applying for a job at XYZ...
  5. Elvish

    How do you address your patients?

    Totally depends. If it's the first time I'm meeting someone, it's almost always 'Ms. Jones'. As the night wears on, it usually progresses to a first-name basis. I work mother-baby/antepartum, though....
  6. It does depend on what kind of insulin she would have been giving. Rapid-onset, rapid-peak insulin (such as regular or humalog) is of course not indicated and you'd be right to be concerned; however,...
  7. I ran across this in the blogosphere and wanted to pass it along in case anyone wants to attend. I'm posting it in the Ob/Gyn forum, so some of you who frequent both forums might see it twice. :) The...
  8. Elvish

    Medical Advice Please!!!!!

    I don't mind being general about things - such as when my dad was in the hospital for surgery, making sure my mom asked about pain meds and such, and making sure they knew what to expect. ("If he does...
  9. Elvish

    Epidural vs. nature births

    I ROMed at home and was 1cm dilated. Thanks to prolonged early labor, it took 8 hours to get from 1 to 2 with contractions that made me think I was going to die. And then they wanted to start Pit....
  10. Elvish

    questions for L&D nurses from a pregnant nurse :)

    No one I work with has a problem with reasonable birth plans, and what's in a lot of birth plans is SOP at my hospital anyway. What we have a problem with the rigidity of a few. The 'absolutely no...
  11. Elvish

    Epidural vs. nature births

    I must have been really really fortunate, or I had a fantastic CRNA who managed it, or both. My epidural hurt no worse than a mosquito bite going in, and when it came out, I had no residual side...
  12. Elvish

    Talemed vs. Freedom Healthcare Staffing...????

    Please note that posting recruiter information in the body of a post is not allowed. A few posts have been deleted to comply with this guideline. Thank
  13. Elvish

    What's the worse thing you have seen?

    Either watching the 23 weeker be coded, or holding the born-alive 19-weeker knowing there was nothing I could do for her except hold her for two and a half hours until she died, all the while fighting...
  14. Elvish

    Response to Pregnant Friends

    I work in a big teaching hospital that delivers a ton of high-risk pregnancies and has a level III/IV (depends on whom you ask) NICU. So I hear you; I see what goes wrong, because it feels like it's...
  15. Elvish

    do you get paid more for certifications?

    No extra $$ here either, but they do reimburse us for the cert (RNC) exam. Mandatory certs they don't pay us extra for....ETA - but if it's mandatory, they will pay us for the class
  16. Elvish

    Calling all Nursery Nurses!

    This is a popular field to be in right now for whatever reason, and the jobs are few and far between. But sometimes if you hit the market at the right time you'll find a job here. The thing is, most...
  17. $2/hr for on-call, then time and a half if we are called
  18. Elvish

    The thing about 12 hour shifts...vent

    With a smile on your face, invite her to come to work with you - it should be a breeze, since it's 'only' 3 days a week. Invite her to run interference with patients, family, doctors, social work,...
  19. Elvish

    Epidural vs. nature births

    L&D at my place doesn't really push anything one way or the other. Lots of moms get IV pain meds or go natural if they want. I will say there are some nurses who enjoy the natural-birth process...
  20. Baby Catcher is quite good. Also, 'A Midwife's Story' by Peggy Armstrong; she chronicles her experience as a homebirth midwife in Amish country. Very fascinating...read it in one
  21. Elvish

    How are pitocin orders written at your facility?

    I fixed the title for you.
  22. Elvish

    Abruption pattern

    My understanding is that it's low-amplitude/high-frequency contractions that sometimes manifest when there's an evolving abruption. The other stuff - increased resting tone, pain, bleeding, etc., are...
  23. You know you better than we know you, but I lived in a dorm all 4 years of college, which included nursing school. I LOVED it! It probably helped that my roommate was also a nursing major, but if she...
  24. Elvish

    Low Census - Is it Happening to You

    Me too! I'd float to NICU if they'd let me have the feeder/growers, but beyond that..... We, however, have not been getting low census recently. If anything it's been the opposite - getting all kinds...
  25. Elvish

    sleep breaks?

    Shoot, it wouldn't have to be 2-3 hours of sleep. 15-20 minutes would be fantastic and just enough to refresh one's mind. Of course, we are talking common sense here. No one is going (or should be...