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gemininurse71

gemininurse71

L&D, High-risk AP, rural hosp.
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Married with 3 kids

gemininurse71's Latest Activity

  1. gemininurse71

    Calling L&D Nurses - Tips and Tricks?

    If the cervix is still very posterior, I have found that a bedpan, covered with a chux and placed up-side-down with the higher part at the lower back and lower part under the buttocks, helps tilt the pelvis enough to make getting to the cervix alot easier. Also light pressure at the top of the fundus can help.
  2. gemininurse71

    Can a hospital retract their job offer

    Sorry about your troubles, but even in my Union hospital with a signed contract, there is a clause that allows the hospital to terminate employment within the first 90 days (probation period) without cause. I hope you find a new job soon. Maybe you can use the scrubs at a future employer?
  3. gemininurse71

    Am I a bully?

    Sorry about your troubles, but even in my Union hospital with a signed contract, there is a clause that allows the hospital to terminate employment within the first 90 days (probation period) without cause. I hope you find a new job soon. Maybe you can use the scrubs at a future employer?
  4. gemininurse71

    Bedside handoff report on mother/baby unit

    We closed our nursery (mostly for staffing reasons) about two years ago and have found very few complaints from patients. Our PP nurses take 3-4 couplets and we do bedside report. First, the off-going nurse writes a shift summary that is printed (patient status report) and given to the oncoming nurse in the report room, where we have a brief (5-7minute) unit report from the charge nurses (these two things usually includes any pertinent issues like social issues, etc). The off-going nurse stands in front of the rooms she has and waits for the starting shift to find her. This can take some time, since nurses are usually assigned any patients they had the day before (if possible) so they don't always match up to the oncoming nurse. For the most part the nurses are able to get out on time. We have complained that it is inefficient and rude to wake the patient in the morning, but management says that bedside report is a JCAHO expectation and it will NOT be going away, so we do our best.
  5. gemininurse71

    What did you do to land a job in L&D?

    I got my first job at a nearby (100 miles away from home) rural hospital with an OB program. They were a small critical access hospital that only did 70-90 deliveries per year. I was a staff nurse and got great experience in several different areas (ER, peds, med-surg, post-partum) but I also got OB experience. They sent me to all of the classes (management of labor, NRP, ACLS) and although I didn't have a ton of OB experience a year later when I applied at the larger hospital, it did get me in the door. Good luck!
  6. gemininurse71

    What's The Weirdest Name You've Heard A Patient Name Her Baby?

    It is amazing to me that with the overwhelming number of people here who have seen La-a, Shithead, Lemonjello, Orangejello, Nosmoking, and Gonorrhea (and others), that I have never heard or seen anyone with these names. Admittedly, I do live in a very minority sparse population, but still......
  7. gemininurse71

    Question about noisy/open-glottis pushing

    The thing about open glottis pushing is that it almost always takes longer. Since 80-90% of the patients we see (at my hospital) are epiduralized, this could mean more time pushing, and moms get exhausted. The younger (and poorer educated) the patient, the harder it will be to teach the perfect balance of noise vs. muscle use, but at least most women can learn to hold their breath and bear down. I absolutely agree that open-glottis pushing in natural labor is great, since they can feel what is going on and their urge to push is not dampened. It could even decrease tears and pelvic floor damage and I think it is most likely better for baby. But before most of us will be convinced, I guess research needs to be done comparing the benefits of open glottis pushing versus the extra time it will take to get baby out.
  8. gemininurse71

    Funniest, Weirdest, Most Unusual Baby Names

    New one today: Aahzlie; pronounced "Oz-lee"
  9. gemininurse71

    Can a male RN work on obstetrics?

    Our unit has 2 male RNs in L&D and both are EXCELLENT nurses who I would not hesitate to receive care from. They do occasionally get "fired" for being male but for the most part they get good comment cards as much as anyone else.
  10. gemininurse71

    What's The Weirdest Name You've Heard A Patient Name Her Baby?

    Recently had a baby girl Arlington (Arly) whose big sister was named Remington (Remy). I thought they were cute
  11. My friends and I live in Eastern WA and usually go to the (very fun) Rocky Mountain Childbirth Conference, but this year it is in Billings (540 miles). Sooo, we are looking for a different conference this fall that is within a 6 hour drive. Anyone in WA, ID or OR know of any good OB conferences that you might recommend? Thanks!!
  12. gemininurse71

    Vaginal Table set-up

    Weird, we never set-up until we are ready to deliver. OK, maybe when we call the docs to come for delivery. If the tech can't do it, the nurse does it herself. I can't imagine why you'd want a table set-up for 12 hours. It would just take up room, IMO
  13. gemininurse71

    You Arent Supposed To Hold A Newborn Baby If On Menstrual Cycle?

    We had a patient on our unit once that at the front desk declared that nobody on their period was allowed to touch their baby. It was passed on in report each shift and we all laughed. I never took care of them, but they were caucasians, don't know if it was religious or not. They actually asked every woman who entered the room if they were menstruating.
  14. gemininurse71

    baby to the nursery please

    Because of budget cuts, our nursery recently closed and I think it's a shame. Although I do believe some people would take advantage of the service (baby in nursery more than mom's room, or multiple visits so mom can smoke), I also think it can be invaluable to some people. A four hour nap is all it might take for a woman (after hours to days of labor and pushing, then possibly C/S) to feel like a new woman and better able to cope with the constant BF sessions or crying jags. Now, the only babies that go to the nursery are administrative/CPS holds and C/S admits (for 1 hour).
  15. gemininurse71

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

    Try a clean bedpan (not fracture pan), upside down with thicker part toward the feet and covered with a pad while pt totally flat in bed - it is awkward, but tilts the pelvis well. You can also carefully apply firm fundal pressure. Alison, RN L&D
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