BirthCenterRN

BirthCenterRN

L&D, Antepartum, Postpartum, MB, Special

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All Content by BirthCenterRN

  1. Shadowing a midwife

    I don't have an answer but congratulations on your new adventure!
  2. Not enjoying my new job...

    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 sur...
  3. Epidurals & Foleys

    Same as smiling blue eyes
  4. Clinicals-fox Valley Tech

    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 tim...
  5. Floating or closed unit?

    I hate floating.
  6. L and D Scrubs

    Unfortunately I am stuck wearing those horrible ceil blue surgical scrubs:(
  7. Any HRP Nurses out there???

    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...
  8. Scd

    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.
  9. initial post-op assessments for C/S moms

    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, ...
  10. Nurses managing epidurals on L&D

    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 ...
  11. WHO not IT

    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 ...
  12. Transcutaneous Bilirubins

    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 ma...
  13. MD's and Pitocin

    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/g...
  14. New nurse ?- SVE's when closed/thick/high

    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.
  15. How long to wait?

    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...
  16. What would you do in this situation?

    My 2 cents....We have one large unit that cares for women from antenatal to postpartum including babies. We are not able to transfer our patients anywhere. That being said...we are all trained in dealing with a loss and pt's with a loss are 2 nurses ...
  17. Do you circulate/recover your c section patients? More...

    hope this helps
  18. FHR - antepartum units?

    I work on a unit where we have one unit. Everyone that is 20weeks and up is admitted to our unit. We have a variety of monitoring based on MD preference and reason for admission. The most common are... 1. Continuous (usually only for PTL or an issue ...
  19. Inpatient or Clinic

    Hello all! I had an interview today for a Clinic RN in an OB/GYN office that has doctors and midwives. I currently work in a high risk birth center and provide all care for mothers and babies from admission to discharge including antepartums, pregna...
  20. Bizzare

    I had a teenage patient in labor that had her mom, her mom's boyfriend, her own boyfriend(teen), the baby's father (teen), her baby's father's girlfriend (teen), her baby's father's mom, her own 2 sisters, and her grandmother with her. There wasn't r...
  21. Advice RE: L&D vs. NC

    I graduated May 07 from an ADN program and I did my final internship on the unit where I work now. I was hired before school ended and started 3 days after graduation... Anyway, I work in Birth Center and my job includes High Risk antenatal care (ie...
  22. Epi Question - Stops working at 9 cm?

    I haven't found this to be true...some people do feel the pressure but that is a good thing. It makes pushing better. In my personal experience I did not feel anything with my epidural and only pushed 3 times with my first vag delivery (9lbs 7oz and ...
  23. Where does your hospital complete the first bath

    We do the bath in the room usually within 2 hours after delivery but it can be done after that. The only thing we are required to do within 2 hours is give the Vit K and Eye ointment. This can be done while the baby is with mom. We also do the immedi...
  24. Computer Charting

    We also have computer charting and I love it. We are only half way there though. We still do the qshift assessment and labor notes on paper but everything else is computer. We have laptops for each L&D nurse. You can move the laptop from the nurs...
  25. Time: in room to epidural?

    I work in a pretty busy birthcenter also. I would say 1/2 hour- 45 minutes. We do have to do all the paperwork too but I would have them sign the epidural consents first, get them on the monitor and start the auto vitals, get the IV started and start...