PattonD

Ok so won't do it. But I would still like to know what makes one patient more difficult/challenging than another. Jolie, can you at least tell me that?

Are there really professional mock people? If so where can I find them? Is there like a mock association?

I'm not a nurse (wifey is) but I am an air quality specialist. What I want to know is why new moms take their babies home and put them in the room they have prepared for them with fresh paint and brand new furniture? What they don't realize is that furniture finish, paint and some toys can "off gas" putting toxic fumes in the air. Also they wipe down the baby mattress with bleach. Bleach isn't good to breathe for adults not to mention newborns. So from the baby's day one in their new home "nursery" they are breathing in toxins that were put there by the parents. The solution is to not pollute the space by not brining poison in. For the poison gases that are already there (such as carpet padding glue) the solution is filtered fresh outdoor air. This can be mechanically provided but yes it can get quite expensive. A cheaper solution would be to crack a window but this drawback is not a very good way to filter particles.

My wife will be moving to their brand new facility soon. They are moving from an old small facility to a HUGE one. They will be taking on more doctors so therefore their patient load should increase dramaticly. They are conducting practice drills where women show up in labor (fake of course) so they can get used to admitting them etc. They have a new video entry system so the only people that can get in the door are either badge access personnel or people approved via the camera/intercom. What I want to do is show up with a pillow under my shirt pretending to be a pregnant lady. What I need your help with is the correct terminology. I want to really test their prepardness so please give me the words to say to make me a nightmare patient. No prenatal care, speak a foreign language....whatever. They will prob just laugh at me and send me home but if they start asking questions then I want to be ready with some answers. Thanks, this will be great. I promise to come back and post the responses. lol.

https://allnurses.com/ob-gyn-nursing/has-anyone-recently-329206.html I read this post, pretty helpful. Also are there any testing angles I can shoot for like: Answering all easy questions then go back later for the hard ones.....etc.. Answer all questions and tab the ones that you are unsure about to go back on at the end. Should you leave the hard questions blank or is it better to guess,.. That kind of stuff.

Please help, I am so confused. My wife wants to further her education in nursing and wants to take the "Inpatient Obstetric Nursing" exam. It will change her credentials from RN to RNCOB (I think). My role as hubby will be to gather study materials and help her review it in a "test prep" method. This is where I need your help. I don't know what study guides to buy or where to get them. Heck I don't even understand just exactly what topics the test covers. She already has about 25 yrs. field experience in L&D so we have a great experience base to work with. So at this point I don't even know where to start. I am sure I haven't given you enough info so feel free to ask me any questions you might have. Thanks, PattonD

My wife (L&D Nurse) asked me if we could have a Christmas party at our house for staff at her hospital. I was wondering if anyone has attened such a party where they had a great time because of some unique, fun thing they did, like playing a certain game or whatever.... I don't really want everyone to just sit there and look at each other .....boring. Why would the husbands want to go? Most of them really don't know each other. Anyone have any total flop experiences or don't dues to share? Thanks

This probably doesn't even exist but I am looking for a computer program to help out with nurses scheduling. What I am looking for is to input staff names, times they available (7a-7p Fri-Sun for example). Then have it keep track of who is on call, who to call first if more than one nurse is on call, who is on bonus, who gets sent home first if all the patients deliver, etc. Also have it where the nurses can enter their preferences or if they want changes in the schedule or need to go home early or take a vacation day or whatever... This way a computer can figure out the most economical, reasonalbe, schedule without any favoritism. If designed right it should help save the hospital money and improve workplace satisfaction......hopefully.

I love all these ideas, you gals are so smart. Thanks!

I think what we are talking about here is the misunderstanding/ignorance of the "Amiable" social style. NOT personality, but rather social style! http://www.hearingreview.com/issues/articles/2007-11_05.asp Here are a few tips from me: 1. Learn what style you are 2. Don't try to be a style other then your own (be yourself) 3. Learn what style your patient is 4. Do something to accomodate their preferences 5. Never think that all patients should be treated equal 6. Never treat a patient a certain way just because that is the way you would like to be treated. 7. Treat patients like they want to be treated!

Other than the obvious FOOD I want to get a gift to leave up at the nurses station. Something like a book, puzzle, game, etc... PPL are always bringing food, I want to do something different. Help me think here.....

