Working in the newborn admission nursery today...we had 14 delivered babies; 12 of them came between 0700 and 1300. It was myself and one other nurse. I'm not sure if it was a record, but it sure...
In post partum women, at least, I've found that the key to finding the meatus is really just getting the vulvar/labial tissue out of the way. For me, the best way to do this is to pinch the thumb and...
Hi, I work on a mother/baby unit (about 45 postpartum beds; about 4500 deliveries/yr), we do couplet care and have a well-baby nursery that basically does admissions, and watches a few babies while...
Thank you all for your replies! :) Klone...What I meant was the M/B and well baby nursery nurses at my hospital are only taught and tested on the material in chapters 1-4 of the NRP book. The L&D...
My hospital does about 3500 deliveries/yr. We have 45 postpartum beds, with occasional overflow to the antepartum unit. We do couplet care. Each nurse has between six and ten patients, which...
I check the brachial reflex rather than patellar in women who've had an epidural, for the reason you cited. However, I just realized in reading your post, that I still check for clonus in the ankle by...
It might be too late for the one coming up next week, but if you go to PESI's website, there is often a position available to be teh "registration coordinator". You have to get there early, cover the...
We do SCD's on all c/s patients. Our standard computer order is "SCD's--continue until discharge". So, according to our manager, if the patient is in the bed, the SCD's must be on. However, many of...
We do couplet care also, but have an "admission nursery" staffed by one or two RN's, depending on the pt census. The nursery nurses admit and transition the babies for an hour or two. They also take...
Hi all, I'm a new nurse working on a mother/baby floor. Our standard orders for post partum patients include Ibuprofen 800mg Q6H and also Percocet 5/325 Q4H prn for pain >/= 5/10. During my...
Hi all, I've been reading about tools that are used to measure pt acuity and determine staffing needs on med/surg units, and I'm curious if anyone has seen or used a tool like this to staff a...
FemmeRN replied to AudreyHurston's topic in Ob/Gyn
Audrey, I'm so glad you're feeling better, and I encourage you to stick with OB nursing, if that is where your heart lies. I'm a lesbian who recently graduated, and am working on a postpartum floor....
lmt2000, The G stands for "gravida", which means pregnant; the P stands for "para", which means birth. Latin, I think. It's an abbreviated system we use to describe a women's history of pregnancies...
Anthrogirl, First, congratulations on your pregnancy! Second, I'm so excited that you are interested in this topic, and hope you get some good input from this wonderful community. I'm new to nursing...
FemmeRN replied to bestbabynurse's topic in Ob/Gyn
In the postpartum unit where I work, we've seen a big cut back in the hours for lactation consultants. We've also lost the ability to pay time & a half for people coming in to fill shifts when...
We also send them down to the pharmacy to be verified. When they come back, they either go in the patient specific bin in the Pyxis, or if the doctor orders "at the bedside", they can be kept in the...
Hi all, Do you care about safe staffing, the nursing shortage, and nursing education in the state of Georgia? Come tell your elected representatives why these nursing issues are important for the...
When I was 19, after having a laparoscopy, I woke up in the PACU screaming "HELP!!!! Something's got me, heeeeelllllllpppp!" Apparently it was the automatic blood pressure cuff. And, according to...
Thanks so much for all your replies! My nurse's drug guide from school (Springhouse, 2006) says the max daily dose is 3200mg. We give 800mg Q6H, which hits that max. But most of our doctors send pts...
On the postpartum floor where I work, we do C/S fundal checks: On admission from PACU, then Q1H x 4, then Q4H x 2, and then Q8H until advanced to "wellness care" (usually 24 h after delivery, unless...
We are split into "holiday teams", and each of three teams works one major (Thanksgiving, Christmas, New Year's Day) and one minor (Memorial, July 4th, Labor Day) holiday a year. The teams rotate...
I totally understand how you feel, but hang in there! It is so hard to adjust from nursing school, where there is a right answer and a wrong answer (on the test at least!) to the real world, where...
Hi, I'm a new grad nurse practicing in a state that doesn't require CEU's to maintain our licenses. I'm still in "study mode" from being in school, and enjoy learning so I find myself reading various...