elleRN

elleRN

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All Content by elleRN

  1. surgical prep for c/s

    was never properly taught how to do the sterile prep of abdomen while patient is on the table for c section. it is not always done, only if the doctor requests a scrub before the paint prep which they do. i have asked several of the nurses i work wit...
  2. best hospital for L&D

    Hi Everyone!!! I am going to be relocating to the Boston area in January. Will be taking a job through a travel agency I used to work for. I am able to ask them to look in to hospitals I want. So I need some insight from all of you on which hospital...
  3. unions, mandatory & $$$$

    hi everyone, recently moved to mass from nyc. took two jobs, one FT one per diem. started per diem job this week. was informed in interview that nurses at this facility belonged to the union. I find out today at day two of orientation, that I am requ...
  4. childbirth educator

    Are any of you certified childbirth educators?? If so what is the best organization to get certified through?? Do you recommend obtaining this certification?? I am a RN, BSN, applying to a MSN midwifery program to start Jan 2003. Would appreciate yo...
  5. Is this common practice?

    I have worked L&D in 3 differnt facilities and it is hospital policy that all family members leave the room for epi placement. how can you trust that him or her wont pass out, or cause trouble. i would never let someone else hold the pt, what if ...
  6. do you have central monitoring???

    I recently relocated to the Boston, MA area and I am going on interviews at hospitals within a 40 mile redius of Boston. Today was my first day of interviews, and one of the hospitals north of Boston near the new hampshire border does not use central...
  7. professional organizations

    How many of you belong to a professional organization? And is it worthwhile to join? I have been looking in to one and considering my options. Thanks for the advice!
  8. sunny-side up baby

    I've gotten used to the OP deliveries, but I had a mentum anterior delivery the other night now that was crazy. luckily it was her thrid so he came out quickly, but there is nothing like doing a vag exam and feeling the face and having your finger su...
  9. footprinting newborns

    baby gets footprinted and we hand decorate it and give to the parents. we don't keep footprints. baby gets two ID bands and a cord clamp, the clamp also has an alarm box attached to it. mom and dad each get a band as well. all bands and clamp have th...
  10. Please recommend a pocket guide...

    the labor and delivery in my pocket is nice and small and a good reference. it really helped me as a new L&D nurse
  11. getting consents for epidurals

    we are so laxed on obtaining consent for epidural. the anesthesiologist always explains the procedure and takes questions, but only a few of them get a consent signed, and some don't even do it all the time. it is not the nurse's responsibility to ge...
  12. surgical prep for c/s

    wow, all we are given is a lap moist with normal saline from the scrub tech or nurse. we take it with a sterile glove, and use the scrub solution straight from the bottle. some nurses scrub the incision area and then do the circular motion from the u...
  13. went in to l&d after being a med-surg nurse for 1 1/2 years, and feel the experience was invaluable. i knew i always wanted to be an l&d nurse, but i wanted to learn to be a nurse first. the skills you pick up and learn in med-surg are so imp...
  14. Meconium deliveries

    a peds team attends all high risk deliveries. the team is made up of a NNP, or peds resident, and either a NICU RN or a mother baby RN dependent on the situation. there is a list of deliveries that this team must attend, including all mec deliveries....
  15. L&D summary on resume

    I don't know why but I am having a hard time writing that little summary blurb part about what your position entails ..... what do you include in yours?? Please help me out! I can't seem to get it to sound right, and don't know if I am including the ...
  16. another cytotec question...

    we use 200 - 400 mcg intra vaginally every 4 - 6 hours. really effective for IUFD's. also for post partum hemmorage rectally works great...
  17. vaginal hematoma...

    about 1 and 1/2 hours post nsvd, with midline epis, pt developed a not obvious vaginal hematoma. she was perfectly comfortable and happy, but all of a sudden started complaining of excrutiating pain in her rectum. from external inspection it looked l...
  18. Anyone work at Overlook Hospital NJ in the Maternity Center??? I am interested in this facility. I have 2 years med/surg experience, have always wanted to work in L&D, long term goal is to obtain MSN in Midwifery. Do you recommend this hospital...
  19. 1+ to 4+ reflexes ?? Help !

    great explanations! really helped me to better understand the difference between them! how often do you check reflexes on your mag pts??? what is the standard? thanks!
  20. number of nurses in delivery room

    i frequently do a svd on my own as an rn, if it isn't too busy on the unit, a second rn usually comes in to help out that first few mintues. otherwise it is really hectic running back and forth from the baby to the mom. the ob is attending to the mom...
  21. Abuse/Neglect Question

    i am going to try to start asking in the bathroom as HazeK suggested. It is on our admission form as one question are you being hurt, abused or neglected at home? i don't feel it is appropriate to ask in front of the sig other. and the sig other is a...
  22. Did anyone else do this today?

    had one on 3/3/03 but at 21:09 which mom was so happy about the 9:09, plus bay was 6lbs 3oz. they were really into the number associations! kinda cool...
  23. Senior nursing student and just found out...........

    I strongly advocate doing at least a year of med-surg prior to doing labor and delivery. I went into med surg and did it for a year and a half knowing all I ever wanted to do was be a L&D nurse. AND I am so glad I did it that way. There are so ma...
  24. induction

    we have a standard protocol for pitocin induction. it is 30 units in 500 cc LR, started at 2mu/min, and increased by 1-2 mu/min, q15-30mins, until adequate contractions occur, not to exceed 36 mu/min. for induction patients who are closed and thick w...
  25. pit after delivery

    I am brand new to L&D on orientation with 2 great preceptors. There is no standard protocol for pit administration after delivery. I asked how they knew how much pit to give considering I did not see an order in the chart nor did I hear an MD or...