L&Dnurse13

L&Dnurse13

OB

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All Content by L&Dnurse13

  1. IUPC scope of practice

    It is not in North Carolina. Check your BON. Some states allow
  2. What is within scope

    We are allowed in NC but have to show competence. Usually we have to be signed off 3 times to do them without someone watching. Mostly nurses at our facility use them to check for pooling and getting...
  3. Quantitative Blood Loss

    We take the amount of fluid in the suction canister at delivery of infant and subtract the end amount. We weigh all of the laps and towels used during the procedure subtracting the dry weight of the...
  4. nursing policy on handling infant that is not bathed

    I'm a l&d nurse and had a c/s at the hospital I work at 9 months ago. I refused for my son to go to the nursery or have a bath. There was no religious or cultural reason. Just a personal...
  5. curious about length of orientation to labor and delivery

    Wow. 6 months sounds wonderful. I work in a high risk l&d and only got 12 weeks as a new grad. 2 of those were hospital orientation. 10 weeks after beginning on l&d I was on my own. I did have...
  6. I work in a high risk labor & delivery unit in NC. I was hired as a new grad. We have a slightly higher turn over rate due to being a military town, but out unit hires new grads almost every year....
  7. Labor Murse Circulating for C-sections

    At our hospital we do around 500 deliveries a month. The pt's RN will circulate during the c/s and recover mom. Nicu does the initial assessment of baby then if stable we weigh baby and let mom see...
  8. burnout possible during orientation?? or just overwhelmed?

    I can relate to this. When I first started L&D (My first RN position also) I hoped for cervidil inductions or a certain groups pts. I really wanted quiet nights. I did not want deliveries at all....
  9. Is this the norm or even right??

    I work 4 12's ,then 6 off, 2 12's and 2 off and it starts over. 1 call day during the month and usually 3 days overtime. I also have to drive an hour to work. It took a little while and I was not a...
  10. Homebirth Gone Awry

    I work in a hospital setting and I LOVE our midwives!!!!! They are awesome and allow low risk women to move around and some even allow fluids. Makes things easier on the mother. They are very...
  11. OB in house

    We do around 400 deliveries a month, although this month we are past 500. We have an attending in house always. We also have at least 1 midwife in house along with anesthesia on L&D 24/7. We are a...
  12. Med surg or ER....Give me OB ANY
  13. Policy Questions and Hello

    1. At our facility we wear our own scrubs when circulating. 2. We use J&J baby soap and water. Much milder. 3.Our tables are good for 24 hours if covered, but cannot be moved to another room. We...
  14. Recovery for vaginal delivery

    Our MB unit would love if the pts were just tucked into bed. Really though after the 1 hr recovery in L&D they only have to do fundal checks q 1 hour for 4 hours then q 4 for 24 hours. They help...
  15. Recovery for vaginal delivery

    I believe our MB unit is 34 rooms. The nurses there do couplet care so 4 moms and 4 babies. L&D RN's and techs float to MB when needed and as staffing allows. MB nurses do not float at this time....
  16. Recovery for vaginal delivery

    I should also add that we have 2 nursery nurses to take baby, we do not do baby baths, meds, and only the initial and 30 minute assessment on baby. If there is a complication with baby they go...
  17. Recovery for vaginal delivery

    Our recovery starts at delivery of placenta and is 1 hour long in most cases. Baby stays with mom for up to 1 hour then goes to nursery. Our pts usually cannot get up yet due to epidural and are...
  18. LOVE maternity nursing so far!

    I agree with the previous post. Why go through Med surg when L&D is really what you want. You will be trained in what you need to be trained in. I went straight into L&D and have never...
  19. Do birth plans grate on your nerves?

    I am ok with birth plans, I am there for the pt and to help their labor go as smooth as possible. That is my job. I want every pt to look back and remember their delivery with joy, not sadness. I...
  20. Does the good outweigh the bad?

    I have been a L&D nurse for 3 years. I have my share of pts who have attitudes, feel that they are in a hotel, worry more about Daddy than the baby, etc... but I also have wonderful moments where...
  21. new RN starting as new L &D nurse, any advice?

    i also started l&d as a new rn. :yeah:my advise is do not be too hard on yourself. i was told it would take 2 years to feel confident in what you are doing and they were right. things can change...
  22. Survey about Cytotec

    How many births do you do per year or per month? 400-500 How many OB/gyns do you have on staff? 23 How many family practice doctors delivery babies? none How many nurses do you have on staff for...
  23. Speciality Pay

    We get $1.10 more an hour. I'm in