DEB52

I prefer days. I have worked nights (8 and 12 shifts), I have worked rotating shifts(4 weeks days/2 weeks nights), I have worked 3-11 shift,11-7 shift and 7-3 shift. This body of mine says we can't do nights anymore and we have earned the right to do days. So my body and I are voting for days!

I'm in the RN to BSN program at my hospital. They pay for the tuition. I pay for the books. After it is over I will be paying $100 a paycheck to pay the taxes. The instructors come to the hospital. So I feel like it's a pretty good deal.

Yes you can run them both at the same time. We have been doing that for a long time. We always put our Pitocin at the port closes to the arm. :typing

Yes we use gel.

In our OB department, the on-call requirement is 2 12 hr shifts. One is on the weekend and one is during the week. This is in a 6 week time period. The call pay is $3.00 an hour and they have 45 minutes to arrive to work. Because of high patient volume, patient acutity and not enough nurses, they get called in often.

i was wondering what other nurses in management roles do to reduce stress. it's evaluation time and my first time doing them. this year they started on the computer. we do everyone's in jan. my fellow clinical team manager is leaving the end of next week and i need to pick up the slack until they replace her. and of course it's extremely busy. so what do you do to reduce the stress? i could use some helpful suggestions.please!!

We researched this in my Nursing Therory class in Oct. The shortage is suppose to last until 2020 then nurses my age will be retiring. That will make the shortage worst. The average age of nurses is about 47. I hope that their will be nurses available when I get old.

My wish in a perfect world would be that there be good staffing on every unit, everywhere and that nurses would always get a lunch break.

People who always complain from the time they walk in the door until they leave. This brings the morale down and makes everyones day miserable.

Never say it's quiet around here or you seem to have a low census. That will cause all of h**l to break open.

We have been living with a traveling manager in our L/D, Triage, Ante partum unit for over a year.It's a large unit.So the decision was made to split L/D and Triage apart from anti partum. There will be some training for them both and it's going to be a stressful time to get everyone use to the change and to get use to their roles.I was wondering if anyone has any suggestions that we can use to help the transition.I am one of the Clinical Team Managers.So if you have any ideas,solutions,things that worked for you Please let me know. THANKS!

everyone have a great christmas with family, friends and co-workers if you are working those days. i'll be working 12 hr on christmas eve. i 'll be thinking of you all as you spend time with you patients during the hoildays.ho! ho! ho! deb

Teenager!

I was wondering how many nurses are comfortable with using the chain of command. We had a situation over the weekend with a Fetal Heart Tracing and the residents stating that it would be fine. The mother had polyhydraminos and uncontroled diabetes. The residents wanted to get the blood sugars under control. The tracing had no reactivity and was having late decels. The chain of command was not used. I talked with two nurses involved to see what they had to say about what happened. I told them that they could of called a senior resident, the attending on-call, the manager on-call or the night superior. So how many of you us the the chain of command? Were you comfortable with it? Did you get the support of those that called? How did it turn out?

i'm writing this in blue because that's how i'm feeling. we have had a traveler manager for a year. we have not been able to find a manager for our l/d, triage, antepartum and fetal care unit. so now we are going to separate the antepartum unit and we will get our own manager. i am concern about the us and them attitude that has already started last week. it's not good for patient care. it just makes my heart sink. i have friends in l/d. they say they want to split it up because they can't find anyone to manage the whole thing.i'm one of two clinical team manager for our unit. we have been trying to keep up the morale of the unit. that's very hard to do at times. i'm already tired of the finger pointing and remarks of who is working harder than whom. i wish that who and whom would stop finger pointing and just do what's best for the patient. is anyone else having issues with the changing of the managers?

