BirthCenterRN

I don't have an answer but congratulations on your new adventure!

I am going through the same thing right now. Only the nurses invade my home time too by calling me at 9 or 10 am right after the night shift and asking stuff that could easily be looked up in the computer. It has been 3 months for me and I am not sure how much longer I can deal with it. I hope it gets better for you.

Same as smiling blue eyes

I graduated in May 2007 from FVTC. Most of the clinicals were 7-11 in the first year and 6 or 7-1 or 2 in the second year. There was a few that had afternoon clinical but you took a chance on if you would get into that one or not. I worked a part time day job but I had a very flexible schedule. I could work whenever.

I hate floating.

Unfortunately I am stuck wearing those horrible ceil blue surgical scrubs:(

My unit does everything but I just wanted to say that caring for the "undelivered" patients can be very rewarding. They are long term and you get a chance to know them and their families better. We end up crying all the time when they leave after 2-3 months. We become extended family. When we staff for "undelivered" pt's we are 1:1 for unstable (usually the first 24-48 hours, 1:2 for stable but frequent/cont efm, 1:3 for very stable nst q4 or qshift. Good luck

same as hoppermom the only etc is pt that weigh >300lbs or reluctant(non compliant) fo ambulation I make the effort to get my c/s patients up within the 4 hour window. Definitely by the 6-8h mark.

Our patients do not go to PACU we are the PACU on the unit. Pt arrives on unit loc and reflexes, lungs, aldrete score, skin, incision, breasts, heart, calf tenderness, bowels sounds, urinary (foley), fundus/lochia, perineum if pt pushed before c/s, coping/bonding Then q15x4, q30 x2, q1h x2 with vitals loc, lungs, inc, foley, fundus. lochia, perineum Then q4 until 24 hours out with vitals loc and reflexes, lungs, ability to move/ambulate, skin, incision, breasts, heart, calf tenderness, bowels sounds, urinary (foley), fundus/lochia, perineum if pt pushed before c/s, coping/bonding The patient is on continuous pulse ox for 24hours documentedd q1/2h x12h and then q1h x 12.

I work at two different birth centers. The first one the RN does everything except place the catheter. However, we have additional training on orientation on how to manage the epidural and the pump as well as mom and baby. The anesthesiologist stays in the room for the first 10-15 minutes and on the unit until the mom is completely satisfied with her pain relief and both mom and baby are stable. They then leave with the expectation that they will return for any complications and administer the appropriate meds ie ephedrine etc. We only do IV bolus and in rare circumstances ephedrine if it is an extreme case and they are tied up in trauma and the back up is in route. They don't get mad about you calling and one night I called 5+ times about a patient's BP and he returned each and every time to assess her and give meds. The second place I have just started and haven't gotten all of the logistics but I did have epidural pump orientation today so I am assuming that prime/program is the RN job. Both of these places require 2 RN's to be at the bedside during programming, connection, and initiation of the infusion. The med must then be signed in the EMAR by both RN's. I am comfortable with this and couldn't imagine waiting on the anes. provider for everything and having patients in pain while waiting. Our nurse practice act covers these actions because you have additional training in the programming and maintenance. Kind of along the lines of a nurse specially trained in iv sedation or other specialties. my 2 cents

I think that the "what is it" in the report is referring to the affliction not the person. The use of room numbers and "it" could be a result of HIPPA laws. Just a possibility. As for the baby, I think it is a little over the edge to get upset about this. I personally call "it" my it's name if the parents have one or baby if not.

We use it. The routine is to do it at 5am on the day of discharge and PRN. If the level is high risk for age, gestation, and risk factors then we get a serum within one hour. (http://www.bilitool.com is a great resource if you don't want to do the math on your 11th hour of working:)). We then call the MD with the serum results if they are still high. If the serum is lower we just leave a message for the MD because they come at 7am anyway. I love the TCB. It saves alot of pokes to those tiny feet.

Our orders used to say cervical exam by MD within the last 24 hours. They now extended it to 72hours (ie seen on friday and induced on monday). The nurse does the initial exam right before the pitocin is started. This is the same policy for cytotec/gel. In the ripening scenario, when the nurse does the sve and the patient is >3cm or Ruptured we go straight to pit. Hope this helps

I am a new LD RN (1y) and I often get called in a room by experienced nurses because I have longer fingers. I used to think "you want the newbie to check someone" but I was always accurate and they trusted me.

Our docs vary in what they do. It also depends on the things that others have already listed. I have seen a doc let a term, gbs- pt gp 3 days but she started antibiotics after 24 hours and let us do the pit really slow. We had it on for a while then rest at night then back on in am. I had her all three nights and she got to about 4cm at 5am and delivered at 8. She was also a prime. My personal experience was that I was a g6p3 with pg#1 PCS pg#2 RCS pg #3 VBAC. I prom at 37weeks, gbs-, hx of large babies. I had midwives and I was previously 2cm/50/-2 on monday and prom on wednesday 1pm. I went in and my midwife said that she wouldnt check me b/c she already knew where I was 2 days ago and she let me go home. I slept all night and she called in the am. I hadnt had one single ctx (ironic given that I had been in preterm labor 3 weeks prior). I cam in at 11am on Thursday started pit at 2mu and delivered at 7:59pm with one push. Healthy baby and healthy mom. I wasnt a nurse back then and now that I am, I am glad that she didnt start "checking" me and gave me a chance before intervention.