L&DRNJenn

L&DRNJenn

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All Content by L&DRNJenn

  1. Duramorph and foley removal...

    L&DRNJenn replied to shortstuff31117's topic in Ob/Gyn

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

  2. PTO accrual

    L&DRNJenn posted a topic in General Nursing

    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...

  3. PTO accrual

    L&DRNJenn replied to L&DRNJenn's topic in General Nursing

    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.

  4. when to call for delivery, active management & patience

    L&DRNJenn replied to ischialspines's topic in Ob/Gyn

    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...

  5. "Short Staffed......."

    L&DRNJenn replied to Queen2u's topic in Ob/Gyn

    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...

  6. OB Antepartum Care Plan

    L&DRNJenn replied to bjb12's topic in Ob/Gyn

    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...

  7. once again... about effacement

    L&DRNJenn replied to MidniteLaborRN's topic in Ob/Gyn

    I think it would

  8. possible to be ruptured and be closed?

    L&DRNJenn replied to JadeRN7's topic in Ob/Gyn

    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

  9. pre-delivery "grooming" issue?

    L&DRNJenn replied to brillohead's topic in Ob/Gyn

    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...

  10. pre-delivery "grooming" issue?

    L&DRNJenn replied to brillohead's topic in Ob/Gyn

    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...

  11. pre-delivery "grooming" issue?

    L&DRNJenn replied to brillohead's topic in Ob/Gyn

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

  12. hotel stays

    L&DRNJenn posted a topic in Travel

    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...

  13. help w/ cervical effacement

    L&DRNJenn replied to newrn2010's topic in Ob/Gyn

    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...

  14. Recovery for vaginal delivery

    L&DRNJenn replied to IrishIzCPNP's topic in Ob/Gyn

    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

  15. Vag Exams & Dilation

    L&DRNJenn replied to mslema's topic in Ob/Gyn

    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...

  16. Have you called off work for a sick pet before?

    L&DRNJenn posted a topic in General Nursing

    Hi all, My 2 year old cat had a urinary obstruction this weekend. He was in the hospital until Monday afternoon with a catheter and IV fluids. I worked Monday night but he had supervision at home. He...

  17. Evidence-Based practice re: Pitocin Inductions

    L&DRNJenn replied to HazeKomp's topic in Ob/Gyn

    Thanks for that link. I thought this part of the drug instructions was interesting "Once the desired frequency of contractions has been reached and labor has progressed to 5-6cm dilation, the dose...

  18. post c-section pain control

    L&DRNJenn posted a topic in Ob/Gyn

    I'm interested in what other places are doing. The CRNA or anesthesiologist gives Astromorph into the epidural space. Then our epidurals are pulled immediately post-op. We have standing orders for...

  19. post c-section pain control

    L&DRNJenn replied to L&DRNJenn's topic in Ob/Gyn

    Yea, just as I suspected. Our pain control stinks. Like I stated before, Astromorph in OR then Norco or Motrin. I had a lady with general last night. She had a morphine PCA however after 13mg, she was...

  20. post c-section pain control

    L&DRNJenn replied to L&DRNJenn's topic in Ob/Gyn

    See I wish we were more generous with IV pain medicine standing orders. I really like Toradol. Are there any diagnoses or reasons that it can't be given post-partum? I'm assuming patients with...

  21. Newborn Transition Policy

    L&DRNJenn replied to JaneyW's topic in Ob/Gyn

    I am very new to L&D but I'll tell you how it is done where I work. Each shift we have a designated float nurse that will be present at deliveries and observe the initial transition of the baby....

  22. Requesting Info about Transplant Nursing

    L&DRNJenn replied to EGKB's topic in General Nursing

    Transplant nursing was my first job too. I did it for 3 years. I interviewed for a few positions in med-surg and it seemed the most interesting. It is certainly a specialty, but you will see many...

  23. deep tendon reflexes

    L&DRNJenn posted a topic in Ob/Gyn

    Does anyone have any tips on checking reflexes? For me it is usually hit or miss (mostly miss!). Do you use your stethoscope or carry a reflex hammer? Do you check the patellar or the brachial? Also...

  24. Nurse tracking devices

    L&DRNJenn replied to PattonD's topic in Ob/Gyn

    We have the same thing and I really like it. It saves a lot of time looking for people and decreases overhead announcements. I have been using them for 2 years and have never heard of anyone being...

  25. How many hours would you work?

    L&DRNJenn replied to mikethern's topic in General Nursing

    I would work 12-24 hours per week. That 3rd 12 just seem like too much some weeks. 8 hour shifts seem so short when you are used to a 12. My ultimate goal is to be able to work PRN "when I grow