L&DRNJenn

Oh wow, where are you and how is that going? What are you doing instead?

Thanks everyone for your input! Year one earns 1.5hrs per pay period (72 hours). Year 2-4 earns 4.5 hrs per pay period. Blah!

Hi everyone, I am considering a new position and the PTO accrual for the first year of employment is next to nothing. Would you mind sharing with me the percentage that your facility uses for the first year of employment? Thanks!

I'm interested to see your answers. I agree with #1, it is very hard to predict and time just right. But it is there job to be there. I worked nights. Sounds like you work days, which be a little more difficult to coordinate. I think #4 isn't a bad idea, especially when there is already a mess involved. #6 is so very routine at where I worked. Unless it was a natural with out an IV running. They will get Pit IM and then we would notify the provider if we felt they needed IV pit during recovery.

lindarn, Excellent post! So very true. Not to take away from teachers and the struggles that they face, but we are talking lives (mother and baby) in our hands. My husband was asking me the other day to explain nursing staffing to him to L&D. I tried my best to describe how things change so fast and before you know it, you are in an unsafe situation. He didn't understand how there are not hard and fast rules on how many nurses are required. Yes, we have the AWHONN recommendations. But with the way we are encouraged to "flex down" to meet our budgeted staffing ratios, we aren't even close. I guess that is where being unionized nationwide would be a great advantage. Just frustrating....

Whenever anyone falls we always draw "abruption labs". CBC, Fibrin Split Products, Fibrinogen, ABO-RH and a Kleihauer-Betke Stain. We generally observe mom and baby and repeat the blood work in 6-12 hours depending on how often they order it.

I think it would hurt!

I think the OP is referring to rupture of membranes....those are my least favorite to admit. Ruptured and closed...and armed with a birthplan. Always feel so bad for them!

I've never had a patient tell me that their doctor told them to, but I bet they are influenced by what friends or family tell them. If the subject comes up, I tell them that we definitely do not shave anyone. Except if they need a c/s, we'll shave near the incision site.

Perhaps I am the lone waxer here. I agree with the others that it is not right to not do it if it is an expectation, but I do it because I prefer it. The reason I wax as opposed to shaving is because when it grows back it does not itch! No razor burn either. It really does not hurt as much as you'd imagine, if done by someone who knows what they are doing!

I could not wait to log onto this thread tonight to see the direction it had went....never could have guessed......HILARIOUS :hpygrp::hpygrp:

I agree with klone, it is very, very subjective. I usually err on the the conservative side and reserve 100% to paper-thin. As long as you tell if there has been change or no change is what is really important!

Anyone here ever stay in a hotel during the the day between 7p-7a shifts? Are the rates lower than at night? I am looking into a contract with a 2 hour commute and this would be the only way I'd consider to do it. Thanks!

I don't know how you'd ever get all of that done within 2 hours after placenta and you didn't even mention all of the charting and teaching involved!

When the patient is 8 or more, I feel around the whole head and estimate how much is left of the cervix. So one fingertip=9cm, almost 2 fingertips=8 cm. It is also not uncommon for the cervix to be complete on one side and 8 or 9 cm on the other. In that case position the mom on the same side. Hope that helps!