Update: In three hours she went from a dialation of 1 to a 10! Delivered lady partslly with no complications. Everyone is doing fine. Whew...I did all that worrying for nothing.

So maybe c/s rates should be public information then? Huh?

SIL's age is early 20's

Maybe you're right and she doesn't want my input but if I were in the hospital in a potential critical situation I would want someone watching my back..... Sorry but after learning the motives behind L&D I don't trust the doctors...at all. Maybe I should change my name to doulafromhell.

These are my questions, not hers. She is a 40 week primip and has no idea what goes on behind the scenes. She came in last night (not ruptured, no bloody show) with contractions every 3 min apart & fingertip dialation. Doc was in a c/s on another patient and when he got done he decided to keep her overnight. This morning she still hadn't dialated beyond a 1 even with manual stretching of her cervix. They had her on pit for about 4 hours prior and the only thing it did was cause her pain despite her requests for epidural. No internal moniters (not enough access I assume?) Contractions stopped They finally got the epidural in and doc said they are going to do a c/s in a few hours if she doesn't progress. Why? I mean we haven't heard any reason like CPD... I'm thinking he just kept her overnight so he could document a trial of labor but he still doesn't have any way to measure contraction strength.

So I guess that is a NO about the c/s rate being public information? If it matters this is all happening in Oklahoma.

Have a sister-in-law in the hospital as we speak. I don't think the sitation is going the greatest as she is headed closer and closer toward a c/s. Are doctor's c/s rates public information?

according to webster: vanity - having or showing undue or excessive pride in one's appearance or achievements : conceited arwen, i'm having a hard time making the connection from vanity to pain relief.

Thanks for your candor Awren. Actually I would love to come to work with you for a few nights :)....for real. I had no idea fluids are squeezed out of a babies lungs durning a vag delivery. Makes sense now. How many moms know this?...percentage wise, do you think?

From a first time mom's point of view they probably can't imagine pushing a baby out lady partslly. Whereas they see surgeries done all the time. You are put under, get cut, get sewn back up and take awhile to recover... Sure there is some pain during recovery but nothing like the pain of a lady partsl delivery. I think some unnecessary dots have been connected here: 1. An assumption has been made that the vanity is the only reason for an elective c/s. 2. An assumption has been made that the husband is the one driving the decision because of a selfish pleasure need - that is sexist and those knocking the men should be ashamed of themselves. I would do the elective c/s for the pain reason mainly. Keeping a tight koochie would only be a side benefit. As for causing a danger to mom and baby, we have medical procedures done all the time that have some element of risk, often times in the name of pain prevention. Childbirth should be no different.

I think medicaid pays one flat fee whether the patient is in for one day or 10 days. In a free standing building they can be charged for all 10 days,....something to that effect.

I am trying to find out why a hospital can charge more for L&D services if they have their own building seperate from the main hospital. Something medicare something .....someone help me out here. Hypothetical "what if" scenerio.... I am picturing a pregnant woman (not on medicare) that has been injured and the ambulance not knowing which building to take her. They take her to L&D but the baby is ok, but mom could have used the extra time wasted in transport to L&D so she ends up dying because of a stupid hospital policy that all pregnant women go to L&D first. Somethin ain't right with that picture.

From what I have learned in a short amount of time doing research in L&D it's not getting a job that is difficult, it's keeping one. If the rest of the crew doesn't think you are pulling your share of the work load they will force you off the team. I would stress the fact that you want to learn from others. Be sure you don't come across as a know-it-all. Be willing to work on your days off to help out the unit. When asked to doing something, MOVE IMMEDIATELY and QUICKLY. Nurses really really hate lazy co-workers.

I guess it is more clinical than personal but I don't have any experience, only my wife. In the past year I have become quite interested in OB stuff and trying to learn all I can. She gets worn out with me constantly bombarding her with questions. She wakes up in the middle of the night hearing screaming women on the Discovery channel pushing out babies and looks over and I haven't been asleep yet. She wants me to turn it off or at least turn it down, says she hears it all day and tired of it. A lot of times we get to talking about things that have happend in her clinical past (no names mentioned of course) or about topics on this forum. She won't read it but I read it to her. Knowledge is power so I want to try and help her anyway I can. The information I have read here has been very helpful to me but especially her. That makes me feel good.