klone MSN, RN

Nurse Leader specializing in Labor & Delivery

Member
  • Content

    14,857
  • Visitors

    131,129
  • Followers

    9
  • Likes

    8,026

All Content by klone

  1. klone

    Pitocin Question

    This page on 3rd stage of labor talks about physiologic vs active management of 3rd stage, and benefits of each. Management of the Third Stage of Labor: Overview, Clinical Presentation,...
  2. klone

    Pitocin Question

    Most providers give it as soon as the placenta delivers, but some research suggests that starting Pit as soon as the anterior shoulder is delivered helps actively prevent PPH. The uterus won't fully...
  3. I guess you could become a lay midwife and do homebirths. No degree required. But if you want to work as a midwife in the hospital setting, you will need more
  4. There are some graduate programs in the NE that have CM programs (non-nursing midwifery). SUNY is one, I believe. Graduates are only recognized in a few states, though (from my
  5. Most CNMs start as L&D nurses. Get your BSN, work in L&D, and then after a few years, go back to school for your
  6. klone

    Nursery/NICU linen changes

    We don't have a policy. For NBN, we just change them PRN if they're soiled (they're only there a couple days). For NICU, they're changed
  7. klone

    Any truth to this story?

    Oh dear. That was my previous employer before I moved to
  8. klone

    Wireless monitors: Monica/Novii, other telemetry

    We have a Novii. We used it twice, and it has been out of use since, because it appeared to show great inaccuracies with the FHT. We're now all a bit gunshy to try to use it again. So it sits in my...
  9. klone

    Seniority

    I think you and I are using the term "seniority" differently. You seem to be using it as interchangeable with "experience" and I am using it per the definition of most union contracts, which is the...
  10. klone

    Unable to Advance my RN Position

    Did you ask your manager why less senior nurses have been given benefited
  11. I have a job interview for an infusion company, and she said that I would be trained to insert PICC lines. I didn't know it was in an RN scope! It has to be done with the aid of x-ray, yes? Do you...
  12. klone

    HELP possibly moving to Denver

    U of C Hospital is in a fairly rough area of Aurora. I would not suggest living within close distance of the hospital. However, Denver has a very robust public transit system (RTD, you can look it up...
  13. klone

    NICU Before Moving to L&D

    Yeah, I thought that was an odd thing to say. Sepsis, NEC, CDH, 24-weekers with intercranial hemorrhages, term newborns on head cooling 2/2 HIE from birth trauma. Not what I'd call
  14. klone

    NICU Before Moving to L&D

    OP, if you want to work in in OB/women's health, then you should take the L&D job. NICU is not OB. As others have said, as an L&D nurse, you spend very little time with the baby on the...
  15. klone

    NICU Before Moving to L&D

    It surprises me that you would say that. I've worked at half a dozen hospitals around the country (both community hospitals and university affiliated high risk facilities) and all of them had new grad...
  16. klone

    Seniority

    Seniority and experience are separate ideas, though. There are nurses with decades of relevant experience, but are low seniority at a facility because their experience was at other facilities. My...
  17. klone

    Magnesium sulfate question

    Bedrest Clears Yes, but can't speak to the specifics Currently it's serial, but we're in the process of updating our orderset, and mag levels will be one of those changes, so that it will be drawn PRN...
  18. That's very similar to how WGU's program is. Very interesting that another school has adopted that
  19. klone

    Seniority

    That was a very specific
  20. klone

    Rh + and - and Coombs and blood types

    I've typically seen the test done on the newborn (direct
  21. klone

    Seniority

    Best as in most qualified. I guess I thought that was
  22. klone

    Seniority

    I feel like I'm reading a different thread than you. The peer interviewers assign scores to the various candidates. We do that, as well. All candidates are given the same questions, and they are...
  23. klone

    Seniority

    What do you mean? You don't know what "best" means in this
  24. klone

    Fountain Pens for Charting

    It's seems like an affectation to me. You're seriously going to chart with an
  25. klone

    Seniority

    Exactly this. I think the peer interview is an incredibly important part of the process. I am in favor of hiring the person who is the most qualified and best fit for the position, rather than the...