GailWHNP

I've seen only one doctor pull on the cord, and out came the cord, placenta, and some of the inverted uterus. Gail

Am Assn of OB-Gyn and Am CA Assn recommend first screening manogram in a woman with NO RISK be at 40 years of age . . . followed by one every 2 years unless there are risk factors, then every year. For women at risk, mammograms are recommended earli...

To me, this is the best solution! There *is* a chain of command. Docs usually don't pay attention to nurses where I work on "trivial" issues (their perception, not mine) such as this; however I've found the chain of command usually helps tremendous...

I, like sleepqd, would do my best charting and also hope for chart review if it's a medical decision made by the doc. If the doc was rude to either me or the patient, I would write it up. Sometimes it does good cuz the nursing administration follow...

In FL, every health-care provider is required to inquire re domestic violence. As a nurse practitioner, I include a short assessment usually during the initial interview when I send the accompaning party outside to complete a bit of registration pap...

It drives me nuts when patient's relatives compare their experience with my pt and questioning my "expertise" because this was/wasn't done to them! That kinda frightens the patient, too. Had a pt the other day who was "ruptured" for 22 hrs before c...

Taking this from the internet: Herpes infections in the neonate If a baby does become infected with the herpes virus, he can have any of three kinds of presentations: localized infection of the skin, eye, and mouth; localized infection of the brain a...

Hi, Leelee . . . Most dysfunctional uterine bleeding (90%) is due to estrogen breakthrough bleeding, a result of anovulation. Since ovulation has not occurred, progesterone is not available in sufficient quantities to stabalize the endometrial stru...

I work L&D. I worked as a health department nurse in high-risk obstetrics after graduation then as an Ob-Gyn nurse practitioner. I have *never* worked med-surg or in anything *but* OB. On my floor, I can "float" to postpartum where we also mana...

I dunno. I'd rather be in front of a jury saying such certification is not a requirement and that I did perform duties within standards of care (BLS) rather than saying that I'm certified but didn't know what the heck to do because I never use the "...

Hi, at your . . . We do not do a full admit on a triage pt . . . often don't have the time but would also hate to kill so many trees. We assess the pt's complaints and any OB problems she may have had. We do make sure she has a reactive strip befo...

Where I work in Florida, if you attend the hospitals' school for nursing, they will cover your expenses when you contract for 2 yrs with them. If you quit before the 2 yrs, they prorate what you owe them. When I graduated with a BSN, I went to work ...

Nursing theory was definitely one course I could've saved hard-earned money on! I *still* don't see how it applies to anything, but I imagine someone will tell me, huh? Gail

Mark, You should've asked them if that meant they'd float to L&D, then, when it gets nuts. Of course, it's a specialty. Gail

Yeah, I'm trying to get feedback on how to raise the flag, particularly *before* I have been assigned such a patient and preferably without being fired! Gail

It *is* reverse floating. When the nurse with the med-surg experience stated the woman belonged in PCU and here she is on our OB unit, I wondered what the heck the nsg super was thinking of in allowing the woman on our floor. The two nights I worke...

As a women's health nurse practitioner, I've worked a lot in caring for women prenatally and postpartum and have seen several women with separated symphysis pubis. It is uncommon but not rare. There can be degrees of separation. Relaxin begins to ...

Thank you both for responding. I looked up the FL nursing practice act last night to see what might cause reprimand. One of the infractions was . . . "delegating or contracting for the performance of professional responsibilities by a person when t...

Hi, Liz . . . Nursing is my second career. I received my BSN when 42 yrs old, worked with the state for a year as my kids were in elementary school (hey, I knew all about birth control!), then as a nurse practitioner until the last child was in hig...

Hee, hee. The main incentive for my quitting was the harrassment from my kids when I lit up! It was either quit smoking or kill them. Gail:smokin:

When I worked in high-risk obstetrics, I would attend the funeral of the babies that did not make it. I felt the parents needed to know that I was still there for them. Gail

There IS *NO* nursing shortgage. There is, however, a shortage of nurses willing to put up with the crap a lot of us do . . . arrogant doctors, poor pay, little to no recognition (unless you include the occasional free pizza, which I don't), and adm...

I live and work in FL and would back it 100%! When a newly graduated nurse is making more than I, something's definitely wrong! And FNA's union branch is nothing more than a bargaining agency for state-employed nurses. It does *nothing* for nurse...