I was wondering how every ones delivery experience was. It seems like its a story that women like to share. And there can be so many different stories. When I went into labor on 10/12/1976, I was single and a RN. (OOH) The first thing they gave me was that horrible ss enema of 1000 ml. I wouldn't wish that on anyone and I'm glad that they stopped giving them. Anyway, I was having back labor and was walking around in the room. I don't remember being monitored or having an I V. After they broke my water, I had to stay in bed.Well that didn't help the back labor. My mom wasn't in the room much but I did have a male nursing student and his instructor. I was given a dose of Demerol once. When I got to complete they let me push,like they could of stopped me.But remember the back pain, one OP head coming down the canal. So they took me to the delivery room(no LDR's back then) and sat me up for the spinal. It was the nurse ,the doctor ,the anesthesia and me in the room. My legs didn't feel like my own. So they put the salad prongs on the baby's head and guided him out. It had to be the most amazing thing in the world to me seeing the birth of my son. After the delivery, they put me on a stretcher and I threw up. And they circumcised my son on the delivery table. After the circumcision the doctor took my son out to meet my mother and she kissed him. The doctor was so upset because you didn't do that back then. Grandparents had to be scrubed,gowned masked and gloves before they could hold the baby. Thank goodness that all has changed!!:balloons:

I was wondering how every ones delivery experience was. It seems like its a story that women like to share. And there can be so many different stories. When I went into labor on 10/12/1976, I was single and a RN. (OOH) The first thing they gave me was that horrible ss enema of 1000 ml. I wouldn't wish that on anyone and I'm glad that they stopped giving them. Anyway, I was having back labor and was walking around in the room. I don't remember being monitored or having an I V. After they broke my water, I had to stay in bed.Well that didn't help the back labor. My mom wasn't in the room much but I did have a male nursing student and his instructor. I was given a dose of Demerol once. When I got to complete they let me push,like they could of stopped me.But remember the back pain, one OP head coming down the canal. So they took me to the delivery room(no LDR's back then) and sat me up for the spinal. It was the nurse ,the doctor ,the anesthesia and me in the room. My legs didn't feel like my own. So they put the salad prongs on the baby's head and guided him out. It had to be the most amazing thing in the world to me seeing the birth of my son. After the delivery, they put me on a stretcher and I threw up. And they circumcised my son on the delivery table. After the circumcision the doctor took my son out to meet my mother and she kissed him. The doctor was so upset because you didn't do that back then. Grandparents had to be scrubed,gowned masked and gloves before they could hold the baby. Thank goodness that all has changed!!:balloons:

We use it half the time and cervidil the other half. Reguardless of which drug they get, they are on the monitor the entire time. They normally can eat after an hour. These patients are also started on our high risk antepartum unit and then transfered to L/D for their pitocin induction.

Well let's see how the rules are for us. In triage it is 12 wks. On my antepartum unit there is no age limit. We have had 9 weekers with hyperemesis or uncontroled diabetes. lady partsl bleeding is also a common one. Sometimes if the issue is not pregnancy related they will go to an medical floor where we go up twice a day to monitor the patient. But the physicans don't like that so most of the time they come to us. :icon_roll:bugeyes:

:barf01: There's nothing like standing in front of a room full of expecting parents and talking about : MUCUS PLUGS

I have been reading about the 13 hospitals in California that will be striking next week. But I had no ideal that 9 hospitals in West Virginia and Kentucky went on strike yesterday. They are a part of the Appalachian Regional Hospitals. Did anyone see this on the news? Have you heard anything about it?

I love the idea of sending a card to their home. Thanks! It's funny I just responded to a thread on nurses weight gain. I also believe food helps alot. But stepping in and helping on the unit when you can seens to help alot.

Thank you for making me laugh. Yes it probably does. We eat for stress; we bring food in for every reason to have a party. It does help us; it bonds us together when the day is rough. And sometimes the food we bring in for the party even gets us through lunch. So THANK YOU again for making me smile after one of those rough days even if we didn't bring in any food.( I did treat myself to a small amt of chocolate) :chuckle:yeah::rotfl:

Thanks for sharing that. I'm going to share this. Thanks !!!

I was wondering if there are any suggestions on helping with the morale on the unit? I am a Clinical Team Manager of an antepartum unit. There has been an increase of patient load due to more in-patients, triage overflows and cervidil/cytotec inductions. The entire OB department is stressed. What can I do to help the staff?:smilecoffeeIlovecof