mommy2boysaz

mommy2boysaz

OB

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All Content by mommy2boysaz

  1. Monster Created by Previous Manager...

    Still working out these issues... Staff have been appreciative, leadership supportive. It is definitely a process! I am keeping my focus on what is best for the unit and the patients and not on...
  2. I recently took a position as manager of a unit. The previous manager "created" a position for one of the nurses that in a nutshell made her salaried so she basically reports to no one, feels free to...
  3. New Nurse Manager - advice needed!

    I agree with the last poster! I've been doing nurse management for a year and a half and still definitely feel like a newbie, but I rarely put in more than 40 hours per week. And if I have a week...
  4. RN IBCLC advice

    I am a nurse, looking at possibly Pathway 1. Any suggestions for reputable programs to use (preferably online) to get the 90 hours of lactation specific
  5. LPNs in OB?

    Just wondering if any OB units are using LPNs in their staffing mix? If so, what is their scope? Can they be the second nurse in for deliveries? What about attending sections as the "baby nurse"?...
  6. Monster Created by Previous Manager...

    Orca, you hit the nail on the head. Thank you. I have always been one to shy away from conflict and don't like to "make people mad" or make unpopular decisions, but I knew going into this job that I...
  7. Lactation Consultant Role

    I'm wondering what role lactation consultants have in your OB units? Especially those smaller, community hospitals where a lactation consultant isn't necessarily going to be busy every day with only...
  8. Monster Created by Previous Manager...

    Thank you very much for your advice. I appreciate it and will definitly put some of it to use, such as digging in deeper to the details of her work day and making this a gradual process rather than...
  9. Do you turn off Pit when adequate labor is established??

    It is typical to just leave it at it's "therapeutic" level once you reach that point, but I have seen it turned off once active labor kicks in and it does not hinder
  10. Vocera or Alternative?

    What do you all use for internal communication in your units? Do you use Vocera? Do you like it? I'm most interested in hearing what alternatives are being used out there. We have Vocera, but it...
  11. OB nursing was the one thing I didn't want to do!

    I was always interested in OB throughout nursing school, and that is where I've spent most of my years as a nurse, then Certified Nurse Midwife, and now OB Manager. However, I've also done a little...
  12. Triaging pregnant women in the ED?

    What are your OB unit policies on the triaging of pregnant patients who come to the ED? Do they automatically send every pregnant woman to you, regardless of gestation or complaint? If a 30 week...
  13. Patient Call Backs?

    Do any of your OB depts do follow up calls on patients? If so, could you please share some of the questions you ask? We used to do it but got away from it for a long time. I think we may start...
  14. Childbirth Center

    We are a unit just like you describe. I think this type of environment is more common in smaller, community hospitals. Are there hospitals like that where you will be
  15. Nurses Managing Epidural Pumps?

    AWHONN clearly states that manipulating epidural pumps in any way is not the role of the OB RN. So, please just tell me briefly what state you work in and if nurses are permitted to adjust pumps,...
  16. my birth plan - nurse friendly?

    The above post made me assume that if she asked for pain meds, you would just give them. That's why I suggested that there was much more an OB nurse could do before caving to pain med requests in...
  17. my birth plan - nurse friendly?

    You do not need to adjust your birthplan for the comfort of the staff, first of all. This is YOUR birth! (And I am an experienced OB nurse, CNM, and mother of 3.) Your birth plan is completely...
  18. Day-long interview...

    I have an interview next week for an OB Director/Educator position... They are sending me an interview "packet", which I'm hoping will include a job description, since I'm not entirely sure of the...
  19. Radical Management Strategy

    I have been a staff nurse for 15 years and now a nurse manager for 6 months. This thread is interesting to me from both angles. First, as a floor nurse, I understand the frustrations and exhaustion...
  20. how do you push with your patients?

    If you have a patient without an epidural, you don't have to do or say anything, other than encourage her! She (her body) will know exactly what to do and what position she needs to do it in (which...
  21. Workflow of Labor & Delivery Nursing

    Most perfect description of life as an OB nurse I've ever seen! You nailed it
  22. Policies and Procedures?

    For those of you managing a hospital department(s), do you have lots of policies and procedures to maintain or are you just referencing textbooks instead of writing policies? I've worked places...
  23. OB Electronic Charting Systems

    I'd love to hear which systems you love, which you hate, and why? Also, does anyone use an OB charting system that interfaces with Meditech throughout the rest of the
  24. Training OB nurses for natural birth support

    I posted this on the Nurse Midwife Board also, but thought it might get more activity here. Does anyone know of any available inservicing or training to teach OB nurses how to care for laboring...
  25. Online Nurse Midwifery program- HELP!!

    I obtained my MSN and then my CNM via Frontier Nursing University. It is a great school that has turned out some wonderful CNMs, however, they have had a lot of growing pains in recent years,...