OBNurseShelley

Sorry to hear your sister is not coping well. Hang in there and support her the best you can.

Yes, that is what I meant, they will come to terms with the imminent death and eventually death on their OWN TERMS. It's the statment, "MAKE THEM UNDERSTAND" that hit a button for me. It's similar to dealing with a teenager, you can't MAKE THEM UNDERSTAND anything, you have to hope you've given them all the CORRECT information and they will choose to understannd on their own time. Thank you for clarifying my statement.

One of the talk shows had a mom on one time that this happened to. She delivered a boy that weighed 2-3 pounds and nearly 8 weeks later delivered a girl that weighed 5-6 pounds, the kids were now 9 or 10 years old and doing well. We did it once at a hospital I worked at in Kansas City, called Delayed delivery, they delivered teh first twin (non-viable) and then put a rescue circlage in and attempted to hold out delivery for the 2nd, unfortunately after 2 days she got infected and had to take the circlage and subsequently deliver. The perinatalogist I worked with at the time said it only has a

That's right, I did not mean to tell the parents that at all, I just meant that sometimes it's ok for the parents to have hope, depending on the situation. Of course there comes a point when they need a reality check about a declining situation. I agree about consistanty and telling parents what you're doing and what to expect, for instance a non-viable pre-termer may appear to take a breath or move, when it's born, etc. Anyway, I still stay you never MAKE SOMEONE UNDERSTAND, you simply give them the facts and let them cope in their own way.

You don't MAKE THEM UNDERSTAND, they will soon enough, just let them have hope and support them by answering questions and making them comfortable. Miracles DO happen and there's nothing wrong with having hope, sometimes it's all people need to cope.

I am an RN with 3+ years experience in L&D, I have been travelling for the last 2 years and now looking at getting a staff position again. I keep hearing of everyone getting bonuses and moving expenses and other nice things, but I'm not seeing this offered. I'm looking at the Kansas City area, but I may be looking at other locations later on next year. Aside from California, which is paying good but it's ridicuously expensive to live there, who else is paying sign-on bonuses and decent pay rates? Any info/opinions you have would be great! Thanks Shelley

These stories are really interesting to me and some unbelievable, it just floors me what people will do to get some drugs. I am constantly complaining about pain documentation, because I work L&D and for the most part it's NOT applicable. THat doesn't mean that I don't treat pain, but it's treated in a completely different way. Patients typically are given pain medication when they ask for it, however that can depend on a LOT OF FACTORS. So, I have a hard time asking a patient what her pain number is, when she's 9cm on admission and how is that pain affecting you and and what would be your pain goal and would you like medicice? SORRY charlie, usually too late. Anyway, my point was Pain has a COMPLETELY different meaning in MY job. I admire you ED nurses for what you have to go through!

I work as a traveler and I have never been anywhere, where assessments change based on an epidural analgesic, typically in recovery they're assessed similar that everyone mentioned, then get routine vitals on PP. HOWEVER: for spinals using duramorph, they're typically assessed (after recovery) every hour for 8 hours, then every 2 for 12 hours. Then every 4 for the next 24 . It's my understanding the medication used in epidurals is NOT long acting and there should be no reason to assess these patients for breathing every hour, after an epidural has been turned off. Maybe, I'm missing something?

Just like all the various methods of dealing with childbirth, it depends on the person. I have taken care of patients that chose this method and found that it worked really well for them, by the end of their labor they were so far out there, it was amazing to watch..........I think it takes a lot of mental control and not something that everyone is capable of, but even so, some of the techniques can be helpful for everyone.

Frontier School of Midwifery and family nursing has an MSN program for CNM and NP. The website tells you a lot, im in the CNM program, and I've been very happy. http://www.midwives.org SHelley

HUGE ROOMS with COMFORTABLE beds for post-partum and dads! I definately like the idea of a floor pharmacy, or at least a tube system! ah well, keep dreaming this is fun!

This is a cool thread, I too am always looking for new places to try out, currently working as a travel nurse, and exploring the country, native of KS, which is nothing exciting to speak of there, and then drove out to northern california, and i have to say, Utah was pretty, and so was wyoming, and of course, northern cali is beautiful, but really expensive to live.....im definately thinking of checking out oregon and washington, currently out near boston and new england is great too, but i couldn't handle the winters here year after year... here's another site to check out what places fit you http://www.bestplaces.net/ thanks for the info, everyone!

Don't get up and walk to the bathroom after delivering one twin in the bed and don't seem shocked when we are frantically trying to get you back in bed! True story, 24 weekers, a nurse heard a baby crying and went in the room, knowing this was a Pre-term pt, the pt was carrying the first twin cord still attached and walked to the bathroom "to get a towel to clean the baby off" DUH??? did NOT THINK OF CALLING SOMEONE??? Everything turned out fine for 24 weekers, but it was an interesting story! -Don't ever let your BF go out for one last romp at the strip clubs, 2 days BEFORE your due date, another true story, pt came in, and her bf couldn't make it cuz he was out partying, fortunately she didn't deliver until the next day and he made it. -We really mean it when we say DONT HAVE INTERCOURSE, numerous stories there! -Don't ever pierce your netherlands when you're of child-bearing age, then yell at the staff when it was ripped out during labor and now you need plastic surgery??

I had no idea anywhere still used this, I had heard of it being used YEARS ago, but with the increased use of epidurals, I guess it was phased out??? I'd love to know more about this if anyone has any links to articles or anything???

you can have the cardiac, I'll stick to OB, it's not as complicated and scary as you think:)