RNsweetie

Croc's for me. I had a pair or sketchers and have had to wear them once when i forgot the crocs and my calves and feet HURT...never noticed how bad untill i did not have that pain.. Good luck and congratulations on your internship... Erin

I would have gone for B as well only because the question asks what child would "most likely" exhibit.. and so therefor b. I know that some of the questions are very gray but life is kind of gray.. no black and white for me at least. hope that helps Erin

I was a float nurse (my first position) and it was great, i learned so much I was floated to med, surg and emerg/ observation. I had exposure to everything and and really feel that it gave me a broad base for any type of nursing. I could have been pulled at any time during my shift, to where it was busy. that never did happen to me but the possibility was there. At my current position, i am a permanent on post partum and when our cencus is low, we are ususally pulled to LDRP to take over PP patents and then they are free for labouring moms. We are particularly slow this week ( a real rarity) I called in fro an LOA and hurray for me, got it!!! I think i shall clean the house!! (sad I know)

thanks for replying Eva, I had no idea that there would be that many staples, oh my i really feel for those patients and for you, can;t be an easy task. Good luck on getting info on dissoving sutures..

I have limited experiance with staple removal as most of our CS are sutured, but i can imagine that one of the best ways to not have left over staples overlooked would be to insure proper documentation is done when pts come back from the OR... ie. 24 staples in situ and when removing them insure 24 removed... I can imagine how painful that must be for them when you do have to remove them, do you cleanse with NS prior to removal to soften up the dried tissue over top of them? I remember that from my short stint on the surgical ward.....very short stint. Erin

I have very cold hands, to help me with this when palpating pts, before i go to their bedside, i do the reg wash but then i let the water run over them for a little while longer nice warm water, then i go straight to the pt and palpation is first. I would think that workout gloves are material and therefor not a great idea for infection control. but i am not familiar with these gloves...no workouts for me:chuckle good luck and remember what they say...cold hands warm heart... Erin

In my unit we call the lab to do this and we call it a bili index when a babe who is >37 weeks looks yellow (after 24 hrs of age, if before then serum), some babes go home without ever having a bili done (serum or index) The Erin

great point, this is one thing about PP night shift you don' have the discharges but certainly have the admissions; I had a really good preceptor and she let me listen to her taking report a few times and that gave me a good idea of important info needed for recieving the couplet with out having to waste time looking through the chart for the info they already have and know. Erin

You are right smiling, our hosp has officaly done away with the normal newborn nursery but unofficaly we still have it.... our other hosp policy states that fresh cs can not have babe in room with her unless feending or another person in room with her.... well our visiting hours policy states that in semi private rooms support people and fathers are only allowed to visit from 830 am to 10 pm so as a result we have the night where we have no nursery but we can't have babes in rooms... so short of having babes behind the desk---- we have a nursery! Erin

I am not sure as i have not heard of the term non-seperation but i could take a guess at it: could it be that nion seperation means that the babe and mom are not seperated AT ALL, even for assessment, vit K bath etc... (unless medically indicated) and rooming in is simply after all that is done the babe is in the room with mom but not as strick no seperation rules? Let me know when you find out Erin

I have worked on PP for a year and a bit, and i too love it! +++ My night is a bit different because i work only 8 hr shifts but basicly the same as breastfeedingRN, except that we get 5+5 on nights. I have a question for you though, when i did work 12 hr shifts, the eve cheks were usually done by the day 12 shift ( i say ususally because if all heck is breaking loose then some were left for 1930), so my question is do you do a check always at around 2000 and then none for nights? just wondering. I get on at 2330 fill in my brains (my sheet) and then get report from nurse leaving. then i let the HCA know what the status of the pts are any foleys and any weights for the night. I check my moms and babes (all babes get a check but only vag moms if they are in the first 24 hrs if past that then no night shift check, unless issues. Also if you have a fresh CS then she is checked q 4 hrs in the first 24 with hourly resp checks, then q 8 hrs for the next 24 hrs). I would say the majority of my night shifts are spent with breastfeeding moms. I also have another question.... are your CS moms allowed to room in the first night they are over in PP, ours are not if they have foley and iv still in but i have heard form other hosp in our area that they are. Our reasoning is that as we know cs babes are mucusy moms could not get to babe fast enough. I love working with moms with breastfeeding and have taken a course sponsered though the hosp to help me with this. I have 3 children of my own and breastfed them all with no problems so working here has been a real eye opener!! This breastfeeding counseller course was a big help. Anyway after i am done my checks 1st round, then i chart if i have time, i like to do it all at once and early becasue you never know whats going to happen. then all i have to do is fill in feling record and voids and stools in the am. then i do my second round of checks for my cs moms and chart the same after weights are done then i check against the 8% and if babe has lost more than that we talk to moms about more frequent feeds, reinforce correct latch and possibly get the LC involved. Closer to morning i take out foleys if moms are able to ambulate well and any ivs that can come out. Do my charting on the same and then usually i tape my report and leave at 0745. on a good night everything goes as planned and i do leave at that time. Good luck, i hope you enjoy it as much as i do! :)

