SmilingBluEyes

Specializes in L/D, newborn, GYN, LTC, Dialysis

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    NCLEX Review course

    Hi there Shep. You might want to go check out the Texas Nursing Forum and ask this question there. Here is the link: https://allnurses.com/forums/f175/ Or the Nursing student forums. Linked here:...
  2. SmilingBluEyes

    Can't believe our docs...

    I wonder, what does you Manager have to say does she agree with the asst manager as
  3. SmilingBluEyes

    Is the birth rate down? or are we just slow

    No drop here that i can see.....we are busy lately. I think for you, the "poop will hit the fan"
  4. SmilingBluEyes

    For L&D Nurses...First Week Of L&D Orientation!!

    ten days? that is
  5. SmilingBluEyes

    For L&D Nurses...First Week Of L&D Orientation!!

    I remember 11 years ago when I started as a new grad in L/D how very MEAN the nurses and doctors were to me. They tested me at every turn. A couple of coworkers deliberately set me up to fail in a few...
  6. SmilingBluEyes

    Curious

    That is just so sad. I have never seen this, myself. But then, I am mostly dealing with women who are in labor, and clearly did not have this problem. Also, we are only a level-2 nursery, so infants...
  7. SmilingBluEyes

    L&D Practicum Question

    Hi there and welcome. First of all, relax; the only expectation I have of students is to be interested in learning, assisting and growing. Trust me, we do NOT expect you to "know" all that much about...
  8. SmilingBluEyes

    fundal checks

    We also do encourage early activity as well as skin-to-skin bonding and early breastfeeding. All of these things help the post op patient on the road to recovery faster. I think that is becoming...
  9. SmilingBluEyes

    fundal checks

    Pardon me, if I was unclear, please....I did not call it evidence. I called it what it was, anecdotal personal experience . But I will not stop doing fundal checks, and where indicated, massage on any...
  10. SmilingBluEyes

    Help with a Brain Teaser

    Yes, you are right. But any other problems, like thryoid disorder, can take them down to nearly zero level. The woman is obese. Perhaps she has PCOS or a thryoid disorder that would actually affect...
  11. SmilingBluEyes

    lactation consultant

    It depends highly on where you are located. LC's can make very good money, esp if they are independent contractors of their services. Some work one-on-one with couples, charging an hourly fee for...
  12. SmilingBluEyes

    How are you going to Vote - US

    I believe my avatar gives me away...lol. I voted a while ago by mail ballot. Gotta love
  13. SmilingBluEyes

    Help with a Brain Teaser

    Well, actually hcg falls off as pregnancy proceeds, not goes up. down to the point where an hcg test would read negative at term......pregnancy should be ruled in our out by u/s at this point, not a...
  14. SmilingBluEyes

    fundal checks

    I could not agree more. Thank
  15. SmilingBluEyes

    fundal checks

    We must agree to disagree. The reason I say this, is, the other ways you monitor, (change in vital signs or how a patient feels) may indicate bleeding that has been active already too long, and...
  16. SmilingBluEyes

    Stadol frequency in labor

    Therapeutic rest is employed when we give people in prodromal labor a cocktail of pain meds and medication to help them sleep. We do this for people who are contracting and uncomfortable, but are not...
  17. SmilingBluEyes

    Interview

    fingers
  18. SmilingBluEyes

    fundal checks

    You SHOULD palpate fundi on post op patients. It's not always apparent any other way but to check. I had a bad pp bleed on a c/s patient 3 hours out, the other day......and vigorous massage plus...
  19. SmilingBluEyes

    Which Associations do you recommend and why?

    I am a member of all three. I most especially recommend AWHONN for OB nurses. It's good to have WSNA membership, too, to keep up on issues affecting nurses in WA State. If you are member of ANA,...
  20. SmilingBluEyes

    Stadol frequency in labor

    Therapeutic rest is a LIFE SAVER for patients, doctors, and nurses alike. I love it! So do our
  21. SmilingBluEyes

    lactation consultant

    It depends highly on where you are located. LC's can make very good money, esp if they are independent contractors of their services. Some work one-on-one with couples, charging an hourly fee for...
  22. SmilingBluEyes

    Orientation Length? PP and NBN

    I think ideal orientation should be no less than 6 months for the new graduate. Some places offer much less and IMO, that is not a good place to be right out of school. GOOD
  23. SmilingBluEyes

    lactation educator/counselor

    YES you can achieve lactation educator certification (which is indeed separate and unique from IBCLC lactation consultancy). Check this site out for information: http://www.cappa.net. I am working on...
  24. SmilingBluEyes

    Doula Etiquette

    I find most doulas very helpful. It's helpful for us all to know our roles and keep to them-----doulas who know their role are best. I have had experiences with a few who did not and it was hard to...
  25. SmilingBluEyes

    Stadol frequency in labor

    Our doctors order either Stadol 1-2 mg every 2 hours, IVP or Nubain, 5-10mg every 3. We do not mix stadol with any other drug. If we are trying to achieve therapeutic rest (patient not yet actively...