SmilingBluEyes

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

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All Content by SmilingBluEyes

  1. SmilingBluEyes

    on call hours for L&D

    SmilingBluEyes replied to moon25's topic in Ob/Gyn

    I have considered moving to an area like Ambulatory/Day surgery on a perdiem basis--- and a position, teaching birthing classes, soon, just because understaffing is such an issue EVERYwhere anymore....
  2. SmilingBluEyes

    Feeling for OA or OP...

    SmilingBluEyes replied to shortstuff31117's topic in Ob/Gyn

    Great post above. I can't recommend "The Labor Progress Handbook" by Penny Simkin enough here. It helps with all these things. Telling position is a matter of practice, like so many things. I have not...
  3. SmilingBluEyes

    Help me analyze this delivery...

    SmilingBluEyes replied to shortstuff31117's topic in Ob/Gyn

    Sounds like this doctor was indeed WAY out of line, to hear you tell it. You might pull him or her aside and ask WHY she/he reacted this way and "educate" you a bit (putting it politely, in other...
  4. SmilingBluEyes

    determining station

    SmilingBluEyes replied to Kawabata's topic in Ob/Gyn

    Are RN's performing AROM in Nevada? It's not in our scope wherever I have lived (a few states). It's only an advanced practicioner skill, e.g. MD or CNM in most any place I have ever
  5. SmilingBluEyes

    Curious

    SmilingBluEyes replied to tvccrn's topic in Ob/Gyn

    PS: we count "labor" hours from the time the active induction with AROM, pitocin (or cytotec) begins. Usually our inductions are started at
  6. SmilingBluEyes

    Curious

    SmilingBluEyes replied to tvccrn's topic in Ob/Gyn

    Well, in "active labor " you are actually experiencing progress in the form of cervical change. (and those contractions progress in frequency and pain level, usually, as well). ---"Prodromal labor"...
  7. SmilingBluEyes

    Do moms ever get upset when they have to leave baby to be monitored in the nursery?

    SmilingBluEyes replied to Jo Dirt's topic in Ob/Gyn

    Good luck on your birth experience,
  8. SmilingBluEyes

    Do moms ever get upset when they have to leave baby to be monitored in the nursery?

    SmilingBluEyes replied to Jo Dirt's topic in Ob/Gyn

    Well first off, we do our c/s on our own unit, in our own OR. Our patients recover in their private rooms, not in a PACU on a general OR unit. That is a big difference right there. Even after a c/s,...
  9. SmilingBluEyes

    on call hours for L&D

    SmilingBluEyes replied to moon25's topic in Ob/Gyn

    I dunno, where I am, there is plenty to choose from. I would not stand for being forced into mandated 16 hour shifts or plugged into holes without checking with me for availability. I have a life...
  10. SmilingBluEyes

    Question about Harlequin ichthyosis

    SmilingBluEyes replied to student456's topic in Ob/Gyn

    VERY rare occurence, thank God. The appearance is to say the least, very upsetting. In 10 years, I have never personally seen
  11. SmilingBluEyes

    Career Advice Needed

    SmilingBluEyes replied to MarySunshine's topic in Ob/Gyn

    I would be honored to have a nurse with your experience and drive working at my
  12. SmilingBluEyes

    Career Advice Needed

    SmilingBluEyes replied to MarySunshine's topic in Ob/Gyn

    It is not only realistic, but a good move, if you are desiring this chance. Some of the BEST OB nurses come from areas like ICU and Med-surg. GO FOR
  13. SmilingBluEyes

    Is PP Hemorrhage usually pretty obvious???

    SmilingBluEyes replied to azzurra29's topic in Ob/Gyn

    WOW some seriously eye-opening stories. Thanks for
  14. SmilingBluEyes

    on call hours for L&D

    SmilingBluEyes replied to moon25's topic in Ob/Gyn

    Good points above, Peg. JCAHO is KEENLY interested in reducing preventable errors (as we all darn well should be). Studies bear out over and over through the years, extended shifts and overtime are...
  15. SmilingBluEyes

    How to judge effacement??

    SmilingBluEyes replied to shortstuff31117's topic in Ob/Gyn

    I agree w/the above. Numbers are subjective here and I do laugh when a dr or someone else judges a cervix 20% effaced or some other equally obscure number. I think "say what?". Really, it takes...
  16. SmilingBluEyes

    Do moms ever get upset when they have to leave baby to be monitored in the nursery?

    SmilingBluEyes replied to Jo Dirt's topic in Ob/Gyn

    Remember whose baby and birth experience this is, and do not be afraid to politely assert your rights in every way. Have family members there who are helpful, if you need support and
  17. SmilingBluEyes

    Do moms ever get upset when they have to leave baby to be monitored in the nursery?

    SmilingBluEyes replied to Jo Dirt's topic in Ob/Gyn

    I can't believe some of the archaic and draconian practices in certain hospitals. First of all, in our unit, the baby only goes to the nursery if : Sick enough to warrant admission there or At Mom's...
  18. SmilingBluEyes

    We make as much as maids

    SmilingBluEyes replied to TRN's topic in General Nursing

    Gonna HAVE To make a note to discuss this with my spouse. As a cook, chauffeur, maid and personal organizer, wow, am I UNDERPAID
  19. SmilingBluEyes

    Night Shift Workers- How Do You Stay Awake?

    SmilingBluEyes replied to changeofpaceRN's topic in General Nursing

    Getting good sleep is critical. Good diet essential. Exercise necessary. And, keeping busy kept me awake w/o a problem. GOOD
  20. SmilingBluEyes

    How to toggle between nights and days

    SmilingBluEyes replied to hbgwan's topic in General Nursing

    When I worked fulltime Nights, I did not change my sleep schedule much, for survival purposes,
  21. SmilingBluEyes

    Need Some Encouragement From Ob Nurses...

    SmilingBluEyes replied to *Andrea*'s topic in Ob/Gyn

    Hi and welcome to the forum! Check out the above "sticky" threads for some good resources and ideas/information. Just make sure you ask, ask, ask any and all questions that arise in your orientation...
  22. SmilingBluEyes

    How do you feel about taking pictures with your patients?

    SmilingBluEyes replied to nurse79's topic in Ob/Gyn

    I have no problem with cooperating. Just NOT during infant rescus. or other such things. I have had to stop people during these critical events, in the past. It's not appropriate and not a good...
  23. SmilingBluEyes

    1st day on my own, yikes!!!!

    SmilingBluEyes replied to dalegirl's topic in Ob/Gyn

    6-9 weeks' orientation is not nearly enough, not by a long shot. Minimum of 3 months is average....6 months is optimal. You are not getting enough to be independent, and if I were you, I would speak...
  24. SmilingBluEyes

    on call hours for L&D

    SmilingBluEyes replied to moon25's topic in Ob/Gyn

    Some of the above arrangements are ridiculous and I could not put up with them. During extremely busy times, we have had to take 12 hours' call per pay period (perdiem optional). Fortunately, most of...
  25. SmilingBluEyes

    Floor nursing while pregnant

    SmilingBluEyes replied to medsurgnights's topic in General Nursing

    To address one post earlier on the thread: I don't think giving pregnant women dayshifts and easier assignments is a fair or equitable solution. Staffing is very tight most places as it is, and it...