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:...
SmilingBluEyes replied to mslema's topic in Ob/Gyn
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...
SmilingBluEyes replied to tvccrn's topic in Ob/Gyn
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...
SmilingBluEyes replied to heather318's topic in Ob/Gyn
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...
SmilingBluEyes replied to short1978's topic in Ob/Gyn
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...
SmilingBluEyes replied to short1978's topic in Ob/Gyn
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...
SmilingBluEyes replied to Dani8962's topic in Ob/Gyn
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...
SmilingBluEyes replied to G'smommy's topic in Ob/Gyn
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...
SmilingBluEyes replied to Dani8962's topic in Ob/Gyn
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...
SmilingBluEyes replied to short1978's topic in Ob/Gyn
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...
SmilingBluEyes replied to RAIZIE's topic in Ob/Gyn
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...
SmilingBluEyes replied to short1978's topic in Ob/Gyn
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...
SmilingBluEyes replied to short1978's topic in Ob/Gyn
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,...
SmilingBluEyes replied to G'smommy's topic in Ob/Gyn
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...
SmilingBluEyes replied to LDR-RN's topic in Ob/Gyn
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
SmilingBluEyes replied to colleennurse's topic in Ob/Gyn
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...
SmilingBluEyes replied to suewolfie08's topic in Ob/Gyn
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...
SmilingBluEyes replied to RAIZIE's topic in Ob/Gyn
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...