vandermom

vandermom

L&D, NICU, PICU, School, Home care

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All Content by vandermom

  1. Nursing school friends = regular friends?

    vandermom replied to HeartsOpenWide's topic in Patient, Colleague Relations

    Graduated 1972!! I see a few class mates "in passing". I also try to connect with two of my closer friends (during school). While having my children we connected a few times a year and I am God...

  2. Name that part. Words patients use for their own anatomy.

    vandermom replied to JEHORAPHA's topic in General Nursing

    How about turtle for

  3. Would you call in because you didn't get any sleep?

    vandermom replied to Elvish's topic in General Nursing

    Once. Worked a shift that went from the scheduled 12 hour to 18 and wa working that night as well. Got to bed but the chaos of the shift kept my brain from shutting down. My bedroom is like a cave!...

  4. know any Nursing Insurance???

    vandermom replied to tampaflrn6's topic in General Nursing

    I don't know what you call cheap but give NSO.com a try. I have been with them since nursing school when it was suggested we get insurance. It is worth the peace of

  5. Do you/ did you have a Nurses Cap? Pin?

    vandermom replied to P_RN's topic in General Nursing

    Our cap had to be starched flat on the bathroom wall (any flat smooth surface) the formed into the "covered wagon" effect in the back. There is 13 pleats and I blistered or cut my little fingers...

  6. Pulling epidurals

    vandermom replied to Elvish's topic in Ob/Gyn

    Not great for the patient because anesthesia is not in house 24/7. Many times they must wait an hour to get a bolus. The new thing for us will soon be PCEA we can't give a dose but the patient can...

  7. New here, anyone had a pt with a Doula?

    vandermom replied to northwoods6pack's topic in Ob/Gyn

    The bottom line is this is your licience. You must follow policy and doctor's orders. If the patient refuses then document it fully. A doula is specially trained to be the woman's resource in labor....

  8. Diploma School vs. BSN

    vandermom replied to Ms Kylee's topic in Diploma, ADN, BSN

    I'm sorry if that came off sounding like they should know it all. Not at all what I meant. I'm talking basics like catheters, Z track, Q and IM, the very basic. There is no way that any school...

  9. Is PP Hemorrhage usually pretty obvious???

    vandermom replied to azzurra29's topic in Ob/Gyn

    Being an "oldie" I have the pleasure of introducing new OB nurses to our unit. It is very hard to teach instinct, "the look" be it the patient arriving in advanced labor or a sick HELLP syndrome or...

  10. Is PP Hemorrhage usually pretty obvious???

    vandermom replied to azzurra29's topic in Ob/Gyn

    The uterus i not likely to rupture but I was taught to place one hand at the symphysis t prevent inversion of the

  11. Diploma School vs. BSN

    vandermom replied to Ms Kylee's topic in Diploma, ADN, BSN

    Proud diploma RN. We got more clinical experiene in one month compared to the ASN students that come through our facility. It is hard to believe you can actually learn all of the "hands on" stuff in...

  12. Duties of OB nurses (and others) Please feel free to add!

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    There are so many patients that come to us that are "going to try" breastfeeding. We get this baby latched on and doing well then find each time we mention the next feeding the patient kringes then...

  13. AWHONN Staffing Guidelines Please check this out:

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    I have a question about the ratio of 1:2 when using pitocin. Is that ratio assuming central fetal monitoring? When we are running pit we are in the room with the patient about 90% of the

  14. Do nurses do it all?

    vandermom replied to babyjen's topic in Ob/Gyn

    Hmmm... Aren't we supposed to calm under pressure to keep our mom's in better control? Excitement breeds excitement that turns to chaos. If the Md did not deduce that a multip at 8cm was not...

  15. Pulling epidurals

    vandermom replied to Elvish's topic in Ob/Gyn

    You bolus the epidurals??? NY will not even allow us to adjust the pump rate on a continuous! So we program the pumps etc with the MD looking over our shoulder cuz they can't do it

  16. Pulling epidurals

    vandermom replied to Elvish's topic in Ob/Gyn

    MD's pull the epidural caths (all intact so far

  17. Do nurses do it all?

    vandermom replied to babyjen's topic in Ob/Gyn

    21 "catches" in 35 years. First one was 10 pounds 3 ounces. Mom went from 3 to fully in a heart beat. No lac either:up:. A few were cuz the doc didn't listen when told she's moving fast. I am also at...

  18. stillborn births

    vandermom replied to shearernurse's topic in Ob/Gyn

    Dealing with a fetal death is a challenge and tests our strength to our very soul. I work in a small unit so we don't see many. This year has been tough because we have had a full term and a 36...

  19. curious about Group B strep and giving antibiotics

    vandermom replied to NurseCard's topic in Ob/Gyn

    All of our patient are cultured at 36 weeks (genital). If positive at any time anywhere during the pregnancy they are treated, during labor, with PCN q4 til delivery. Any delivery less than 4 hours...

  20. Duties of OB nurses (and others) Please feel free to add!

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    I work in a small (5 LDRP) unit in rural NY. We have an OR on the unit but at this point do not scrub or circulate officially. We also do NOT have 24/7 anesthesia or OR crew in house. At night we...

  21. Do most people get into Nursing Schools on first try?

    vandermom replied to lc3's topic in General Nursing

    1st time, early decision. Diploma RN... yeah that

  22. How many RNs in a delivery?

    vandermom replied to Montessori Mommy's topic in Ob/Gyn

    New York State and NRP require one RN for Mom and one RN for each baby. Now reality... it depends on our census. We ry to send anRN for baby but that doesn't always happen. For sections OR srubs and...

  23. Duties of OB nurses (and others) Please feel free to add!

    vandermom replied to SmilingBluEyes's topic in Ob/Gyn

    Whew, no wonder I am tired at the end of my

  24. Most RN's first borns?

    vandermom replied to lvs2nrs3535's topic in General Nursing

    1st born, first hs grad in entire extended family, no etoh on dad but mom's a different