lakec4me

lakec4me

OB

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All Content by lakec4me

  1. Who out there is doing standardized pitocin orders?

    we have had standardized pit orders since 2010 - start at 1-2 and increase by 1-2 every 30 minutes. we must complete a checklist prior to initiation and complete a pit assessment every 15 minutes. maximum dose is 20, unless bedside assessment is co...
  2. Free Perinatal CEUs

    Breast Feeding Training has several free breastfeeding modules. Also, check out the abbot nutrition site for more free contact hours.
  3. Good OB books to read.....

    Guidelines to Perinatal Care and anything on the AWHONN website
  4. L&D/MBU CNA Duties

    good luck with your journey! i was also a pharm tech during nursing school, and the experience was invaluable, both for nursing school and after, as a nurse. at my facility, we have nursing assistants in mother/infant. they do mom & baby vita...
  5. L&D right for me?

    i think you should pursue an L&D career, sounds like you would be a good fit, never know what's gonna walk in the door, and yea, things can go smooth or require lots of interventions and teaching is a requirement!
  6. Trends in Post Partum, Nursery, Special Care after budget cuts?

    your unit should be following the awhonn guidelines for staffing, check it out on their website.
  7. I've given up OB

    I'm in Ohio
  8. I've given up OB

    Hi Klone, i left you a comment in the research forum - we are in a very similar situation. good luck with your new position! i have always valued your comments and i look forward to continuing to sharing information as we both begin a new journey!...
  9. Where are the 14 viewing this forum???

    Ok, Klone - this is really weird! I am also an OB RN who just recently accepted a perinatal research nurse position. I start my new job in mid October. I have followed the OB thread for a few years and always appreciate your comments! Looking for...
  10. Tips for vaginal exams?

    I think someone posted this somewhere on here before, but if you google "Joyous Birth, learning your cervix", there is a great article. sorry, i am a bit technically challenged to post links - lol also, i agree with other posters, it takes time to f...
  11. Annual skills fair and regulatory requirements

    We changed our skills fair to education days. we have different education stations that the nurses move throughout. the stations vary from high risk high volume topics to high risk low volume topics. it usually takes about 3-4 hours to complete. ...
  12. What all can you do with an MSN in Education?

    I have been employed as a clinical educator in a specialty area for the past 8 years. I am full time, salaried, and make less $ per hour than i do as a staff nurse (second position). However, i do not have a MSN. my facility strongly encourages a ...
  13. How are pitocin orders written at your facility?

    we start pit at 1 mu and increase by 1-2 no more frequently than 30 minutes, depending on uterine activity. as a previous poster stated, i have witnessed all types of pit orders over the years, but we now know that oxytocin is a high alert med and ...
  14. I am HIRED!!! Labor and Delivery Nurse To BE!

    wahoo, congrats, and i agree with above posters. never be afraid to ask questions of your preceptor and seek out your educator for articles, skills, etc,
  15. Epidural vs. nature births

    while i think that epidurals are a great option, i certainly don't encourage them, and i don't think it makes my job easier with all the VS & assessments! it is a patient choice.
  16. Low Census - Is it Happening to You

    Our census may be down a bit from last year, but we have not had issues with downstaffing. we are trying to meet the new awhonn staffing guidelines, and are actually begging for staff to work extra to meet the guidelines while we get new RNs through...
  17. Fetal monitoring competencies

    My facility requires NCC EFM certification for all RNs, CNMs, and physicians as of 12/31/11. All new RNs will have one year to pass the NCC exam. After the NCC certification, they will be required to maintain competency with NCC requirements of 1...
  18. Oxygen administration during labor

    hi klone, can you please direct me to this research? thx so much!
  19. so sorry for your frustration; we need passionate, dedicated nurses in L&D! it sounds like you have great credentials with your leadership expereience in M/S nursing - i would focus on that. Also, can you shadow a L&D nurse to be sure this ...
  20. New grad 30 weeks pregnant and starting on L&D department

    Hang in there, OP! I, too, was a new grad and 17 weeks pregnant when i got my first job in L&D many years ago. The manager who interviewed me did not know i was pregnant and i did not disclose this. i worked full time night shift and actually...
  21. H1N1 and floating to other departments

    I work in a busy ob unit and while our nurses don't float to med/surg areas, we have our own pregnant H1N1 patients on our unit. It is a bit scary, but as the above poster stated, wear a mask, gown as necessary and wash your hands. I think we will...
  22. Pregnant Nurses and the flu shot

    My facility also has the prefilled syringes that state "preservative free". If you need more information on getting the flu shot during pregnancy, check out the cdc website, they have a ton of information. Also, both ACOG and AWHONN recommend the ...
  23. Lap assisted hysterectomy

    I had a supracervical laproscopic hysterectomy last May. I felt pretty tired for about a week, very little pain, though. I returned to work in two weeks and did just fine other than being tired. I would have loved to have more time off, but my doc...
  24. How often are your postpartum vital signs and assessments?

    Thanks, Lisababyrn Is this for vag or c/s or both? Can you tell me what pages this is on in Guidelines for Perinatal Care?
  25. DVT protocols

    We do a DVT risk assessment on all labor patients. For scheduled c/s we put SCDs on pre-op. For unscheduled, we also put them on pre-op, unless it's a stat, then we put them on as soon as possible.