HR_LPN

My comment is alittle off the main subject here, but why is there only one nurse at delivery? That would scare the pants off me! What if mom AND baby went to heck in a handbasket?

You should always check your hospital's policy book for their policy for fundal checks. In our hospital we check q 15 min for 2 hours then q 4 for 24 hours then q 8 until discharge. Now this is for "run of the mill" deliveries. If there is any inclination that my patient is predisposed to excessive bleeding, then I would increase my q 15 for another hour or so. Word to the wise: Careful of vigorous massages on multips without good support to the bottom of the fundus...I've seen uteruses prolapse because of this not being done. :uhoh21:

I have had no experience with Subutex, but we have had some Methadone withdrawals. We give Morphine or Phenobarb.

Several times I've seen a bulging BOW cause a cervix to be 6 cm, then SROM, and...tada...4 cm. But I've never seen anything like you've described. Hmmm...

For me, you'd have to pay me shift diff to work days! Hate days, love nights!

I am unsure about TOD for TN; but I call TOB in EVERY delivery I'm in. The doctors are usually too busy clamping the cord or something like that to pay much attention to the clock. Hope this helps!

I work in an OB dept in a community hospital. Occasionally we get pts that come in from EMS that have no way home once ready for d/c; and they are usually a little loopy after their Nubain/Phenergan cocktail. We usually call the Police dept and tell them that we have a patient being d/c with no way home; usually they are pretty willing to give them a ride. That is not always the case, but most of the time it is. Just my . Hope this helps! Have a great day!

I work mostly PP and some Nsy. I am currently learning some about L&D. I work in a small community hospital. On one shift, you have 1 ob nurse, 1 nsy nurse, and 1 pp nurse. I can do some L&D, but I cannot work independently. The other 2 nurses on the shift are RN's and can do L&D. So, if say for instance, we are slow for a week (which happens) I usually take some "call time". But if one of the other nurses wants to be at home that night, I will bump up to nursery. Confusing, huh?

Our hospital has Glucometers where you scan the barcode off the pt's "sticker" and then proceed to check their sugar. Well, when I work the floor (I'm in OB so not to many BS for us.), I take all the pt's stickers who have BS for the night and put them in order on a blank sheet of paper with ___ HS ___6A (Or whenever their times are) In the blanks I write the BS amount and if I gave insulin and the type and amount. Works like a charm!!! I also wait to chart midnight and 4am vitals until I get finished with my I & O's (6 am) and chart them all at one time. That way I only handle the charts once. However, we have to chart vitals on a clipboard first so if dr's call for vs and that pt's nurse isn't around, whomever answers the phone can just glance at the clipboard. When I pass meds, I do the same thing as one of the above posters with the graph and timeline. When I pass that med or do that tx, I just cross it off! Hope these help!

Give me puke, poop, blood, or guts...I can handle it. But I HATE to suction and mucus (shudders) gives me the heebyjeebys!!!! Now, some tricks of the trade...Vicks! That stuff is the bomb!!! Just rub alittle under and around your nose and you're good to go! I once had to clean up a lady that had C-diff diarrhea. (any of yall had that pleasure?) :rotfl: Yuck, that stuff smells like rotton fruit...or something akin to it, anyways, after about my 4th trip to clean her up in 2 hours, I was like "I gotta have something to mask this smell." I rummaged around in my bag and used my Vicks that I had from the week before when I had a sinus infection. I was so proud of my quick wit, until I started sharing my newfound knowledge with the "older" nurses at work, they were like, "Uh, yeah, we thought everyone knew the Vick's trick." :roll Sigh, oh well! So, for now on, I always have Vick's in my bag!!!!!

PRMENRS: Aaaahahahaha! That's the funniest thing I've ever heard that called!!!:roll To funny!

I'm an LPN who works Postpartum in a rural hospital. I'm currently taking classes to train in nursery. I'm a fresh graduate and was very lucky to get my job. Most "rural" hospitals will hire LPN's to do PP and Nsy IF they cannot find a RN who is willing to take the job. However, I know of no hospitals that allow LPNs to do actual L&D. The meds that have to be given to the laboring pt are out of the LPN's scope of practice. In my hospital, we have LDRP rooms. Even though I am the PP nurse, I do a great deal of work with the babies also. I help my coworkers in the Nsy as much as possible so that I do get some hands on experience before I officially start training in Nsy. As far as the L&D part of things, I am occasionally in the delivery room but I'm "observing". But, once or twice I did have to help out because baby needed some resusitation and mom was bleeding too much. In those instances, I was just "there" and an extra hand. Hope this helps and good luck with whatever you decide to do!!!