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RNLaborNurse4U has 10 years experience and specializes in L&D.

RNLaborNurse4U's Latest Activity

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  1. What's the max dose Pitocin is allowed at your hospital?

    20 mu/min. If you hit 20, and the doc wants to go higher, they have to write a progress note and an order to go higher. I have gone as high as 36 mu/min. Don't ask. I wasn't happy about it.
  2. Allergic to the delivery room?

    I have a latex allergy - it can be worked around! I've been an L&D nurse for 11 years.
  3. "Not allowed" to perform vaginal exams

    What about if the doc is not readily available and you have deep, repetitive decels? You need to check for a cord prolapse immediately. Learning cervical exams are a basic assessment skill that all L&D nurses need to have. Double check with yo...
  4. Prep for vaginal Delivery

    I don't do them. If the doc/CNM insists on a wash, I use very diluted hibiclens hand soap with tons of water. A quick splash, that's it. No need to do a prep before a vaginal birth. I think I read a study (a while ago) to support NOT doing betadin...
  5. Can you briefly tell me your Group B protocol?

    We overtreat. All known +GBS women get PCN Q 4 hrs in active labor, until birth. (Or the alternative antibiotic regimen if PCN allergic). Known -GBS women do not get antibiotics. Unknown GBS status, are all treated as if positive GBS. (Not follow...
  6. Rant

    I'm in school for my MSN (3 yrs part-time, done, 1 year left) in midwifery. I do bring school work in to work, only to be done during downtime or on my meal break. I don't bring my laptop in. I only bring in a folder with articles and modules to r...
  7. Vent about healthcare

    I also have BC/BS (of PA) and your annual pap visit to the OBGYN is preventative medical care, and there is a $0 co-pay. Now, if you go to the OBGYN for a problem visit, that is a specialist co-pay service. My plan is $40 co-pay for specialist visi...
  8. Newbie advice- Ob 1st job not going so well

    You need to be full-time, with the same preceptor, for at least 12 weeks of births. How many births does your unit do each month? I'm guessing you are not a very busy unit if you were on orientation for 6 months, but only had 5 births. We do about...
  9. Dealing with OB docs...

    That MD is just being an ass. No need to be snippy at you like that. We carry spectralink phones -- can you do that, and page the MD from that phone to call you back? You'd be able to answer it in less than 45 seconds ;-)
  10. Long hair for interviews

    Just keep it neat, professional, and nothing too fancy (nor too "thrown back"). Wear it how you would wear your business casual clothing. I have very long hair, and I just make sure it's styled neatly, with the top and sides pulled back behind my e...
  11. Showing a nurse for an interview

    Just watch and absorb what you see the RN doing. I love having new nurses/potential hires to follow me on L&D. I actually try to do some teaching and discuss why I am doing what I am doing.
  12. Do you have gifts for your new moms??

    We just started giving out these little (maybe 4-6 servings) of locally made cakes. Cost to the hospital is reported to be $22 per cake. I think they can spend the money more wisely by investing in a good catering/food service that is available 24/...
  13. Adoption ethics

    If a nurse was interesting in adopting the baby, she would have to have NO contact or care of the mother-baby couplet in the hospital. The potential adoptive mother would need to go through the usual channels of adoption - her attorney would need to...
  14. Blood pressure monitoring during an induction

    With pitocin inductions, we take a BP with each dosage increase (depends on if it's "slow pit" or "rapid pit"). Rapid pit is Q15 min, slow pit is Q30 min. Maintaining the pit drip is BP Q30min.
  15. holding legs during pushing

    Those looky-loos in the room doing nothing to help mom out with her labor contractions -- guess what? They get put to work during pushing. They get to hold mom's legs!