jhhrn68

jhhrn68

geriatrics, L&D, newborns

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All Content by jhhrn68

  1. Do you have to be on-call?

    On my unit, the pay for being on-call is $5 and time and a half for a minimum of 3 hrs. if you do get called. Call is 24 hrs. at a time but you might not be on call except once every 6-8 weeks. More...
  2. L&D is very fast paced (or dull) but post partum is not usually hectic unless all the beds are full, pts. are delivering elsewhere and you are trying to get people discharged to get the beds clean...
  3. How far would you travel?

    I just finished my first agency job. I traveled 48 miles one way and it took about an hour to get there. One of the other nurses had a 1 1/2 drive and she sometimes stayed over and slept at the...
  4. Pitocin admin via infusion pump

    I am a little confused by this question. Is this Pitocin being given for induction or augmentation or are you taking about post-delivery? For induction, you would absolutely need separate pump, but...
  5. Curious about PP Methergine use

    We certainly do not use po Methergine as a routine. I have only seen it used for excessive bleeding and then it is given
  6. Natural Birth Friendly Nursing?

    Unfortunately, where I work, too many of the pts. are uninformed and will do whatever their doctor says. They don't question anything, have not thought about pain control, have not attended even a...
  7. forced vaccines

    I didn't get a flu vaccine this year and I got the flu. And so did everyone else I know, even the ones who had the vaccine. No flu vaccine can protect one against all
  8. Need Answer About Postpartum !!!

    The thing about postpartum is that you are mostly dealing with a young healthy population. Because of the increase in c-sections, you will need to know some post-op care. And there will be the 14...
  9. Well baby nursery at night

    We don't do couplet care. We have a nurse for the nursery and a nurse for postpartum. We try to encourage mothers to keep infants in the room with them but many of them want to send the baby to the...
  10. What is your unit's Uniform Policy

    Our hospital supplies the scrubs in a certain color for our birthing center employees. We change into them at work, keep shoes at work just to change into and the scrubs are laundered by the...
  11. Ever have a day like this???

    I have certainly had days like that. We have that strict rule of only 2 visitors at the bedside when a pt. is in labor and a total of 5 visitors - 2 at the bedside and 3 in the waiting room and they...
  12. Coaching women during childbirth has little impact

    There is so much more to coaching a woman through labor then telling her to push. The coaching starts way before the pushing part. For our second, my husband and I tool Lamaze classes because we...
  13. Increase in Hep B refusal?

    My children are older so the Hep B vaccine was not out when they were babies. However, I waited to start my younger daughter's vaccinations until she was 2 months old. I was breastfeeding so I...
  14. Need Encouragement!

    I oriented to L&D for 6 months, then the nursery and a couple of days in PP. When it came time to learn to circulate (after I had been working for awhile), I got 2 days. It took me years to...
  15. L and D Job Concerns

    I started in OB at the ripe old age of 54. I did L&D for 6 months before orienting to the nursery and postpartum. L&D can be very stressful, but we get to do all three (not at one time, of...
  16. Vaginal Table set-up

    We usually set up our tables right before delivery and don't cover them unless we have guessed wrong about how long Mom is going to push. We have a sterile drape to cover the table with if necessary....
  17. C/S and delivery table set ups

    We set up our C/S tables right before the section and do not cover. The circulator sets up the table wearng mask and cap. Gloves are not worn because she is just dumping stuff on the table. The...
  18. Advice needed

    I would say, why not ask if you can shadow a L&D nurse for a shift or two and see what it is like. L&D can be very fast paced and stressful. We haven't had many slow periods at our hosptal...
  19. Report sheet mom/baby

    We have one we use at work - legal size paper printed both sides so room for 12 pts. This is the postpartum sheet. We have a different one for L&D. Anyway, it has a space for mother info and...
  20. I never imagined...

    The really sad things is that most of the stress is caused by medical interventions in what should be a perfectly natural process. Just imagine if all women came into L&D already in labor...
  21. Interview

    Be prepared with questions to ask. Dress professionally. Get a tour of the unit so you can see things in action. And realize that this is a specialty unit and you will need a lot of orientation and...
  22. Advice from all L&D nurses

    We have many nurses who come to our L&D unit right out of nursing school. It takes a long time to get them through orientation but luckily our unit will spend the time and money to get these...
  23. It is never better for a woman to have a c-section just for the hell of it. It is not better for her and it is not better for the baby. What happened to women giving birth the way nature intended?...
  24. RhoGAM and Coombs

    Here is all I know about it. A pregnant woman who is Rh negative gets Rhogam during her pregnancy. After birth, if the baby is Rh neg. also, we don't give Rhogam, but if the baby is positive, we
  25. Birth Control Pills and Fertility

    My youngest sister and my daughter both got pregnant almost immediately after stopping the BCP. My daughter got pregnant with twins the first week-end she tried to get