palesarah

palesarah

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All Content by palesarah

  1. How necessary are episiotomies?

    palesarah replied to WhatToDo's topic in Ob/Gyn

    ditto Deb! No routine episiotomies at my

  2. Poll: Are there openings in L&D?

    palesarah replied to ER1010's topic in Ob/Gyn

    I was hired directly into L&D (LDRP actually) out of school (ADN) in 2003. They hired 2 new grads in May 2003 (myself and a BSN grad who had worked there as a unit secretary). In January 2004...

  3. PCA BY proxy

    palesarah replied to JHUBRAIN's topic in General Nursing

    This issue was addressed in the Institute for Safe Medication Practise's January '05 nursing edition newsletter. It doesn't look like the text is available online but subscription to the email...

  4. When they call you in to work extra shifts...

    palesarah replied to purseOnalityRN's topic in General Nursing

    my work usually only calls once and leaves a message- sometimes I get more than one call in a day but it's usually when they are calling to cover yet another shift that day! edited to add: I also...

  5. New L&D Nurse and Overwhelmed!!!

    palesarah replied to NurseHeather's topic in Ob/Gyn

    you can order Labor & Delivery in my Pocket online, here's the link: http://www.inmypocketbooks.com/ldpb.htm It's a great book. It was recommended in the sticky recommended books thread, so I got...

  6. Postpartum pain management

    palesarah replied to breastfeedingRN's topic in Ob/Gyn

    Self-meds are stored at the patient's bedside. JCAHO came through in June, after the self-med program had been implemented, and we passed; they actually liked our self-med program. Note we have all...

  7. How many male nurses work on your floor/unit?

    palesarah replied to Thunderwolf's topic in General Nursing

    no male nurses or techs on my floor- LDRP. When I was taking my hospital tour at the new grad open house we met a former male new grad on tele who was trying to talk us into applying to his floor- I...

  8. Postpartum pain management

    palesarah replied to breastfeedingRN's topic in Ob/Gyn

    you're doing your patients a great service by taking their pain seriously and treating it! You sound like a great nurse to me. We give our lady partsl delivery patients a self-meds pack with motrin,...

  9. Male nurses with earrings

    palesarah replied to Thunderwolf's topic in General Nursing

    of course OK, as long as it's allowed within facility policy and men & women are held to the same

  10. Malpractice Insurance

    palesarah replied to Q.'s topic in General Nursing

    Mine was about $350/yr for L&D malpractice insurance. I don't remember the company offhand but I got it through

  11. Intradermal lidocaine for IV starts

    palesarah replied to hardworkingrn's topic in General Nursing

    It's becoming our policy to use or at least offer 1% lidocaine for IV starts. On OB we start everyone with an 18ga unles they have really tiny veins. Our patients have reported much less discomfort...

  12. new nurse, chronic insomnia, any suggestions?

    palesarah replied to NP2BE's topic in General Nursing

    I also have chronic insomnia, which I am able to manage with Ativan and Ambien. I have learned that everyone has their 2 cents worth of advice when it comes to insomnia and I take it with a grain of...

  13. Own uniforms or hospital scrubs?

    palesarah replied to irehc's topic in Ob/Gyn

    I would love that! That's almost $200 a year for uniforms. Good

  14. Come Play the Build a Better Hospital Game!

    palesarah replied to UM Review RN's topic in General Nursing

    in my perfect hospital, room service (dietary) would be available round the clock. The cafeteria and room service are only open 7am-7pm. I know most people aren't looking for full meals in the...

  15. Cord Blood Collection

    palesarah replied to JaneyW's topic in Ob/Gyn

    nurse involvement with these kits is pretty much limited to us reminding the provider that they need to do it and then sweet talking the lab into drawing that extra tube for

  16. Dating Patients

    palesarah replied to bobnurse's topic in Patient, Colleague Relations

    icky and way unethical but, sadly, true- a nurse who works on my unit PRN ended up dating the boyfriend of one of her labor patients. I did not know her at the time but she's quite open about it. She...

  17. Own uniforms or hospital scrubs?

    palesarah replied to irehc's topic in Ob/Gyn

    not only are we allowed to wear our own scrubs, we're not allowed to wear the hospital ones any more unless we get dirty and need to change at work. We wear sterile gowns over our own clothes in the...

  18. Epidurals: to Dose, or Not to Dose?

    palesarah replied to 4Blessings's topic in Ob/Gyn

    It is allowed within the RN scope of practice in my state (NH) to adjust (increase or decrease) the rate on a pump, but not to inject medication directly into the

  19. Ultrascopes?

    palesarah replied to manna's topic in General Students

    thanks for posting the link- I didn't know they made pedi scopes too! I tried a coworker's ultrascope the other day and was amazed at the quality, so much better than my

  20. Epidurals: to Dose, or Not to Dose?

    palesarah replied to 4Blessings's topic in Ob/Gyn

    We have standard pre-written orders for epidurals that the MDA signs off on; we start the pump at 10mL/hr and adjust up to the max limit within the written parameters, or down as needed. The patient...

  21. Epidurals: to Dose, or Not to Dose?

    palesarah replied to 4Blessings's topic in Ob/Gyn

    Anesthesia is not required to be in house at all times in our hospital. When they are not in house they are required to be available within 30 mins for emergencies and epidurals and most of them are...

  22. Epidurals: to Dose, or Not to Dose?

    palesarah replied to 4Blessings's topic in Ob/Gyn

    we can prime the tubing, hang the initial infusion and change the bag out, program the pump and increase/decrease the infusion rate. The patient can self-bolus with a button. If the epidural needs...

  23. How to deal with being childless in L&D

    palesarah replied to pebbles1977's topic in Ob/Gyn

    I get that a lot at work, both with laboring women and while doing baby care. I LOVE babies and talk to them a lot, which drives some of my coworkers nuts but the parents love it, lol. I have...

  24. Report rant

    palesarah replied to fergus51's topic in NICU, Neonatal

    ugh! Sounds like a major PIA. Definitely agree that there is at least 1 self-proclaimed "supernurse" on any unit. Even L&D

  25. Report rant

    palesarah replied to fergus51's topic in NICU, Neonatal

    ugh! Sounds like a major PIA. Definitely agree that there is at least 1 self-proclaimed "supernurse" on any unit. Even L&D