Here are a few that pertain to FAS, FAE babes, thought that you could use risk for or actual disorganized infant behaviour and (even though you already said it) sleep pattern disturbance if babe is not sleeping, or waking from sleep d/t tremors. Here is the rest of the nursing DX from this web site: Based on the North American Nursing Diagnosis Association (NANDA), there are many nursing diagnoses that apply when caring for a child with FAS or FAE. The following is not meant to be a complete list, but offers some of the primary diagnosis that should be considered. Altered urinary elimination Sleep pattern disturbance Ineffective infant feeding pattern Altered nutrition: Less than body requirements Risk for aspiration Risk for disorganized infant behavior Altered growth and development Impaired verbal communication Impaired social interaction Social isolation Altered role performance Toileting self-care deficit Sexual disfunction Ineffective individual coping Noncompliance Decisional conflict Chronic low self-esteem Altered thought processes Risk for violence: Self-directed or directed at others Altered parenting Risk for altered parenting Risk for altered parent, infant, or child attachment Altered family processes Care giver role strain Altered family process: Alcoholism Good luck Erin

I love it too cheerfuldoer, It took me a while to not picture the movie "Can't buy me love" and Patrick on his lawnmower, I don't know what it was, i did not even like the movie but it stuck in my mind.

It was funny that i read your posting today, I do not watch this show, but do watch Gray's Anatomy on Sunday eve, and i had to laugh because one of the jr. resident insulted a nurse :angryfire (calling her for a duty such as you said in your post, in an insulting tone) and the jr. resident's life was made a living hell for the rest of the day and at the very end she found out that it was not her attending doing this but the nurse herself (paging her for every puking, code brown pt she had)...... moral of the story don't underestimate the power of the nurse or the skill! :rotfl: i was pleased! Erin

Confused, I have bought a few uniforms from this website and have been very happy with the prices. All different brands available and they have fun styles and colors on line catalog available or you can request one to be sent out to you. good luck on your new position, http://www.lifeuniform.com/LifeUniform/assets/html/homepage.asp?URLCheck=1

I could not have said it any better Berta!! :rotfl: thanks for the laugh and how true you are! Erin

Our hospitals have both a LDRP (labor, delivery, recovery, postpartum) unit which is about 4 years old. Here all moms have own rooms which include phones, TV's bathrooms and large showers (great for laboring in). We also have a labor floor (high risk) which moms labor in their own rooms as well but then go to a different floor for postpartum, this postpartum floor usually has 1 or 2 beds in it (and it gets very squishy in there if you have two moms, two babes and all the family you can handle! Don't even think of turning around if one of the mom's had twins! Erin

I don't know if this would work, as it would be on a much larger scale than we did it on, but .... We as a class made a cookbook, our class is appro 100 pple, and we made about 1300.00. another really good one that takes minimal effort (and you only need draw tickets so little $$output at the dollar store) is 50/50 draws. We do ours every second friday and go throughout the college and post the winning ticket number.... lots of fun and EASY! Good luck and congrats on being in the final year!! Erin :balloons:

what a wonderful story, they are quite lucky to have such a great friend and advocate for them during this very turbulant time :) .

That was great, I am a still a Student Nurse and I can't wait for the day I am a GN...... thanks for the laugh!!! :roll

That was great, I am a still a Student Nurse and I can't wait for the day I am a GN...... thanks for the laugh!!! :roll

thanks AlaskaKat for the laugh!!! :chuckle

thanks AlaskaKat for the laugh!!! :chuckle

A girlfriend and fellow classmate of mine was a dental hygenist (~15years) prior to her career change. She developed carple tunnel and was forced to make the change. She will be taking a big pay cut.

A girlfriend and fellow classmate of mine was a dental hygenist (~15years) prior to her career change. She developed carple tunnel and was forced to make the change. She will be taking a big pay cut.